LHD International Consult LLC, Silver Spring, MD, US.
Talent Youth Association, Addis Ababa, Ethiopia.
Reprod Health. 2022 Jun 13;19(Suppl 1):130. doi: 10.1186/s12978-022-01445-3.
Ethiopia has the second-largest youth population in Africa with about 37.4 million people aged 10-24 years. To meet the needs of this population group, adolescent, and youth health (AYH) programs, including those focused on sexual and reproductive health (SRH) and youth development, have gained traction in Ethiopia in the last two decades, especially following the 2005 election in Ethiopia. However, adolescents and youths in Ethiopia continue to face a high burden of morbidity and mortality from multiple factors including, teenage pregnancy, unplanned pregnancy, compromised nutrition, HIV and STIs, unsafe abortion, early and child marriage, and unmet needs for family planning. To date, adolescents and youth-related interventions in Ethiopia are fragmented under various ministries, uncoordinated, underfunded, project-oriented, lack effective policy implementation, and lack meaningful participation of young people. Addressing adolescents and youth health and development issues require evidence-based, well-tailored, at scale, intensified, coordinated, and holistic national responses. Therefore, there is a need to advocate for a realization of robust government commitment to ensure a multi-sectoral, coordinated, at scale, and well-funded national response to address the multifaceted needs of young people in Ethiopia including their sexual and reproductive health. An example to emulate is the HIV/AIDS response in Ethiopia, which was led by a national council chaired by the President of the Federal Democratic Republic of Ethiopia and spearheaded by a secretariat leveraging resources and implementing a multisectoral national plan down to the kebele level.
埃塞俄比亚拥有非洲第二大青年人口,约有 3740 万 10-24 岁的年轻人。为满足这一年轻人群体的需求,在过去二十年中,包括关注性健康和生殖健康及青年发展在内的青少年和青年健康(AYH)项目在埃塞俄比亚得到了重视,尤其是在 2005 年埃塞俄比亚选举之后。然而,埃塞俄比亚的青少年和青年仍然面临着多种因素导致的高发病率和死亡率,包括少女怀孕、意外怀孕、营养不足、艾滋病毒和性传播感染、不安全堕胎、早婚和童婚以及计划生育需求未得到满足。迄今为止,埃塞俄比亚的青少年相关干预措施分散在各个部委下,缺乏协调,资金不足,以项目为导向,缺乏有效的政策执行,也缺乏年轻人的有意义参与。解决青少年健康和发展问题需要基于证据、量身定制、大规模、强化、协调和全面的国家应对措施。因此,需要倡导政府做出坚定承诺,以确保多部门协调、大规模和充足资金的国家应对措施来满足埃塞俄比亚年轻人的多方面需求,包括他们的性健康和生殖健康。可以效仿的一个例子是埃塞俄比亚的艾滋病毒/艾滋病应对措施,该措施由一个由联邦民主共和国总统担任主席的国家理事会领导,由一个秘书处利用资源并实施多部门国家计划,一直下达到基层社区。