Recent studies done in central uganda have shown that there is need for a critical assessment of adolescent friendly services afs to gain insights on current. Evaluation of a reproductive health awareness program for. The importance of reproductive health nph medical services. Genderrole attitudes and reproductive health communication among female adolescents in south nyanza kenya 41 the second regression model is an unordered multinomial logic model3. Although overlooked historically, international agencies are now focusing on improving asrh and providing programmatic funding. In subsaharan africa, many sexually active young people who want to avoid pregnancy are not using modern family planning methods for various reasons, including a lack of access to services or. Recent studies done in central uganda have shown that there is need for a critical assessment of adolescent friendly services afs to gain insights on current practice and inform future. Keeping this in mind, we have identified adolescent reproductive and sexual health arsh as a key strategy under the reproductive and child health phaseii rchii programme and national rural health mission. Governments and communities can protect and pro mote srh. Adolescents are frequently reluctant to seek sexual and reproductive health services srh. Achieving universal access to sexual and reproductive health and reproductive rights of women and young people will transform our future. Adolescent sexual and reproductive health situation analysis for solomon islands. The databases searched were embase, medline, cinahl, pyscinfo. A synthesis of research evidence was written by alister c.
Nigeria has a very young population, with those aged 1019 years comprising nearly a quarter of the countrys population 33. Reproductive health is defined as a state of complete physical, mental, and social well being and not merely the absence of disease or infirmity, in all matters related. Understanding sexual and reproductive health needs of. Uganda has adolescent health policy guidelines and service standards, the national minimum healthcare package which includes sexual reproductive health srh and rights for adolescent, and the health sector strategic and investment plan hssip, moh 2010. The united states continues to have one of the highest teen birth rates in the developed world, 1 and adolescent rates of sexually transmitted infections stis are also high. Introduction to adolescence and to adolescent health. Sub saharan africa has the worlds highest level of adolescent birth rates, which poses serious consequences to the health and development of young girls. The sexual and reproductive health of younger adolescents. It is important for an adolescents parent or caregiver to be present when a health worker talks to him or her about sex. Research gaps in adolescent sexual and reproductive health. World health organization who has defined reproductive health as follows. In addition, these guidelines encourage the introduction of family life education within families, in primary schools and at all other levels of education, with special efforts for outofschool youth. The reproductive and sexual health needs of adolescents differ from those of adults. Sexual and reproductive health interventions to prevent adolescent pregnancy.
This report, adolescent and youth sexual and reproductive health. Acknowledgments adolescent sexual and,reproductive health in malawi. The institute for reproductive health irh is part of the georgetown university medical center, an internationally recognized academic medical center with a threepart mission of research, teaching and patient care. Generating demand and community support for sexual and reproductive health services for young people. Studies were included if any form of sexual and reproductive health education, counseling, and access to contraception was delivered to adolescents compared to no intervention or general health education. Jun 27, 2011 subsaharan africa is among the countries where 10% of girls become mothers by the age of 16 years old. Action plan for sexual and reproductive health whoeurope. Adolescent sexual and reproductive health situation. Reproductive health problems and health seeking behaviour. Adolescent sexual and reproductive health toolkit for humanitarian settings has. This lecture note lecture note in reproductive health for health science students is prepared in accordance with the current curriculum, which we think will be of. Evidencebased adolescents and youth sexual and reproductive. Reproductive health care includes having access to a range of goodquality. Reproductive health policies 2017 the united nations.
This definition is taken and modified from the who definition of health. The reproductive health initiative for youth in the south caucasus4, a threeyear regional initiative, aiming to inform, educate and communicate with youth about their sexual and reproductive health and rights was also present in armenia. Utilizing participatory data collection methods to. Why is adolescent sexual and reproductive health so. Sexual and reproductive health of adolescents and youth in. Adolescent sexual and reproductive health refers to the physical and emotional wellbeing of adolescents and includes their ability to remain free from unwanted pregnancy, unsafe abortion, stis including hivaids, and all forms of sexual violence and coercion one of the important concerns of young people. Adolescent reproductive and sexual health facts for policymakers. This studys purpose was to evaluate a reproductive.
Jan 25, 2016 sexual and reproductive health interventions to prevent adolescent pregnancy. Adolescent reproductive health concerns in subsaharan africa. What works for adolescent sexual and reproductive health. Global policy committee of the world health organization, 2 may 1994. Towards achieving the 2030 agenda for sustainable development in europe leaving no one behind. Within the framework of whos definition of health as a state of complete physical, mental, and social wellbeing, and not merely the absence of disease or infirmity. Adolescent sexual and reproductive health refers to the physical and emotional wellbeing of adolescents and includes their ability to remain free from unwanted pregnancy, unsafe abortion, stis including hivaids, and all forms of sexual violence and coercion one of the important concerns of young people is their sexual relationships.
Sexual and reproductive health and rights srhr are an essential part of universal. Addressing adolescent and youth srh requires interventions that include supportive policies and communitywide acceptance, in addition. Munthali centre for social research, university of malawi, malawi. The need for improved health and social services aimed at adolescents, including reproductive health services, is being increasingly recognized throughout the world. Reproductive health part 1 introduction to reproductive. Indicators for reproductive health program evaluation. Sexual and reproductive health and rights of adolescents. Adolescents living with hiv who say they want to have children should be encouraged to wait.
National reproductive health policy 2010 summary of sections that most apply to reproductive, maternal, newborn, child, and adolescent health. Understanding the reproductive health needs of adolescents in selected slums in ghana. We identified 1,123 titles from the search conducted in all. Addressing adolescent sexual and reproductive health needs therefore remains a priority for many governments in developing countries. Genderrole attitudes and reproductive health communication. Early, child and forced marriage marriage is a formalised, binding partnership between consenting adults. Essentials of adolescent sexual and reproductive health. More than a quarter of the worlds population is between the ages of 10 and 24, with 86% living in less developed countries. Four databases were searched to identify studies conducted within the past 15 years which evaluate the effectiveness of asrhe programs in subsaharan africa. Reproductive and child health programme introduction.
