Department of Sexual and Reproductive Health and Research, UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, World Health Organization, Geneva, Switzerland.
International Programs, Population Reference Bureau, Washington, DC, USA.
Glob Health Sci Pract. 2024 Oct 29;12(5). doi: 10.9745/GHSP-D-24-00223.
Family Planning 2020 (FP2020) was established in 2012 with the goal of expanding contraceptive access. By 2020, 46 countries had made commitments to FP2020. A sustained focus on adolescents and youth (AY) began in 2016. During the commitment formulation process, substantial support was offered to countries to develop AY commitments based on sound data, research evidence, and programmatic experience. This study assesses how country commitments under FP2020 and FP2030 have evolved over time with respect to improving attention to and focus on the needs of adolescents and youth sexual and reproductive health (AYSRH).
We analyzed the content of FP2020 and FP2030 country commitments focusing on AY (aged 10-24 years) using a scoring guideline we developed to measure the AY commitments in terms of completeness, clarity, and quality.
This analysis shows that FP2030 commitments better articulate strategies and activities to reach AY with contraceptive information and services when compared to FP2020 commitments.
FP2030 commitments are stronger in some areas on AYSRH, such as commitment to establish national or local policies, strategies, and guidance for AY programming, specifying the target audience of the AY commitment, and partnering with AY or youth-led organizations in commitments. However, more work remains to be done by countries to dedicate a budget for achieving AY objectives, including measurable targets for monitoring progress, identifying and addressing the root causes that impact AY access to and use of contraception, including child marriage and gender-based violence, and reducing financial barriers to access contraception.
计划生育 2020 年（FP2020）于 2012 年成立，目标是扩大避孕方法的可及性。到 2020 年，已有 46 个国家对 FP2020 做出了承诺。2016 年开始持续关注青少年和青年（AY）。在承诺制定过程中，为各国提供了大量支持，以根据可靠数据、研究证据和方案经验制定 AY 承诺。本研究评估了 FP2020 和 FP2030 下的国家承诺在关注和重点解决青少年和青年性与生殖健康（AYSRH）需求方面是如何随时间演变的。
我们使用我们开发的评分指南分析了 FP2020 和 FP2030 国家承诺中关于 AY（10-24 岁）的内容，该指南用于衡量 AY 承诺在完整性、清晰度和质量方面的程度。
与 FP2020 承诺相比，本分析表明 FP2030 承诺在向 AY 提供避孕信息和服务方面更好地阐明了战略和活动。
FP2030 承诺在 AYSRH 某些方面更强，例如承诺为 AY 方案制定国家或地方政策、战略和指导，指定 AY 承诺的目标受众，以及在承诺中与 AY 或青年领导的组织合作。但是，各国仍需要在为实现 AY 目标分配预算方面做更多工作，包括用于监测进展的可衡量目标、确定和解决影响 AY 获得和使用避孕方法的根本原因，包括童婚和基于性别的暴力，并减少获得避孕方法的经济障碍。
