UNFPA Adolescents and Youth Strategy

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UNFPA

STRATEGY ON
ADOLESCENTS
AND YOUTH
Cover photos
Upper left: John De Maesschalck/UNFPA
Upper right: Martin Caparros/UNFPA
Lower left: Sophanara Pen/UNFPA
Loew right: Ed Kashi/VII
UNFPA Strategy on
Adolescents and Youth
Towards realizing the full potential of
adolescents and youth
ii UNFPA STRATEGY O N ADO LESCENTS AND YOU T H
Contents

FOREWORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv

EXECUTIVE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v

INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

1. WHY INVEST NOW? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

2. PROMISES TO INVEST AND CALLS TO ACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

3. EMPOWER YOUNG PEOPLE THE MULTI-SECTORAL AGENDA . . . . . . . . . . . . . . . . . . . 6

4. UNFPAS COMMITMENT AND CONTRIBUTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

I. The Principles Driving our Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

II. Our Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

5. OUR STRATEGIC PRONGS IN DETAIL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

I. Evidence-Based Advocacy for Development, Investment and Implementation . . . . . . 13

II. Promote Comprehensive Sexuality Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

III. Build Capacity for Sexual and Reproductive Health Service Delivery . . . . . . . . . . . . . . 14

IV. Bold Initiatives to Reach the Most Vulnerable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

V. Youth Leadership and Participation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

CONCLUSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

APPENDIX 1: Committee on Population & Development 2012 Resolution


on Adolescents and Youth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

APPENDIX 2: UN General Assembly 2011 Political Declaration on HIV and AIDS:


Intensifying our Efforts to Eliminate HIV and AIDS (resolution A/65/L. 77) . . . . . . . . . . . 18

Diego Goldberg/Pixel Press/UNFPA CON T E N TS iii


Foreword

I am very pleased to share with you our new Strategy on Adolescents and Youth. This strategy, along with
our new Family Planning Strategy, holds the key to UNFPAs success in the years ahead. Together, they set
out UNFPAs core commitments to the sexual and reproductive health of women and young people in a
manner that is fully aligned with the Programme of Action of the International Conference on Population
and Development and fully within the framework of our new Strategic Plan. Most importantly, these two
strategies will enable UNFPA to work in a more focused, coordinated and integrated manner for the benefit
of those who need us the most: women and young people.

UNFPAs Strategy on Adolescents and Youth, Towards Realizing the Full Potential of Adolescents and Youth,
represents our strong and unequivocal commitment to the human rights of young people. With the
overarching goal of ensuring access of adolescents and youth to sexual and reproductive health, and realizing
their rights, the strategy charts the way forward for UNFPA over the next four years and beyond.

Working with a multitude of partners, in particular young people themselves, we are advocating for
evidence-based policies and programs for adolescents and youth; promoting their access to comprehensive
sexuality education as well as sexual and reproductive health services, including family planning; and
facilitating their leadership and participation. We are doing all of this with an emphasis on reaching the
poor, marginalized, and underserved, especially adolescent girls. With this strategy, we are not only calling
attention to the right of young people to achieve their full potential but also demonstrating how critical
early investments in sexual and reproductive health can enhance the lives of individuals and the welfare of
their societies.

The Adolescents and Youth Strategy is the result of extensive consultation and input from across the
organization and by our key partners within the UN system and beyond. We look forward to working
together with our partners towards delivery of this strategy and, ultimately, towards delivery of a world
where every pregnancy is wanted, every childbirth is safe and every young persons potential is fulfilled.

Dr. Babatunde Osotimehin


Executive Director

iv UNFPA STRATEGY O N ADO LESCENTS AND YOU T H


Executive Summary

Todays adolescents and youth are 1.8 billion strong and form a quarter of the worlds population. They
are shaping social and economic development, challenging social norms and values, and building the
foundation of the worlds future. While notable progress has been made, many young people especially
adolescent girls are denied the investments and opportunities that they require to realize their full
potential. For millions of young people around the world, puberty the biological onset of adolescence
brings not only changes to their bodies but also new vulnerabilities to human rights abuses, particularly in
the arenas of sexuality, marriage and child bearing.

Governments and the international community have recognized these challenges and acknowledged the
singular importance of providing the resources and opportunities required for all adolescents and youth to
reach their full potential as skilled, creative and resilient people. In partnership with young people, national
and international organisations, UNFPA assists countries to identify and implement policies and programs
to secure the health, development and human rights of adolescents and youth. This document presents
UNFPAs new and expanded strategy for this work.

Why Invest Now?


