A second chance in the second decade

Strategic information to guide the health sector response


Input data

Input data include information on health financing, the workforce, the availability of infrastructure and policies. In programming for adolescents, input data are particularly sparse. Only recently have surveys, supported by WHO, provided information on the policy environment. There are few data on other aspects of input.

Monitoring policies and strategies. WHO carries out a biennial key informant survey7 on policy and health system indicators in all low and middle income countries. For the adolescent age group, this survey provides information on the existence (or absence) of policies and strategies specific to adolescents or that include reference to adolescents for relevant health domains: sexual and reproductive health and HIV, mental health, injury prevention, violence, nutrition and tobacco, alcohol and other substance use. The results of this survey are compiled and available in the Department of Maternal, Newborn, Child and Adolescent Health.

Recently, WHO and the United States Centers for Disease Control and Prevention have developed the School Policies and Practices Survey,8 which provides a nationally representative description of the school health policies and practices in place. The information collected covers the existence (or absence) of school policies on physical education and health education, staff resources, infrastructure and equipment for classrooms, exercise facilities, recreation areas and health services.


Adolescents on what stops them from using health services: Delays in public services, like at the hospital; often they attend to your needs but it’s already too late, and they can be very rude, which is psychologically damaging.

female, 18-19 Mexico

I do not find enough time to perform sports and I find unhealthy food in front of me.

female, 18-19 Saudi Arabia

I just found out that my school has a nurse (two years after getting there).

female, 18-19 Peru

Barriers to using services- Negative / judgmental attitude of health care providers, long waiting periods, lack of trust in diagnosis.

female, 18-19 Romania

Adolescents on what stops them from using health services: Long distance from the health center, lack of information on available health services and lack of money to pay for health services like STI's treatment

female, 18-19 Uganda

I don’t sleep well often; sometimes I don’t eat enough because I’m scared of gaining weight and sometimes I just don’t feel the need. I am also enormously stressed.

female, 18-19 France

Adolescents on what stops them from using health services: Fear, distance, not being aware that they (health services) are available in your region

female, 15-17 Switzerland