Making good on a call to expand method choice for young people - Turning rhetoric into reality for addressing Sustainable Development Goal Three.
Making good on a call to expand method choice for young people - Turning rhetoric into reality for addressing Sustainable Development Goal Three.
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DOI：
10.1186/s12978-017-0313-6
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发表时间：
2017-04-11
影响因子：
3.4
通讯作者：
MacDonald P
中科院分区：
文献类型：
--
作者：
Fikree FF;Lane C;Simon C;Hainsworth G;MacDonald P
对当今世界近20亿10-24岁的年轻人进行投资，对于履行全球发展承诺，特别是可持续发展目标和结束可预防的儿童和孕产妇死亡是必要的。2016年，超过1200万已婚和未婚青少年(15-19岁)将生育。怀孕和分娩并发症是15-19岁妇女死亡的第二大原因，早产会大大降低年轻妇女的社会和经济前景。促进性行为活跃的年轻人选择和有效使用令人满意的避孕方法的能力将确保他们能够行使其预防、推迟或推迟怀孕的权利。《全球共识声明》--《扩大青少年避孕选择，将长效和可逆避孕纳入其中》--为青少年使用LARC的安全性和有效性提供了证据。建议采取三项相互依存的行动，将宣传和政策联系起来(倡导修订政策和准则)；提供(提高扩大的方法选择的质量和可及性)；以及创造有利环境(社会规范和全面的生殖健康信息)，这些行动对于实现所有性行为活跃的年轻人充分获得机会和充分选择至关重要。已确定的办法包括：开展国家宣传，处理政策指导方针和标准作业程序，指导提供者提供适合年龄和发育的避孕服务；对保健提供者进行职前和在职培训，使其能够有效地与青年人进行沟通和咨询，包括消除关于LARC的神话和误解；与青年人结成伙伴关系，设计适当、切合实际和有效的战略，以提高他们的自我效能，并在社区一级处理更广泛的社会规范，以消除耻辱和歧视。立即呼吁采取行动，开展协作和协调的全球、区域和国家努力，使所有年轻人都能充分获得机会和作出充分选择，这对实现他们的生殖健康意图和可持续发展目标目标至关重要。
Investments in the nearly two billion young people, aged 10–24 years, in the world today are necessary to meet global development commitments, specifically the Sustainable Development Goals and Ending Preventable Child and Maternal Deaths. More than 12 million married and unmarried adolescents (aged 15–19) will give birth in 2016. Complications of pregnancy and childbirth are the second leading cause of death among 15–19 year-old women and early childbearing can significantly curtail social and economic prospects for young women. Facilitating the ability of sexually active young people to choose and effectively use a satisfactory contraceptive method will ensure they can exercise their right to prevent, delay or space pregnancy. The Global Consensus Statement, “Expanding Contraceptive Choice for Adolescents and Youth to Include Long Acting and Reversible Contraception” provides evidence on the safety and effectiveness of LARCs for young people. Three inter-dependent actions linking advocacy and policy (advocating for policy and guideline revisions); supply (improving quality and accessibility of an expanded method choice) and an enabling environment (social norms and comprehensive reproductive health information) are suggested as vital to achieving full access and full choice for all sexually active young people. Identified approaches include national advocacy addressing policy guidelines and standard operating procedures that guide providers in the provision of age and developmentally appropriate contraceptive services; pre-service and in-service training for health care providers to be able to effectively communicate and counsel young people, including dispelling myths and misconceptions around LARCs; and partnering with young people to design appropriate, contextually-relevant, and effective strategies to increase their self-efficacy and, at the community level, address broader social norms to dispel stigma and discrimination. An immediate call to action for collaborative and coordinated global, regional and national efforts that enable full access and full choice for all young people is paramount to achieve their reproductive health intentions and the Sustainable Development Goal targets.