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Browse POLICY Project (1995-2006) Materials

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  • At the 1994 International Conference on Population and Development (ICPD) in Cairo, more than 180 countries, including 38 sub–Saharan African countries, drafted and ratified the Programme of Action that includes support for the provision of sexual and reproductive health education, information, and services to adolescents. Addressing adolescent reproductive health (ARH) issues is particularly crucial in sub–Saharan Africa, where rates of maternal mortality, unsafe abortion, and sexually transmitted infections (STIs), including human immunodeficiency virus (HIV), among youth are the highest in the world. Despite the obvious importance of the topic, ARH remains a controversial subject in the sub–Saharan region. Consequently, the exercise of caution in approaching the subject has led to a gap between the declarations of governmental officials and the actual design of reproductive health policies and programs geared toward youth. This paper provides a practical means of assessing reproductive health policies and programs geared toward adolescents. First, it presents major elements of ARH policy and program development and sets benchmarks against which future policy and program development can be measured. Second, the paper compares ARH policy and program development in three Francophone African countries: Burkina Faso, Cameroon, and Togo.
  • The countries of West Africa have some of the highest levels of unmet need for family planning in the world. During the six-year period (1995–2000) following the 1994 International Conference on Population and Development, there were an estimated 12 million unintended pregnancies in the 18 West Africa Regional Program (WARP) countries. Yet family planning programs are currently low on most national agendas and there is no concerted effort to address the expressed need for family planning. To reduce the health and development consequences of unintended fertility in West Africa, policymakers and planners need to study the characteristics of women with a demonstrated unmet need for family planning and use that information to improve policies and programs. This series of briefing papers is designed to contribute to that effort by offering some perspectives on the nature and dimensions of unmet need based on the findings of Demographic and Health Surveys (DHS) in 11 West African countries: Benin, Burkina Faso, Cameroon, Côte d’Ivoire, Ghana, Guinea, Mali, Niger, Nigeria, Senegal, and Togo. This brief focuses on Togo.