A safe and successful passage from adolescence into adulthood is the right of every child. This right can
only be fulfilled if families and societies make focused investments and provide opportunities to ensure
that adolescents and youth progressively develop the knowledge, skills and resilience needed for a healthy,
productive and fulfilling life. Further, national and global development, security and social justice can
only be achieved if adolescents and youth are included as full and active participants. Investments in
young people now are in everyones interest and are everyones responsibility: families, community
leaders, nongovernmental organizations, governments, the private sector, the international community,
and others alike.

The foundation for this concerted action by all, including by UNFPA, is intergovernmental agreements
and national commitments and it is underpinned by demands from young people themselves.

E X EC U T IV E SU M M A RY v
Empowering Young People The Multi-Sectoral Agenda
To ensure that adolescents and youth flourish on the road to adulthood, what is needed is an integrated
set of policies and programs that addresses the whole person and pays close attention both to the context
in which young people live and to the relevant international standards. This means that no one sector or
organization can do what is needed to support young people on their own. Only by working together
across sectors and in collaboration with young leaders can we pave for young people a successful pathway
to adulthood, and remove obstacles to their progress.

UNFPAs Commitment and Contribution


In order to contribute to high quality outcomes for young people, UNFPA upholds the principles of
accountability to key stakeholders especially young people, delivery through partnerships, respect for
diversity with a focus on the most disadvantaged, and tailoring actions to national and local contexts.

With offices in 140 countries, specialized expertise in demography and in sexual and reproductive health
and rights and partnering with others in the UN system, UNFPAs contribution to the advancement of
adolescents and youth has five strategic prongs:

1. Enable Evidence-Based Advocacy for Comprehensive Policy and Program Development,


Investment and Implementation

2. Promote Comprehensive Sexuality Education

3. Build Capacity for Sexual and Reproductive Health Service Delivery (including HIV prevention,
treatment and care)

4. Take Bold Initiatives to Reach Marginalized and Disadvantaged Adolescents and Youth,
especially Girls

5. Promote Youth Leadership and Participation

The social, economic and environmental realities for young people today mean that they are one of the
largest groups of marginalized and excluded people that the world has ever seen. UNFPA calls on all
countries, communities, cities and villages to join with us and the UN family as we commit ourselves to
work with young people towards a future in which they can enter freely into a productive adulthood because
they are educated, healthy, free from STIs and HIV, are not exposed to violence, unintended pregnancy or
unsafe abortion; a future where girls are treated with dignity and respect in equal measure with boys and
where, regardless of their identity, young peoples human rights are promoted and respected. That future
is a resilient future, a sustainable future, and the future we want.

vi UNFPA STRATEGY O N ADO LESCENTS AND YOU T H


Introduction

Todays adolescents and youth are 1.8 billion strong and one quarter of the worlds population. They
are shaping social and economic development, challenging social norms and values, and building the
foundation of the worlds future. Maturing earlier than previous generations, both physically and socially,
adolescents and youth have high expectations for themselves and their societies, and are imagining how
the world can be better. Connected to each other as never before through new media and because of
globalization, they are driving social progress and directly influencing the sustainability and the resilience
of their communities and of their nations.

While notable progress has been made, many adolescents especially girls are denied the investments
and opportunities that they require to realize their full potential. For example, 26% of girls (39 million)
and 17% of boys of secondary school age (11-15) were
not enrolled in school in 2008.1 About 215 million Many adolescents especially
underage children work full or part-time,2 while 75
million older youth (15-24) cannot find work.
girls are denied the
investments and opportunities
For millions of young people around the world, puberty that they require to realize
the biological onset of adolescence brings not only
changes to their bodies but also new vulnerabilities
their full potential.
to human rights abuses, particularly in the arenas of
sexuality, marriage and child bearing. Millions of girls are coerced into unwanted sex or marriage to then
also face high risks of unwanted pregnancies, unsafe abortions, sexually transmitted infections (STIs) and
HIV, and from childbirth.

In low and middle income countries (excluding China), 12 percent of girls are married before they turn
15 while 34 percent are married or in union before they are 18. As a result, the leading causes of mortality
and morbidity among girls and young women aged 15-24 years in these countries are complications of
pregnancy, unsafe abortion and childbirth. In 2011, 41 percent of all new HIV infections were among
adolescents and youth: being both biologically and socially more vulnerable, of those living with HIV and
AIDS, girls and young women outnumber young men by almost two to one.

