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Adolescent Health, Global Guidelines Versus Local Realities: The Sub-Saharan Africa Experience

As the field of adolescent sexual and reproductive health (ASRH) evolves, further discussion and documentation of national policy and aspects of its implementation is needed to ensure effectiveness of interventions. Further research is required to foster beneficial shifts in policy advocacy, includi...

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Detalles Bibliográficos
Autores principales: Dube, Kudakwashe, Van der Putten, Marc, Vajanapoom, Nitaya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5345430/
https://www.ncbi.nlm.nih.gov/pubmed/28299101
http://dx.doi.org/10.4081/jphia.2013.e12
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author Dube, Kudakwashe
Van der Putten, Marc
Vajanapoom, Nitaya
author_facet Dube, Kudakwashe
Van der Putten, Marc
Vajanapoom, Nitaya
author_sort Dube, Kudakwashe
collection PubMed
description As the field of adolescent sexual and reproductive health (ASRH) evolves, further discussion and documentation of national policy and aspects of its implementation is needed to ensure effectiveness of interventions. Further research is required to foster beneficial shifts in policy advocacy, including resource allocation, and in the prioritization of adolescent programs in health and education systems, in communities and in workplaces. Adolescents are exposed to diverse interventions across all the countries under discussion; however there exist obstacles to realization of ASRH goals. In some countries, there exist a conflict of interest between national laws and global policy guidelines on ASRH; moreover national laws and policies are ambiguous and inconsistent. In addition, there have been strong negligence of vulnerable groups such as HIV positive adolescents, pregnant street youth; young sex workers; orphans; adolescents in conflict areas; adolescent refugees; adolescent girls working in the informal sectors and very young adolescents, likewise many adolescents in rural areas remain largely underserved. Furthermore there are consistently less disaggregated data available on adolescents’ key indicators for comparative purposes signifying considerable knowledge gaps. There are multiple obstacles to the realization of ASRH and need for research combining both qualitative and quantitative approaches to determine the extent to which factors are either conducive or impeding to consistency between global guidelines, national ASRH policies, and actual policy implementation.
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spelling pubmed-53454302017-03-15 Adolescent Health, Global Guidelines Versus Local Realities: The Sub-Saharan Africa Experience Dube, Kudakwashe Van der Putten, Marc Vajanapoom, Nitaya J Public Health Africa Review As the field of adolescent sexual and reproductive health (ASRH) evolves, further discussion and documentation of national policy and aspects of its implementation is needed to ensure effectiveness of interventions. Further research is required to foster beneficial shifts in policy advocacy, including resource allocation, and in the prioritization of adolescent programs in health and education systems, in communities and in workplaces. Adolescents are exposed to diverse interventions across all the countries under discussion; however there exist obstacles to realization of ASRH goals. In some countries, there exist a conflict of interest between national laws and global policy guidelines on ASRH; moreover national laws and policies are ambiguous and inconsistent. In addition, there have been strong negligence of vulnerable groups such as HIV positive adolescents, pregnant street youth; young sex workers; orphans; adolescents in conflict areas; adolescent refugees; adolescent girls working in the informal sectors and very young adolescents, likewise many adolescents in rural areas remain largely underserved. Furthermore there are consistently less disaggregated data available on adolescents’ key indicators for comparative purposes signifying considerable knowledge gaps. There are multiple obstacles to the realization of ASRH and need for research combining both qualitative and quantitative approaches to determine the extent to which factors are either conducive or impeding to consistency between global guidelines, national ASRH policies, and actual policy implementation. PAGEPress Publications, Pavia, Italy 2013-10-15 /pmc/articles/PMC5345430/ /pubmed/28299101 http://dx.doi.org/10.4081/jphia.2013.e12 Text en ©Copyright K. Dube et al. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Dube, Kudakwashe
Van der Putten, Marc
Vajanapoom, Nitaya
Adolescent Health, Global Guidelines Versus Local Realities: The Sub-Saharan Africa Experience
title Adolescent Health, Global Guidelines Versus Local Realities: The Sub-Saharan Africa Experience
title_full Adolescent Health, Global Guidelines Versus Local Realities: The Sub-Saharan Africa Experience
title_fullStr Adolescent Health, Global Guidelines Versus Local Realities: The Sub-Saharan Africa Experience
title_full_unstemmed Adolescent Health, Global Guidelines Versus Local Realities: The Sub-Saharan Africa Experience
title_short Adolescent Health, Global Guidelines Versus Local Realities: The Sub-Saharan Africa Experience
title_sort adolescent health, global guidelines versus local realities: the sub-saharan africa experience
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5345430/
https://www.ncbi.nlm.nih.gov/pubmed/28299101
http://dx.doi.org/10.4081/jphia.2013.e12
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