Global Accelerated Action for the Health of Adolescents (AA-HA!) Guidance to Support Country Implementation Annexes 1–6 and Appendices I–IV Global Accelerated Action for the Health of Adolescents (AA-HA!) ©Edith Kachingwe Guidance to Support Country Implementation Annexes 1–6 and Appendices I–IV Front cover photograph: ©Palash Khatri Global Accelerated Action for the Health of Adolescents (AA-HA!) - Annees and Aendces i Contents Acknowledgements v Annex 3. Additional Information about evidence-based interventions 18 Annex 1. Additional information about the Global AA-HA! Guidance to support country implementation A3.1. Positive development interventions 18 and adolescent development 1 A3.1.1. Adolescent-friendly health services A1.1. The Global Strategy for Women’s, Children’s (Case study A3.1 and A3.2) 18 and Adolescents’ Health (2016–2030) 1 A3.1.2. School health, hygiene, and nutrition A1.2. Development of the Global AA-HA! interventions (Case Study A3.3–A3.5) 22 Guidance to support country implementation 3 A3.1.3. Multisectoral initiatives 28 A1.2.1. Assessment of adolescent health (Section 2) 3 A3.2. Road injury interventions in-depth A1.2.2. Selection fo evidence-based interventions (Case studies A3.6–A3.8) 32 (Section 3) 4 A3.3. Youth violence interventions in-depth A1.2.3. Participation of adolescents 4 (Case studies A3.9–A3.11) 34 A1.3. Stakeholder review of the draft Global AA-HA! A3.4. Sexual and reproductive health interventions 38 Guidance to support country implementation 6 A3.4.1. Early and/or unintended pregnancy A1.4. Adolescent rights 8 interventions in-depth (Case study A3.12) 38 A1.5. Digital media opportunities and challenges 11 A3.4.2. HIV interventions in-depth (Case studies A3.13–A3.15) 42 A3.5. Water, sanitation, and hygiene Annex 2. Additional information about disease (WASH) interventions in-depth and injury burdens 12 (Case studies A3.16–A3.18) 45 A2.1. Risk factors for specific adolescent disease A3.5.1. WASH interventions for general populations 46 and injury burdens 12 A3.5.2. Adolescent-specific WASH interventions 47 A2.1.1. Unintentional injury 12 A3.6. Noncommunicable disease interventions 48 A2.1.2. Violence 13 A3.6.1. Overweight, physical inactivity, A2.1.3. Sexual and reproductive health, including HIV 14 and tobacco interventions in-depth Global accelerated action for the health of adolescents (AA-HA!): guidance to support country implementation. Annexes 1–6 and Appendices I–IV. A2.1.4. Communicable diseases 14 (Case studies A3.19–A3.21) 49 ISBN 978-92-4-151234-3 A2.1.5. Noncommunicable diseases 15 A3.6.2. Interventions to prevent and treat adolescent undernutrition 53 © World Health Organization 2017 A2.1.6. Mental health, substance use and self-harm 16 A2.2. Additional information about humanitarian A3.7. Mental health interventions 55 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence and fragile settings 17 A3.7.1. Guidance for health workers in non- (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). specialized health settings 57 Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately A3.7.2. Suicide interventions in-depth cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons (Case studies A3.22–A3.24) 60 licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was A3.8. Interventions in humanitarian and not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”. fragile settings 64 A3.8.1. Nutrition 64 Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization. A3.8.2. Disability and injury 65 A3.8.3. Violence 65 Suggested citation. Global accelerated action for the health of adolescents (AA-HA!): guidance to support country implementation. Annexes 1–6 and Appendices I–IV. Geneva: World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO. A3.8.4. Sexual and reproductive health (Case studies A3.25–A3.26) 67 Cataloguing-in-Publication (CIP) data. 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The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO be liable for damages arising from its use. ii Global Accelerated Action for the Health of Adolescents (AA-HA!) iii Acknowledgements Annex 4. Additional information about setting national priorities 76 A4.1. Additional resources to support The World Health Organization (WHO) is grateful to all those who Theresa Diaz (Maternal, Child and Adolescent Health Department); Tarun Dua national priority setting 76 contributed to this document. (Mental Health and Substance Abuse Department); Wahyu Retno Mahanani and Colin Mathers (Health System and Innovation Cluster); Leendert Maarten A4.2. A theoretical example of country- Nederveen (Prevention of Noncommunicable Diseases Department); Laura specific prioritization 78 Authors: Mary Louisa Plummer (independent consultant); Valentina Baltag Pacione (Mental Health and Substance Abuse Department); Margaret Mary (WHO); Kathleen Strong (WHO); Bruce Dick (independent consultant); and A4.3. Sources and data in the Ethiopian Peden (Management of Noncommunicable Diseases, Disability, Violence and David Ross (WHO). Injury Prevention Department); Juan Pablo Peña-Rosas (Nutrition for Health adolescent health needs assessment 81 and Development Department); Anayda Portela (Maternal, Child and Adoles- WHO internal working group: Jamela Al-Raiby (Regional Office for the cent Health Department); Vladimir Poznyak (Mental Health and Substance Abuse Department); Julia Samuelson (HIV Department); Marcus Stahlhofer Annex 5. Additional information about national Eastern Mediterranean); Annabel Baddeley (Global Tuberculosis Programme); Rachel Baggaley (HIV Department); Anshu Banerjee (Family, Women’s and (Maternal, Newborn, Child and Adolescent Health Department); Sarah Watts programming 83 Children’s Health Cluster); Paul Bloem (Immunizations, Vaccines and Biologi- (Mental Health and Substance Abuse Department); and Anne-Marie Worning (Family, Women’s and Children’s Health Cluster). A5.1. Data from the Global Maternal, Newborn, cals Department); Marie Brune Drisse (Public Health, Environmental and So- cial Determinants Department); Sonja Caffe (Regional Office for the Americas/ Additional expert review (external to WHO): Peter Azzopardi (Murdoch Chil- Child And Adolescent Health Policy Pan American Health Organization); Venkatraman Chandra-Mouli (Repro- Indicator Surveys (2009–10; 2011–12; dren’s Research Institute); Mychelle Farmer (Jhpiego); Nina Ferencic (UNICEF); ductive Health and Research Department); Michelle Hindin (Reproductive Jane Ferguson (London School of Hygiene and Tropical Medicine, UK); Nicola 2013–14; 2016) 82 Health and Research Department); Kid Kohl (Maternal, Newborn, Child and Gray (Society for Adolescent Health and Medicine); Meghan Greeley (Jhpiego); A5.2. Additional case studies of national Adolescent Health Department); Theadora Swift Koller (Gender, Equity and Gwyn Hainsworth (Bill & Melinda Gates Foundation); Catherine Lane (USAID); Human Rights Unit); Shyama Kuruvilla (Family, Women’s and Children’s Health programming (Case studies A5.1–A5.26) 84 Thiago Luchesi (Save the Children); Douglas McCall (International School Cluster); Blerta Maliqi