Final Report Exploration of Young People’s Sexual and Reproductive Health Assessment Practices September 12, 2014 HINDIN & FATUSI [email protected] Exploration of Young People’s Sexual and Reproductive Health Assessment Practices 2 Table of Contents Executive Summary ............................................................................................................................................. 4 Acknowledgements: ....................................................................................................................................................... 6 EARLY MARRIAGE ........................................................................................................................................... 7 Search Strategy ................................................................................................................................................................. 7 Results ............................................................................................................................................................................... 7 Intervention Characteristics ....................................................................................................................................... 8 Evaluation Characteristics .......................................................................................................................................... 9 Overall Assessment ......................................................................................................................................................... 9 Case Studies ................................................................................................................................................................... 13 References (Cited) ......................................................................................................................................................... 16 EARLY PREGNANCY ...................................................................................................................................... 21 Search Strategy ............................................................................................................................................................... 21 Results ............................................................................................................................................................................. 21 Intervention Characteristics ..................................................................................................................................... 21 Evaluation Characteristics ........................................................................................................................................ 23 Overall Assessment ....................................................................................................................................................... 23 Case Studies ................................................................................................................................................................... 27 References (Cited) ......................................................................................................................................................... 30 References (Full List) .................................................................................................................................................... 31 NUMBER OF CHILDREN ............................................................................................................................... 38 Search Strategy ............................................................................................................................................................... 38 Results ............................................................................................................................................................................. 38 Intervention Characteristics ..................................................................................................................................... 38 Evaluation Characteristics ........................................................................................................................................ 39 Overall Assessment ....................................................................................................................................................... 40 Case Studies ................................................................................................................................................................... 41 References (Cited) ......................................................................................................................................................... 43 References (Full List) .................................................................................................................................................... 43 Exploration of Young People’s Sexual and Reproductive Health Assessment Practices 3 Sexually Transmitted Infections (STIs) including HIV ............................................................................ 45 Search Strategy ............................................................................................................................................................... 45 Results ............................................................................................................................................................................. 45 Intervention Characteristics ..................................................................................................................................... 46 Evaluation Characteristics ........................................................................................................................................ 47 Overall Assessment ....................................................................................................................................................... 48 Case Studies ................................................................................................................................................................... 49 References (Cited) ......................................................................................................................................................... 51 References (Full List) .................................................................................................................................................... 53 RECOMMENDATIONS FOR FUNDERS .................................................................................................... 62 Lessons Learned from the Four Outcomes ............................................................................................................... 65 Appendix ............................................................................................................................................................. 67 Methodology .................................................................................................................................................................. 67 Developing and Piloting Abstraction Form ........................................................................................................... 67 Search Strategy ........................................................................................................................................................... 67 Abstraction Process .................................................................................................................................................... 67 Search Terms .................................................................................................................................................................. 68 Early Marriage ............................................................................................................................................................ 68 Early Marriage ............................................................................................................................................................ 72 Number of Children .................................................................................................................................................. 76 STIs ............................................................................................................................................................................... 79 Abstraction Form ........................................................................................................................................................... 83 Exploration of Young People’s Sexual and Reproductive Health Assessment Practices 4 Executive Summary Overview: The goal of this project was to identify effective interventions to improve young people’s sexual and reproductive health. We systematically reviewed interventions found in the peer-reviewed and gray literature on young people’s sexual and reproductive health based on four outcomes: prevention of early marriage, early pregnancy, limiting the number of children and preventing STIs. We focused our reviews on young people, ages 10-24, in lower- and middle-income countries. French, Spanish Portuguese and English reports or publications were included. Our reviews focus on both the content and quality