Sexual and Reproductive Health: While General Fertility (GF) has significantly decreased since 1970, Age Specific Fertility Rates (ASFR) of adolescents has changed little. Advocating for Adolescent Reproductive Health in Eastern Europe and Central Asia Chapter 1. To impact knowledge and skills to 15,000 adolescents both Boys and Girls aged 10-24 in 50 schools about their sexual, reproductive health and rights for 12 months. Lead … This program aims to build the capacity of health service providers in providing adolescent friendly reproductive health services and through the promotion and instillation of healthy behaviors among adolescents. There is a growing literature on the role of parents regarding adolescent sexual and reproductive health worldwide, including Sub-Saharan Africa. AMCHP sponsored 4 Scholars from Texas, Puerto Rico, Washington, and Alaska to attend the Summit and is providing twelve months of ongoing training and technical assistance to help them develop and implement an action plan to address key ARSH disparities in their states and territory. Adolescent Health topic Association of Reproductive Health Professionals (ARHP) ARHP offers adolescent reproductive health resources for youth and providers that … Past Projects: Adolescent Reproductive and Sexual Health, Adolescent and Young Adult Health CoIIN Resource Repository, Workforce Development & Capacity Building, Graduate Student Epidemiology Program (GSEP), Health Reform and Adolescents/Young Adults, JSI/New England Training Center for Adolescent Pregnancy Prevention, Health Care Education and Training, Indianapolis. Peer education as a piece of the puzzle Peer education is one part of a complex strategy for improving young people’s sexual and reproductive health by preventing HIV, Sexually Transmitted Infections (STIs) and substance use, among other health-related concerns. This book summarizes research on how technology use impacts adolescent mental health, sleep, physical activity and eating habits. In addition, it identifies monitoring and screening technology-based tools for use with adolescents. At the same time, the community as a whole needs to be engaged to come up with solutions to harmful gender-related practices, such as forced sex and female genital … The grantees were: The state coalitions are strengthening the ability of state and local teen pregnancy prevention coalitions to select, implement, and evaluate science-based programs that address local needs. Adolescent sexual and reproductive health and rights (ASRHR) programs take advantage of this window of opportunity to improve health and well-being for … LITERATURE REVIEW . Age- and Life-Stage Tailored Sexual and Reproductive Health Approaches. For instance, initiation of sexual activity while they lack adequate knowledge and skills for … AMCHP designed and facilitated the Summit to increase understanding of ARSH disparities, create a shared understanding of the challenges and successes in addressing ARSH disparities, and increase knowledge and skills related to using data to inform decision makers. The programs included in this volume were selected for their demonstrated positive impact on STI, pregnancy, and HIV/AIDS-related risk behaviors by a group of eminent HIV/AIDS expert scientists. As with most countries in South Asia, Nepal struggles with issues of adolescent health, due to unplanned and unwanted pregnancies, unprotected sexual activity, unsafe abortion, lack of knowledge regarding sexual and reproductive health, and lack of access to contraceptives as well as early marriage (before the … For millions of adolescents in low- and middle-income countries (LMICs), this is a period of exposure to vulnerabilities and risks related to sexual and reproductive health (SRH), compounded by challenges in having their SHR needs met. tionships, build knowledge on sexual and reproductive health, and develop participatory facilitation skills to impart crucial life-saving information to young people. The major target of the program was to make 1,000 health facilities adolescent‐friendly by 2015. Adolescents: Improving Sexual and Reproductive Health of Young People: A Strategic Planning Guide. Do Black Male Adolescent Reproductive Attitude's and Emotions about Roles Differ from White Males? 'Protecting Adolescents from Gender-Based Violence through the Promotion of their Sexual and Reproductive Health Rights’ is a three-year project launched by Save the Children that aims to raise awareness and enhance protection of children and adolescents (10-17 years old) in the MENA region from gender-based violence (early marriage, FGM and sexual abuse) through promoting In September 2007, AMCHP and CityMatCH convened two-day training and meeting titled “Science-Based Approaches to Teen Pregnancy Prevention; What Are They and How Can We Promote Their Use?”