20 results on '"Danielle Engel"'
Search Results
2. Adolescent sexual and reproductive health and rights: a stock-taking and call-to-action on the 25th anniversary of the international conference on population and development
- Author
-
Venkatraman Chandra-Mouli, Marina Plesons, Arup Barua, Anshu Mohan, Meheret Melles-Brewer, and Danielle Engel
- Subjects
Diseases of the genitourinary system. Urology ,RC870-923 ,The family. Marriage. Woman ,HQ1-2044 - Published
- 2019
- Full Text
- View/download PDF
3. Progress in adolescent sexual and reproductive health and rights globally between 1990 and 2016: what progress has been made, what contributed to this, and what are the implications for the future?
- Author
-
Venkatraman Chandra-Mouli, Elsie Akwara, Danielle Engel, Marina Plessons, Mengistu Asnake, Sunil Mehra, Bruce Dick, and Jane Ferguson
- Subjects
sexual health ,reproductive health ,adolescent well-being ,adolescent reproductive health ,programmes ,low- and middle-income countries ,multi-burden countries ,Diseases of the genitourinary system. Urology ,RC870-923 ,The family. Marriage. Woman ,HQ1-2044 - Abstract
This commentary is in response to a paper published in the Lancet entitled: “Progress in adolescent health and well-being: tracking 12 headline indicators for 195 countries and territories, 1990-2016” (Peter Azzopardi et al, 2019). We agree with the authors' overall conclusions that although there has been progress in some health outcomes, health risks and social determinants, the situation has worsened in other areas. Other important messages emerge from studying the data with an adolescent sexual and reproductive health and rights (ASRHR) lens. First, notable – albeit uneven – progress in all the ASRHR indicators has occurred in multi-burden countries. Second, while we cannot assign a cause-effect relationship, it is reasonable to suggest that in addition to secular trends, deliberate global and national investment and action have contributed to and/or accelerated these changes. Third, progress in ASRHR in the multi-burden countries contrasts sharply with increases in rates of tobacco use, binge drinking and overweight and obesity, in all categories of countries. Based on these observations, we submit five implications for action: the adolescent health community must recognize the progress made in ASRHR; acknowledge that increasing investment and action in ASRHR has contributed to these tangible results, which has the potential to grow; build on the gains in ASRHR through concerted action and a focus on implementation science; expand the adolescent health agenda in a progressive and strategic manner; and contribute to wider efforts to respond to adolescents' health needs within the rapidly changing context of the worlds they live in.
- Published
- 2020
- Full Text
- View/download PDF
4. Integration of other services with human papillomavirus vaccination; lessons from earlier in the life course highlight the need for new policy and implementation evidence
- Author
-
Christopher Morgan, Mary Rose Giattas, Taylor Holroyd, Anne Pfitzer, Danielle Engel, Anissa Sidibe, Megan Holloway, Paul Bloem, Rebecca Fields, Lora Shimp, and Somesh Kumar
- Subjects
Adolescent ,General Veterinary ,General Immunology and Microbiology ,Immunization Programs ,Papillomavirus Infections ,Vaccination ,Public Health, Environmental and Occupational Health ,Uterine Cervical Neoplasms ,Alphapapillomavirus ,Life Change Events ,Policy ,Infectious Diseases ,Humans ,Molecular Medicine ,Female ,Papillomavirus Vaccines ,Papillomaviridae ,Early Detection of Cancer - Abstract
Integration of vaccination against human papillomavirus (HPV) with other essential health services for adolescents has been proposed in global strategies and tested in demonstration projects in low- and middle-income countries (LMIC). Published experiences, global guidance, and one key example, the implementation of "HPV Plus" in Tanzania, all demonstrate the need for greater operational evidence to guide future implementation and policy. Review of experiences earlier in the life course, integrating post-partum family planning with infant immunization, show lessons from 13 LMICs that can apply to provision of adolescent health information and services alongside HPV vaccination. Three distinct models of integration emerge from this review comprising: 1) multiple tasks and functions by health staff providing vaccination and other care, or 2) secondary tasks added to the main function of vaccination, or 3) co-location of matched services provided by different staff. These models, with strengths and weaknesses demonstrated in family planning and immunization experiences, apply in different ways to the three main platforms used for HPV vaccination: school, facility or community. For HPV vaccination policy and programming, an initial need is to combine the existing evidence on vaccine service delivery - including coverage, efficiency, cost, and cost-effectiveness information - with what is known on how integration works in practice; the operational detail and models employed. This synthesis may enable assessment which models best suit the different service delivery platforms. An additional need is to link this with more tailored local assessments of the adolescent burden of disease and other determinants of their well-being to develop new thinking on what can and cannot be done to integrate other services alongside HPV vaccination. New approaches placing adolescents at the center are needed to design services tailored to their preferences and needs. The potential synergies with cervical cancer screening and treatment for older generations of women, also require further exploration. Coordinated action aligning HPV vaccination with broader adolescent health and wellbeing will generate social, economic and demographic benefits, which in themselves are sufficient justification to devote more attention to integrated approaches.
