towards an evidence informed adolescent health and wellbeing policy in sierra leone4
TRANSCRIPT
Towards an evidence informed Adolescent Health and Wellbeing Policy in Sierra Leone
Towards an Evidence-Informed Adolescent Health Policy in Sierra Leone
Regina Bash-Taqi
October 2016
WAHO Forum on Best Practices in Health – Grand Bassam
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Vers une poilitique de la Santé des AdolescentsLe cas factual de la Sierra Leone
Introduction and Background
• Aged 10 to 19 years
• Thought of as a fairly healthy group, yet globally 1.3 million die each year
• Investing in adolescent health has a triple return:
1. improving health and survival during adolescence
2. through lasting impacts on adult health
3. intergenerational transmission of health potential to their children
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Agés de 10 à 19 ans
Devant pourtant jouir d’un parfait état de sante a cet âge, lesestimations donnent environ 1.3 million de décès/An au niveau mondial
Investir dans la santé des adolescents a un rendement triple
Introduction and Background
• Increased interest seen in adolescents in recent times
• Lancet Commission on Adolescent Health and Wellbeing launched
• WHO Global Strategy for Women’s Children’s and Adolescents Health (2016 –2030)
• This good practice forum by WAHO
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On note ces dernières années une recrudescence de l’interet a la sante des adolescents La Commission Lancet sur la santé des adolescents et bien-être créer
La stratégie de L’OMS pour la santé des femmes, enfants et des adolescents (2016 - 2030)
Ce forum des bonnes pratiques de l’OOAS
Introduction & Background
Photo Credit – Ontheworldmap.com
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Sierra Leone Profile
Population 7,075,641
Adolescents 1,585.168
Literacy 36% Women54% Men
Maternal Mortality Rate
1360
Adolescent Birth Rate
125.1
Children with deceased parents (les enfants dont les parents sont décédés)
10% of under 18’s have one or more parents deceased
Purpose & Objectives
AIM
To present a situationanalysis of adolescenthealth and well-being inSierra Leone.
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Le but ici est de vousprésenter une analyse de la situation de la sante et du bien être des adolescents en Sierra Leone
Purpose & Objectives
Objectives
1. Identify evidence to describeknown factors that impact onadolescent health outcomes
2. Identify gaps in knowledgeon adolescent health andwellbeing outcomes
3. To describe provisions foradolescents within keynational policies
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Identifier des preuves pour décrire les facteurs connus qui ont une incidence sur les résultats de santé des adolescents
Identifier les lacunes dans les connaissances sur la santé des adolescents et des résultats de bien-être
Décrire les part de la sante des adolescents dans les secteurs clés de la politique nationale de sante
Objectifs
Materials and Methods
Regina Bash-Taqi (0.25FTE over 6 months)
Natalie Pedersen (100% FTE over 2 months)
MethodsLiterature Review –Database and requests for stakeholders
Policy Review - policies were requested from stakeholders.
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• La revue de la literature -Analyse des bases de donnee, discussions avec les acteurs du secteur
• Revue des politiques ayantreferences aux adolescents
Methodes
Key Findings
ACCIDENTS & ROAD SAFETYAdolescent boys are known to be
more affected by accidents. No data was found disaggregated by age.
MENTAL HEALTH2% prevalence rate of psychosis4% for severe depression4% for severe substance abuse.
Estimated treatment gap for children is 99.8%
ACCIDENTS de la Route
Les jeunes garcons en sont les plus concerner
Nous n’avons pas trouver de donnessur les differents ages
Sante Mentale
2% prevalence des psychoses
4% de cas de depression severe
4% de consommations de drogues du genres cannabis et autres
Environ 99.8% de ces jeunes n’ont pas acces aux soins de qualite
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Key Findings
NUTRITION
• 46% of non-pregnant girls aged 15-19 are anaemic
• 16.7% of non-pregnant women are overweight based on BMI.
SEXUAL & GENDER BASED VIOLENCE
• 30% of rapes occur within the school setting
• Most common age group of SGBV survivors seeking care are adolescent girls aged 11-15 years olds
• NUTRITION
• 46% de jeunes filles agees de 15-19 ans sont anemiques
• 16.7% de jeunes demmes sontobeses, selon les indices de masse corporelles .