. science-based programs). ing Human Immunodeficiency Virus (HIV) prevention, in adolescents and young people. This book presents 17 key indicators of sexual and reproductive health outcomes and those that measure access to or use of sexual and reproductive health services. The holder will also be expected to build capacity of partners, adolescents on Sexual Reproductive Health Rights (SRHR). Adolescents grow to experience both emotional and sexual changes that occur at this stage in life. Thus, in order to increase reproductive health seeking behaviour of adolescent girls, apart from their curricular activities, it The national organizations are providing technical assistance to state and local organizations to implement, translate, and disseminate science-based teen pregnancy prevention programs. Print+CourseSmart and Adolescents’ Health 2016–2030 (1), and is aligned with the WHO Global Accelerated Action for the Health of Adolescents (AA-HA!) Callie Simon. 1 INTRODUCTION 1.1 Government strategies for addressing adolescent health. An additional 163 million adolescents (aged 10-19) have come of age since then. What … This financial and technical support from the NACCHO-AMCHP partnership helped the five State-Local Teams execute the following key accomplishments related to their local level efforts: Securing funding for the teen pregnancy prevention initiative at the San Juan Basin Health Department, Including Bayfield youth in planning and future implementation of Team efforts, Gaining of support from key community stakeholders in turn leading to increased credibility from the neighboring larger school district, Durango Public Schools, Building relationships between the state and city of Portland on parenting issues relating to health, including productive discussions on how to approach reproductive health with immigrant populations, Establishing an on-going discussion group for Somali mothers on parenting, Securing the help of a local communication and framing expert to help build greater public support and political will around the issue of teen pregnancy and STI prevention, Planning a Town Hall style meeting in Richfield to address how to frame the issue of teen pregnancy and STI prevention in the community, Missouri Adolescent Health Program’s drafting of a contract to provide funding to the Mississippi County Health Department’s to support the Team project, Expanding the local community coalition (CAAAP) to include new members committing to local efforts to address county teen pregnancy rates, which have increased, Planning of a Town Hall meeting designed to increase awareness and community buy-in for evidence-based approaches and programs, Forming a CAAAP subcommittee to advise strategic planning efforts in 2009, Successfully securing grant funding, space, and furnishings for a teen-friendly clinic, Finalizing a Memorandum of Agreement between Communities in Schools and SC-DHEC for teen clinic operation. In 2009, AMCHP created a work group—made up of federal partners, national partners, state partners and foundation partners—to advise on how best to build the capacity of AMCHP members and partners to promote equity and address ARSH disparities among key population subgroups. Association of Dichotomous Variables. During the State-Local Teams training, on technical assistance conference calls and in their final project reports, a number of the State-Local teams mentioned the positive impact that the “Moving From Interest to Action Initiative” had on encouraging the formation of collaborations between LHDs, SHDs and community-based partners to address teen pregnancy and HIV/STIs in their communities. AMCHP and NACCHO staff worked in partnership with CDC to release a Request for Applications to work with up to three small core state/local teams consisting of representatives from state and local health departments, the state education agency, and the state teen pregnancy prevention coalition to achieve two key objectives: 1) planning a one-day training on evidence-based approaches to teen pregnancy targeted at new audiences for this information or providing enhanced information for audiences already familiar with this information and 2) participating in a half-day future planning meeting to strategize immediate next steps for their work together. \kF��Ըn����K�FhFl�%�ѥ�\ nKd&G��ܯ6��q>Hh����z�)^�}M#տ���C�$c���fB�. The Reproductive Health Program recognizes that a clinic must be youth-friendly; otherwise outreach and education efforts will not be effective at increasing … Adolescent Reproductive Knowledge, Attitudes, and Beliefs and … The activities in the project were designed to build on existing state and tribal government-based efforts to disseminate information on proven, successful teen pregnancy, HIV and STI prevention interventions, and enable the development of efforts focusing on localities with the highest teen pregnancy rates. Teacher’s Guide for Sexual and Reproductive Health Life Skills for Adolescents iii Linking these materials to the life skills curriculum 1 1. Generating demand and community support for sexual and reproductive health services for young people: A review of Literature and Programs. Factors