Publication:
Addressing Adolescent Sexual and Reproductive Health in Niger

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dc.contributor.authorBarroy, Helene
dc.contributor.authorCortez, Rafael
dc.contributor.authorLe Jean, Nora
dc.contributor.authorWang, Hui
dc.date.accessioned2016-06-06T21:01:51Z
dc.date.available2016-06-06T21:01:51Z
dc.date.issued2016-01
dc.description.abstractThe 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.en
dc.identifierhttp://documents.worldbank.org/curated/en/2016/04/26254858/addressing-adolescent-sexual-reproductive-health-niger
dc.identifier.doi10.1596/24432
dc.identifier.urihttps://hdl.handle.net/10986/24432
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHealth, Nutrition and Population Discussion Paper;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectUSE OF CONTRACEPTION
dc.subjectSEX EDUCATION
dc.subjectCHILD HEALTH
dc.subjectRISKS
dc.subjectSOCIAL NORMS
dc.subjectMATERNAL DEATH
dc.subjectSEXUALLY ACTIVE
dc.subjectREPRODUCTIVE HEALTH
dc.subjectCONTRACEPTION
dc.subjectPEOPLE
dc.subjectPEER EDUCATION
dc.subjectADOLESCENT MOTHER
dc.subjectTRADITIONAL MEDICINE
dc.subjectYOUNG GIRLS
dc.subjectINFORMED CHOICE
dc.subjectUNSAFE ABORTIONS
dc.subjectADOLESCENT BIRTH RATE
dc.subjectOLDER ADOLESCENTS
dc.subjectANTENATAL CARE
dc.subjectYOUTH CENTERS
dc.subjectPREVENTION
dc.subjectLAWS
dc.subjectSEXUAL INTERCOURSE BEFORE MARRIAGE
dc.subjectCONTRACEPTIVE PILLS
dc.subjectYOUTH GROUPS
dc.subjectYOUNG MOTHER
dc.subjectSEXUAL BEHAVIOUR
dc.subjectMORBIDITY
dc.subjectHEALTH EDUCATION
dc.subjectWOMEN OF CHILDBEARING AGE
dc.subjectSERVICES
dc.subjectHEALTH CARE
dc.subjectSEXUALLY TRANSMITTED INFECTIONS
dc.subjectPRIVACY
dc.subjectOLD ADOLESCENTS
dc.subjectBIRTH CONTROL
dc.subjectPUBERTY
dc.subjectHEALTH
dc.subjectHEALTH FACILITIES
dc.subjectPUBLIC HEALTH
dc.subjectMATERNAL MORTALITY
dc.subjectBIRTHS TO ADOLESCENTS
dc.subjectHOSPITALIZATION
dc.subjectMIDDLE SCHOOL
dc.subjectKNOWLEDGE
dc.subjectHEALTH FACILITY
dc.subjectACCESS TO HEALTH INFORMATION
dc.subjectPREGNANCIES
dc.subjectABORTIONS
dc.subjectYOUNG WOMAN
dc.subjectCOMMUNITY MOBILIZATION
dc.subjectPATIENTS
dc.subjectCONTRACEPTIVE PREVALENCE
dc.subjectINTERVENTION
dc.subjectBOYS
dc.subjectURBAN ADOLESCENTS
dc.subjectSEXUALITY
dc.subjectADEQUATE HEALTH
dc.subjectADOLESCENT-FRIENDLY APPROACHES
dc.subjectMEDICATION
dc.subjectADOLESCENT MOTHERS
dc.subjectUNMARRIED ADOLESCENTS
dc.subjectSTIS
dc.subjectCULTURAL BELIEFS
dc.subjectVIOLENCE
dc.subjectSEXUAL EDUCATION
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectGENDER NORMS
dc.subjectSEXUAL EXPERIENCE
dc.subjectFIRST SEXUAL INTERCOURSE
dc.subjectIMMUNE DEFICIENCY SYNDROME
dc.subjectUNPLANNED PREGNANCY
dc.subjectMORTALITY RATE
dc.subjectSEXUAL INTERCOURSE
dc.subjectFIRST SEX
dc.subjectBASIC HUMAN RIGHTS
dc.subjectSERVICES FOR ADOLESCENTS
dc.subjectPRIMARY SCHOOL
dc.subjectCARE SERVICES
dc.subjectFAMILY_PLANNING
dc.subjectBIRTH RATE
dc.subjectADOLESCENT FERTILITY
dc.subjectSELF-MEDICATION
dc.subjectADOLESCENT-FRIENDLY SERVICES
dc.subjectSOCIAL DEVELOPMENT
dc.subjectFOSTER FAMILIES
dc.subjectEARLY CHILDBEARING
dc.subjectMORTALITY
dc.subjectMODERN CONTRACEPTIVE METHODS
dc.subjectADOLESCENT BOYS
dc.subjectSEXUAL INITIATION
dc.subjectEMOTIONAL VIOLENCE
dc.subjectPOSTERS
dc.subjectACCESS TO INFORMATION
dc.subjectFIRST SEXUAL EXPERIENCE
dc.subjectCHILDBIRTH
dc.subjectSEXUAL REPRODUCTIVE HEALTH
dc.subjectREPRODUCTIVE HEALTH RIGHTS
dc.subjectYOUNG MEN
