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Allocution de Mme Marie Mariam Gisèle Guigma/Diasso sur les grossesses précoces et non desires au Burkina Faso, les causes, les consequences et les actions conduits par le Burkina Faso.
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.
This report begins with a situation analysis of adolescent pregnancy (Section 2), highlighting where today’s adolescents live and where their fertility levels are highest, as well as looking at the drivers of their fertility rates. Section 3 provides a more detailed discussion of the multiple barriers that girls face in controlling their fertility. Section 4 presents our conclusions about the main drivers of adolescent pregnancy and introduces our policy and programming recommendations, which can be found in Section 5. …
Interventions for preventing unintended pregnancy include any activity (health education or counselling only, health education plus skills-building, health education plus contraception education, contraception education and distribution, faith-based group or individual counselling designed to: increase adolescents' knowledge and attitudes relating to risk of unintended pregnancies; promote delay in initiation of sexual intercourse; encourage consistent use of birth control methods and reduce unintended pregnancies. …
Our interest in understanding the determinants of adolescent childbearing and how adolescent childbearing influences educational trajectories derive from a concern about the inverse relationship between educational outcomes and adolescent fertility. Through in-depth interviews with 118 women, we contrast the educational trajectories of adolescent and adult child-bearers in urban neighborhoods in Paraguay and Peru. The findings suggest that adolescents who face obstacles that discourage academic achievement and high aspirations in life are also more likely to bear children. …
Adolescent pregnancy and its consequences represent a major public health concern in many low-middle income countries of the world. The World Health Organization has recently developed evidence-based guidelines addressing six areas: preventing early marriage; preventing early pregnancy through sexuality education, increasing education opportunities and economic and social support programs; increasing the use of contraception; reducing coerced sex; preventing unsafe abortion; and increasing the use of prenatal care childbirth and postpartum care. …
CONTEXT: Contraceptive knowledge and use at first sex have increased over time among Jamaican adolescents, yet high unintended pregnancy rates persist. More information on risk factors for adolescent pregnancy is needed to inform programs. METHODS: Structured interviews were conducted with 15–17-year-old females—250 who were currently pregnant and 500 sexually experienced, but never-pregnant, neighborhood-matched controls. …
Scientific research has made major contributions to adolescent health by providing insights into factors that influence it and by defining ways to improve it. However, US adolescent sexual and reproductive health policies-particularly sexuality health education policies and programs-have not benefited from the full scope of scientific understanding. From 1998 to 2009, federal funding for sexuality education focused almost exclusively on ineffective and scientifically inaccurate abstinence-only-until-marriage (AOUM) programs. …
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.
Over the last three years, the international community of civil society advocates, policymakers, donors and multilateral agencies has devoted enormous resources to negotiate and shape a new global development agenda for adoption at the United Nations (UN) General Assembly in September 2015. This post-2015 development framework will build on the Millennium Development Goals, the current UN roadmap for tackling the world’s problems related to poverty, development and sustainability set to expire later this year. …
The health and other risks associated with early pregnancy and sexual activity raise urgent need for appropriate interventions and programs to address adolescent reproductive behaviors. It is important to understand the circumstances surrounding, and factors associated with unintended pregnancies among young people, the challenges that limit their ability to protect their sexual and reproductive health, and how they deal with the outcomes of unintended pregnancy. …
To help decision-makers evaluate the investments needed in developing countries, this report provides new estimates, for 2014, of the needs for and costs and benefits of sexual and reproductive health interventions in three key areas: Contraceptive services; Maternal, newborn and other pregnancy-related care; Selected services related to HIV and other STIs for women of reproductive age. …
The Sexual Health Strategy identifies the media as a means to communicate on sexual health in an effective and responsible way. Evidence shows that the media is a useful means to provide information to the general public. The type of media used will depend on the identified target audience. Unbalanced or inaccurate media messages can lead to pressures and confusion over the realities of sex and sexuality particularly for young people. Hence we cannot stop emphasizing the need and importance of the media to be trained on where to seek reliable sources of information and advice. …
Young people face numerous health challenges during their transition to adulthood. These challenges include, among others, limited access to sexual and reproductive health (SRH) information and services. Unmet SRH needs among adolescents may contribute to sexually transmitted infections (STIs), including HIV, and unintended pregnancies. Adolescent pregnancies are associated with several adverse outcomes, such as miscarriage, unsafe abortion, obstructed labor, and other complications, which can result in long-term morbidity and even death. …
“The Manila Challenge: A Call to Achieve SRHR for All” complete statement.
