Publication: Adolescent Sexual and Reproductive Health in Niger
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2015-04
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2015-12-22
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Today’s adolescents and youth face substantial physical, social, and economic barriers to meeting their sexual and reproductive health (SRH) potential. Niger has the highest fertility rate in the region and the world, as well as lowest age for marriage and childbearing. Early marriage and childbearing have been identified as key contributors to high fertility and maternal mortality in the region. To understand how countries are addressing adolescent SRH and rights (SRHR), the World Bank conducted a quantitative and qualitative study in several countries with a high adolescent’s SRH burden including Niger. The specific objectives of the study were to: (i) investigate adolescent’s socio-economic profile; (ii) analyze adolescent’s sexual and reproductive health status and its determinants from a demand and supply-side perspective; (iii) assess effectiveness of existing adolescent friendly initiatives and programs; and (iv) recommend a set of policy options to improve access and use of services for adolescents in Niger. This knowledge brief provides a brief background on adolescent SRH in Niger and summarizes the results of this study.
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“Barroy, Helene; Cortez, Rafael; Karamoko, Djibrilla. 2015. Adolescent Sexual and Reproductive Health in Niger. Health, nutrition, and population (HNP)
knowledge brief;. © World Bank. http://hdl.handle.net/10986/23493 License: CC BY 3.0 IGO.”
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Publication Addressing Adolescent Sexual and Reproductive Health in Niger(World Bank, Washington, DC, 2016-01)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). 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This article covers the types of interventions needed to sustain reproductive health including increasing girls' education, preventing and managing sexually transmitted disease, providing contraception to avoid abortion, improving pre-natal and delivery care, increasing the number of skilled providers of health care, post-abortion care, bolstering maternal health services, and reducing practices that increase reproductive health risks such as unsafe sex, female genital mutilation, and domestic violence.
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Data show that the average age at sexual debut is roughly 15 years of age among adolescent mothers in Nigeria (DHS 2003, 2008, 2013). This note presents the findings of a recent study on Nigeria that examines determinants of adolescent sexual behavior and fertility, with a narrower focus on knowledge, attitudes and behaviors of adolescents aged 10-19 years old in Karu Local Government Authority (LGA), a peri-urban area near the capital city of Abuja.Publication Adolescent Fertility and Sexual Health in Nigeria(World Bank, Washington, DC, 2016-01)This study examines the determinants of adolescent sexual behavior and fertility in Nigeria, with a special focus on knowledge, attitudes and behaviors of adolescents aged 10-19 years old in Karu Local Government Authority (LGA), a peri-urban area near the capital city of Abuja. 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