- Published
- 2022
5. Integrating HPV vaccination programs with enhanced cervical cancer screening and treatment, a systematic review
- Author
-
Megan Holloway, Charlotte Wirtz, Christopher Morgan, Veronica Reis, Julia M.L. Brotherton, Anissa Sidibe, Paul Bloem, Somesh Kumar, Danielle Engel, and Yasmin Mohamed
- Subjects
medicine.medical_specialty ,Service delivery framework ,MEDLINE ,Uterine Cervical Neoplasms ,Cervix Uteri ,CINAHL ,Underserved Population ,Global health ,medicine ,Humans ,Papillomavirus Vaccines ,Early Detection of Cancer ,Cervical cancer ,General Veterinary ,General Immunology and Microbiology ,business.industry ,Public health ,Papillomavirus Infections ,Vaccination ,Public Health, Environmental and Occupational Health ,medicine.disease ,Infectious Diseases ,Family medicine ,Molecular Medicine ,Female ,business - Abstract
A WHO global strategy launched in November 2020 sets out an ambitious pathway towards the worldwide elimination of cervical cancer as a public health problem within the next 100 years. Achieving this goal will require investment in innovative approaches. This review aims to describe integrated approaches that combine human papillomavirus (HPV) vaccination and cervical cancer screening in low- and middle-income countries (LMIC), and their efficacy in increasing uptake of services. A systematic review was conducted analyzing relevant papers from Embase, Medline, CINAHL and CAB Global Health databases, as well as grey literature. Narrative synthesis was performed on the included studies. Meta-analysis was not appropriate due to the heterogeneity and nature of included studies. From 5,278 titles screened, 11 uncontrolled intervention studies from four countries (from Africa and east Asia) were included, all from the past 12 years. Four distinct typologies of integration emerged that either increased awareness of HPV and/or cervical cancer screening, and/or coupled the delivery of HPV vaccination and cervical cancer screening programs. The synthesis of findings suggests that existing HPV vaccination programs can be a useful pathway for educating mothers and other female caregivers about cervical cancer screening; through in person conversations with care providers (preferred) or take-home communications products. Integrated service delivery through outreach and mobile clinics may overcome geographic and economic barriers to access for both HPV vaccination and cervical cancer screening, however these require significant program and system resources. One study promoted HPV vaccination as part of integrated service delivery, but there were no other examples found that examined use of cervical cancer screening platforms to promote or educate on HPV vaccination. This review has demonstrated gaps in published literature on attempts to integrate HPV vaccination and cervical cancer screening. The most promising practices to date seem to relate to integrated health communications for cervical cancer prevention. Future research should further explore the opportunities for integrated health communications to support the efforts towards the new global cervical cancer elimination agenda, and costs and feasibility of integrated service delivery for underserved populations.
