Presentation on unfpa strategy on adolescents 26.6.2013 raghy-toan unfpa
1. UNFPA strategy on adolescent and youth,
and UNFPA-supported program on youth in
Vietnam 2012-2016
REPRODUCTIVE HEALTH AFFINITY GROUP MEETING
Hanoi, 25 June 2013
Ha Huu Toan
UNFPA
2. Presentation Outline
1) MDG Goal 5: Improving maternal health
2) UNFPA global strategy on adolescent and youth –
towards realizing the full potential of Adolescents
and Youth
3) UNFPA-supported program on youth in Vietnam
2012-2016
4) Theme of World Population 2013
3. MDG Goal 5: Improving maternal health
Target 5a: Reduce by three quarters, between 1990 and
2015, the maternal mortality ratio
5.1 Maternal mortality ratio
5.2 Proportion of births attended by skilled health personnel
Target 5b: Achieve, by 2015, universal access to
reproductive health
5.3 Contraceptive prevalence rate
5.4 Adolescent birth rate
5.5 Antenatal care coverage (at least one visit and at least four
visits)
5.6 Unmet need for family planning
4. 1) UNFPA global strategy on adolescent and
youth – towards realizing the full potential
of Adolescents and Youth
5. UNFPA strategy on adolescent and youth
- background
• Today’s adolescents and youth are 1.8 billion strong and
represent one quarter of the world’s population.
• Young people face high risks of unwanted pregnancies,
unsafe abortions, sexually transmitted infections (STIs) and
HIV. Every day approximately 940 adolescents and women
worldwide die due to complications from pregnancy or
childbirth.
• In partnership with young people, national and international
organizations, UNFPA assists countries to identify and
implement policies and programs to secure the health,
development and human rights of adolescents and
youth.
6. UNFPA Strategy on Adolescent and Youth
A cross-sector approach
Sexual &
reproductive
health &
rights
Education
• Access to secondary education
• Young married people’s access
to education
• Alternative learning
opportunities for the vulnerable
Health & Wellbeing
• Family planning
• Maternal health
• Nutrition
• STIs and HIV
• Subsistence abuse
• Chronic illness incl. mental health
• Accidents
Livelihoods
• Access to employment
• Fair & safe work conditions
• Young entrepreneurs
Obstacles
• Discrimination
• Marginalization & exclusion
• Harmful practices
• Poverty
• Violence
• No access to justice
Active Participation
• Access to communication technology
• Participation in decision making
• Leadership & organizing skills
Social Assets
• Peer-based social and support
networks
• Cultural expression and creativity
• Positive representation in the media
• Sports and recreation
• Positive male role models
7. UNFPA strategy on adolescent and youth
- 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 initiatives to reach marginalized and
disadvantaged adolescents and youth, especially
girls.
5. Promote youth leadership and participation.
9. Source: Vietnam’s Population and Housing Census, GSO, 2009
Background: population in Viet Nam
- population pyramid 1999-2009
Male Female
10. HEALTH
• Viet Nam has entered a ‘demographic bonus’
period with young people aged 10 to 24 accounting
for nearly 30% of the total population
• One third of Vietnamese young people continue to
face barriers when trying to access reproductive
health information and services (SAVY, 2010)
• The unmet need for contraception among young
people aged 15–19 years and 20–24 years is
35.4% and 34.6% respectively (MICS, 2010)
11. UNFPA-supported programs on Young
People in Vietnam 2012-2016
2 prongs
Policy level
• Support for evidence-based
policy dialogue and advocacy
to include young people’s
issues in national/ sub-national
strategies and plans.
• Promote young people’s
participation in policy
development/implementation.
• Support to strengthen the
capacity in overseeing the
implementation of the Youth
Law and policies.
• Main partners: MOHA, YU, and
NA/CEYAC
Programme level
• Support for a national
programme addressing high
levels of unmet need in SRH,
including contraception among
unmarried young people.
• Main partner: GOPFP-MOH
• Support for integrated
SRH/HIV into the vocational
training programs.
• Main partner: MOLISA
12. Review, generate and analyze youth data for
policy advocacy and development, and implementation
of effective youth policies
Integrate life skills-based SRH/HIV education into
vocational training programmes
Develop and implement a programme on addressing
high unmet need for contraceptives among
unmarried young people
Advocate for the needs of the most vulnerable young
people, and highlight the evidence of the prevailing
disparities
Establish a formal mechanism for youth participation
and develop guidelines on youth participation
into the development, implementation and monitoring
of policies and programs
Enable evidence-
based advocacy
Promote
comprehensive
sexuality
education
Build capacity
for sexual and
reproductive health
service delivery
Take initiatives to
reach the
marginalized and
disadvantaged
adolescents and
youth
Promote youth
leadership and
participation
UNFPA-supported programs on Young People in Vietnam 2012-2016
About 215 million underage children work full or part-time, 2 while 75 million older youth (15-24) cannot find work. In low and middle income countries 34 percent are married or in union before they are 18. 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.Investments in young people now are in everyone’s interest and are everyone’s responsibility: families, community leaders, nongovernmental organizations, governments, the private sector, the international community, and others alike.Puberty and maturing also brings new vulnerabilities to human rights abuses, particularly in the areas of sexuality, marriage and child bearing.
UNFPA is mandated both to assist countries to meet the commitments for adolescents and youth, especially where these relate to sexual and reproductive health, made by member states and the international community at the meeting of the 2012 United Nations Commission on Population and Development. UNFPA to advocate for the political will, funding and human resources needed to achieve them. Sexual and reproductive health and full enjoyment of the associated human rights are at the very heart of adolescents’ transition into adulthood. They play vital parts throughout life in adolescents’ identity, health, wellbeing and personal fulfillment. Sexual and reproductive health and rights are a corner stone of young people’s transition to adulthood, influencing outcomes for both adolescents and youth across a range of fronts. This means that no one sector or organization can do what is needed to support young people on their own.
The two population pyramids of 1999 and 2009 illustrate the evolution of the Vietnamese population by age and sex, indicating an increase among young people aged 15-24 years. Young people took second place in 1999 , this group became the largest sector in 2009. During the period 1999–2009, the urban population grew rapidly, on average 3.4% per year, while in rural areas, population growth only reached 0.4% per year.