Technical Division, United Nations Population Fund, New York, New York.
Technical Division, United Nations Population Fund, New York, New York.
J Adolesc Health. 2019 Dec;65(6S):S41-S50. doi: 10.1016/j.jadohealth.2019.09.014.
This article analyzes the relevance of the comprehensive definition of sexual and reproductive health and rights (SRHR) to adolescents and identifies adolescent-specific implications for the implementation of an essential package of SRHR interventions. The delivery of a comprehensive approach to SRHR targeting adolescents is underpinned by five principles-equity, quality, accountability, multisectorality, and meaningful engagement. All SRHR interventions included in the package are relevant to adolescents, given the diversity of adolescents' SRHR needs and considering their specific attributes, circumstances, and experiences. Ensuring that this package is available, accessible, and acceptable to adolescents requires an approach that looks at adolescents as being biologically and socially distinct from other age groups and acknowledges that they face some specific barriers when accessing SRHR services. This article provides cross-cutting strategies for the implementation of a comprehensive approach to SRHR for adolescents and specific considerations in delivering each intervention in the package of essential SRHR interventions. To further implement the International Conference on Population and Development Programme of Action, a prerequisite for achieving the Sustainable Development Goals, SRHR interventions must be adolescent responsive, delivered through multiple platforms, leveraging multisectoral collaboration, and strengthening accountability and participation.
本文分析了全面定义性与生殖健康和权利 (SRHR) 与青少年的相关性,并确定了实施基本性与生殖健康权利综合干预措施对青少年的具体影响。为青少年提供全面的性与生殖健康权利方法的依据是五项原则——公平、质量、问责制、多部门性和有意义的参与。考虑到青少年性与生殖健康需求的多样性,以及他们的特定属性、情况和经历,综合干预措施包中包含的所有性与生殖健康权利干预措施都与青少年有关。确保该综合干预措施包对青少年可用、可及和可接受,需要采取一种方法,将青少年视为与其他年龄组在生物学和社会方面有所不同,并承认他们在获得性与生殖健康服务时面临一些特定障碍。本文提供了实施全面性与生殖健康权利方法的跨领域策略,并针对综合干预措施包中的每项干预措施提出了具体考虑。为了进一步实施国际人口与发展会议行动纲领,实现可持续发展目标的前提是,性与生殖健康权利干预措施必须对青少年有回应,通过多个平台提供,利用多部门合作,并加强问责制和参与。