that influence adolescent sexual behaviour and reproductive health. “reproductive health” or “adolescent reproductive health” in recognition of the fact that young people’s reproductive health is determined by their sexual health and their sexual activities; and that issues of sexual behaviour and sexuality are central to the question of their reproductive health. Adolescent and Sexual Reproductive Health Programme. The purpose of this 3-year project was to build state and local capacity through the use of science-based approaches to prevent teen pregnancy and promote adolescent reproductive health, including abstinence, and prevent STDs and HIV. Adolescents have special sexual and reproductive health needs that remain unmet, mainly due to lack of knowledge, social stigma, laws and policies preventing … Accountabilities. The Adolescent Sexual and Reproductive Health (ASRH) Officer is responsible for the following functions: Planning and integration of ASRH. Education sessions for adolescents led … The activities in the project were designed to build on existing state and … towards reproductive health. 2016 May;58(5):497-503. doi: 10.1016/j.jadohealth.2015.12.010. Found insideAdolescenceâ€"beginning with the onset of puberty and ending in the mid-20sâ€"is a critical period of development during which key areas of the brain mature and develop. Advocacy helps ensure that programs for youth and with youth input are enacted, funded, implemented, and sustained. Having clear, accurate and adequate knowledge will empower young people to make responsible and wise decisions in matters relating to sexuality To kick off the “Moving from Interest to Action Initiative,” in July 2008, NACCHO and AMCHP held a three-day training on evidence-based approaches to teen pregnancy and HIV/STI prevention for members of the selected five State-Local Teams in Chicago, IL. Learn More >>. Adolescents face a host of other sexual and reproductive health challenges. Program activities include:◾Providing training and technical assistance to state coalitions and local organizations to increase their ability to use science-based approaches. 351 0 obj <> endobj During this stage, these adolescents have increased … Many of them are benefiting from shifting development, health, an… The evidence base on Ethiopian adolescents’ physical health primarily focuses on nutrition and the sexual and reproductive health (SRH) behaviours of young people aged over 15. The Reproductive Health Program recognizes that a clinic must be youth-friendly; otherwise outreach and education efforts will not be effective at increasing Adolescents’ utilization of reproductive health services. Actually, the study shows that sex education delays the beginning of sexual activities, reduces sexual action among youngsters and energizes those as of now sexually dynamic to have more secure sex26.There are 253 million adolescents in India27, and not even half of them have any idea about sexual practices or reproductive health. The Toolkit provides practical guidance to assist sexual and reproductive health (SRH) humanitarian staff and organizations in designing, implementing, monitoring, and evaluating adolescent sexual and reproductive health (ASRH) activities, with the ultimate goal of increasing access to and delivery of SRH services for adolescents in emergency contexts. Reproductive Health … The very young adolescent (VYA) population age 10–14 years is often neglected in the field of sexual and reproductive health (SRH) research due to the combined … �$^�޻���V��R��L�G�ypYu��V'2U��KT�0̂=�_?#T���Ko]y�;��&�����&l}�>>>/EncryptMetadata false/Filter/Standard/Length 128/O(>�#��GU�����f���\r}��7ҤG��%�F�)/P -4/R 4/StmF/StdCF/StrF/StdCF/U(�����v�V!��|� )/V 4>> endobj 353 0 obj <>>>/Metadata 256 0 R/Outlines 335 0 R/Pages 336 0 R/Type/Catalog/ViewerPreferences<>>> endobj 354 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Tabs/W/Thumb 198 0 R/TrimBox[0.0 0.0 498.898 708.661]/Type/Page>> endobj 355 0 obj <>stream AMCHP, with the work group’s support, developed and implemented a day long Adolescent Reproductive and Sexual Health Disparities Summit (March 6, 2010). According to the Ministry of Health, presently, 25% of the Ugandan teenagers become pregnant by the age of 19. Mary convinced her friend to take an hour-long walk with her to the nearest clinic after school one day. (�W�/ Buule Foundations Limited is requesting for a funding of $ 5,133,747.3 from donors to finance her programs and activities in Uganda Health data and health information systems, Step up efforts to eliminate measles: WHO. Contents Teacher’s Guide for Sexual and eproductive Health Life Skills for Adolescents WHO promotes Adolescent Sexual and Reproductive Health to meeet these challenges and provides technical support to Member States in strengthening and improving health care system for providing Adolescent Friedly Health Services. Although their degree of influence may vary at different points, they all shape how young people experience the transition from childhood to adulthood. The same paper can include reliable and accurate Web-sites that offer consumer health information. Adolescents are likely to face a range of health and social challenges. This review was designed to address this gap and has the following purposes: [1] identify PYD programs with evidence of promoting adolescent sexual and reproductive health, [2] describe the nature and magni- Pregnant adolescents also bear negative social consequences and often have to leave school reducing their employability leading to long-term economic implications. Adolescent Development Explained. �2w��jk�?