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This guide looks at how to pull the whole commissioning system together, focusing on: - interfaces in commissioning responsibility, detailing the areas where more than one commissioning organisation is responsible for different elements of care that an individual may need. Includes how commissioning bodies need to work together to ensure that the individual experiences seamless delivery of services to meet their needs. - addressing the wider determinants of health, illustrating examples of how local areas are taking a wider view to address an area of need. …
Story of a national program that has been a school for social, academic and professional development for thousands of peer educators and government employees and throughout the years, the program has freed local communities from the stranglehold of taboos on sex, education and the role of young people in society. …
L’action locale est le premier document de la série Informations sur la santé à l’école destiné directement au niveau local ; il s’agit d’un guide pratique destiné à être utilisé sur le terrain, c’est-à-dire là où le changement est le plus important. Le changement dépend en dernier ressort de l’engagement de personnes qui travaillent directement dans les écoles et les communautés. …
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). …
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 SRH in general, including creating demand for SRH services. When programmes are designed with a gender, empowerment and rights focus, along with appropriately trained staff to deliver CSE through participatory learning approaches, beneficial outcomes have been demonstrated on knowledge, attitudes, self-efficacy and SRH outcomes.
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. …
In 2015, World Health Organization worked with the Nepal Ministry of Health to redesign the country’s Adolescent Sexual and Reproductive Health, through a pilot study utilizing the Innov8 Approach – an 8-step review process geared towards helping health programmes better address gender, equity, human rights and social determinants of health. The aim was to identify the adolescent subpopulations being missed, increase coverages, identify inequities and take a holistic approach to adolescent health and development. …
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. …
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. …
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 report describes the Health Barriers to Learning and the supporting evidence base for their impact on academic success. It also describes the disproportionate prevalence of HBLs in disadvantaged children, the extent of unmet need for services for identification, management and treatment, and each HBL’s impact on learning. Screening and management for each of these should be essential to supporting school and learning readiness. …
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. …