UNESCO, UIS
1

ILO, 2012
2

IN T ROD U CT ION 1
Governments and the international community have recognized these challenges and acknowledged the
singular importance of providing the resources and opportunities required for all adolescents and youth
to reach their full potential as skilled, creative and resilient people.

In partnership with young people, national and international organisations, UNFPA assists countries to
identify and implement policies and programs to secure the health, development and human rights of
adolescents and youth. This document presents UNFPAs new and expanded strategy for this work.

Sections 1 and 2, on the rationale for investment and the basis for action, are followed by a brief review
in Section 3 of the comprehensive action agenda needed to realize adolescents and youths full potential.
Section 4 presents the particular contributions that UNFPA is making to the comprehensive agenda, based
on our mission and our special capacities. This is followed, in Section 5, by a brief indication of how we
do this work, including through our partnerships globally, nationally and locally.
Rob McBride

2 UNFPA STRATEGY O N ADO LESCENTS AND YOU T H


1. Why Invest Now?

A safe and successful passage from adolescence into adulthood is the right of every child. This right can
only be fulfilled if families and societies make focused investments and provide opportunities to ensure
that adolescents and youth progressively develop the knowledge, skills and resilience needed for a healthy,
productive and fulfilling life. Further, national and global development, security and social justice can
only be achieved if adolescents and youth are included as full and active participants. Investments in
young people now are in everyones interest and are everyones responsibility: families, community leaders,
nongovernmental organizations, governments, the private sector, the international community, and
others alike.

BOX 1

The human rights of adolescents


I. Every Childs Birthright and youth include, among others:

Everyone is endowed from birth with human rights (See Box 1). Life, liberty and security
For adolescents and youth, realization of these rights requires Health
supportive and protective laws and policies; conditions to enable
Education
them to complete secondary school at a minimum; training, assets
and other support to earn a livelihood and sustain a family when Information

they form one; and timely access to education, information and Expression
health services, especially for their sexual and reproductive health. Association

Freedom from discrimination


Sexual and reproductive health and full enjoyment of the associated
human rights are at the very heart of adolescents transition into Freedom from torture and other
cruel, inhuman and degrading
adulthood. They play vital parts throughout life in adolescents
treatment or punishment
identity, health, wellbeing and personal fulfillment. The choices and including sexual violence
decisions that todays adolescents and youth make, or are forced
Consent to marriage
to make by others, about their sexuality, intimate relationships,
marriage and childbearing will critically influence whether or Source: The Universal Declaration of
not they can take full advantage of opportunities for education, Human Rights

employment and political participation.

WH Y IN V E ST NOW? 3
BOX 2
Investing in Adolescents and Youth Now

Everyones goal:
Successful transition into productive and rewarding adulthood

Everyones responsibility:
UNFPA Costa Rica

Upholding the human rights of young people

Everyones business:
Investing in young people

II. In Everyones Interest

Fully engaged, educated, healthy and productive adolescents and youth can help break multi-generational
poverty, are resilient in the face of personal and societal threats, and, as skilled and informed citizens, can
contribute effectively to the strengthening of their communities and nations.

Countries with a large proportion of people under the age of 24, thus, have an opportunity to reap a
substantial demographic bonus for their nations economic development, resilience, sustainability, and
productivity. It simply requires systematic investment in young people. But such investments are also
essential if we are to achieve the worlds aspirations, as expressed in the Millennium Development Goals
and post-2015 development frameworks, in international agreements on human rights, and in our common
quest for peace and security.

4 UNFPA STRATEGY O N ADO LESCENTS AND YOU T H


2. Promises to Invest .
and Calls to Act 3

The foundation for this concerted action by all, including by UNFPA, is intergovernmental agreements
and national commitments and it is underpinned by demands from young people themselves.

I. Intergovernmental and National Commitments


Member states and the international community have made clear commitments to act in the interests of
adolescents and youth, doing so most recently in Resolution of the 2012 United Nations Commission on
Population and Development. This resolution builds on many other intergovernmental agreements and
treaties and emphasizes the imperative to invest in adolescents and young people as whole persons. Every
United Nations organization has a role to play. UNFPA, in particular, is mandated both to assist countries
to meet these commitments, especially where these relate to sexual and reproductive health and to advocate
for the political will, funding and human resources needed to achieve them.

II. Young Peoples Demands


Worldwide, young people are making their
voices heard nationally and globally. They
are calling on their governments to keep
their commitments, particularly to respect
and protect human rights. They are helping
create the intergovernmental agreements
Anastasia Taylor-Lind/VII

that guide the work of UN organizations


including UNFPAs. They are demanding
investment in, for example, their education,
health, asset building and insisting on their
active participation in decisions determining
their own and their nations futures.