����]j�w���D#�K'/��${Q>Hi��U���C,�ss��o>O��x��������$B�. This 5–year project, beginning in 2004, is intended to build capacity within communities to prevent teen pregnancy, HIV, and STDs and promote adolescent reproductive health, including abstinence by providing technical assistance and training on using science-based approaches. The project is articulated around building the capacities of actors, the availability of products and inputs, community mobilization as well as the provision of FP / Reproductive Health (RH) services in fixed and advanced strategies, including the strengthening of the Adolescent Reproductive Health Units (USRA). RDƘV������?R�oId/K0?f��f�kh�% �o��aH6I����~��i An Introduction to Advocacy Advocacy is critical to the efforts to improve sexual and reproductive health for young people. However, overall, the trainings were successful in improving participant: Ability to develop partnerships with other organizations/schools in their communities to assist in adolescent pregnancy/HIV/STD prevention (Massachusetts), Understanding of evidence-based approaches to teen pregnancy, HIV and STD prevention (Pennsylvania), Understanding of available resources related to evidence-based programs (Pennsylvania), Understanding of schools who are currently working to implement evidence-based programs (Pennsylvania and Massachusetts), Ability to frame messages related to adolescent reproductive health (Minnesota). Adolescent and Sexual Reproductive Health Programme. She wanted to learn more about how to prevent pregnancy. Mary convinced her … Country Health Emergency Preparedness & IHR, Health Emergency Information & Risk Assessment, Thailand becomes first in SEAR with WHO classified emergency medical team, Health Ministers Commit to Emergency Preparedness, Seventy-fourth Session of the Regional Committee, From vision to results: advancing health for billions in the South-East Asia Region, Child and adolescent health and development. Over the course of the year of this project, AMCHP and NACCHO provided financial and technical assistance to three teams from Massachusetts, Minnesota and Pennsylvania to organize three one-day trainings on evidence-based approaches to teen pregnancy, HIV and STI prevention, participate in a follow-up future planning discussion to help the group determine immediate next steps to addressing teen pregnancy, HIV and STI prevention and document successes, barriers, and lessons learned in promoting evidence-based programming to address teen pregnancy, HIV and STI infection. {��u���̬04ҡe���#����Ya�"� �����i,���,{�'? Found insidePromoting Positive Adolescent Health Behaviors and Outcomes: Thriving in the 21st Century identifies key program factors that can improve health outcomes related to adolescent behavior and provides evidence-based recommendations toward ... Each project school was also provided with a phone, which enabled students without a phone to call the line if … The 2017 National Demographic and Health Survey (NDHS) places adolescent ASFR at 47 livebirths per 1,000 women 15-19 years old, up from 57 in the 2013 NDHS. ��O6k��4`�s��nY���a��l�= Reproductive, maternal, newborn, Child and adolescent health (RMNCAH) is a priority for the Government of Sierra Leone. This project improved current state and local collaborations, disseminated valuable information, provided useful training related to evidence-based approaches to teen pregnancy prevention, and helped support beneficial discussions for the teams that will help guide their future efforts. Work closely with the … Adolescents: Improving Sexual and Reproductive Health of Young People: A Strategic Planning Guide. This report, Adolescent and Youth Sexual and Reproductive Health: Taking Stock in Kenya, results from the collaborative efforts of the Adolescent Sexual and … This program aims to build the capacity of health service providers in providing adolescent friendly reproductive health services and through the promotion and instillation of healthy behaviors among adolescents. Brittany Goetsch. The Toolkit provides practical guidance to assist sexual and reproductive health (SRH) humanitarian staff and organizations in designing, implementing, monitoring … The Presidential Recovery Plan identifies Countries in the WHO South-East Asia Region: When autocomplete results are available use up and down arrows to review and enter to select. Found insideBased on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing ... 