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Ghana has been widely acknowledged as one of sub-Saharan Africa’s ‘rising stars’ during the era of the Millennium Development Goals, and has made substantial progress in improving access to health care and education over the past two decades. However, a step change is now needed to ‘reach the furthest behind first’, as committed in Agenda 2030, if Ghana is to leave no one behind in its progress towards the Sustainable Development Goals. …
The West and Central Africa region has one of the world’s highest HIV burdens among children and adolescents, second only to that of Eastern and Southern Africa. Yet, due to its lower HIV prevalence rate, the epidemic has received less attention than in other regions. …
This brief discusses the effectiveness of comprehensive sexuality education (CSE) in preventing HIV, and lists key findings and recommendations. It concludes that CSE is effective in decreasing HIV risk factors in adolescents and young people, and improving sexual and reproductive health (SRH) in general, including creating demand for SRH services. …
UNESCO commissioned a study to conduct a situational analysis on the status of sexual and reproductive health (SRH) of students and gender-based violence (GBV) in technical and vocational colleges (TVCs) in Malawi operating under the Technical, Entrepreneurship and Vocational (TEVET) system. The methodology comprised of a desk review, survey, key informant interviews, and focus group discussions. …
Objective: The objective of this paper was to produce a global inventory of school health services and describe characteristics such as target group, providers, staffing level, services, settings, and organizational challenges. Methods: The literature in PubMed and other sources were reviewed using an explicit methodology. Results: School health services exist in at least 102 countries. Usually services are provided within school premises (97 countries), by dedicated school health personnel (59 countries). …
Young people have the right to live healthy sexual and reproductive lives. Yet, adolescents and youth (those between the ages of 10 and 24) often face social, cultural, economic, and structural barriers to accessing sexual and reproductive health information and services at a time when they need these services the most, making them vulnerable to poor health outcomes. Emerging global guidance suggests that, to reach youth in a sustainable and scalable way, youth-friendly services must be mainstreamed in the community and health systems. …
With high rates of early marriage, especially among girls, a significant proportion of adolescents in Bangladesh need sexual and reproductive health services (SRH), including contraceptive information and services. Married women, including married adolescents, currently have access to these services through public sector. Unmarried adolescents do not have access to SRH information and services through public sector facilities. …
Adolescence (10-19 years old) is a critical period in life, during which people undergo extensive biological, psychological and social changes. During this time, sexual and reproductive health can pose serious challenges for adolescents and programming needs to be effective in addressing this important health area. This scoping paper assesses the state of evidence around adolescent sexual and reproductive health (ASRH), exploring the supply of and demand for evidence on the impact of ASRH programming in low- and middle-income countries. …
This research brief describes two evidence-generation efforts undertaken by the Evidence to Action Project (E2A), of which IntraHealth is a partner, and Kenyatta University, along with support from Pathfinder International, Kenya, from 2015-2016. The first evidence-generation effort involved an assessment of select KU service delivery statistics, and the second was a qualitative research study on the sexual and reproductive health (SRH) needs, attitudes, preferences, and behaviors of KU students. …
This report presents the findings of an evidence gap map that assesses the evidence available on the effects of adolescent sexual and reproductive health (ASRH) programming in low- and middle-income countries. It documents the methods used to create the map and examines evidence clusters and gaps identified in it. While there is considerable amount of impact evaluation evidence, it addresses only some of the priority questions within this broad topic. The greatest prevalence of evidence is on sexual health education and other instruction within and outside of the classroom. …
This compendium of case studies and case stories has been compiled to demonstrate examples of cooperation between (1) the health and education sectors and (2) the health and social sectors within the WHO European Region. The purpose of the compendium is to serve as a tool to support countries in implementing appropriate intersectoral policies and interventions to improve the health and well-being of children and adolescents and mitigate health inequalities among children. …
The aim of the program is to create enabling and empowering environment in the selected countries to enhance the engagement of young key populations in the Global Fund processes at country level, with following specific objectives: (i) To synthesize and generate strategic information in relation to HIV and young people to inform the National Strategic Plan review and Investment Cases; (ii) Ensure youth partners have the skills and knowledge to influence the country dialogue for adequately resourced HIV responses for young people; and (iii) Ensure programmes funded through the NFM targeting you …
The purpose of this SRHR Needs Assessment was to review progress on Vanuatu’s ICPD and MDG commitments to achieving universal access to reproductive health (MDG Target 5B), with particular focus on ensuring Vanuatu citizens’ SRHR are prioritised and maintained through all aspects of service planning and delivery. Areas of focus included access to family planning information and services, and to a range of appropriate commodities to meet the needs of all groups within communities. …
The purpose of this needs assessment is to establish the level to which the SRP rights and needs of the population of Kiribati have been met and to assess what needs have not been met. This report provides an overview of the existing available sexual and reproductive health services in Kiribati, identifies the gaps, issues and challenges that exist and provides recommendations to improve rights based sexual and reproductive health services in Kiribati. The SRHR Needs Assessment included a comprehensive literature review and in-country qualitative and quantitative data collection. …
The purpose of this needs assessment is to establish the level to which the SRP rights and needs of the population of Tonga have been met and to assess what needs have not been met. This report provides an overview of the existing available sexual and reproductive health services in Tonga, identifies the gaps, issues and challenges that exist and provides recommendations to improve rights based sexual and reproductive health services in Tonga.
