让青少年参与性健康和生殖健康及计划生育：从优先事项到行动。

Engaging adolescents in SRHR and family planning: from priorities to action.

作者信息

S Lassi Zohra, Castleton Patience, Najmi Hina, Hayat Sana, Dhanwani Anny, Meherali Salima, Memon Zahid

机构信息

Robinson Research Institute, University of Adelaide, Adelaide, Australia.

School of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.

出版信息

Reprod Health. 2025 Jul 11;22(1):127. doi: 10.1186/s12978-025-02073-3.

DOI:10.1186/s12978-025-02073-3

PMID:40646555

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12255146/

Abstract

BACKGROUND

Adolescents make up to 23% of Pakistan's population, yet they face significant barriers to accessing sexual and reproductive health (SRH) knowledge and services. These challenges stem from systemic and individual factors, including cultural norms and low health literacy. This project aims to directly involve adolescents and key stakeholders in the co-development of a culturally relevant SRH toolkit to improve access to accurate information. By actively engaging adolescents, the project seeks to enhance their knowledge, participation, and decision-making in SRH care, supporting their healthy development.

METHODS

This project will co-design an SRH toolkit for young people aged 12-19 years from semi-urban communities in Pakistan, in collaboration with adolescents and other key stakeholders using three research components. First, a Priority Setting Partnership (PSP) involving surveys and workshops will identify priority SRH topics. Second, a Participatory Action Research (PAR) approach using focus groups and interviews with adolescents, with youth champions facilitating peer education sessions to help shape the toolkit content. Finally, an acceptability assessment will be conducted through workshops and surveys with stakeholders and young people to ensure the toolkit aligns with their needs and preferences.

EXPECTED OUTCOME

The project will produce a user-friendly SRH toolkit tailored to the needs of adolescents in semi-urban Pakistan, covering key topics such as contraception, safe abortion, gender-based violence, and more. The toolkit will be developed collaboratively in English, Urdu, and Sindhi, and made accessible both online and in print. All materials will be reviewed by participants before finalization. Project findings will be disseminated through stakeholder workshops, community meetings, reports, peer-reviewed publications, conferences, media engagement, and policy briefs.

CONCLUSION

Effective SRH initiatives require purposeful youth engagement, guided by their expressed needs. By centering adolescent voices in the co-creation of a SRH toolkit, this project promotes accessibility, agency and informed decision-making - ultimately strengthening SRH knowledge in young people in Pakistan.

摘要

背景

青少年占巴基斯坦人口的23%，然而他们在获取性与生殖健康（SRH）知识和服务方面面临重大障碍。这些挑战源于系统和个人因素，包括文化规范和健康素养低下。本项目旨在让青少年和关键利益相关者直接参与共同开发一个与文化相关的SRH工具包，以改善准确信息的获取。通过积极让青少年参与，该项目旨在增强他们在SRH护理方面的知识、参与度和决策能力，支持他们的健康发展。

方法

本项目将与青少年和其他关键利益相关者合作，使用三个研究组件，为来自巴基斯坦半城市社区的12至19岁年轻人共同设计一个SRH工具包。首先，一个包括调查和研讨会的优先事项设定伙伴关系（PSP）将确定SRH优先主题。其次，采用参与式行动研究（PAR）方法，通过焦点小组和对青少年的访谈，由青年倡导者推动同伴教育课程，以帮助塑造工具包内容。最后，将通过与利益相关者和年轻人的研讨会和调查进行可接受性评估，以确保工具包符合他们的需求和偏好。

预期成果

该项目将制作一个适合巴基斯坦半城市青少年需求的用户友好型SRH工具包，涵盖避孕、安全堕胎、基于性别的暴力等关键主题。该工具包将以英语、乌尔都语和信德语合作开发，并以在线和印刷形式提供。所有材料在定稿前将由参与者进行审查。项目结果将通过利益相关者研讨会、社区会议、报告、同行评审出版物、会议、媒体参与和政策简报进行传播。