TY - JOUR
T1 - Targeting factors for change
T2 - contraceptive counselling and care of female adolescents
AU - on behalf of the Global CARE (Contraception: Access, Resources, Education) Group
AU - Bitzer, Johannes
AU - Abalos, Virginia
AU - Apter, Dan
AU - Martin, Ricardo
AU - Black, Amanda
AU - Machado, Rogerio Bonassi
AU - Cheng, Linan
AU - Ling, Xu
AU - Skouby, Sven
AU - Affandi, Biran
AU - Nappi, Rossella Elena
AU - Lee, Jung Ryeol
AU - Suturina, Larisa
AU - Kaunitz, Andrew
AU - Jensen, Jeffrey
N1 - Publisher Copyright:
© 2016 The European Society of Contraception and Reproductive Health.
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Introduction: Sexual and reproductive health care should empower and enable all individuals to have a sex life that is as safe and pleasurable as possible. Achievement of this goal for adolescents is often impeded by regional and sociocultural barriers. Objectives: To review global barriers to provision of effective counselling and care of adolescents seeking advice on contraception and sexual and reproductive health and identify elements of best practice that can be adapted to meet their needs at regional level. Methods: Experts with clinical experience and a scholarly background in the provision of contraceptive services to adolescents participated in a stepwise process of literature review and discussion according to the agreed objectives. Results: The Global CARE (Contraception: Access, Resources, Education) group identified barriers to the access, availability and acceptance of contraception by adolescents, not only at the political and sociocultural level but also within health care practice. The group collected and summarized successful local strategies and tools suitable for adaptation in other regions. Elements of best practice for providing contraception regardless of setting or regional constraints, including required skills, knowledge, and attitudes, were also proposed. Conclusion: Sharing of evidence-based best practice in delivering contraceptive services, improvements in health care provider education, and sharing of experience between countries will hopefully help to overcome the barriers to appropriate and effective counselling and care of adolescents.
AB - Introduction: Sexual and reproductive health care should empower and enable all individuals to have a sex life that is as safe and pleasurable as possible. Achievement of this goal for adolescents is often impeded by regional and sociocultural barriers. Objectives: To review global barriers to provision of effective counselling and care of adolescents seeking advice on contraception and sexual and reproductive health and identify elements of best practice that can be adapted to meet their needs at regional level. Methods: Experts with clinical experience and a scholarly background in the provision of contraceptive services to adolescents participated in a stepwise process of literature review and discussion according to the agreed objectives. Results: The Global CARE (Contraception: Access, Resources, Education) group identified barriers to the access, availability and acceptance of contraception by adolescents, not only at the political and sociocultural level but also within health care practice. The group collected and summarized successful local strategies and tools suitable for adaptation in other regions. Elements of best practice for providing contraception regardless of setting or regional constraints, including required skills, knowledge, and attitudes, were also proposed. Conclusion: Sharing of evidence-based best practice in delivering contraceptive services, improvements in health care provider education, and sharing of experience between countries will hopefully help to overcome the barriers to appropriate and effective counselling and care of adolescents.
KW - Adolescent
KW - barriers
KW - best practice
KW - contraception
KW - contraceptive services
KW - counselling
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U2 - 10.1080/13625187.2016.1237629
DO - 10.1080/13625187.2016.1237629
M3 - Article
C2 - 27701924
AN - SCOPUS:84990176835
SN - 1362-5187
VL - 21
SP - 417
EP - 430
JO - European Journal of Contraception and Reproductive Health Care
JF - European Journal of Contraception and Reproductive Health Care
IS - 6
ER -