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Adolescents and youth are a key population for reproductive health (RH) interventions, because young people suffer disproportionately from negative RH outcomes, including acquisition of HIV and other sexually transmitted infections; unintended, unwanted, or mistimed pregnancy; unsafe abortion; and gender-based violence. Effective monitoring and evaluation (M&E) of RH interventions designed for adolescents and youth is essential to determine their success and impact and show where improvement is needed. …
The goal of this compendium is to answer critical questions that move forward USAID’s mission of supporting (a) the adoption of evidence-based practices in adolescent- and youth-friendly HIV care and services to help at-risk adolescents (ages 10–19 years) and youth (ages 15–24 years) stay HIV-free, and (b) the provision of comprehensive packages of HIV prevention, care, treatment, and retention services to adolescents and youth living with HIV in order to promote their successful transition to adulthood.
Adolescents (ages 10–19) and youth (ages 15–24) bear a disproportionate share of the HIV burden, especially in sub-Saharan Africa. However, little is known about what projects are doing to make their interventions adolescent- and youth-friendly and what interventions are effective for changing HIV-related outcomes for these age groups. Program managers and policymakers have little rigorous evidence on how best to invest resources to achieve 90-90-90 targets among adolescents and young people. Recognizing this evidence gap, MEASURE Evaluation—funded by the U.S. …
This paper synthesises the evidence on sexual and reproductive health situation of young people in India, sheds light on those sub-populations of young people who are most vulnerable to adverse sexual and reproductive outcomes, and assesses the barriers that compromise the sexual and reproductive health and rights of young people at the individual and family levels, as well as at the programme delivery level.
A demographic dividend can occur during a window of opportunity created by reductions in child mortality and a demographic shift to fewer dependent people relative to working-age individuals. The full realization of the sexual and reproductive health and rights (SRHR) of adolescents and youth (ages 10 to 24) can facilitate gains in their health, well-being, and educational attainment. …
This handbook gives a detailed insight into the initiative in Ohangwena, which provides an example which can be expanded and improved upon in Namibia, and in the other 22 ESA countries.
In 2011, the Division of Reproductive Health (DRH) in collaboration with FHI 360 undertook a review of adolescent and youth reproductive health programs in the country that included a desk review, mapping of youth serving organizations (YSOs), and interviews with stakeholders from the YSOs and development partners. …
Young people in Uganda have significant unmet sexual and reproductive health (SRH) needs. This is particularly the case for young people from key populations. The prevalence of HIV among sex workers of all ages is between 35% and 37%, five times higher than the general population. Sex workers also face other serious sexual and reproductive health and rights (SRHR) issues, including high rates of unintended pregnancies and sexually transmitted infections (STIs). The situation for young lesbian, gay, bisexual, transgender and intersex people is also difficult. …
Sex workers are amongst those most affected by HIV and sexual and reproductive health and rights (SRHR) issues in Ethiopia. Stigma and discrimination towards sex workers affects their ability to access SRHR information, education and services. In 2014, the Link Up project in Ethiopia implemented a model of peer education and outreach to empower young people who sell sex (aged 15 – 24 years) and increase their access to HIV and SRHR services. The Link Up project seeks to improve the sexual and reproductive health and rights of young people most affected by HIV. …
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. …
A policy assessment tool on young people’s sexual and reproductive health and rights (SRHR) policies was designed by the Irish Family Planning Association (IFPA) and the International Planned Parenthood Federation European Network (IPPF EN) and completed by 18 IPPF EN Member Associations (MAs) across Europe in 2010 and 2012. …
This Advocacy Strategy focuses on reducing barriers facing Adolescents and Youth Living with HIV for improved quality of life. It emphasizes three interlinked objectives to 1) promote positive and dignified lives for AYLHIV free from stigma and discrimination; 2) enhance access to psychosocial support services; 3) increase access and utilization of friendly comprehensive package of services; and 4) improve Positive Health, Dignity and Prevention (PHDP). This holistic approach will ensure an equitable HIV response that ensures no adolescent/youth is left behind.
This publication is a collection of stories about young people living with HIV written by citizen journalists from the Key Correspondents network. The authors hope that they bring the experiences, thoughts and reflections of young people to the growing global debates on adolescent health and HIV. Key Correspondents is a network of citizen journalists around the world writing on HIV, health and human rights, helping get the voices of those most affected into global debates.
Youth centers, peer education, and one-off public meetings have generally been ineffective in facilitating young people's access to sexual and reproductive health (SRH) services, changing their behaviors, or influencing social norms around adolescent SRH. Approaches that have been found to be effective when well implemented, such as comprehensive sexuality education and youth-friendly services, have tended to flounder as they have considerable implementation requirements that are seldom met. …
Adolescence is a decisive age for girls and boys around the world. What they experience during their teenage years shapes the direction of their lives and that of their families. Investments in adolescents’ education and health are life-time investments that are likely to have positive effects on behaviours and lifestyles during their entire life course. For many young people the mere onset of puberty that occurs during adolescence marks a time of heightened vulnerability. …