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This publication presents the findings, barriers and recommendations from the pilot, which subsequently informed the new National Adolescent Health Program, to ensure that “No one is left behind”. Measures include an increased focus on outreach services (in particular in disadvantaged areas), capacity building of health workers on adolescent-friendly and gender-responsive services, and ensuring that adolescent representatives participate in local decision-making processes on health through enhanced community engagement. The findings further reiterate the need to engage other government sectors, such as education and nutrition, to tackle the causes of early marriage and pregnancy, as well as mental and school health. As national health programmes strive to meet the 2030 Sustainable Development Agenda and the targets set out in the Global Strategy for Women’s, Children’s and Adolescents’ Health, integrating lessons from the Innov8 pilot helped strengthen the national programme’s ability to reach vulnerable adolescents, reduce inequities, and improve the overall health of adolescents in Nepal.
Bangladesh has the highest rate of child marriage in Asia – and the fourth highest rate of child marriage in the world. Marriage is illegal for girls under the age of 18 and for boys under 21, with exemptions that allow for marriage with special permission. However, almost three out of five young women were married as children, with more than one in five married by the age of 15 in 2014.
India has the largest number of child brides in the world — one third of the global total. Yet recent data indicates that in the last decade there has been a significant decline in the prevalence of child marriage among women now in a particular age range.
Nepal has one of the highest rates of child marriage in Asia – for both girls and boys. Although the legal age of unions for both sexes is 20, more than a third of young women aged 20-24 report that they were married by the age of 18, and just over one in ten by 15.
Keywords: adolescent, girls, health, education, protection, legal and policy
This Guidance is a milestone for translating the Global Strategy into action. It provides a wealth of information to policy-makers, practitioners, researchers, educators, donors, and civil society organizations – including the most up-to-date data on the major disease and injury burdens that affect adolescents. It supports the implementation of the Global Strategy by providing the comprehensive information that countries need to decide what to do for adolescent health, and how to do it. It builds on on-going efforts to ensure that adolescents can Survive, Thrive and are in a position to Transform the societies in which they live.
A greater understanding of HIV in high prevalence countries has increased awareness of the need to prioritise adolescents in HIV prevention, treatment, care and support. At the same time, a growing recognition that adolescence is a distinct time of life has focused attention on adolescents’ different needs. Adolescents are now included as a separate target group in global and national strategies.
Increased access to HIV testing and treatment means that, more than ever, adolescents living with HIV know their status and are living longer on antiretroviral therapy (ART). Much more work is needed, however, to meet adolescents’ needs for prevention, care, treatment and support services.
Mental health conditions such as depression, anxiety or other conditions may lead to behavioural problems such as tobacco, alcohol and drug use. The multi-directional linkages between mental health conditions and other health, educational, social and development problems call for evidence for action in this area. This publication, is a step towards building an evidence base to facilitate informed policy and programmatic actions by the WHO Regional Office for South-East Asia.
Keywords: adolescents, bully, school, drug use
This technical guidance, developed by the UNFPA- and WHO-led Adolescent Working Group of Every Woman Every Child, aims to support countries to both advocate for increased investments in adolescent health and to guide strategic choices and decision-making for such investments to be reflected in national development policies, strategies or plans. It describes a systematic process for identifying the needs, priorities and actions for adolescents to survive, thrive and transform their societies as envisioned through the Global Strategy of Every Woman Every Child. Data sources, resources and tools for conducting a situation assessment and prioritization exercise are also included.
Countries around the world have committed to a historic ambition: to end preventable child and maternal deaths within a generation.
A Common Cause shows why two key movements in global health – maternal and child health, and Universal Health Coverage – need to join forces to make that ambition a reality.
The report argues for universal access to an integrated continuum of care for women’s, children’s and adolescents’ health, provided through strengthened primary healthcare and referral systems.
Adolescence is a key period where individuals of all gender identities form attitudes, opinions and beliefs – about themselves, about their sexuality and about their place in the world. It is a period when ideas about equality can become ingrained. The study emphasizes that a holistic approach to advancing gender equality and sexual and reproductive health must include both adolescent girls and boys. It highlights the need to engage adolescent boys and young men as allies to achieve gender equality and as supporters of women’s empowerment, as well as the importance of addressing the specific health and social development needs of boys themselves.
Keywords: HIV, STI, condom, sexual orientation, gender identity, violence, women, girls