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The study reviews the laws, policies and related frameworks in 23 countries in East and Southern Africa (ESA) that create either impediments to, or an enabling environment for, adolescent sexual and reproductive health and rights. The assessment resulted in the development of a harmonized regional legal framework, which translates international and regional legal provisions into useful strategies. It gives recommendations based on applicable core legal values and principles gleaned from a range of conventions, charters, political commitments, guidelines and declarations. …
The objective of this literature review was to provide a background to the current context relating to the provision of comprehensive and integrated youth-friendly SRHR and HIV prevention services to students at post-schooling institutions in South Africa and in the Eastern Cape. …
Background: Accessible sexual, reproductive, and mental healthcare services are crucial for adolescent health and wellbeing. It has been reported that school-based healthcare (SBHC) has the potential to improve the availability of services particularly for young people who are normally underserved. Locating health services in schools has the potential to reduce transport costs, increase accessibility and provide links between schools and communities. Methods: A systematic review of the literature was undertaken. …
This report draws on analyses of national survey data and literature review results to provide an overview of the evidence on key aspects of sexual and reproductive health among very young adolescents aged 10–14 living in developing regions.
West and Central Africa (WCA) is the region of the world with the largest percentage of young people and the highest gender disparity in education.
Sexually transmitted infections (STIs), including HIV, are prevalent among adolescents and can have lasting adverse health consequences. The objective of this review is to identify high-quality interventions and evaluations to decrease STI transmission and related risky behaviors among young people in low- and middle-income countries. PubMed, Embase, PsycInfo, Cinahl Plus, Popline, and the Cochrane Databases were searched without language limitations for articles published through November 2015. Gray literature was searched by hand. …
Early adolescence, age 10 to 14, is a pivotal moment in the lives of young girls and boys around the world. It is period of rapid development where important health and social knowledge is gained, lifelong behaviors are established, beliefs and attitudes are shaped, and the foundation is built for adulthood. This period offers a window of opportunity for program interventions to help shape the life trajectories of boys and girls and to improve the future physical and economic health and well-being of entire communities. …
The aim of the review was to describe the current status of young people’s SRH and policy and programme responses in the Asia and Pacific regions to support evidence informed policy, programming and advocacy. …
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). …
Background: Young people particularly women are at increased risk of undesirable sexual and reproductive health (SRH) outcomes. Structural factors have been reported as driving some of these risks. Although several interventions have targeted some of the structural drivers for adolescent’s SRH risk, little has been done to consolidate such work. This would provide a platform for coordinated efforts towards adolescent’s SRH. …
Investments that promote keeping girls in school, particularly in secondary school, have far-reaching and long-term health and development benefits for individuals, families, and communities. The purpose of this brief is to describe the relationship of girls’ education on family planning and reproductive health and behaviors; highlight evidence-based practices that increase girls’ enrollment, retention, and participation in school; and provide recommendations for how the health sector can support keeping girls in school.
Introduction: Community involvement in HIV research has increased over recent years, enhancing community-academic partnerships. Several terms have been used to describe community participation in research. Clarification is needed to determine whether these terms are synonymous or actually describe different research processes. In addition, it remains unclear if the role that communities play in the actual research process follows the recommendations given in theoretical frameworks of community-academia research. …
To date, there has been no systematic review of how laws and policies govern young people's access to sexual and reproductive health and HIV information and services, and the ability of service providers to ensure these services are available and accessible to young people. This review aims to do so for the Asia-Pacific region. It assesses criminal laws, laws in relation to age, laws on health and HIV, law enforcement practices, and national policies related to HIV, SRH and youth. …
Background: The international community agrees that the Millennium Development Goals will not be achieved without ensuring universal access to both sexual and reproductive health (SRH) services and HIV/AIDS prevention, treatment, care and support. Recently, there has been increasing awareness and discussion of the possible benefits of linkages between SRH and HIV programmes at the policy, systems and service delivery levels. However, the evidence for the efficacy of these linkages has not been systematically assessed. …
Nearly half of the world's population, some 3 billion people, is under the age of 25. As the largest generation ever of young people, investments in their health and well-being are crucial so they can make a positive transition into adulthood and fully contribute to the economic and social development of their families, communities and nations. But in order to develop strategies and mobilize financial resources to support adolescent and youth development, decisionmakers need reliable, up-to-date demographic, health, education and socioeconomic data about young people. …