- Published
- 2022
6. Promoting adolescent health through integrated human papillomavirus vaccination programs: The experience of Togo
- Author
-
David Ross, Danielle Engel, Willibald Zeck, Joseph Vyankandondera, Abra Dela Jeanne Afeli, Kodjovi Robert Adjeoda, Christopher Morgan, and Paul Bloem
- Subjects
Program evaluation ,Health Knowledge, Attitudes, Practice ,medicine.medical_specialty ,Adolescent ,Service delivery framework ,Best practice ,Adolescent Health ,Psychological intervention ,Uterine Cervical Neoplasms ,Alphapapillomavirus ,Health care ,Humans ,Medicine ,Papillomavirus Vaccines ,Child ,Cervical cancer ,General Veterinary ,General Immunology and Microbiology ,Immunization Programs ,business.industry ,Papillomavirus Infections ,Vaccination ,Public Health, Environmental and Occupational Health ,Hygiene ,Patient Acceptance of Health Care ,medicine.disease ,Menstruation ,Infectious Diseases ,Togo ,Family medicine ,Molecular Medicine ,Female ,Health education ,business ,Adolescent health - Abstract
The introduction of the Human papillomavirus (HPV) vaccine has shown potential to not only prevent cervical cancer but also drive adolescents’ access to other health care services, even in low-income countries. Few studies have been conducted to date to identify best practices and estimate the acceptance, operational challenges and benefits of including broader adolescent health interventions into immunization efforts, knowledge which is essential to supporting widespread integration. In this paper we review the efforts undertaken by the government of Togo to integrate adolescent health programming with the HPV vaccination roll out. With the support of partners (GAVI, WHO, UNFPA and UNICEF), the country successfully completed, in 2017, two years of an HPV vaccine demonstration project, which entailed vaccinating 10-year-old girls against HPV in two selected districts of the country and integrating a health education component focused on puberty education / menstrual hygiene and hand washing practice. Our study is a post-implementation program evaluation, using mixed methods to assess key questions of feasibility and acceptability of an integrated adolescent package of care. It showed that the HPV vaccination in conjunction with the health education sessions was well received by the majority of health care providers, teachers and parents. Our study confirmed that in Togo it proved feasible to combine education and HPV vaccination in school-based service delivery. However, more operational research is neded to understand how to increase the impact and sustainability of the co-delivery of interventions. We did not analyze the health impact and cost implications of the intervention, which will be an important consideration for scaling up such integration efforts alongside routine immunization.
- Published
- 2022
7. Ações afirmativas e desafios na formação inicial de professores (BNC-formação)
- Author
-
Cardoso, Danielle Engel Cansian, primary and Ens, Romilda Teodora, additional
- Published
- 2022
- Full Text
- View/download PDF
8. Ações afirmativas e desafios na formação inicial de professores (BNC-formação)
- Author
-
Cardoso, Danielle Engel Cansian, Ens, Romilda Teodora, Cardoso, Danielle Engel Cansian, and Ens, Romilda Teodora
- Abstract
O artigo objetiva analisar a Resolução CNE/CP n.º 2/2019, a qual define as Diretrizes Curriculares Nacionais para a Formação Inicial de Professores para a Educação Básica e institui a Base Nacional Comum para a Formação Inicial de Professores da Educação Básica (BNC-Formação). Temos como pressuposto que o acesso por ações afirmativas às instituições de educação superior no Brasil insere nas salas de aula sujeitos de diferentes culturas, origem social e econômica e que políticas de acesso por ações afirmativas não encontram no currículo, na estrutura e na organização das IES elementos que atendam a essa realidade. Pela pesquisa de abordagem qualitativa, pesquisa bibliográfica e documental, foi possível apreender e compreender sobre: políticas de ações afirmativas; teoria pós-crítica do currículo e desafios da educação intercultural. Na análise de conteúdo da Resolução CNE/CP n.º 2/2019 (BRASIL, 2019, 2020), buscamos estabelecer a presença e/ou ausência de elementos representativos das ações afirmativas e da teoria pós-crítica do currículo, pela abordagem da interculturalidade e os desafios que envolvem essa forma de considerar a educação. Os resultados indicam que a teoria pós-crítica do currículo, ancorada pela interculturalidade do multiculturalismo, se colocada em prática, poderá atender aos estudantes ingressantes na educação superior, mas os desafios continuam, uma vez que o novo desenho político da formação inicial desconsidera as condições sociais, históricas e econômicas em que a Formação de Professores se efetiva por estar voltada à lógica do mercado.