CPD Resolution on Young People and Adolescents, 2012


3

PROM ISE S TO IN V E ST A ND CA L L S TO ACT 5


3. Empowering Young People
The Multi-Sectoral Agenda

Sexual and reproductive health and rights are a corner stone of young peoples transition to adulthood,
influencing outcomes for both adolescents and youth across a range of fronts. Unless sexual and
reproductive health and rights are supported and upheld across a range of dimensions and within a range
of settings, young peoples lives will be negatively impacted. Likewise, without access to opportunities to
learn, contribute and explore; if deterred or excluded from active participation; if subjected to violence, or
deprived of resources: the consequences for young people are almost always evident in the status of their
sexual and reproductive (ill) health.

Figure 1: A cross sector approach is essential

Health & Wellbeing


Family planning
Maternal health
Nutrition
Education STIs & HIV Livelihoods
Access to secondary Substance abuse Access to employment
education Chronic illness including Fair & safe
Young married peoples mental illness work conditions
access to education Accidents Young entrepreneurs
Alternative learning
opportunities for
the vulnerable
Sexual &
reproductive
health & rights
Social Assets Obstacles
Peer-based social and Discrimination
support networks Marginalization
Cultural expression and Active Participation & exclusion
creativity Harmful practices
Positive representations Access to communications
Poverty
in the media technology
Violence
Sport and recreation Participation in decision
No access to justice
Positive male role models making
Leadership & organizing skills

To ensure that adolescents and youth flourish on the road to adulthood, what is needed is an integrated set
of policies and programs that addresses the whole person and pays close attention both to the context in
Pave the way
which young people live and to the relevant international
Invest in: standards.
Education & training
Livelihoods Observe global
Respect national Health & well being norms, standards
& local contexts Human rights & agreements
6 UNFPA STRATEGY O N ADO LESCENTS AND YOU T H

Enable youth
This means that no one sector or organization can do what is needed to support young people on their own.
Only by working together across sectors and in collaboration with young leaders, can the constraints on
young peoples progress be removed, key obstacles tackled effectively and the pathway to adulthood be
paved with opportunity and support.

I. Pave the Way


Health & Wellbeing
While there has been considerable progress Family planning
in access to primary education, and in some countries, to
Maternal
elements of, or even comprehensive, secondary education,health
across the globe, much remains to be done.
Nutrition
Education
Gender and other inequalities in access toeducation
STIs & HIVmust be tackled. The quality of education must also
Livelihoods
beenhanced
Access tososecondary Substance
that young people leave school preparedabuse
for work and full engagement
Accessas to
citizens.
employment
education Chronic illness including Fair & safe
Young married peoples mental illness work conditions
Withaccess
many to economies
educationunable to generate sufficient jobs, and poverty forcing adolescents
Accidents Youngto leave school pre-
entrepreneurs
Alternative
maturely, young learning
people must have the option of access to vocational and jobs training, as well as to assets, such
as credit, if they arefor
opportunities to generate livelihoods. Laws and standards also need to be implemented so that underage
the vulnerable
children are not trapped in the labor market and those Sexualwho&are of age to work are treated appropriately.
reproductive
health & rights
Simultaneously,
Social Assetsadolescents and youth must be provided comprehensive sexuality education to develop
Obstacles
the Peer-based
knowledge and social and
skills they need to protect their health throughout their lives. Such education can be
Discrimination
support
provided networks
by schools or by non-school programs but ideally should be combinedwith Marginalization
skills training and
Cultural expression and Active Participation & exclusion
opportunities
creativity for the physical activity that is vital to good health. Harmful practices
Positive representations Access to communications
Poverty
in the media technology
However, education and information are insufficient ininthemselves. Violence
Sport and recreation Participation decision Health services must also be readily
No access to justice
available to help
Positive maleprevent and manage themaking
role models major causes of death and ill health in adolescents and youth:
Leadership & organizing skills

Figure 2: An integrated action plan for young people

Pave the way


Invest in:
Education & training
Livelihoods Observe global
Respect national Health & well being norms, standards
& local contexts Human rights & agreements

Promote Enable youth


sexual & leadership
Remove obstacles Strengthen:
reproductive
End discrimination Participation in
health &
Reject harmful practices decision-making
rights
Reduce exposure Personal agency
to violence Living & relationship
Ensure access to justice skills
Networking
& organizing

E M POWE R YOU NG PEOPL E T H E M U LT I-SECTOR A L AG E N DA 7


unsafe sex and the related risks of pregnancy, childbirth, and sexually transmitted infections including HIV;
violence; traffic accidents; and mental ill health.

