In LMICs, adolescent pregnancy is a severe impediment to development and can lead to a number of challenges including abandonment by their partners, school dropout, and lost productivity, which ultimately limits their future social and economic opportunities leading to intergenerational transmission of poverty . Younger mothers are at an increased risk of obstetric fistula, anemia, eclampsia, postpartum hemorrhage, and puerperal endometritis .
Our review findings suggest that sexual and reproductive health education, counseling, and contraceptive provision are effective in increasing sexual knowledge, contraceptive use, and decreasing adolescent pregnancy. They might be denied this because they live too remotely, they have unsupportive husbands, or because they are unmarried or too young to be seen no libido first trimester legitimately sexually titan gel testimoni. For updating the existing reviews, we adopted the same methodology and search strategy mentioned in the existing review to update the search and find all the relevant studies after the last search date of the existing review.
More evidence is needed to show whether these interventions can apply to other settings or help to improve additional sexual and reproductive health outcomes for young people. We conducted an overview of systematic reviews for interventions where recent systematic reviews existed; 2.
Early sexual debut increases the risk of sexually transmitted infections STIsincluding HIV, and can result in unintended pregnancy and early childbearing. To maintain sexual and reproductive health, adolescents need access to accurate information and to the safe, effective, affordable, and acceptable contraception method of their choice.
Information was extracted on 1 the characteristics of included studies; 2 description of methods, participants, interventions, and outcomes; 3 measurement of treatment effects; 4 methodological issues; and 5 risk of bias tool. Inthe World Health Organization WHO issued guidelines on preventing early pregnancy and poor reproductive outcomes in adolescents from LMICs focusing on four major pregnancy prevention outcomes: It builds their strengths, challenges stigma and taboos to improve the environment, develops and adapts services, and improves access to information and comprehensive sexuality education.
A detailed framework, methodology, and other potential interventions have been discussed in separate articles .
Then we can advocate for wider changes. Examples of application of the Strategic Approach Related links. The community works together to make men committed and involved male enhancement ginseng and caregivers.
In many places there is a shortage of quality services. Methodology for existing systematic review We considered all available published systematic reviews on the interventions to improve adolescent sexual health. Studies were excluded if they targeted age groups other than adolescents and youth or did not report segregated data for the age group of interest.
Any disagreements on selection of reviews between these two primary abstractors were resolved by the third reviewer. Cycling erectile dysfunction reversible local SRHR organisations have difficulty working openly with these groups, especially where they have been criminalised. Preventing sexually transmitted infections and HIV Many interventions focus on outcomes related to reducing risky sexual behaviours, such as decreasing the number of sexual partners and encouraging condom use.
We work to increase quality and access through research, advocacy and delivering programmes on the ground, in the Netherlands and around the world. Future efforts should be directed toward scaling-up evidence-based interventions to improve adolescent sexual and reproductive health in low- and middle-income countries, sustain the impacts over time, and ensure equitable outcomes.
The titles sizegenix pills price in hai phong abstracts of all studies identified were screened independently by two reviewers for relevance and matched. Barriers to health and well-being Sexual and reproductive health and rights for all cannot be realised just by delivering more services.
Information was extracted on study design, geographical setting, intervention type and description, mode of delivery, and outcomes assessed. Overview of systematic reviews: The study also shows the need for high-quality interventions to be implemented well, designed well and evaluated well in order to be successful, sustainable, and potentially scalable.
The following principal no libido first trimester of electronic reference libraries were searched to access the available data: Methodology for updated review We updated the existing systematic reviews only if the most recent review on a specific intervention was conducted before December Adolescents have special sexual and reproductive health needs that remain unmet, mainly due to lack of knowledge, social stigma, laws and policies preventing provision of contraception and abortion to unmarried or any adolescents, and judgmental attitudes among service providers .
Zulfiqar A. Although rates of births among adolescent girls have declined in all regions sincethey are still high in Africa, Asia, Latin America, and Caribbean. It involves a three-stage process for assisting countries to assess reproductive health needs and priorities, test policies and programme adaptations to address these needs, and then scale up successful interventions.
This includes a greater focus on what interventions work, and also how they are designed, how they are carried out, and how they are evaluated. Extenze male enhancement performance us The WHO Strategic Approach to strengthening sexual and reproductive health policies and programmes Faced with the challenge of putting into practice the ideals of the Millennium Development Goals, the International Conference on Population and Development ICPDand other global summits of the last decade, decision-makers and programme managers responsible for sexual and reproductive health ask how they can: For interventions where no reviews existed, we conducted a de novo review.
About the research The set of reviews, published in a special supplement to the Journal of Adolescent Health, provide a systematic assessment of evidence on high-quality studies which met criteria assessing the design, implementation, and evaluation for improving the sexual and reproductive health of young people living in low- and middle-income countries.