- Published
- 2022
9. A Package of Sexual and Reproductive Health and Rights Interventions—What Does It Mean for Adolescents?
- Author
-
Claire B. Cole, Lianne Gonsalves, Mandira Paul, B. Jane Ferguson, Cristina de Carvalho Eriksson, David Ross, Danielle Engel, Satvika Chalasani, Sally Beadle, Brendan Hayes, Venkatraman Chandra-Mouli, and Anandita Philipose
- Subjects
Male ,Adolescent ,Sexual Behavior ,media_common.quotation_subject ,Sexual and reproductive health and rights ,Population ,Adolescent Health ,Psychological intervention ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,030225 pediatrics ,Civil Rights ,Humans ,030212 general & internal medicine ,education ,Health policy ,media_common ,Sustainable development ,education.field_of_study ,business.industry ,Sex Offenses ,Public Health, Environmental and Occupational Health ,Abortion, Induced ,Public relations ,United States ,Psychiatry and Mental health ,Intervention (law) ,Reproductive Health ,Pregnancy in Adolescence ,Pediatrics, Perinatology and Child Health ,Accountability ,Female ,Sexual Health ,Psychology ,business ,Diversity (politics) - Abstract
This article analyzes the relevance of the comprehensive definition of sexual and reproductive health and rights (SRHR) to adolescents and identifies adolescent-specific implications for the implementation of an essential package of SRHR interventions. The delivery of a comprehensive approach to SRHR targeting adolescents is underpinned by five principles-equity, quality, accountability, multisectorality, and meaningful engagement. All SRHR interventions included in the package are relevant to adolescents, given the diversity of adolescents' SRHR needs and considering their specific attributes, circumstances, and experiences. Ensuring that this package is available, accessible, and acceptable to adolescents requires an approach that looks at adolescents as being biologically and socially distinct from other age groups and acknowledges that they face some specific barriers when accessing SRHR services. This article provides cross-cutting strategies for the implementation of a comprehensive approach to SRHR for adolescents and specific considerations in delivering each intervention in the package of essential SRHR interventions. To further implement the International Conference on Population and Development Programme of Action, a prerequisite for achieving the Sustainable Development Goals, SRHR interventions must be adolescent responsive, delivered through multiple platforms, leveraging multisectoral collaboration, and strengthening accountability and participation.
- Published
- 2019
10. Violence against adolescents: prevention must cross the divide between children and women
- Author
-
Danielle Engel, Seema Vyas, Satvika Chalasani, José Roberto Luna, and Alexandra Robinson
- Subjects
General Medicine - Published
- 2022
11. Adolescent sexual and reproductive health and rights: a stock-taking and call-to-action on the 25th anniversary of the international conference on population and development
- Author
-
Meheret Melles-Brewer, Anshu Mohan, Danielle Engel, Marina Plesons, Venkatraman Chandra-Mouli, and Arup Barua
- Subjects
Male ,Economic growth ,Adolescent ,Human Rights ,United Nations ,Population ,Sexual and reproductive health and rights ,Health Services Accessibility ,Political science ,Humans ,education ,education.field_of_study ,HQ1-2044 ,Reproductive Rights ,Obstetrics and Gynecology ,Congresses as Topic ,Stock-taking ,Diseases of the genitourinary system. Urology ,Call to action ,Anniversaries and Special Events ,Reproductive Health ,Reproductive Medicine ,Adolescent Health Services ,The family. Marriage. Woman ,Female ,RC870-923 ,Sexual Health ,Collection: Accelerating accountability for SRHR ,Article Commentary - Abstract
In 1994, the International Conference on Population and Development (ICPD) put forward a groundbreaking call to place adolescent1 sexual and reproductive health and rights (ASRHR) on the agenda. Sp...
