Sexual and reproductive health

Addressing the sexual and reproductive health of adolescents

Adolescents, Brazil
The World Bank/Alejandro Lipszic

Representatives from thirty countries at the 65th Assembly of the World Health Assembly (May 2012) noted in their contributions to the discussions on "Early marriages, adolescent and young pregnancies” that early marriage is illegal in most places where it occurs, that it is a violation of the rights of girls, and that it has detrimental health and social consequences on adolescent girls and their families and communities.

Very young adolescents

Women and young adolescents, India
Curt Carnemark / World Bank
Women and young adolescents, India

While physical, psychological and social development extends from childhood through adolescence and into adulthood, there is growing recognition that early adolescence (10-14 years) is an especially crucial phase. There is also widespread recognition that early adolescence has been/is being neglected both in research and in action.

Overcoming barriers to adolescent health education and health services

Adolescents work in small groups during a workshop on reproductive health, Bangladesh.
BCCP/Photoshare
Adolescents work in small groups during a workshop on reproductive health, Bangladesh.

When national Adolescent Sexual and Reproductive Health strategies are not implemented effectively, adolescents and young people are unable to obtain the sexuality and reproductive health education they need in their schools and communities, and sexual and reproductive health services they need from health facilities in their communities. The result is unwanted pregnancies, unsafe abortions and STIs including HIV infection.

Preventing early pregnancy

Young woman in Nepal cooking on floor
Ed Scholl/Photoshare
Early marriage and childbearing are the norm for Nepali women with few opportunities for education

An estimated 16 million births occur to young women aged 15-19 years, and 1 million births occur to girls aged 10-14. For some of these girls and young women, pregnancy and childbirth are planned and wanted, but for many others they are not.

Joining forces to prevent early marriage

Related links

  • Adolescent pregnancy
  • Reproductive Health Library
    This site contains systematic reviews on pregnancy prevention and HIV/AIDS-related interventions to improve the sexual and reproductive health of adolescents.
  • Adolescent health
    Includes information on adolescent friendly health services Adolescents face many barriers in obtaining the health, adolescents and mental health

Sample core instruments

These instruments are intended to be no more than a starting point for investigators wishing to study the sexual and reproductive health of young people. Authors caution that these instruments should always be adapted to local circumstances and research priorities and, wherever possible, be used in conjunction with each other.

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