What Does Not Work in Adolescent Sexual and Reproductive Health: A Review of Evidence on Interventions Commonly Accepted as Best Practices.
What Does Not Work in Adolescent Sexual and Reproductive Health: A Review of Evidence on Interventions Commonly Accepted as Best Practices.
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DOI：
10.9745/ghsp-d-15-00126
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发表时间：
2015-08-31
期刊：
影响因子：
--
通讯作者：
Wong S
中科院分区：
文献类型：
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作者：
Chandra-Mouli V;Lane C;Wong S
青年中心、同伴教育和一次性公共集会通常在促进年轻人获得性健康和生殖健康(SRH)服务、改变他们的行为或影响青少年SRH周围的社会规范方面效果不佳。全面的性教育和对青年友好的服务等在执行得当时被证明是有效的办法往往会陷入困境，因为它们有相当大的执行要求，而这些要求很少得到满足。要使青少年SRH计划有效，我们需要通过协调和互补的方法做出实质性努力。应摒弃非生产性办法，应充分忠实于确保有效性的因素实施行之有效的办法，并应探索新的办法，包括更多地关注预防科学，私营部门的参与，以及扩大获得满足青少年需要的更广泛避孕方法的机会。青年中心、同伴教育和一次性公共集会通常在促进年轻人获得性健康和生殖健康(SRH)服务、改变他们的行为或影响青少年SRH周围的社会规范方面效果不佳。全面的性教育和对青年友好的服务等在执行得当时被证明是有效的办法往往会陷入困境，因为它们有相当大的执行要求，而这些要求很少得到满足。要使青少年SRH计划有效，我们需要通过协调和互补的方法做出实质性努力。应摒弃非生产性办法，应充分忠实于确保有效性的因素实施行之有效的办法，并应探索新的办法，包括更多地关注预防科学，私营部门的参与，以及扩大获得满足青少年需要的更广泛避孕方法的机会。
Youth centers, peer education, and one-off public meetings have generally been ineffective in facilitating young people’s access to sexual and reproductive health (SRH) services, changing their behaviors, or influencing social norms around adolescent SRH. Approaches that have been found to be effective when well implemented, such as comprehensive sexuality education and youth-friendly services, have tended to flounder as they have considerable implementation requirements that are seldom met. For adolescent SRH programs to be effective, we need substantial effort through coordinated and complementary approaches. Unproductive approaches should be abandoned, proven approaches should be implemented with adequate fidelity to those factors that ensure effectiveness, and new approaches should be explored, to include greater attention to prevention science, engagement of the private sector, and expanding access to a wider range of contraceptive methods that respond to adolescents’ needs. Youth centers, peer education, and one-off public meetings have generally been ineffective in facilitating young people’s access to sexual and reproductive health (SRH) services, changing their behaviors, or influencing social norms around adolescent SRH. Approaches that have been found to be effective when well implemented, such as comprehensive sexuality education and youth-friendly services, have tended to flounder as they have considerable implementation requirements that are seldom met. For adolescent SRH programs to be effective, we need substantial effort through coordinated and complementary approaches. Unproductive approaches should be abandoned, proven approaches should be implemented with adequate fidelity to those factors that ensure effectiveness, and new approaches should be explored, to include greater attention to prevention science, engagement of the private sector, and expanding access to a wider range of contraceptive methods that respond to adolescents’ needs.