- Published
- 2019
12. Ações afirmativas e desafios na formação inicial de professores (BNC-formação)
- Author
-
Danielle Engel Cansian Cardoso and Romilda Teodora Ens
- Subjects
General Medicine - Abstract
O artigo objetiva analisar a Resolução CNE/CP n.º 2/2019, a qual define as Diretrizes Curriculares Nacionais para a Formação Inicial de Professores para a Educação Básica e institui a Base Nacional Comum para a Formação Inicial de Professores da Educação Básica (BNC-Formação). Temos como pressuposto que o acesso por ações afirmativas às instituições de educação superior no Brasil insere nas salas de aula sujeitos de diferentes culturas, origem social e econômica e que políticas de acesso por ações afirmativas não encontram no currículo, na estrutura e na organização das IES elementos que atendam a essa realidade. Pela pesquisa de abordagem qualitativa, pesquisa bibliográfica e documental, foi possível apreender e compreender sobre: políticas de ações afirmativas; teoria pós-crítica do currículo e desafios da educação intercultural. Na análise de conteúdo da Resolução CNE/CP n.º 2/2019 (BRASIL, 2019, 2020), buscamos estabelecer a presença e/ou ausência de elementos representativos das ações afirmativas e da teoria pós-crítica do currículo, pela abordagem da interculturalidade e os desafios que envolvem essa forma de considerar a educação. Os resultados indicam que a teoria pós-crítica do currículo, ancorada pela interculturalidade do multiculturalismo, se colocada em prática, poderá atender aos estudantes ingressantes na educação superior, mas os desafios continuam, uma vez que o novo desenho político da formação inicial desconsidera as condições sociais, históricas e econômicas em que a Formação de Professores se efetiva por estar voltada à lógica do mercado.
- Published
- 2022
13. Adolescent Well-Being: A Definition and Conceptual Framework
- Author
-
David Ross, Pauline Anyona, Danielle Engel, Joanna Herat, Rachael Hinton, Helga Fogstad, David Imbago-Jácome, Anshu Mohan, Gogontlejang Phaladi, Anshu Banerjee, Meheret Melles-Brewer, George C Patton, Nazneen Damji, Alicia Sanchez, Avi Silverman, Willibald Zeck, Valentina Baltag, Fatiha Terki, and Lucy Fagan
- Subjects
Adolescent ,Public Health, Environmental and Occupational Health ,MEDLINE ,Adolescent Health ,Human factors and ergonomics ,Poison control ,medicine.disease ,Suicide prevention ,Occupational safety and health ,Adolescent Well-Being ,Article ,Psychiatry and Mental health ,Conceptual framework ,Pediatrics, Perinatology and Child Health ,Injury prevention ,medicine ,Humans ,Medical emergency ,Psychology - Published
- 2020
14. Affirmative Actions and Challenges in Teacher Formation Initial (BNC-Formação).
- Author
-
Cardoso, Danielle Engel Cansian and Ens, Romilda Teodora
- Published
- 2022
- Full Text
- View/download PDF
15. Forward, Together: A Collaborative Path to Comprehensive Adolescent Sexual and Reproductive Health and Rights in Our Time
- Author
-
Eglė Janušonytė, Ali Ihsan Nergiz, Cate Lane, Venkatraman Chandra-Mouli, Brendan Hayes, Gogontlejang Phaladi, Ruben Avila, Anandita Philipose, B. Jane Ferguson, Danielle Engel, Scheherazade Husain, Bruce Dick, Kalisito Va Eceéce Biaukula, Joanna Herat, Marina Plesons, Aditi Mukherji, Gwyn Hainsworth, Sally Beadle, and Claire B. Cole
- Subjects
Male ,Inclusion (disability rights) ,Adolescent ,media_common.quotation_subject ,Sexual Behavior ,Sexual and reproductive health and rights ,Population ,Adolescent Health ,03 medical and health sciences ,0302 clinical medicine ,Denial ,Pregnancy ,030225 pediatrics ,Political science ,Civil Rights ,Humans ,030212 general & internal medicine ,education ,Health policy ,media_common ,education.field_of_study ,Equity (economics) ,business.industry ,Sex Offenses ,Public Health, Environmental and Occupational Health ,Abortion, Induced ,Public relations ,United States ,Psychiatry and Mental health ,Reproductive Health ,Socioeconomic Factors ,Scale (social sciences) ,Pediatrics, Perinatology and Child Health ,Accountability ,Pregnancy in Adolescence ,Female ,Reproductive Health Services ,Sexual Health ,business - Abstract
The 1994 International Conference on Population and Development established a basis for the advancement of adolescent sexual and reproductive health and rights (ASRHR) that endures today. Twenty-five years later, our vision for the future warrants reflection based on a clear understanding of the opportunities and challenges before us. Inclusion of adolescents on global, regional, and national agendas; increased investment in ASRHR policies and programs; renewed commitments to universal health coverage; increased school enrollment; and advances in technology are all critical opportunities we can and must leverage to catalyze progress for adolescents. At the same time, a range of significant challenges remain, have newly emerged, or can be seen on the horizon, including persistent denial of adolescent sexuality; entrenched gender inequality; resistance to meaningfully engaging adolescents and young people in political and programmatic processes; weak systems, integration, and multisectoral coordination; changes in population dynamics; humanitarian and climate crises; and changes in family and community structures. To achieve as much progress toward our vision for ASRHR as possible, the global ASRHR community must take strategic and specific steps in the next 10 years within five areas for action: (1) mobilize and make full use of political and social support for ASRHR policies and programs; (2) increase and make effective use of external and domestic funding for ASRHR; (3) develop, communicate, apply, and monitor enabling and protective laws and policies for ASRHR; (4) use and improve available ASRHR data and evidence to strengthen advocacy, policies, and programs; and (5) manage the implementation of ASRHR strategies at scale with quality and equity.