8 adolescent sexual and reproductive health toolkit for humanitarian settings Humanitarian crises around the world are growing in magnitude, frequency, and duration, as a National Adolescent and Youth Reproductive Health Strategy, we know relatively little about adolescents’ access to and experiences with these health services. A global survey report of WHO (2017) maintain that special care needs to be taken for preserving adolescent health health problems as during this period can potentially affect the 1. Funded sites included: Region 1: JSI/New England Training Center for Adolescent Pregnancy Prevention, Region 3: Family Planning Council, Philadelphia, Region 5: Health Care Education and Training, Indianapolis, Region 10: The Center for Health Training: Seattle. Both the Basic Package for Essential Services (BPEHS) and the Free Health Care Initiative (FHCI) highly prioritize RMNCAH response. Community-based intervention: sensitization on adolescent reproductive health for parents and community and religious leaders. Although adolescence may appear to be a turbulent time, it’s also a period of great … Health providers can have ready a sheet of paper with the Web addresses of organizations that offer consumer health information: two each on reproductive and sexual health, substance use, mental health, violence, and general health. This document, the Selected practice recommendations for contraceptive use (second edition), provides guidance for how to use contraceptive methods safely and effectively once they are deemed to be medically appropriate. #���͇~����Q|Fn��w�D�r�O͜F�}8LO�`�W�ɫ܎AVW@$5�Y������h���!���v�ʲT��Ъ��I@�/u��[qAI�/�]$�|�{�^&u��W/:�O�a~o�L�B3%c���f�h�Xg�;4�0;�v��� w;���-�է����~_��ټ ���&��0( �v�5�0g�$lj��H�} This document is intended to lead program managers, planners … Goal: Enhanced Sexual, Reproductive Health Rights (SRHR) Awareness and the Social Economic wellbeing of youth in Tharaka Nithi County. Contents: Reproductive and Sexually Health Education An Introduction, Education in Reproductive and Sexually Health for Adolescents, Rationale for the Study, Review of Researches, Methodology, Results and Discussions, Reflective ... For millions of young people around the world, the onset of adolescence brings not only changes to their bodies but also new … Development Goals (SDGs). Each school will provide 300 participants. Adolescents (young people aged between 10 and 17 years) have health care needs that are distinct from those of adults, particularly in the area of sexual and … Literature shows that adolescents are willing and interested in the topic and that more than 2/3rd want to talk and know more about STDs, contraception, and other sex-related issues. Adolescents face several problems as they move into adulthood mainly because of social/cultural taboos that restrict open discussion between children and parents, which leads to inadequate knowledge about sexual and reproductive health. Group on Reproductive Health in Crises has developed a chapter on ASRH in the Inter-agency Field Manual on Reproductive Health in Humanitarian Settings (IAFM).1 … * Copies of the background paper, “Adolescent and youth sexual and reproductive health: Charting directions for a second generation of programming—Background document” (New York: Population Council, 2003), may be obtained by contacting Erica Chong at echong@popcouncil.org. Please enable scripts and reload this page. 1Y�T�� �_�����/��O�2��'�&u��Ǎ91F��[b? It draws from programme experience worldwide, including the following service delivery models: public and nongovernmental organization health services which have been made adolescent-friendly, sexual and reproductive health clinics and ... Major Earthquake Hits Sulawesi, Indonesia. For millions of … Demand generation activities in the context of sexual and reproductive health (SRH) aim to increase young people’s desire to use SRH services by changing their … Full lists of WHO guidelines relevant to adolescent sexual and reproductive health and rights 10354 titled Responsible Parenthood and Reproductive Health (RPRH) Act of 2012 calling for age- and development-appropriate reproductive health education in adolescent reproductive health are scarce and limited. In November 2006, AMCHP and CityMatCH, together with partners from CDC and Healthy Teen Network, conducted research, i.e., a needs assessment of our respective memberships, on what is happening at the state and local levels in the area of teen pregnancy prevention, and what can be done to disseminate the nationally recognized data on the most effective programs to prevent teen pregnancy (i.e. Provide technical support on inter-agency coordination related activities i.e., provide technical inputs for meetings and regional platforms as needed; Contribute to analysis and research to support UN Women’s future programming on Sexual, Reproductive Health and Rights and Maternal and Adolescent Health… Adolescence is a time of enormous transition. The National HIV Curriculum is an AIDS Education and Training Center (AETC) Program supported by the Health Resources and Services Administration (HRSA) of the U.S. endstream endobj startxref There are now 1.2 billion adolescents in the world, with diverse interests, needs, and concerns. In 1994, the International Conference on Population and Development (ICPD) announced the arrival of adolescent sexuality and adolescent sexual and reproductive health on the global agenda. Study conducted in Udaipur and Nuw akot districts of Nepal. adolescent health was completed more than 10 years ago [6], and no review has focused on adolescent sexual and reproductive health. ��LիN��Z���!0^��^�A�'�&.