Contraception for Adolescents in Low and Middle Income Countries - Needs, Barriers, and Access
Substantial numbers of adolescents experience the negative health consequences of early, unprotected sexual activity—unintended pregnancy, unsafe abortions, pregnancy-related mortality and morbidity and Sexually Transmitted Infections including Human Immunodeficiency Virus—as well as its social and economic costs. Improving access to and use of contraceptives – including condoms - needs to be a key component of an overall strategy to preventing these problems. This paper contains a review of research evidence and programmatic experiences on needs, barriers, and approaches to access and use of contraception by adolescents in low and middle income countries (LMIC). Although the sexual activity of adolescents (ages 10–19) varies markedly for boys versus girls and by region, a significant number of adolescents are sexually active; and this increases steadily from mid-to-late adolescence. Sexually active adolescents—both married and unmarried—need contraception. All adolescents in LMIC—especially unmarried ones—face a number of barriers in obtaining contraception and in using them correctly and consistently. Effective interventions to improve access and use of contraception include enacting and implementing laws and policies requiring the provision of sexuality education and contraceptive services for adolescents; building community support for the provision of contraception to adolescents, providing sexuality education within and outside school settings, and increasing the access to and use of contraception by making health services adolescent-friendly, integrating contraceptive services with other health services, and providing contraception through a variety of outlets. Emerging data suggest mobile phones and social media are promising means of increasing contraceptive use among adolescents.
Reproductive Health 2014, 11:1 doi:10.1186/1742-4755-11-1
Contraception for adolescents in low and middle income countries: needs, barriers, and access
Venkatraman Chandra-Mouli, Donna R. McCarraher, Sharon J. Phillips, Nancy E. Williamson and Gwyn Hainsworth
Providing Reproductive Health Services to Young Married Women and First-time Parents in West Africa: A Supplemental Training Module for Community Workers Conducting Home Visits
This training aims to give community health workers conducting home visits to young married women and first-time parents (FTPs) the knowledge and skills needed to promote the sexual and reproductive health and rights of these groups. This training is designed for use in francophone West Africa, where a significant proportion of adolescent girls aged 15–19 and young women aged 20–24 are married or living in union, but it can easily be adapted for other settings.
Providing Reproductive Health Services to Young Married Women and First-time Parents in West Africa: A Supplemental Training Module for Facility-based Health Care Providers
Young married women and first-time parents (FTPs) face a unique set of challenges to living healthy sexual and reproductive lives. This training aims to give health care providers the knowledge and skills they need to meet the needs of these groups. This training is designed for use in francophone West Africa, where a significant proportion of adolescent girls aged 15–19 and young women aged 20–24 are married or living in union, but it can easily be adapted for other settings.