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School-based health centers (SBHCs) are an important source of medical care for low-income and uninsured adolescents, and are a promising way of addressing unintended pregnancy and STIs. Controversy over teens and sex has had a significant impact on the provision of sexual and reproductive health services, and many SBHCs remain limited in their ability to meet the needs of adolescents by dispensing contraceptives on-site. Many SBHCs have overcome challenges and successfully integrated sexual and reproductive health services with other medical care. They can serve as models for other SBHCs.
Objectives. The authors determined the association between availability and quality of school health services and reproductive health outcomes among sexually active students. Methods. The authors used a 2-stage random sampling cluster design to collect nationally representative data from 9107 students from 96 New Zealand high schools. Students self-reported whether they were sexually active, how often they used condoms or contraception, and their involvement in pregnancy. …
This paper mainly presents the description of school-based programmes; literature review and programmatic; the process of planning, design, and implementation; the components of a school-based reproductive health programmes; and summary of programmatic recommendations.
