Sexual and Reproductive Health Framework - UNFPA

(b) Percentage of HIV positive pregnant women whoreceived anti retrovirals to reduce the risk ofmother-to-child transmission.5. objective of outcome 5Outcome 5: Access of young people toSRH, HIV- and gender-based violenceprevention services, and gendersensitivelife skills-based sexual andreproductive health education improvedas part of a holistic multisectoralapproach to young people’sdevelopment.a. Priorities112. As per the Framework for Action on Adolescentsand Youth, support is needed for the developmentand costing of an essential package of health/reproductive health and other social services,including the prevention of HIV/STIs and genderbasedviolence, on a fair-share basis so that thepoor and the vulnerable are covered. Becauseseveral agencies and organizations are supportingcomponents of the package of services, coordinationon young people’s issues is of utmost importance.Partners should advocate for the package of socialand health services for young people to be includedin PRSs, SWAps and other national and sub-nationaldevelopment and humanitarian frameworks.113. In addition, UNFPA will support gender-sensitivelife skills-based SRH education for those in and outof schools. The education programme will enableadolescents to develop their identities, valuesand critical thinking skills and to exercise theirrights, including reproductive rights. It will alsoinclude ways to ensure equal treatment of girls andboys in school, providing conflict resolution andnegotiation skills as well as assertiveness skills.Promotion of strategic communication activitieson the role of boys and young men with regard togirls’ vulnerability, gender-based violence and HIVprevention will receive special attention. Specificinterventions aimed at young men in the army andother defined structures have shown high impactin improving safe sex behaviour among these menand potential increased understanding and respectof women and girls choices. UNFPA will continueto contribute to enhancing the quality of educationthrough advocacy and policy dialogue, curriculardevelopment and teacher training, with a focus onreproductive rights and sexual and reproductivehealth.114. For out-of-school young people, UNFPA will take aleadership role in programming for adolescents,with priority for young girls, and, in particular,adolescents at risk of early marriage and pregnancy,working adolescents, young couples and very youngadolescents. Youth participation and support foryouth leadership, youth-adult partnerships andintergenerational dialogue will receive specialattention. Humanitarian, conflicts and naturaldisasters exacerbate the risk for vulnerability andviolence and require special attention.b. Strategies and key activities115. Emphasis will be placed on the greater availabilityof youth-friendly SRH information and services,through schools, pharmacies and outreach activitiesin the health sector as well as through NGOs andcommunity-based organizations for social services.Youth advisory committees and other youth-to-adultmechanisms should be established for advocacy,policy dialogue and programme development andmanagement. Advocacy will include continuededucation, vocational and economic opportunities,and empowerment programmes, especially for girls.116. Special attention will be paid to the needs ofadolescents who are either living in poverty, aremarried or are disadvantaged or marginalized.Girls who are marginalized (e.g., by exclusionfrom schools, residence in poor or indigenouscommunities, subject to child labour, child marriageand other harmful traditional practices) arevulnerable in many ways. For example, they aremore likely to marry at an early age; and, as firsttimemothers, they also bear the highest risks ofmaternal mortality and morbidity. Marginalizedgirls are not being reached by conventionallydefined services, benefits and entitlements, so areadolescents in humanitarian settings.117. UNFPA will focus on four key areas: supportivepolicy environment; life skills-based education,including sexual health and relationships; healthservice provision; and finally, leadership andparticipation.28MAKING REPRODUCTIVE RIGHTS AND SEXUAL AND REPRODUCTIVE HEALTH A REALITY FOR ALL