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Adolescent sexual and reproductive health and rights in El Salvador

Rafael Cortez

No 93100, Health, Nutrition and Population (HNP) Knowledge Briefs from The World Bank

Abstract: Despite international support for adolescent and youth sexual and reproductive health (SRH) and rights (SRHR) (for example, the 1994 International Conference on Population in Development), young people consistently face high levels of unmet need for contraception, unplanned pregnancies, unsafe abortions, sexually transmitted infections (STIs), and maternal mortality and morbidity. At the global level, adolescent females 10 to 14 years of age are twice as likely to die in childbirth as adult women, and half of all new HIV infections occur in young people between 15 and 24 years of age (Pathfinder International, 2011). Young people, particularly adolescent girls and young women, continue to face challenges in meeting their SRH needs and rights, impeding their ability to contribute to the country?s development. Within this context, the World Bank conducted a quantitative and qualitative study in El Salvador to understand how the country is addressing adolescent SRH and SRHR, among 1,495 adolescents 10 to 19 years of age. The study was funded by the Nordic Development Trust Fund (NTF) within the Bank?s Operations Policy and Country Services (OPCS) Unit?s knowledge and learning program. The study aimed to: (a) evaluate associations between adolescent SRH, human rights, and economic development among adolescents and youth; (b) assess the operational implications of integrating human rights instruments into SRH services; and (c) systematize and disseminate the results of these activities in order to support a regional and multi-sectoral dialogue on adolescent SRHR. This knowledge brief summarizes the results of this study.

Keywords: abortion; abstinence; adolescence; ADOLESCENT; adolescent boys; adolescent females; adolescent fertility; adolescent friendly health services; adolescent girls; adolescent health; Adolescent Knowledge; adolescent males; adolescent maternal mortality; adolescent mothers; adolescent pregnancy; adolescent pregnancy prevention; adolescent-friendly health services; adolescents; alcohol; alcoholics; average age; best contraceptive; bisexual; capacity building; care services; childbirth; complications; condom; condoms; contraception; contraceptive effectiveness; contraceptive method; CONTRACEPTIVE USE; DEPRESSION; DISCRIMINATION; drugs; early pregnancy; educated women; family members; family planning; femininity; fertility rate; first sexual experience; gender; gender based violence; gender equality; gender equity; gender identity; gender norms; genital herpes; gonorrhea; health care; health care services; health centers; health outcomes; health providers; health services; health system; hepatitis B; HIV; homosexuality; human development; human resources; human rights; human rights instruments; International Conference on Population; local capacity; machismo; masculinity; maternal mortality; medical care; menstrual cycle; mental; mental health; mental illness; ministries of health; morbidity; mortality; multiple sexual partners; nurses; Nutrition; onset of puberty; Pathfinder International; pill; Population Knowledge; pregnancies; pregnancy; pregnant adolescent; pregnant adolescents; prenatal care; PRIVACY; Provision of information; puberty; public health; radio; religious beliefs; REPRODUCTIVE HEALTH; reproductive system; responsible decision; risky sexual behaviors; rural areas; rural residents; schools; sex; sex workers; sexual abuse; sexual behaviors; SEXUAL BEHAVIOUR; SEXUAL ORIENTATION; sexual partner; sexuality; sexually active; sexually active adolescents; sexually transmitted infections; STIs; syphilis; television; therapeutic abortion; unplanned pregnancies; unsafe abortions; urban areas; use of contraceptives; victims; VIOLENCE; workers; young people; youth (search for similar items in EconPapers)
Pages: 4 pages
Date: 2014-12
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