Addressing Adolescent Sexual and Reproductive Health in Niger
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World Bank, Washington, DC
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The aim of the study is to better
understand adolescents’ sexual and reproductive health (SRH)
needs in order to inform the design of interventions and
policies that improve access to and use of adolescent SRH
services in Niger. A mixed-methods study was conducted and
included: (i) a quantitative analysis of Niger’s Demographic
Health Survey/Multiple Indicator Cluster Survey (DHS/MICS)
2012; (ii) 17 focus group discussions conducted in urban and
rural areas among 128 adolescents; and (iii) a set of
recommendations to improve access to and use of SRH services
for adolescents in the country. The study found that age at
first marriage among adolescent females is 15.7 years and is
followed soon thereafter by sexual debut (15.9 years).
According to focus group discussions (FGDs), adolescent’s
boys and girls start spending time together at 12 years in
urban areas and 10 years in rural areas; this may lead to
sexual intercourse in exchange for material and financial
resources. Over 70 percent of adolescents have given birth
by 18 years of age. Although knowledge about modern
contraception is high (73 percent among female adolescents
15-19 years of age), the majority of adolescent girls do not
use contraception due to societal and cultural beliefs.
Moreover, FGDs reveal that the main barriers to use of SRH
services is a lack of privacy and confidentiality, as well
as finances, despite the government’s elimination of user
fees. The government has increased supply side interventions
for adolescents and prioritized adolescents on the national
agenda by approving the Family Planning Action Plan
(2012-2020) and the National Plan for Adolescent Sexual and
Reproductive Health (2011), however these plans need to be
monitored and evaluated to determine their effectiveness in
reaching this population group. There is also a need to
increase multi-sectoral demand-side interventions in the country.
Palabras clave
USE OF CONTRACEPTION, SEX EDUCATION, CHILD HEALTH, RISKS, SOCIAL NORMS, MATERNAL DEATH, SEXUALLY ACTIVE, REPRODUCTIVE HEALTH, CONTRACEPTION, PEOPLE, PEER EDUCATION, ADOLESCENT MOTHER, TRADITIONAL MEDICINE, YOUNG GIRLS, INFORMED CHOICE, UNSAFE ABORTIONS, ADOLESCENT BIRTH RATE, OLDER ADOLESCENTS, ANTENATAL CARE, YOUTH CENTERS, PREVENTION, LAWS, SEXUAL INTERCOURSE BEFORE MARRIAGE, CONTRACEPTIVE PILLS, YOUTH GROUPS, YOUNG MOTHER, SEXUAL BEHAVIOUR, MORBIDITY, HEALTH EDUCATION, WOMEN OF CHILDBEARING AGE, SERVICES, HEALTH CARE, SEXUALLY TRANSMITTED INFECTIONS, PRIVACY, OLD ADOLESCENTS, BIRTH CONTROL, PUBERTY, HEALTH, HEALTH FACILITIES, PUBLIC HEALTH, MATERNAL MORTALITY, BIRTHS TO ADOLESCENTS, HOSPITALIZATION, MIDDLE SCHOOL, KNOWLEDGE, HEALTH FACILITY, ACCESS TO HEALTH INFORMATION, PREGNANCIES, ABORTIONS, YOUNG WOMAN, COMMUNITY MOBILIZATION, PATIENTS, CONTRACEPTIVE PREVALENCE, INTERVENTION, BOYS, URBAN ADOLESCENTS, SEXUALITY, ADEQUATE HEALTH, ADOLESCENT-FRIENDLY APPROACHES, MEDICATION, ADOLESCENT MOTHERS, UNMARRIED ADOLESCENTS, STIS, CULTURAL BELIEFS, VIOLENCE, SEXUAL EDUCATION, ACCESS TO HEALTH SERVICES, GENDER NORMS, SEXUAL EXPERIENCE, FIRST SEXUAL INTERCOURSE, IMMUNE DEFICIENCY SYNDROME, UNPLANNED PREGNANCY, MORTALITY RATE, SEXUAL INTERCOURSE, FIRST SEX, BASIC HUMAN RIGHTS, SERVICES FOR ADOLESCENTS, PRIMARY SCHOOL, CARE SERVICES, FAMILY_PLANNING, BIRTH RATE, ADOLESCENT FERTILITY, SELF-MEDICATION, ADOLESCENT-FRIENDLY SERVICES, SOCIAL DEVELOPMENT, FOSTER FAMILIES, EARLY CHILDBEARING, MORTALITY, MODERN CONTRACEPTIVE METHODS, ADOLESCENT BOYS, SEXUAL INITIATION, EMOTIONAL VIOLENCE, POSTERS, ACCESS TO INFORMATION, FIRST SEXUAL EXPERIENCE, CHILDBIRTH, SEXUAL REPRODUCTIVE HEALTH, REPRODUCTIVE HEALTH RIGHTS, YOUNG MEN, YOUNG ADULTS, FEMALE ADOLESCENTS, AGED, ADOLESCENCE, CONTRACEPTIVES, SOCIAL SERVICES, ADOLESCENT GIRLS, SCHOOLS, AGE, EXPOSURE TO VIOLENCE, BIRTHS, MALE ADOLESCENTS, DIGNITY, HEALTH OUTCOMES, SEXUAL ACTIVITY, VICTIMS, RADIO PROGRAMS, ADOLESCENT-FRIENDLY POLICIES, FAMILY PLANNING, UNWANTED PREGNANCY, ADOLESCENT FEMALES, BIRTH SPACING, RISK OF MORBIDITY, YOUTH, DECISION MAKING, CONTRACEPTIVE METHOD, NUTRITION, WORKSHOPS, ADOLESCENTS, UNPROTECTED SEX, CHILDBEARING, PEER PRESSURE, MOBILE CLINICS, CONTRACEPTIVE USE, SEXUAL ENCOUNTER, INTERNET, NATIONAL HEALTH, CHILD MORTALITY, SEXUAL BEHAVIOR, SEX, FEMALE COUNTERPARTS, HUMAN RIGHTS, PREGNANT WOMEN, RECREATIONAL ACTIVITIES, REPRODUCTIVE HEALTH SERVICES, FORM OF CONTRACEPTION, CHILDREN, ADOLESCENTS’ HEALTH, CLINICS, MODERN CONTRACEPTION, MATERNAL DEATHS, ADOLESCENT MALES, YOUNGER ADOLESCENTS, RISK OF EXPOSURE, CONTRACEPTIVE METHODS, VIOLENCE AGAINST WOMEN, ADOLESCENT, BIRTH ATTENDANTS, YOUNG WOMEN, ADOLESCENT CHILDBEARING, YOUTH HEALTH, PHYSICAL ACTIVITY, INFECTIONS, TRADITIONAL BIRTH ATTENDANTS, YOUNG PEOPLE, PREMARITAL SEX, GIRLS, MARRIED ADOLESCENT GIRLS, NEONATAL MORTALITY, STRATEGY, PHYSICAL VIOLENCE, FAMILIES, FAMILY PLANNING SERVICES, SEXUAL VIOLENCE, CANCERS, ADOLESCENT HEALTH, VIOLENCE AMONG ADOLESCENTS, MARRIED ADOLESCENTS, PREGNANCY OUTCOMES, AIDS, EARLY MARRIAGE, ADOLESCENT PREGNANCIES, HEALTH SERVICES, IMPLEMENTATION, PREGNANCY, ABORTION, CONDOMS, ADOLESCENT BIRTH, INTERVENTIONS FOR ADOLESCENTS, BREASTFEEDING