Life Planning for Adolescents and Youths (LPAY)
Formative Research and Literature Reviews on Youth & Adolescent Programming
Globally, many sexually active youths and adolescents want to avoid or limit pregnancy, while many others would want to wait before getting pregnant. These group of young persons may not know where to get contraceptives or may not be able to afford services, yet even when there is easy access, uptake may be difficult because of the stigma of their status as ‘not married’ and their inability to make decisions about their reproductive health. The effects of not being able to use, use incorrectly or discontinue use has such diverse consequence to the health and well-being of the young person.
The Importance of Family Planning for Adolescents (ages 15 – 24) and unmet need for contraception is greater among the unmarried adolescents than those who are married. The World Health Organization (WHO) reports that 16 million adolescents aged 15-19 give birth each year, mostly in low and middle-income countries. Many are intended while others are mistimed; 23 million adolescents would like to use contraception but are not. Early, mistimed pregnancy may result in maternal morbidities and mortality, and social consequences that limit the potential of young women. In the words of the former UN Secretary General Ban Ki-moon “adolescents are central to everything we want to achieve”, if we are to reach FP2020 goal of meeting the contraceptive needs of 120 million women and girls in 69 countries. There is an urgent need to beam the spotlight on the contraceptive needs and rights of youth and adolescents.
In Nigeria, teenage or adolescent pregnancy among girls aged 15-19 years constitutes a considerable health risk resulting in high maternal deaths and morbidities. ‘The social consequences of teenage pregnancy are immense and often results in the curtailing of educational opportunities for such girls. Evidence from NDHS 2003, 2008 and 2013 indicates that Adolescents Birth Rate is over 120 live births per 1000 women aged 15 – 19 years. In Nigeria about one in every five young women aged 20-24 years already debuted sex by age 15 and 23% already had a birth or reported pregnant based on the 2013 NDHS.
Drawing from its experiences in NURHI Phase 1 and the diffusion of some of its programs on youths and adolescents, NURHI 2 will be focusing on increasing demand for family planning knowledge and services among the Adolescents and Youths, in each of its thematic areas – supportive environment, quality of service, expanding access, and demand generation to ensure positive outcomes for young people though effective programs to increase adolescent contraceptive use.
For further information on Formative research carried out on Youth and Adolescent Programming by NURHI 2, kindly see the links below.
In 2017, an impact analysis was carried out to determine the effect of NURHI’s intervention on adolescents and youth in its implementation cities between (2009 – 2014). The result of that analysis was impressive and showed that NURHI’s first phase interventions did have a positive result and created a slight shift in awareness and use of family planning methods among young people. In NURHI 2, Life Planning for Adolescents and Youth (LPAY) is an add-on to the current projects activities being implemented in Kaduna, Lagos and Oyo, with an intentional focus on adolescents and youth (aged 15-24 years).
Within the context of ensuring a supportive environment for meaningful participation of Adolescents and Youth in their health and well-being and thereby ensuring that their needs and views are fully considered in all Life Planning issues, efforts is made to achieve improved political commitment of government through policy actions, policy reforms and implementation, sustainable funding, leadership and popular support, media support and increased buy-in by relevant stakeholders.
To increase the demand for life planning information and services among young people, NURHI 2 Adolescents and Youth Demand Generation approach uses communication to increase adequate and accurate knowledge of contraceptive use, promote sexual responsibility and life planning among young people and trigger discussions about life planning at both the household and community levels.
In order to ensure that adolescents and youth receive competent and high-quality services that meet context specific needs, are based on evidence without medical and personal providers’ biases regarding use of all available contraceptives, NURHI 2 focuses on fostering an in-clinic environment that facilitates FP; training providers in counseling and contraceptive provision; and developing and disseminating the tools that enhance quality service deliver.
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