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Adolescent girls in the Dominican Republic are being denied their sexual and reproductive rights, including access to safe abortion. “I Felt Like the World Was Falling Down on Me” documents how authorities have stalled the rollout of a long-awaited sexuality education program, leaving hundreds of thousands of adolescent girls and boys without scientifically accurate information about their health. The country has the highest teen pregnancy rate in Latin America and the Caribbean, according to the Pan American Health Organization (PAHO). …
The global trend towards smaller families is a reflection of people making reproductive choices to have as few or as many children as they want, when they want. When people lack choice, it can have a long-term impact on fertility rates, often making them higher or lower than what most people desire.
This paper provides evidence of the potential beneficial effects of CSE on attitudes, knowledge, and behaviors regarding sexual and reproductive health among adolescents. In addition, it identifies areas that should be strengthened to increase the positive impact of CSE.
Recognizing the continued vulnerability of young persons within the Caribbean region to the threat posed by the HIV/AIDS epidemic, the Pan Caribbean Partnership Against HIV and AIDS (PANCAP) sought to mobilize resources to aid in mitigating this risk. …
Beyond Barriers explores the adolescent sexual and reproductive health context in three Central American countries: Belize, Guatemala, and Honduras. The publication provides case studies of our work in each country, synthesizes the latest research regarding the barriers to providing young people with sexual and reproductive health information and services, and makes recommendations for addressing the barriers. …
The Jamaica National Integrated Strategic Plan for Sexual and Reproductive Health and HIV (NISP) 2014-2019 was developed to direct the implementation of an integrated approach to Sexual and Reproductive Health (SRH) and HIV planning and programming in Jamaica over the next five years. The plan provides a blue print for achieving the vision of an integrated programme while supporting the achievement of the Millennium Development Goals (MDGs), the Sustainable Development Goals (SDGs) and the Fast-Track strategy to end the AIDS epidemic by 2030. …
CONTEXT: Age at sexual debut, age at first marriage or first union and age at first birth are among the most widely used indicators of health and well-being for female adolescents. However, the accuracy of estimates for these indicators, particularly for younger adolescents, is poorly understood. METHODS: For each of nine countries in Africa and Latin America, Demographic and Health Survey (DHS) data from two surveys conducted five years apart were used to examine women’s reports of age at sexual debut, marriage or first union, and first birth. …
This Caribbean adolescent sexual and reproductive health (ASRH) situational analysis is informed and structured by two conceptual frameworks: the Mapping Adolescent Programming and Measurement (MAPM) framework and the Ecological Framework for Health. The MAPM framework complements the logical framework and other tools for designing, monitoring and evaluating programs. It begins by defining the outcomes that are subject to change. For the purposes of this analysis the ASRH outcomes analyzed are HIV, sexually transmitted infections (STIs), adolescent pregnancies and abortions. …
This guide is the result of a series of workshops conducted in 2009 and 2010 by young people in Romania, India, Mexico and Canada. During these workshops, the authors identified gaps in the information young people have regarding sexual health and drug use. They also identified the best ways to talk about drug use and sexual health among young peers. This guide provides information, practical activities, and resources to facilitate youth-led peer trainings. …
The United Nations Population Fund (UNFPA) Sub- Regional Office for the Caribbean/Barbados is working to strengthen the evidence base on adolescent and youth sexual and reproductive health and rights in four countries: Dominica, Grenada, St. Lucia and St. Vincent and the Grenadines. The research presented in this document aims to generate new knowledge and provide the baseline data to inform the development of programmes to support adolescent and youth sexual and reproductive health and rights. …
This Global Public Health Special Issue ‘SRHR for the next decades: What's been achieved? What lies ahead?’ assesses progress 20 years after the 1994 International Conference on Population and Development (ICPD), which established the sexual and reproductive health and rights framework for population and health policy (United Nations [UN], 1995). …
This toolkit was developed by the International Youth Foundation in order to provide resources for program managers, educators, youth leaders and advocates to incorporate Reproductive Health into programs targeting youth. The toolkit includes a framework, curricula and practical strategies for integrating reproductive health into youth development programming.
Rights. Respect. Responsibility.® is Advocates for Youth’s national, long-term campaign giving voice to a new vision of adolescent sexual health. These core values underpin Advocates’ vision of a society where adolescents are valued, public health policy is driven by scientific research, and sexuality is viewed as a normal and healthy part of being human, of being a teen, of being alive.
This document provides recommendations for school nurses and health center staff on nine essential components of youth-friendly services – confidentiality, respectful treatment, integrated services, culturally appropriate care, easy access to care, free or low cost services, reproductive and sexual health care, services for young men, and promoting parent-child communication.
Scientific research has made major contributions to adolescent health by providing insights into factors that influence it and by defining ways to improve it. However, US adolescent sexual and reproductive health policies-particularly sexuality health education policies and programs-have not benefited from the full scope of scientific understanding. From 1998 to 2009, federal funding for sexuality education focused almost exclusively on ineffective and scientifically inaccurate abstinence-only-until-marriage (AOUM) programs. …