Further studies with rigorous designs, longer term follow-up, and standardized and validated measurement instruments are required to maximize comparability of results. Even in places where those services are in place, not everyone has access to them.
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Results We found existing systematic reviews on interventions for improving adolescent sexual and reproductive health; however, they were limited in their scope to a particular strategy such as school-based interventions peer-led interventions mass media and youth centers  ; geographic settings  ; or limited to trial data only .
Sexual activity of adolescents varies markedly by gender and region; more girls compared with boys are sexually active in sub-Saharan Africa, Asia, and central Asia while in Latin America and Caribbean, more boys are sexually active than girls .
Doing things well The authors call attention to the need for efforts to be made to improve reporting and data. This is an open access article under the CC BY license http: Adolescent sexual health, Reproductive health, Genital mutilation, Sexual health education, Teenage pregnancy, Contraception A significant number of adolescents around the globe are sexually active, and this proportion increases steadily from mid- to late adolescence .
Rutgers researches these barriers and develops and tests new approaches. We updated the existing systematic reviews if the existing review only included evidence prior to ; and 3. While the majority of these programs were successful in decreasing the proportion of girls marrying early, or increasing the age at marriage, some had mixed success or were titan gel in ksa price.
What we do about it Sexual and Reproductive Health Care The vision of Rutgers is a world where all people are equally able to enjoy sexual and reproductive health and well-being and exercise their sexual and reproductive rights. This article has been cited by other articles in PMC.
Quality assessment of the included randomized controlled trials RCTs was done according to the Cochrane risk of bias assessment tool. We conducted a meta-analysis for individual studies using the software Review Manager, version 5.
A separate search strategy was developed for each aspect using appropriate keywords, medical subject heading, and free text terms. Mainstreaming the marginalised LGBT people are often marginalised due to the extreme stigma and discrimination they face in some parts of the world. The search was conducted till Decemberand we did not apply any limitations on the start search date or geographical settings and have attempted to carry out subgroup analysis for various interventions and settings, where data permitted.
Public-sector health-care programmes, in collaboration with non-governmental organizations and international agencies, typically use the Strategic Approach.
With partners in the Sexual and Reproductive Health and Rights Alliance, Rutgers has explored ways to mainstream sexual diversity into our programmes and services. We took a systematic approach to consolidate the existing evidence through the following three methodologies in order to include all the recent evidence: These are barriers to appropriate HIV and sexual and reproductive health and rights information and services.
Interventions with direct provision of contraceptive methods worked to increase contraceptive use in a community Chinaincrease use and offer more effective methods to contraception seekers Kenya and reduce missed opportunities to reach young women following an abortion China. Many Rutgers programmes address the issues of access and choice, including Unite for Body Rights!
Abstract Adolescents male sex pills for sale special sexual and reproductive health needs whether or not they are sexually active or married.
The Strategic Approach unites concepts and practices from public health and the social and management sciences with the principles of the ICPD in its essential features: To reduce unwanted pregnancy, contraceptive use is arguably essential.
Addressing early unintended and repeat pregnancy High quality and consistently effective intervention strategies included direct provision of contraception China, Kenyapeer education India, Cameroonand a mass media campaign India. The abstracts and the full sources where abstracts are not available were screened by two abstractors to identify systematic reviews adhering to our objectives.
New research published today shows that there are number of interventions which can help to improve health outcomes in young people agesbut there is no single action or intervention which can work for all young people, to address all of their needs. Although financial incentives can be effective in preventing child marriage, they are difficult to finance, maintain and scale-up.
They must be informed and empowered to protect themselves from STIs. What works well?
All sexually active adolescents, regardless of marital status, deserve to have their contraceptive needs acknowledged and responded to. We help service providers confront prejudices, whether personal or cultural, using learning programmes to build the foundations of change.
The result is services that young people know about and identify as their own. This article is part of a series of reviews conducted to evaluate the effectiveness of potential interventions for adolescent health and well-being. Access to services by women, young people and marginalised groups is adversely affected by poverty, stigma and discrimination — barriers to achieving sexual and reproductive health and well-being.
About 3 in 10 unmarried adolescent women in sub-Saharan Africa and nearly one in four in South America have ever had sex . The reviews focus on three adverse health-related outcomes for young people: High-quality interventions and evaluations identified included financial incentives given to families such as cash transfers Malawi, Mexico or the provision of school uniforms which are part of the expenses of sending children to school Kenya, Zimbabwe.
Link to the supplement No simple solution The research team identified a small number of high-quality studies, but none which prove effective in addressing all three targets simultaneously, and few which are effective across settings.
Any disagreements on selection of studies between these two primary abstractors were resolved by the third reviewer.