- Published
- 2019
16. The State of Adolescent Sexual and Reproductive Health
- Author
-
Pablo Salazar Canelos, Lale Say, Lorna Jenkins, Ann-Beth Moller, Kristien Michielsen, Rachel Snow, Danielle Engel, Mengjia Liang, Sandile Simelane, Guillem Fortuny Fillo, Katherine Weny, Venkatraman Chandra-Mouli, and Satvika Chalasani
- Subjects
Male ,Adolescent ,Sexual Behavior ,Population ,Sexual and reproductive health and rights ,Adolescent Health ,Overweight ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,030225 pediatrics ,Child marriage ,medicine ,Population growth ,Civil Rights ,Humans ,030212 general & internal medicine ,education ,Reproductive health ,education.field_of_study ,business.industry ,Age at first marriage ,Sex Offenses ,Public Health, Environmental and Occupational Health ,Abortion, Induced ,United States ,Psychiatry and Mental health ,Trend analysis ,Reproductive Health ,Pediatrics, Perinatology and Child Health ,Pregnancy in Adolescence ,Female ,medicine.symptom ,Sexual Health ,Psychology ,business ,Demography - Abstract
In the 25 years since the 1994 International Conference on Population and Development, significant progress has been made in adolescent sexual and reproductive health and rights (ASRHR). Trend analysis of key ASRHR indicators at global, national, and subnational levels indicates that adolescent girls today are more likely to marry later, delay their first sexual experience, and delay their first childbirth, compared with 25 years ago; they are also more likely to use contraceptives. Despite overall progress, however, unequal progress in many ASRHR outcomes is evident both within and between countries, and in some locations, the state of adolescents' lives has worsened. Population growth in countries with some of the worst shortfalls in ASRHR mean that declining rates, of child marriage, for example, coexist with higher absolute numbers of girls affected, compared with 25 years ago. Emerging trends that warrant closer attention include increasing rates of ovarian and breast cancer among adolescent girls and sharp increases in the proportion of adolescents who are overweight or obese, which has long-term health implications.