Violences et viols basses sur le Genre
• 30% de viols ont lieux en millieuxscolaires
• La majorite des jeunes en quette de soins et victimes de cas d’abut sexuelssont ages de 11-15 ans
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Key Findings
TEENAGE PREGNANCY & FAMILY PLANNING
• First sex among women is 16.5 yearsand 18 years for men.
• 21% of adolescent girls and 8%adolescent boys have their first sexualencounter before the age of 15 years
• Only 21% of young women aged 15-19years use a modern method of familyplanning
• 28% of girls aged 15-19 years pregnantor already having given birth (34% inrural and 19% in urban areas).
• 46.8% of maternal deaths in SierraLeone occur among women aged 15 to19 years
Les Grossesses chez adolescent et Planning Familial
• L’age des premiers rapport est de 16.5ans chez la jeune fille et de 18 ans chezles jeunes hommes.
• 21% des adolescent filles et 8% desadolescent garcons ont eux leurspremiers rapport sexuel avant l’age de15 ans
• seleument 21% de jeunes filles entre15-19 ans utilisent les methodesmoderne de contraceptions
• 28% de filles entre 15-19 ans sontenceintes ou ont deja un enfant (34%en milieu rural and 19% en milieuurbain).
• 46.8% de la mortaliter maternelle enSierra Leone a lieux chez la jeunemaman entre 15 to 19 ansInstitute for Development - Good Questions! Good Answers!
Key Findings
HIV & STIs
• 1 in 10 sexually active adolescents report STI symptoms
• 13.4% of all new HIV infections in Sierra Leone are among female adolescents aged 15-19 years.
• HIV prevalence for females 15-19 age bracket is 1.5%, more than double that for adolescent boys in the same age range which stands at 0.7%.
VIH/SIDA et autres MST
• Un sur dix ont deja eu des MST
• 13.4% de nouveau cas de VIH enSierra Leone a lieux chez la jeunefemme adolescents agee entre 15-19 ans.
• la seroprevalence au VIH chez la jeune fille agee entre 15-19 ansest 1.5%, plus du double chez le jeune garcon du meme age qui est0.7%.
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Key Findings – Policy Reviews
24 policies and strategies and 5 Acts across 8 Government departments were identified as particularly important for adolescent health and well-being in Sierra Leone.
21 out of 24 policies reviewed make some provision for adolescents
• Nous avons pourtant puidentifier ceci sur proposition de 8 gouvernementsdifferents,5 lois ont et voter a l Assemblee Nationale ayantreference a la sante des adolescents
• 21/24 documents de strategies interministerielsfont reference ala sante des adolescents
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Conclusion
• The state of adolescent health in Sierra Leone requires urgent attention
• There is a paucity of robust disaggregated data collected by government departments.
• Adolescent girls appear to have worse health outcomes than adolescent boys.
• Most of the policies required are in place to deliver robust services for adolescents
• Au regard de ce qui precede, lasituation de la sante des adolescentsen Sierra Leone necessite uneattention toute particuliere.
• Il ya une necesite urgente dune dissociation des donnes par groups (age,sex,etc.)
• Les indicateurs de sante sont plus defavorables chez la jeune fille que le jeune garcon.
• La majorites des textes de lois etautres documents de politiques desante des adolescents sont en placemais leur application posentproblemes ou ne suit pas.
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Key Recommendations
1. Accident data disaggregated by age and sex.
2. Research required to identify promising practices that are scalable to meet the significant unmet need for mental health services
3. More research required to dig deeper into reasons for low contraceptive uptake among specific sub-groups (.e.g urban vs rural)
• Les donnes sur les accidents de la route doivent etre desagreger par sex et groupe d’age
• Rechercher et identifier lesbonnes pratiques et passer aechelles afin de comnler le videen sante mentaldes adolescents
• Rechercher pour comprendre lesraisons de faible utilization desmethodes de contraceptions
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Acknowledgments
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Thank you for your kind attentionMerci pour votre attention
Institute for Development (IfD)
Qualitative and Mixed Methods Research Specialists Sierra Leone
www.ifdsl.org
Team Lead - Claudia ShilumaniAH Coordinator - Sr Ruguatu KanuPolicy Researcher - Natalie PedersenAdministrator - Rosetta Esther Hazeley
Also thanks to Dr. Serge Emaleu for support with translation