Adolescent Sexual and Reproductive Health, Department of Reproductive Health and Research, World Health Organization, 20 Avenue Appia, 1211, 27, Geneva, Switzerland.
United States Agency for International Development, Washington, USA.
Reprod Health. 2017 Jul 20;14(1):85. doi: 10.1186/s12978-017-0347-9.
Increasingly, the health and rights of adolescents are being recognized and prioritized on the global agenda. This presents us with a "never-before" opportunity to address adolescent contraception. This is timely, as there are enormous numbers of adolescents who are currently unable to obtain and use contraceptives. From research evidence and programmatic experience, it is clear that we need to do things differently to meet their needs/fulfil their rights.
In this commentary, we call for action in several key areas to address adolescents' persistent inability to obtain and use contraceptives. We must move away from one-size-fits-all approaches, from a 'condoms-only' mind set, from separate services for adolescents, from ignoring the appeal of pharmacies and shops, and from one-off-training to make health workers adolescent friendly. Our efforts to expand access to quality contraceptive services to adolescents must be combined with efforts to build their desire and ability to use them, and to do so consistently. In order for these changes to be made, action must be taken on several levels. This includes the formulation of sound national policies and strategies, robust programme implementation with monitoring, regular programmatic reviews, and implementation research. Further, high-quality collection, analysis, and dissemination of data must underlie all of our efforts. As we move ahead, we must also recognize and draw lessons from positive examples of large scale and sustained programmes in countries that have led the way in increasing contraceptive use by adolescents.
This unprecedented moment in history gives us a real opportunity to bring about transformational change, particularly when there is so much at stake.
越来越多的人开始认识到青少年的健康和权益，并将其在全球议程中置于优先地位。这为我们提供了一个“前所未有”的机会，可以解决青少年避孕问题。这是及时的，因为目前有大量青少年无法获得和使用避孕药具。从研究证据和项目经验来看，我们需要采取不同的方法来满足他们的需求/实现他们的权利。
在这篇评论中，我们呼吁在几个关键领域采取行动，以解决青少年持续无法获得和使用避孕药具的问题。我们必须摒弃一刀切的方法，摒弃只关注避孕套的思维模式，摒弃为青少年提供单独的服务，摒弃忽视药店和商店的吸引力，摒弃一次性培训以使卫生工作者对青少年友好。我们必须努力扩大获得优质避孕药具服务的机会，同时努力培养青少年使用避孕药具的愿望和能力，并持续这样做。为了实现这些变革，必须在多个层面采取行动。这包括制定合理的国家政策和战略，进行强有力的方案实施和监测，定期进行方案审查，并开展实施研究。此外，必须以高质量的方式收集、分析和传播数据，作为我们所有努力的基础。在前进的过程中，我们还必须认识到并从那些在提高青少年避孕措施方面处于领先地位的国家的大规模和持续方案中吸取经验教训。
这是历史上前所未有的时刻，为我们带来了真正的变革机会，特别是当涉及到如此多的利益时。