Equally, improved policies laws and programs are needed everywhere to prevent and mitigate violations of
the human rights of adolescents and youth, and to encourage and foster their creativity.

II. Remove Obstacles


In all societies, adolescents and youth encounter barriers that complicate their access to vital resources. In
many instances, the human and financial resources they need are simply not available because their country
or community does not have them at their disposal, or lacks the political will to provide them. Evidence-
based advocacy calling for prioritization of investments for these age groups, however, can generate the
funding and technical inputs that are needed at national and community levels.

In addition, countries and the international community must work to remove the obstacles to young peoples
access to and utilization of available resources. The barriers should be targeted and dismantled including those
of discrimination that exclude adolescents because of their age or gender, or that reflect patterns of inequity in the
society (whether on the grounds of poverty or personal characteristics such as sex, ethnicity, health and pregnancy
status, marital status, or sexual orientation; or residence including those forced from their homes, among others).

Among the most pervasive and detrimental obstacles are the extensive violations of the human rights of adoles-
cent girls and young women, including harmful practices such as early and forced marriage, female genital mutilation
(FGM) and crimes in the name of family honor; commercial sexual exploitation; violence and sexual coercion in
families, schools and youth programs, and in the workplace; trafficking; and bullying including through the Internet.
Removing these obstacles requires actions across many sectors, and the sustained commitment of many actors, not
only to punish offenders, but also to prevent violations in the first place. Prevention includes educating adolescents
and youth about their human rights and building their skills for relationships based on gender equality. It also
requires informing and training legislators, policy makers, justice officials, police and educators, among others.

III. Enable youth leadership


Successful passage through adolescence into adulthood requires that young people have opportunities and
the ability to express their views to decision-makers, and to practice their evolving skills and capacities,
in their families and communities. Their contribution at national and global levels is also invaluable if
the world is to hold true to their commitments to young people. This requires adolescents and youth to
have adequate, accurate and timely information; skills for analyzing and using information, and for effective
interpersonal relationships and persuasive communication; and it means they must be provided access to
key people and institutions including their governments, and to modern communications technologies.

Supporting young leaders to network, to work with and to build organizations that include a wide range of
adolescents and youth, especially girls and others who are disadvantaged or marginalized, will help ensure
opportunities for all and a future that is more equitable and just.

8 UNFPA STRATEGY O N ADO LESCENTS AND YOU T H


4. UNFPAs Commitment .
and Contribution

Partnering with others in the UN system: ILO, UNDP, UNESCO, UN Habitat, UNICEF, UNAIDS,
WHO, UN Women, UNHCR, WFP, UN Economic Commissions, the World Bank, as well as co-
conveners with UNICEF in the area of HIV and young people in the context of UNAIDS co-sponsors,
UNFPA contributes in specific ways to the empowerment of adolescent and youth.

I. The Principles Driving our Approach BOX 3

UNFPAs Core Principles


So that UNFPA contributes to high quality outcomes for young
people, responds to each countrys specific situation, and fosters Accountability to key stakeholders,
especially young people
equity, gender equality and inclusion, UNFPA upholds the
following principles: Delivery through partnerships

Respecting diversity, focusing on


Accountability to Key Stakeholders, Especially the most disadvantaged
Young People Tailoring actions to national and
UNFPA emphasizes consultation and engagement with local contexts
young people on the design, implementation and monitoring
of its policies and programmes. To meet our and others
accountability to young people, we monitor and evaluate our
own and others policies, programs, communications and advocacy. We also convene key stakeholders
including young people to assist in these processes and ensure our engagement is with diverse and
gender-balanced representatives.

Delivery through Partnerships


Investments across diverse sectors are required if adolescents and youth are to flourish. For this reason,
UNFPA acts in partnership with young people and with actors from across a range of sectors, including
the health, education and employment sectors, so that sexual and reproductive health and rights are well
situated as levers of young peoples successful transition to adulthood.

We analyze data, or help build local capacity to do so, to make available the evidence needed to advocate
policy development, program commitments and funding at country, regional and global levels. We
support young people and their organizations to develop the access, skills and leadership required for

U N FPAS COM M ITM E N T A ND CONT R IBU T ION 9


effective partnership with key stakeholders across the many sectors of concern to them. We convene
diverse partners, inside and outside the United Nations system, to review progress, encourage up-scaling
of successful programs and to develop new initiatives.

