Sinha Chaitali, Ingabire Marie-Gloriose, Schryer-Roy Anne-Marie
International Development Research Centre, Ottawa, Canada.
International Development Research Centre, Dakar, Senegal.
Reprod Health. 2025 May 31;22(Suppl 1):70. doi: 10.1186/s12978-025-01987-2.
As the world approaches the final five years to achieve the Sustainable Development Goals (SDGs), a global polycrisis threatens progress on health and well-being. Populations experiencing vulnerabilities, particularly women, girls, and adolescents in low- and middle-income countries, shoulder a disproportionate burden. Universal access to sexual and reproductive health (SRH) services has seen mixed progress. In particular, adolescents are facing heightened risks such as early marriage, unintended pregnancies, and limited access to SRH services, compounded by gender norms and fragile contexts. Integrated, community-driven, and gender-transformative approaches are urgently needed, as are robust health data and information systems. However, fragmented systems suffer from poor data quality and underrepresentation of marginalized groups. Digital innovations hold promise for addressing these gaps but must be adapted to local contexts.
BRIDGING THE KNOW-DO GAP: This supplement presents findings from the Cedar Cohort, an initiative supported by the International Development Research Centre across West Africa and the Middle East (2017-2023). The cohort's 16 implementation research projects explored SRH services for adolescents and health information systems, emphasizing gender equality, human rights, and knowledge translation. The articles are organized around three themes: (1) adopting contextual approaches rooted in local communities and their context-specific needs, (2) advancing gender equality and inclusion and (3) harnessing the transformational potential of data and information systems. Authored by LMIC-based researchers, the supplement provides concrete findings and localized insights into the transformative change possible when high-quality research is combined with an understanding of social, economic, political, and cultural factors at the individual, organizational, structural and systems levels.
The collection of research projects featured in this supplement enriches our understanding of designing and implementing effective initiatives to improve health outcomes for women, children and adolescents. The findings emphasize that no singular solution exists for the multifaceted SRH challenges that continue to evolve. The projects in the Cedar Cohort offer critical insights into designing and scaling SRH interventions that are locally relevant, inclusive, and impactful. The current polycrisis necessitates a re-evaluation of global strategies, and the findings from the research projects in this supplement provide indications of ways forward.
随着世界距离实现可持续发展目标（SDG）仅剩最后五年时间，一场全球多重危机正威胁着健康与福祉方面的进展。处于脆弱境地的人群，尤其是低收入和中等收入国家的妇女、女孩及青少年，承受着不成比例的负担。在普及性与生殖健康（SRH）服务方面，进展参差不齐。特别是青少年正面临着诸如早婚、意外怀孕以及获得SRH服务机会有限等更高的风险，而性别规范和脆弱环境又使这些问题雪上加霜。迫切需要采取综合、社区驱动且具有性别变革性的方法，同样迫切需要强大的健康数据和信息系统。然而，零散的系统存在数据质量差以及边缘化群体代表性不足的问题。数字创新有望填补这些空白，但必须因地制宜。
本增刊展示了雪松队列研究的结果，该研究由国际发展研究中心在西非和中东地区支持开展（2017 - 2023年）。该队列的16个实施研究项目探讨了青少年的SRH服务和健康信息系统，强调性别平等、人权和知识转化。这些文章围绕三个主题展开：（1）采用基于当地社区及其特定需求的情境化方法；（2）推进性别平等与包容；（3）利用数据和信息系统的变革潜力。由来自低收入和中等收入国家的研究人员撰写，本增刊提供了具体的研究结果以及本地化的见解，说明了当高质量研究与对个人、组织、结构和系统层面的社会、经济、政治和文化因素的理解相结合时，可能实现的变革性变化。
本增刊中的一系列研究项目丰富了我们对设计和实施有效举措以改善妇女、儿童和青少年健康结果的理解。研究结果强调，对于持续演变的多方面SRH挑战，不存在单一的解决方案。雪松队列中的项目为设计和扩大与当地相关、具有包容性且有影响力的SRH干预措施提供了关键见解。当前的多重危机需要对全球战略进行重新评估，本增刊中研究项目所得出的结果指明了前进的方向。
