planning adolescent & youth sexual and reproductive health. integration and vulnerable youth

Planning Adolescent & Youth Sexual

and Reproductive Health:

Integration & Vulnerable Youth

Strategic information: Looking at it in

different ways

Dr Krishna Bose, WHO/HQ Guatemala City, Guatemala,

27-29 November 2012

WHO Measurement Framework Inputs and processes Outputs Outcomes Impact

Infrastructure; Information and communications

technology

Health workforce

Supply Chain

Information

Intervention access and

services readiness

Intervention quality, safety, and

efficiency

Coverage of interventions

Prevalence of risk behaviors

Improved health outcomes

and equity

Have finances been disbursed? Have policies changed?

Is the process of implementation happening as planned?

Has access to services improved? Has the quality of services improved?

Has utilization improved?

Has intervention coverage improved? Have risk behaviors improved?

Have health outcomes and equity improved?

Contextual factors

Contextual factors

Impact

Reduce STI/HIV &

Improve SRH among young people

Contextual factors

WHO Measurement Framework

Impact

Reduce STI/HIV &


Contextual factors


Delayed first sexual intercourse

Increased Condom

Use

Increased Contraceptive Use

Prophylatic ARV treatment

Outcomes

Outputs Outcomes Impact

Health workers

trained on Sexuality Education guidelines

Condoms and contraceptives available for

provision to YP

Delayed first sexual intercourse

Increased Condom Use

Increased

Contraceptive Use


Reduce STI/HIV &


Contextual changes: Non-‐‑health system determinants



Health workers

trained on Sexuality Education guidelines

ARV, Condoms, contraceptives, STI treatment available for

provision to YP

Increased Condom Use

Increased STI

Treatment

Increased Contraceptive Use


Reduce STI/HIV &


Inputs and processes

Policies, legislation, norms & standards for gender-

sensitive HIV prevention & SRH promotion

Health facilities have

guidelines and materials for communication with YP,

& the adults in their lives

Health workforce in place

Condoms, Contraceptive, ARVs, STI treatment drugs

and supplies in place

The Health Information System records the age,

sex and other key demographic information

on YP




Health workers, Teachers, Community members & Peers trained to provide health promotion & prevention information, including counseling to prevent violence, tobacco, alc. & substance use, unwanted pregnancies

Safe places

available for sports

Nutritional supplementation

available

Prevalence of:

Interpersonal Violent behavior

tobacco, alcohol, & substance use

Attempted Suicides

Physical Inactivity

Unhealthy Eating habits

STI/HIV/SRH

Injuries

Anxiety, Depression & Suicide

Nutrition: Anemia, Obesity

Inputs and processes

National Adolescent Health Policies & Strategies &

Plans of action are in place, including fro reaching the

most vulnerable

Sustainable strategies in place for Health workforce

capacity development

An integrated package of services are available

including for prevention of NCDs

The Health Information

System includes age, sex and social determinants that affect health of YP



WHO Health Topics

Mental Health

Alcohol

Injuries

HIV

Health Promotion and School Health

ASRH

Tobacco

Substance Use

Diet and Physical Activity

Obesity/Underweight

External Epidemiology System

WHO Multi-national Data Collection with

external technical lead

WHO Dept. Annual Country-level Survey

Country-led National Routine HMIS

DHS/MICS

HBSC

GSHS/GYTS

WHO STEPS

Adolescent specific data

from WHO Depts.

WHO SIS

MCA Country-level Data survey

Adolescent-Health Relevant Datasources

Databases on Adolescents

Global Health Observatory

(PAHO Ado Portal)

Maternal & Child Health

Database

MNCAH Database

Adolescent Health

Database

MCA data repository

ADH guidance on monitoring quality,

coverage, cost

ADH guidance on routine adolescent

specific HMIS

ADH Systematic Approach Facilitating National Comprehensive Adolescent Health at a Country Level

ADH Adolescent Situation Assessment

MCA Country-level Rights Assessment

ADH Adolescent Programme Review

Data

Databases on Adolescents

Global Health Observatory

Adolescent Health

Database

MNCAH Database

Child Health Database

CAH single data

repository

Data Visualization

Country Profiles

Annual and Country Reports

Using Databases on Adolescents

Tools provided by

Sameer Pujari, TFI &

Adapted for ADH by Maki Kajiwara, consultant

Brief examples of some innovations

StatPlanet for data visualisation Policy data (MNCAH KI survey)

E:\Guatemala\MNCAH

Shapefile_map_(ESRI)\StatPlanet.exe

StatPlanet for data visualisation OUTCOME data (DHS survey)

E:\Guatemala\DHS Shapefile_map_(ESRI)

\StatPlanet.exe

StatPlanet for data visualisation OUTCOME data (GSHS)

E:\Guatemala\GSHS

Shapefile_map_(ESRI)\StatPlanet.exe

Excel-based Country Fact Sheets data

E:\Guatemala\Excel Fact Sheets ADH

THANK YOU!

NAMASTE नम#$

Special Thanks to: •  Sameer & Maki •  Saarik Gupta (for helping with preparation of slides) •  To you all, my audience, for your patience

planning adolescent & youth sexual and reproductive health. integration and vulnerable youth

Health & Medicine