- Published
- 2019
17. The Political, Research, Programmatic, and Social Responses to Adolescent Sexual and Reproductive Health and Rights in the 25 Years Since the International Conference on Population and Development
- Author
-
Nankali Maksud, Sunil Mehra, Connie Celum, Danielle Engel, Lina Digolo-Nyagah, Mandira Paul, Eglé Janušonytė, Robyn Dayton, Meghan Greeley, David Ross, Satvika Chalasani, Linda-Gail Bekker, Ali Ihsan Nergiz, Maja Manzenski Hansen, Josephine Sauvarin, Sonja Caffe, Ellen Travers, Scheherazade Husain, Marina Plesons, Christina Pallitto, Marni Sommers, Ruben Avila, Aditi Mukherji, Ilya Zhukov, Pema Lhaki, Nafissatou J. Diop, Chelsey Porter, Teresa Mahon, Venkatraman Chandra-Mouli, Joar Svanemyr, Kristien Michielsen, Annabel Erulkar, Kamal Adhikari, B. Jane Ferguson, Kalisito Va Eceéce Biaukula, Avni Amin, Alma Virginia Camacho-Huber, Gogontlejang Phaladi, and Joanna Herat
- Subjects
Male ,Economic growth ,Adolescent ,media_common.quotation_subject ,Sexual and reproductive health and rights ,Population ,Adolescent Health ,Sexually Transmitted Diseases ,Global Health ,Adolescent Pregnancy ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,030225 pediatrics ,Child marriage ,Adolescent Sexual and Reproductive Health ,Global health ,Civil Rights ,Humans ,030212 general & internal medicine ,Social Change ,education ,Developing Countries ,Low- and Middle-Income Countries ,Reproductive health ,media_common ,education.field_of_study ,Human rights ,business.industry ,Youth leaders ,Public Health, Environmental and Occupational Health ,HIV ,Abortion, Induced ,United States ,Psychiatry and Mental health ,Reproductive Health ,Child Marriage ,Socioeconomic Factors ,Pediatrics, Perinatology and Child Health ,Pregnancy in Adolescence ,Women's Rights ,International Conference On Population and Development (ICPD) ,Female ,Sexual Health ,business ,Adolescent health - Abstract
Among the ground-breaking achievements of the International Conference on Population and Development (ICPD) was its call to place adolescent sexual and reproductive health (ASRH) on global health and development agendas. This article reviews progress made in low- and middle-income countries in the 25 years since the ICPD in six areas central to ASRH—adolescent pregnancy, HIV, child marriage, violence against women and girls, female genital mutilation, and menstrual hygiene and health. It also examines the ICPD's contribution to the progress made. The article presents epidemiologic levels and trends; political, research, programmatic and social responses; and factors that helped or hindered progress. To do so, it draws on research evidence and programmatic experience and the expertise and experiences of a wide number of individuals, including youth leaders, in numerous countries and organizations. Overall, looking across the six health topics over a 25-year trajectory, there has been great progress at the global and regional levels in putting adolescent health, and especially adolescent sexual and reproductive health and rights, higher on the agenda, raising investment in this area, building the epidemiologic and evidence-base, and setting norms to guide investment and action. At the national level, too, there has been progress in formulating laws and policies, developing strategies and programs and executing them, and engaging communities and societies in moving the agenda forward. Still, progress has been uneven across issues and geography. Furthermore, it has raced ahead sometimes and has stalled at others. The ICPD's Plan of Action contributed to the progress made in ASRH not just because of its bold call in 1994 but also because it provided a springboard for advocacy, investment, action, and research that remains important to this day.
- Published
- 2019
18. Progress in adolescent sexual and reproductive health and rights globally between 1990 and 2016: what progress has been made, what contributed to this, and what are the implications for the future?
- Author
-
Sunil Mehra, Marina Plessons, Elsie Akwara, Danielle Engel, Venkatraman Chandra-Mouli, Bruce Dick, Mengistu Asnake, and Jane Ferguson
- Subjects
Male ,Economic growth ,Adolescent ,Social Determinants of Health ,Sexual Behavior ,Sexual and reproductive health and rights ,Adolescent Health ,sexual health ,adolescent well-being ,multi-burden countries ,programmes ,Adolescent Well-Being ,Commentaries ,Humans ,low- and middle-income countries ,adolescent reproductive health ,Reproductive health ,HQ1-2044 ,Reproductive Rights ,business.industry ,Obstetrics and Gynecology ,Headline ,Diseases of the genitourinary system. Urology ,Reproductive Health ,Reproductive Medicine ,Low and middle income countries ,The family. Marriage. Woman ,Female ,RC870-923 ,Tracking (education) ,business ,Psychology ,Article Commentary ,Adolescent health - Abstract
This commentary is in response to a paper published in the Lancet entitled: “Progress in adolescent health and well-being: tracking 12 headline indicators for 195 countries and territories, 1990-2016” (Peter Azzopardi et al, 2019). We agree with the authors' overall conclusions that although there has been progress in some health outcomes, health risks and social determinants, the situation has worsened in other areas. Other important messages emerge from studying the data with an adolescent sexual and reproductive health and rights (ASRHR) lens. First, notable – albeit uneven – progress in all the ASRHR indicators has occurred in multi-burden countries. Second, while we cannot assign a cause-effect relationship, it is reasonable to suggest that in addition to secular trends, deliberate global and national investment and action have contributed to and/or accelerated these changes. Third, progress in ASRHR in the multi-burden countries contrasts sharply with increases in rates of tobacco use, binge drinking and overweight and obesity, in all categories of countries. Based on these observations, we submit five implications for action: the adolescent health community must recognize the progress made in ASRHR; acknowledge that increasing investment and action in ASRHR has contributed to these tangible results, which has the potential to grow; build on the gains in ASRHR through concerted action and a focus on implementation science; expand the adolescent health agenda in a progressive and strategic manner; and contribute to wider efforts to respond to adolescents' health needs within the rapidly changing context of the worlds they live in.
