Targeting factors for change: contraceptive counselling and care of female adolescents

Johannes Bitzer, Virginia Abalos, Dan Apter, Ricardo Martin, Amanda Black, Rogerio Bonassi Machado, Linan Cheng, Xu Ling, Sven Skouby, Biran Affandi, Rossella Nappi, Jung Ryeol Lee, Larisa Suturina, Andrew Kaunitz, Jeffrey Jensen, on behalf of the Global CARE (Contraception: Access, Resources, Education) Group

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)417-430
Number of pages14
JournalEuropean Journal of Contraception and Reproductive Health Care
Volume21
Issue number6
DOIs
Publication statusPublished - Nov 1 2016

Keywords

  • Adolescent
  • barriers
  • best practice
  • contraception
  • contraceptive services
  • counselling

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology
  • Pharmacology (medical)

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