Programming for Adolescent Health and Development
Report of a WHO Study Group on Programming for Adolescent Health
Technical Report Series, No 886
World Health Organization
ISBN-13    9789241208864 ISBN-10    9241208864
N° de commande    11000886 Format    Package
Prix    CHF    28.00 / US$    33.60 Pays en développement    CHF    19.60
Anglais     1999        266   pages
Table des matières
A review of currently available interventions aimed at improving adolescent health and development. Reflecting the consensus reached by a large group of experts, the report aims to establish a framework of strategies and principles that can support programmes for adolescent health at country level, particularly in the developing world. With this goal in mind, the report draws on abundant practical experiences and recent research findings to reach conclusions about which interventions work best to meet the varied health and development needs of adolescents. Throughout, particular attention is given to the use of participatory approaches, the importance of addressing factors in the social environment which protect or put adolescents at risk, and the need to focus on the development of positive social skills as well as the prevention of problems.
The report has ten chapters. The first describes the goals of programming for adolescent health and development in the context of health problems found in this age group. These arise from high-risk behaviours, such as unprotected sex and use and misuse of substances, including tobacco, and include sexually transmitted diseases, unwanted pregnancies, and intentional and accidental injuries. Additional health problems identified include anaemia, poor nutrition, and a high incidence of tuberculosis, malaria, schistosomiasis, and intestinal helminths in developing countries. Guiding concepts are elaborated in the second chapter, which shows how many health problems have common underlying causes. The chapter also presents the programming implications of viewing adolescence as a time of opportunity as well as heightened risks, and of recognizing that adolescents are not equally vulnerable.
Against this background, the central chapters assess the effectiveness of five major groups of interventions identified as crucial to adolescent health and development: creating a safe and supportive environment, providing information, building skills, offering counselling, and making health services attractive and accessible. Specific interventions are described and illustrated through examples from developing countries, which also provide lessons about their effective delivery. A key finding was the necessity for the delivery of interventions in multiple settings, described in the report as the home, schools, health centres, workplace, street, community organizations, and residential centres. The report considers the relative advantages and disadvantages of each setting and offers advice on how to select the best settings for the delivery of specific interventions.
Additional chapters outline ways to build political commitment, explain how to conduct a systematic assessment of programme priorities, discuss ways of sustaining or replicating successful programmes, and consider the importance of monitoring and evaluation. Practical conclusions are set out in the final chapter, which includes a number of recommendations for action at the international and country level.