Respect for Diversity, Focusing on the Most Disadvantaged


Upholding human rights, UNFPA and its partners ensure that policies, programmes and investments
respond to and address the many differences among young people, at different ages and capabilities,
within and across countries. Our first focus is on those who are most disadvantaged and marginalized,
particularly girls and young women living in poverty.

Tailoring Actions to National and Local Contexts


Grounded in situational analyses, and based on dialogue with adolescents, youth and other key
stakeholders, UNFPAs and our partners contributions respond to and reflect the specificities of local
circumstances.

II. Our Approach


With offices in 140 countries, specialized expertise in demography and in sexual and reproductive health
and rights, and with strong capacity for policy advocacy and communications, UNFPAs contribution to the
advancement of adolescents and youth has five strategic prongs:

Enable Evidence-Based Advocacy for Comprehensive Policy and Program


Development, Investment and Implementation
UNFPA compiles and analyzes (and assists countries to generate and analyze) population and
development data. These data are then deployed by countries, UNFPA, and our partners, to support
and advocate for effective policies, programs
and investments across a range of sectors and at
national, regional and global levels. The data and
analyses enable partners and governments to also
focus on the inter-relationships among various
interventions for adolescents and youth and to
encourage and support cross-sectorial collaboration
to achieve common goals.

Promote Comprehensive Sexuality


Education
Adolescents and youth have a right to the education
Anna Adhikari/UNFPA

and skills building as they experience physical and


emotional maturation; begin relationships; and face
decisions about sexual activity, substance use, diet
and exercise: decisions that will affect their life-long
physical and mental health and well being.

10 UNFPA STRATEGY O N ADO LESCENTS AND YOU T H


While sexuality education exists in most countries,
it tends to be limited and rarely meets the standard
described in international agreements and the
relevant UNESCO guidelines. Curricula urgently
need to be initiated or modified to include all the
necessary topics, and to support skills building for
sustainable relationships, communities (and for
societies). Sustainability in this context relies on
gender equality, mutual consent, non-violence and
respect for human rights. Training of teachers and
other providers must be enhanced so that they are:

Tagaza Djibo/UNFPA
comfortable with the topics involved; supportive,
rather than judgmental, of young as well as older
adolescents; able to provide accurate and full
information, and equipped to refer young people
to appropriate health services.

In collaboration with UNESCO, among other partners, UNFPA assists countries with: curriculum
development for comprehensive sexuality education; provider training; monitoring and evaluation; and
scaling-up of effective programs.

Build Capacity for Sexual and Reproductive Health Service Delivery (including HIV
prevention, treatment and care)
UNFPA assists policy makers, service administrators and providers to improve their outreach to young
people, and to strengthen their services so that young people will be comfortable using them.

UNFPA provides tailored technical inputs, and supports relevant training of personnel, across all levels
of the health system so that these systems better serve the young. With our partners, we work to leverage
funds and priorities at both national and global levels for improvements in health systems, service
delivery and expansion. These activities that UNFPA supports vary within and across countries, but
all share the goals of improved quality and integration in all sexual and reproductive health services,
including HIV prevention, treatment and care.

Take Bold Initiatives to Reach Marginalized and Disadvantaged Adolescents and


Youth, Especially Girls
Millions of adolescent girls and young women live in deep poverty. With perhaps only one or no parent;
married to a much older or abusive man; laboring in unsafe occupations such as domestic service or
commercially sexually exploited (adolescent and youth under 18 years of age), engaged in sex work (those
18-24 years of age); as migrants or affected by conflict or disaster, young women and girls are commonly
at the highest risk of poor sexual and reproductive health, violence and exploitation. For effective HIV
prevention amongst young people, focus and priority should be placed on young populations at higher
risk of exposure: defined as those already engaging in high risk behaviors (injecting drug users, young
women and men involved in sex work and young men who have sex with men). Focusing on delivery to

U N FPAS COM M ITM E N T A ND CONT R IBU T ION 11


and support for these the most
marginalized, the poorest and the
most vulnerable is not only the
right thing to do, it is the smart
thing to do.

Promote Youth Leadership


and Participation
A great deal is said in many quarters
about the importance of youth
participation and voice. In reality
however, youth, especially girls
and young women, rarely have
UNFPA Costa Rica

opportunities to train and act as


leaders or as advocates in places where
the decisions that will affect their lives
and their human rights are made.

UNFPA actively consults with and engages young people in its own work and advocates for this in the
work of others. Just as importantly, UNFPA also provides financial and technical support to adolescents
and youth who are in the process of building networks and organizations, and are undertaking advocacy
on behalf of adolescents and youth. UNFPA targets and prioritizes gender-equal inclusion of youth from
diverse backgrounds, particularly the disadvantaged and marginalized.

