Consent and confidentiality: increasing adolescents' access to health services for HIV and sexual and reproductive health : report of the regional consultation, New Delhi, India, 25-27 July 2006
AbstractThe problems in the area of Adolescent Reproductive and Sexual Health (ARSH) and the global increase in HIV infection in young people pose a challenge to policy-makers. As such, the health system deserves an urgent and appropriate response. Policies vary in countries and health care providers lack clarity on the application of the legal provisions while providing services to adolescents. Consent and confidentiality issues are a constraint in access to health services for adolescents. The publication is a report of an intercountry consultation held to review existing laws and current policy and practices relating to consent and confidentiality for adolescents in five countries (Bangladesh, India, Nepal, Sri Lanka and Thailand) to identify priorities for action, develop draft guidelines and prepare action plans. It provides a brief description of issues including consent, assent and confidentiality in relation to prevention and care of HIV/AIDS, provision of services for STIs, family planning interventions, and abortion services in addition to information on draft guidelines developed by WHO/HQ. It also records case studies that illustrate the numerous lessons learnt relating to inadequate capacity of health care providers and actions that programme managers need to take. The report concludes by recommending that (i) The outline of guidelines developed during the consultation should be finalized by WHO/HQ in collaboration with WHO/SEARO with support of IPA, IPPF and IAAH; (ii)These guidelines should be used to strengthen the capacity of health care providers and of programme managers in increasing access to health services to adolescents; (iii)The country teams should advocate with policy-makers and decision-makers to develop effective policies for access to services relating to HIV prevention and care and ASRH.
World Health Organization, Regional Office for South-East Asia. (2007). Consent and confidentiality: increasing adolescents' access to health services for HIV and sexual and reproductive health : report of the regional consultation, New Delhi, India, 25-27 July 2006. WHO Regional Office for South-East Asia. http://www.who.int/iris/handle/10665/204910
Gov't Doc #SEA-AHD-12
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