- Published
- 2020
19. Women's, children's, and adolescents' health in humanitarian and other crises
- Author
-
Kate Gilmore, Rajat Khosla, Danielle Engel, Heather Papowitz, Mollie Fair, Henia Dakkak, Anita Sharma, Njoki Rahab, and Sarah Zeid
- Subjects
Male ,medicine.medical_specialty ,Emergency Medical Services ,Evidence-based practice ,Inequality ,Adolescent ,media_common.quotation_subject ,Child Health Services ,Psychological intervention ,Global Health ,Altruism ,Pregnancy ,Emergency medical services ,medicine ,Global health ,Healthcare Financing ,Humans ,Maternal Health Services ,Psychiatry ,Child ,media_common ,business.industry ,Infant, Newborn ,General Medicine ,Middle Aged ,Relief Work ,Women's Health Services ,Adolescent Health Services ,Evidence-Based Practice ,Female ,Reproductive Health Services ,Disaster Victims ,business ,Delivery of Health Care ,Adolescent health - Abstract
The worst rates of preventable mortality and morbidity among women, adolescents, and children occur in humanitarian and other crises. Sarah Zeid and colleagues discuss the specific attention that is needed for women, adolescents, and children in crises and fragile settings
- Published
- 2015
20. Scale-up of adolescent contraceptive services: lessons from a 5-country comparative analysis
- Author
-
Danielle Engel, Callie Simon, Laura Jane Ghiron, Minal Rahimtoola, and Gwyn Hainsworth
- Subjects
Male ,Economic growth ,Resource mobilization ,Health Knowledge, Attitudes, Practice ,Adolescent ,Population ,Developing country ,HIV Infections ,Young Adult ,Humans ,Pharmacology (medical) ,education ,Child ,Africa South of the Sahara ,Reproductive health ,education.field_of_study ,business.industry ,Environmental resource management ,Capacity building ,Monitoring and evaluation ,Infectious Diseases ,Contraception ,Vietnam ,Family planning ,Adolescent Health Services ,Scale (social sciences) ,Female ,business - Abstract
Poor sexual and reproductive health outcomes among adolescents aged 10-19 years are indicative of the barriers this group faces in accessing health services and highlights a gap in the availability of appropriate services, including adolescent-friendly contraceptive services (AFCS). The HIV Investment Framework identifies contraceptive services as an entry point for HIV counseling, testing, and treatment, and as a component of HIV prevention. To effectively meet the needs of adolescents, greater understanding of effective scale-up strategies for adolescent-friendly services is needed.The authors conducted a retrospective analysis of AFCS scale-up experiences in Ethiopia, Ghana, Mozambique, Tanzania, and Vietnam using the ExpandNet/World Health Organization framework for systematic scale-up. The authors analyzed the type of scale (expansion or institutionalization), dissemination and advocacy, organizational process, costs and resource mobilization, and monitoring and evaluation.The analysis showed that all programs simultaneously pursued expansion and institutionalization, contributing to sustainable scale-up. Advocacy complemented by intensive capacity building at all levels of the health system contributed to adoption of AFCS in national and district work plans and budgets as well strengthening collection of age-disaggregated data.To achieve scale-up of AFCS, the authors identified the importance of institutionalization and expansion in tandem for synergy and reinforcement, empowering adolescents to be agents of change and hold government accountable to its commitments, and strengthening health systems to sustain AFCS.This article contributes to a growing body of evidence around scale-up of AFCS, which can inform the implementation and sustainable scale-up of HIV and other services for adolescents.
- Published
- 2014
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.