Each of these five strategic prongs has implications for UNFPAs programmes and advocacy. Indication of
what these implications are follows.

12 UNFPA STRATEGY O N ADO LESCENTS AND YOU T H


5. Our Strategic .
Prongs in Detail

I. Evidence-Based Advocacy for Development, Investment


and Implementation
Core Activities Engaging Prioritizing Delivering

Advocacy for: nation- Diverse youth and at Disadvantaged by sex, Enhanced country
al and global policies least equal numbers of age, circumstance capacity to collect
and programs, human female and male; (i.e. conflict, disaster), and analyze data on
rights protection, reform Governments; residence etc; adolescents and youth;
of laws prohibiting or UN agencies; Health, especially SRH Effective mechanisms
criminalizing behaviors, including HIV and NCD for youth participation
Community, national
and national and global prevention in planning and
and global leaders;
accountability; based Actions by other sectors decision-making;
National and interna-
on: (education, livelihoods; National and global
tional NGOs;
National and global human rights, etc.) advocacy platforms
Private sector actors
data gathering and and action plans;
policy analyses; Policies, laws and
Building national regulations compliant
capacity with international
Country-specific standards.
situation analyses;

II. Promote Comprehensive Sexuality Education


Core Activities Engaging Prioritizing Delivering

Advocacy with Governments (health, Full and accurate Comprehensive, good


governments and education, finance and information (SRH, quality curricula and
UN agencies; planning); substance use, diet, teacher training
Capacity building UN agencies; exercise); materials;
for curriculum Diverse adolescents Skills-building for Strong advocacy NGOs;
development and and youth relationships (gender Evidence and lessons
implementation; Professional equality, human rights, learned;
Provider training; associations; conflict resolution); Scaled up programs
Monitoring and National and Respectful and in significant number
evaluation; international NGOs knowledgeable, non- of countries.
Planning for and Governments
judgmental providers
delivery of scale-up and for work both in and
assistance in outside schools.
fund raising

OU R ST R AT EG IC PRONG S IN DE TA IL 13
III. Build Capacity for Sexual and Reproductive Health Service
Delivery, including HIV Prevention, Treatment and Care
Core Activities Engaging Prioritizing Delivering

Advocacy to create Governments (health, Services for the more Regulations and laws
global, national and finance and planning; disadvantaged, espe- that allow adolescents
community support for health services manager cially adolescent girls, to access services;
AY access; and providers); young married women, Improved services and
Planning of improved UN agencies; and young mothers, outreach to youth in
services; Diverse youth; most at risk adolescents significant number of
Production of improved and youth for HIV countries;
International and
provider training materi- infection; Data analysis (MIS,
local NGOs.
als and processes; Integrated one-stop other) for services
Improved Management care (package of SRH management, quality
Information Systems services including assurance, lessons
(MIS) to track youth condoms to prevent learned.
utilization of services STIs/HIV and as a con-
and quality; traceptive, contraceptive
services, maternity care,
Advocacy by youth, and
safe abortion when it is
outreach to youth;
not against the law, post
Help raise funds and
abortion services);
resources for service
Quality of services
improvements and
including the provider
expansions.
client relationship.

IV. Bold Initiatives to Reach the Most Vulnerable


Core Activities Engaging Prioritizing Delivering

Provide technical Governments (youth, Disadvantaged girls Access for and inclusion
support to design and health, women, (10-14, 15-19); of vulnerable and mar-
initiate programs; education); Multiple inputs ginalized young people
Help raise funds International and local (education or literacy; Examples of and
in support of NGOs; legal and financial methodologies for
implementation; Adolescent girls literacy; health services effective programs.
Support monitoring and their families; or referral; sexuality Lessons to guide
and evaluation. UN agencies. education; training future efforts
and resources for Best practices for
livelihoods); promotion to others.
Approaches that
are scaleable.

14 UNFPA STRATEGY O N ADO LESCENTS AND YOU T H


V. Youth Leadership and Participation
Core Activities Engaging Prioritizing Delivering

Consult youth; Local, national, regional Skills building; Gender-balanced and


Advocate for youth par- and global youth leaders Access and diverse groups of
ticipation in forum that especially for sexual and opportunities youth able to advocate
will affect their lives and reproductive health and for youth. effectively for their
opportunities, and help rights (SRHR) including generation and the
youth gain access; HIV prevention, treat- future, at community,
Skills training and ment and care; national, regional and
other support for NGOs; global levels.
youth advocates; Governments, the
Technical and financial UN, and other
support for youth orga- stakeholders.
nizing and advocacy.