The further analysis of 2011 ndhs is the concerted effort of various individuals and institutions, and it is with. The study concluded that majority of the adolescent girls suffer from one or more types of reproductive health related problems and had negative health seeking behaviour. Without access to information, contraception and equal rights, they are at high risk of contracting sexually transmitted infections stis, having unwanted. Adolescent sexual and reproductive health in malawi. Policy summary the national reproductive health policy was approved in 2010 by the federal government of nigeria, with the goal of ensuring availability and access to full sexual and reproductive health. Lecture notes on reproductive health carter center. The goal of the 2002 reproductive health policy is to provide accessible, affordable, convenient and. Reproduction health is a concept raised by international community, which is defined as follows. Utilizing participatory data collection methods to evaluate. The 2015 kenya national adolescent sexual and reproductive health. Mar 12, 2020 adolescent and youth reproductive health. Adolescent sexual and reproductive health situation analysis.
A synthesis of research evidence article pdf available january 2004 with 2,268 reads how we measure reads. Module 10 sexual and reproductive health services for adolescents. The further analysis of 2011 ndhs is the concerted effort. These young people face enormous sexual and reproductive health srh. Adolescent pregnancy is a top concern among public health problems and is a challenging issue because pregnancy at a young age will include high rates of school dropout and poverty 1, 2. Child marriage involves either one or both spouses being children and may take place under civil, religious or customary laws with or without formal registration. This brief synthesizes findings from 118 experimental evaluations of 100. Effective adolescent sexual and reproductive health. Asrh rights are based in various legal instruments. More focus needs to be placed on providing learning and preparation for the world of work, building healthy lifestyles that reduce noncommunicable diseases and improve sexual health, and protecting adolescents from involvement in violence. Many global health and development initiatives call for action to improve adolescents prospects for a healthy and productive adulthood, and, in particular, to reduce adolescent childbearing.
Sexual and reproductive health of adolescents and youth in nepal. Understanding the reproductive health needs of adolescents. Since 2009, life skills lessons have been taught in grades. Consequently, knowledge of stis, contraceptive methods, or other rh issues is low among adolescents and youth in egypt, and very limited attention is directed towards male responsibility in reproductive health. The 21 critical health objectives represent the most serious health and safety issues facing adolescents and young adults aged 10 to 24 years. Sociocultural influences on the reproductive health of. Aysrh evidencedbased interventions that county health managers and youth serving organizations yso can chose from to guide adolescent and youth sexual and reproductive health interventions unique to specific areas in their counties. Making a difference a dolescence brings growth, change, opportunity, and, all too frequently, risks to reproductive health. In uganda, adolescent health and development is constrained by translation of the relevant policies to practice. A study in south africa concerned reproductive health knowledge and pregnancy related school dropouts. Sexual and reproductive health srh is a significant. Various stakeholders have, however, invested in adolescents and youth sexual and reproductive health aysrh programs in order to meet the information and service needs of this subset of the population. Reproductive health, georgetown university for the u. Final report of the subcommittee on adolescent reproductive health services download document.
Module 10 sexual and reproductive health services for. Understanding the reproductive health needs of adolescents in. Reproductive health problems identified among 400 adolescent girls are presented in figure 1. Introduction to adolescent and youth reproductive health ayrh study session 1 introduction to adolescent and youth reproductive health ayrh introduction. Pdf adolescent sexual and reproductive health in nigeria. The dependent variable is the person the respondents do talk to most regarding sexual concerns. Improving adolescent sexual and reproductive health. It is best to refer adolescents to the sti clinic or family planning clinic for sexual and reproductive health services, rather than providing these services in the care and treatment clinic. Effective adolescent sexual and reproductive health education. Acknowledgements adolescent sexual and reproductive health toolkit for humanitarian settings has been a joint effort by save the children and unfpa, led by brad kerner save the children, cecile mazzacurati unfpa and jennifer kim unfpa. Thus, in order to increase reproductive health seeking behaviour of adolescent girls, apart from their curricular activities, it.
Adolescent sexual and reproductive health asrh comprises a major component of the global burden of sexual ill health. Unfpa framework for action on adolescents and youth. Adolescent pregnancy has been identified as one of the reasons for girls dropping out from school. Recent studies done in the same district contend that there is a need to take a critical. Sexual health risk factors tend to cooccur in adolescence3 and include low selfesteem, a sense of hopelessness, poverty, poor academic performance, absence of positive role models, a family history of health problems, family separation and discord, and substance use. The committee on the rights of the child has specified the need ensure that the information is adequate and sensitive to the particularities and specific rights. Barriers to accessing services are frequently institutional, exposing migrants to greater risk of illness than nonmigrant people and often excluding them from formal medical systems. Wellfunctioning health systems needed to achieve mdg5 4 health systems need to be able to respond to the special sexual and reproductive health needs of adolescents collecting and analysing national statistics in ways that make it easier to understand the needs of pregnant adolescents, their numbers and their use of services. The challenges of adolescent sexulity and reproductive health in nigeria sexuality and reproductive health are topical issues in sociological discourse, and for the concern with reproductive health matters, including sexually transmitted diseases, stds, and the acquired immune deficiency syndrome, aids. Adolescent reproductive and sexual health facts for policymakers susan wile schwarz april 2010 215 w. Pdf adolescent sexual and reproductive health in malawi. Adolescents are too often left out of policy planning and service delivery. Adolescent reproductive and sexual health facts for.