��|����N������#33h˜����i��������>�H� g&��_�Ħ�5��1aͤ�W�U�Fa�Q�;bB>�Wg�lf'���N�B�`��h���2W���_ �j�.C�jL�Z���7X��K�T� l��}��Ж�:x�ق�մuW�w��N�vn\Y��8����~+PY����U_#�C}���"K�X�m��w��Pi6���}��뎢�iBw�ϸZ��'��>��@31>�{UG��f�aq��������1�B.FyB` ����tY`�|��VH[T-҈�R3�F��Q�� �X;��0H\�H��Cb�����7��8� �7��N��:�J{(�x�9k�oXt�5 2.1 The sexual and reproductive health of adolescents and youth in the region 21 2.2 Effective AYSRHR interventions 22 2.3 Scaling up 25 ... activities to be … Because the goals of each in-state training were unique to the needs of individual states, the outcomes varied according to the states. Key Activities. Introduction 3 2. Endorsed by the United Nations Secretary-General, this is a comprehensive WHO guideline on routine antenatal care for pregnant women and adolescent girls. Successes from this program included increasing grantee’s abilities to understand and advocate for science-based approaches, increasing grantee’s ability to develop logic models to improve program planning and evaluation, as well as increasing the number of youth participating in programs shown to successfully delay sexual debut and reduce teen pregnancy, HIV, and STDs. Adolescents are likely to face a range of health and social challenges. Marta Pirzadeh, MPH. Health services have to be sensitive to the needs and developmental attributes of adolescents to be able to attract them. %PDF-1.7 %���� For over 50 years, we have been dedicated to improving the lives of women, children, and families through research, public health monitoring, scientific assistance, and … The skills building session during the Summit was intended to give participants strategies and skills for effectively using data to communicate the key issues around ARSH disparities with legislatures, health officers, the public, and other decision makers. Curricula are often used in programs designed to help young people learn the information and build the skills they need to make good decisions about their sexual and reproductive health (SRH). Also refer to … Adolescent Sexual and Reproductive Health and Development. AMCHP and CityMatCH proposed the Teen Pregnancy Prevention Roundtable meeting under the assumption that building a stronger relationship between state and local/urban MCH departments will help develop sustained teen pregnancy prevention efforts. %%EOF Training teams consisting of representatives from state and local maternal and child health and community and/or coalition members attended the September training. Health care … AMCHP, in partnership with NACCHO, played a critical role in providing capacity-building assistance on evidence-based approaches for teen pregnancy, HIV and STI prevention to state and local prevention practitioners. This review was designed to … The overall goal of the National ASRH Program is to promote the sexual and reproductive health status of adolescents. Callie Simon. Found insideVolume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. ... community-led service activities, home visits and counseling to address the different problems of adolescents. "This guidebook sets out the public health rationale for making it easier for adolescents to obtain the health services that they need to protect and improve their health and well-being, including sexual and reproductive health services. Adolescent Sexual and Reproductive Health and Rights The Center for Reproductive Rights works around the world to guarantee adolescents the full exercise of their … CDC’s Division of Reproductive Health is the focal point for issues related to reproductive health, maternal health, and infant health. adolescent reproductive health program design,monitoring and evaluation in South and Southeast Asia.She has a master’s degree in public policy from Harvard … Conclusion: The study concluded that majority of the adolescent girls suffer from one or more types of reproductive health related problems and had negative health seeking behaviour. 0 as well as the WHO Operational Framework on Sexual Health and Its Linkages to Reproductive Health (2,3). Review and enter to select consumer health information states around adolescent reproductive health for young people indicators! Trying to access this site from a secured browser on the server her the... 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