World Health Organization, Department of Reproductive Health and Research and the Human Reproduction Programme, Geneva, Switzerland.
Population Services International, Sexual and Reproductive Health Department, Washington, DC.
J Adolesc Health. 2019 Dec;65(6S):S51-S62. doi: 10.1016/j.jadohealth.2019.09.009.
The 1994 International Conference on Population and Development established a basis for the advancement of adolescent sexual and reproductive health and rights (ASRHR) that endures today. Twenty-five years later, our vision for the future warrants reflection based on a clear understanding of the opportunities and challenges before us. Inclusion of adolescents on global, regional, and national agendas; increased investment in ASRHR policies and programs; renewed commitments to universal health coverage; increased school enrollment; and advances in technology are all critical opportunities we can and must leverage to catalyze progress for adolescents. At the same time, a range of significant challenges remain, have newly emerged, or can be seen on the horizon, including persistent denial of adolescent sexuality; entrenched gender inequality; resistance to meaningfully engaging adolescents and young people in political and programmatic processes; weak systems, integration, and multisectoral coordination; changes in population dynamics; humanitarian and climate crises; and changes in family and community structures. To achieve as much progress toward our vision for ASRHR as possible, the global ASRHR community must take strategic and specific steps in the next 10 years within five areas for action: (1) mobilize and make full use of political and social support for ASRHR policies and programs; (2) increase and make effective use of external and domestic funding for ASRHR; (3) develop, communicate, apply, and monitor enabling and protective laws and policies for ASRHR; (4) use and improve available ASRHR data and evidence to strengthen advocacy, policies, and programs; and (5) manage the implementation of ASRHR strategies at scale with quality and equity.
1994 年国际人口与发展会议为推进青少年性健康和生殖健康及权利(ASRHR)奠定了基础,这一基础至今仍然存在。25 年后,我们对未来的展望需要基于对我们面前的机遇和挑战的清晰理解进行反思。将青少年纳入全球、区域和国家议程;增加对 ASRHR 政策和方案的投资;重新承诺普及卫生保健;增加入学率;以及技术进步,这些都是我们能够而且必须利用的关键机遇,以促进青少年的进步。与此同时,一系列重大挑战仍然存在,或新出现,或在眼前浮现,包括对青少年性的持续否认;根深蒂固的性别不平等;抵制有意义地让青少年参与政治和方案进程;薄弱的系统、整合和多部门协调;人口动态的变化;人道主义和气候危机;以及家庭和社区结构的变化。为了在实现青少年性健康和生殖健康及权利愿景方面取得尽可能多的进展,全球 ASRHR 界必须在未来 10 年内采取战略和具体步骤,在以下五个行动领域采取行动:(1)动员和充分利用对 ASRHR 政策和方案的政治和社会支持;(2)增加和有效利用 ASRHR 的外部和国内资金;(3)制定、传播、应用和监测促进和保护 ASRHR 的法律和政策;(4)利用和改进现有的 ASRHR 数据和证据,以加强宣传、政策和方案;(5)管理 ASRHR 战略的实施,确保质量和公平。
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