OU R ST R AT EG IC PRONG S IN DE TA IL 15
Conclusion

The social, economic and environmental realities


for young people today mean they are one of the
largest groups of marginalized and excluded people
that the world has ever seen.

More than a decade into the 21st Century,


the world is at a crossroad with critical policy
choices to be made, whose consequences will
be felt for decades to come. If today we choose
to invest in youths and adolescents education,
Satvika Chalasani/UNFPA

livelihoods, sexual and reproductive health


and civic participation, and underpin this
with respect for and protection of their human
rights, then tomorrow we will enjoy the fruits of
young peoples resilient, confident and talented
contributions to the future we all want.

However, investments of this kind require collective commitment and need the momentum of a collective
movement in which everybody has a role to play: governments, youth serving organizations, community-
based organizations, parliamentarians, the private sector, international organizations, development partners
and young people themselves.

UNFPA calls on all countries, communities, cities and villages to join with us and the UN family as we
commit to work with young people to lead the way towards a future in which adolescent girls and boys
can enter freely into a productive adulthood because they are educated, healthy, free from STIs and HIV,
and not exposed to violence, unintended pregnancy or unsafe abortion; a world where girls are treated
with dignity and respect in equal measure with boys and where, regardless of their identity, young peoples
human rights are promoted and respected. That future is a resilient future, a sustainable future and that is
the future we want.

16 UNFPA STRATEGY O N ADO LESCENTS AND YOU T H


APPENDIX 1:

Committee on Population &


Development 2012 Resolution
on Adolescents and Youth
The CPD
Calls on governments to take into account the implications of their population age structure in medium
and long-term planning and make youth development a priority across all sectors;

Urges governments to protect the human rights of adolescents and youth to have control over and decide
freely and responsibly on matters related to their sexuality, including sexual and reproductive health, free
of coercion, discrimination, and violence, and regardless of age and marital status;

Urges states to invest in multiple actions to improve opportunities for young people to gain access to
productive employment and decent work, making links with education and training policies, among
others, and taking into account gender equality and the empowerment of women;

Urges all states, and calls upon governments, with the full involvement of young people, to meet the
sexual and reproductive health service and information needs of adolescents and young people and, in
so doing, to safeguard their rights to privacy, confidentiality, respect and informed consent;

Calls upon governments to provide young people with evidence-based and comprehensive education on
human sexuality, sexual and reproductive health, human rights, and gender equality;

Calls on governments to pay particular attention to adolescents and youth, especially girls and young
women, in scaling up HIV prevention, treatment, care and support, and provide comprehensive
information, voluntary counseling and testing to adolescents and youth;

Urges governments to eliminate harmful practices such as early and forced marriage, female genital
mutilation, and other violations of girls and womens human rights, and to enact and enforce laws and
take other measures in this regard; and

Calls upon and encourages governments to support and invest in effective youth participation including
in decision-making.

A PPE N D IX 17
APPENDIX 2:

UN General Assembly 2011 Political


Declaration on HIV and AIDS:
Intensifying our Efforts to Eliminate
HIV and AIDS (resolution A/65/L. 77)

Express grave concern that young people between the ages of 15 and 24 years account for more than one
third of all new HIV infections, with some 3,000 young people becoming infected with HIV each day, and
note that most young people still have limited access to good quality education, decent employment and
recreational facilities, as well as limited access to sexual and reproductive health programmes that provide
the information, skills, services and commodities they need to protect themselves, that only 34 per cent
of young people possess accurate knowledge of HIV, and that laws and policies in some instances exclude
young people from accessing sexual health-care and HIV-related services, such as voluntary and confidential
HIV testing, counselling and age-appropriate sex and HIV-prevention education, while also recognizing
the importance of reducing risk-taking behaviour and encouraging responsible sexual behaviour, including
abstinence, fidelity and correct and consistent use of condoms; (Paragraph 25.)4

http://www.un.org/Docs/journal/asp/ws.asp?m=A/65/L.77
4

18 UNFPA STRATEGY O N ADO LESCENTS AND YOU T H


UNFPA
Delivering a world where
every pregnancy is wanted
every childbirth is safe and
every young persons
potential is fulfilled

United Nations Population Fund


605 Third Avenue
New York, NY 10158 USA
Tel. +1-212 297-5000
www.unfpa.org

UNFPA2013

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