dc.subjectYOUNG ADULTS
dc.subjectFEMALE ADOLESCENTS
dc.subjectAGED
dc.subjectADOLESCENCE
dc.subjectCONTRACEPTIVES
dc.subjectSOCIAL SERVICES
dc.subjectADOLESCENT GIRLS
dc.subjectSCHOOLS
dc.subjectAGE
dc.subjectEXPOSURE TO VIOLENCE
dc.subjectBIRTHS
dc.subjectMALE ADOLESCENTS
dc.subjectDIGNITY
dc.subjectHEALTH OUTCOMES
dc.subjectSEXUAL ACTIVITY
dc.subjectVICTIMS
dc.subjectRADIO PROGRAMS
dc.subjectADOLESCENT-FRIENDLY POLICIES
dc.subjectFAMILY PLANNING
dc.subjectUNWANTED PREGNANCY
dc.subjectADOLESCENT FEMALES
dc.subjectBIRTH SPACING
dc.subjectRISK OF MORBIDITY
dc.subjectYOUTH
dc.subjectDECISION MAKING
dc.subjectCONTRACEPTIVE METHOD
dc.subjectNUTRITION
dc.subjectWORKSHOPS
dc.subjectADOLESCENTS
dc.subjectUNPROTECTED SEX
dc.subjectCHILDBEARING
dc.subjectPEER PRESSURE
dc.subjectMOBILE CLINICS
dc.subjectCONTRACEPTIVE USE
dc.subjectSEXUAL ENCOUNTER
dc.subjectINTERNET
dc.subjectNATIONAL HEALTH
dc.subjectCHILD MORTALITY
dc.subjectSEXUAL BEHAVIOR
dc.subjectSEX
dc.subjectFEMALE COUNTERPARTS
dc.subjectHUMAN RIGHTS
dc.subjectPREGNANT WOMEN
dc.subjectRECREATIONAL ACTIVITIES
dc.subjectREPRODUCTIVE HEALTH SERVICES
dc.subjectFORM OF CONTRACEPTION
dc.subjectCHILDREN
dc.subjectADOLESCENTS’ HEALTH
dc.subjectCLINICS
dc.subjectMODERN CONTRACEPTION
dc.subjectMATERNAL DEATHS
dc.subjectADOLESCENT MALES
dc.subjectYOUNGER ADOLESCENTS
dc.subjectRISK OF EXPOSURE
dc.subjectCONTRACEPTIVE METHODS
dc.subjectVIOLENCE AGAINST WOMEN
dc.subjectADOLESCENT
dc.subjectBIRTH ATTENDANTS
dc.subjectYOUNG WOMEN
dc.subjectADOLESCENT CHILDBEARING
dc.subjectYOUTH HEALTH
dc.subjectPHYSICAL ACTIVITY
dc.subjectINFECTIONS
dc.subjectTRADITIONAL BIRTH ATTENDANTS
dc.subjectYOUNG PEOPLE
dc.subjectPREMARITAL SEX
dc.subjectGIRLS
dc.subjectMARRIED ADOLESCENT GIRLS
dc.subjectNEONATAL MORTALITY
dc.subjectSTRATEGY
dc.subjectPHYSICAL VIOLENCE
dc.subjectFAMILIES
dc.subjectFAMILY PLANNING SERVICES
dc.subjectSEXUAL VIOLENCE
dc.subjectCANCERS
dc.subjectADOLESCENT HEALTH
dc.subjectVIOLENCE AMONG ADOLESCENTS
dc.subjectMARRIED ADOLESCENTS
dc.subjectPREGNANCY OUTCOMES
dc.subjectAIDS
dc.subjectEARLY MARRIAGE
dc.subjectADOLESCENT PREGNANCIES
dc.subjectHEALTH SERVICES
dc.subjectIMPLEMENTATION
dc.subjectPREGNANCY
dc.subjectABORTION
dc.subjectCONDOMS
dc.subjectADOLESCENT BIRTH
dc.subjectINTERVENTIONS FOR ADOLESCENTS
dc.subjectBREASTFEEDING
dc.titleAddressing Adolescent Sexual and Reproductive Health in Nigeren
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.crossref.titleAddressing Adolescent Sexual and Reproductive Health in Niger
okr.date.disclosure2016-04-21
okr.doctypePublications & Research
okr.doctypePublications & Research::Working Paper
okr.docurlhttp://documents.worldbank.org/curated/en/2016/04/26254858/addressing-adolescent-sexual-reproductive-health-niger
okr.guid920521468196758750
okr.identifier.doi10.1596/24432
okr.identifier.externaldocumentum090224b0842b4761_1_0
okr.identifier.internaldocumentum26254858
okr.identifier.report104964
okr.importedtrue
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2016/04/21/090224b0842b4761/1_0/Rendered/PDF/Addressing0ado0tive0health0in0Niger.pdfen
okr.region.administrativeAfrica
okr.region.countryNiger
okr.topicHealth, Nutrition and Population::Adolescent Health
okr.topicHealth, Nutrition and Population::Reproductive Health
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicGender::Gender and Health
okr.unitClimate Change - D1-GCCPT-IBRD (GCCPT)
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