Adolescent sexual and reproductive health in sub-Saharan Africa: who is left behind?

BMJ Global Health
Dessalegn Y MelesseTies Boerma

Abstract

Adolescent sexual and reproductive health (ASRH) continues to be a major public health challenge in sub-Saharan Africa where child marriage, adolescent childbearing, HIV transmission and low coverage of modern contraceptives are common in many countries. The evidence is still limited on inequalities in ASRH by gender, education, urban-rural residence and household wealth for many critical areas of sexual initiation, fertility, marriage, HIV, condom use and use of modern contraceptives for family planning. We conducted a review of published literature, a synthesis of national representative Demographic and Health Surveys data for 33 countries in sub-Saharan Africa, and analyses of recent trends of 10 countries with surveys in around 2004, 2010 and 2015. Our analysis demonstrates major inequalities and uneven progress in many key ASRH indicators within sub-Saharan Africa. Gender gaps are large with little evidence of change in gaps in age at sexual debut and first marriage, resulting in adolescent girls remaining particularly vulnerable to poor sexual health outcomes. There are also major and persistent inequalities in ASRH indicators by education, urban-rural residence and economic status of the household which need to be addres...Continue Reading

References

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Citations

Jun 3, 2021·International Journal of Environmental Research and Public Health·Francis BarchiPeggie Ramaphane
Jul 25, 2021·International Journal of Environmental Research and Public Health·Stephanie WiafeColleen M Davison
Aug 28, 2021·International Journal of Environmental Research and Public Health·Caroline MtaitaAlbrecht Jahn
Sep 25, 2021·Journal of Biosocial Science·James Boadu FrimpongBright Opoku Ahinkorah
Nov 4, 2021·Journal of Biosocial Science·Yu ShiWei Guo

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