THEMATIC TOPIC 1. Making Healthy Choices - Speaker 2
1. Sexual and Reproductive Health
among Young Fijians
National Youth and Sport Conference
Suva, Republic of Fiji
24 June, 2014
By Dr. Laurent Zessler, Director and Representative
UNFPA Pacific Sub-Regional Office, Suva, Fiji.
2. Outline
• What is UNFPA
• International Conference on Population and Development
(ICPD)
• Sexual and Reproductive Health (SRH)
• Youth SRH in Fiji and the Pacific
• UNFPA Programming with Youth in the Pacific
3. UNFPA, the United Nations Population
Fund, delivers a world where every
pregnancy is wanted, every birth is safe,
every young person's potential is fulfilled.
Population Dynamics
Sexual and Reproductive Health, including Family
Planning
Gender equality and women’s empowerment
Supporting adolescents and youth
Responding to the HIV & AIDS Epidemic
Assisting in Emergencies
4. International Conference on Population and Development
A total of 179 governments signed up to the ICPD Programme of Action
which set out to:
• Provide universal access to family planning and sexual
and reproductive health services and reproductive
rights;
• Deliver gender equality, empowerment of women and
equal access to education for girls;
• Address the individual, social and economic impact of
urbanization and migration;
• Support sustainable development and address
environmental issues associated with population
changes.
The Programme of Action and benchmarks added at the ICPD +5
review went on to inform the eight Millennium Development Goals
6. Sexual and Reproductive Health
Both men and women need access to information and appropriate
health services throughout their lives. Such information and services
should be gender sensitive and allow:
All individuals to make informed choices about sexuality
and reproduction, and to have a safe and satisfying
sexual life, free of violence and coercion
Women to go safely through pregnancy and childbirth
Couples to have the best chance of having a healthy
infant
Women to avoid unwanted pregnancy and to address the
consequences of unsafe abortion
Access to prevention, treatment and care for sexually
transmitted infections, including HIV.
8. Young People and SRH
Adolescents are reaching
puberty earlier, marrying later
and having more premarital
sex.
The unmet need for
contraceptives among
adolescents is more than
twice that of married women
One third of curable,
preventable STIs affect people
younger than 25 years
9. Key SRH Issues for Young People
Sexual activity before & within marriage
Unmet contraceptive need
Unwanted pregnancies
Unsafe abortion
Access to SRH services and maternal health care
(exclusion based on age or marital status)
Sex workers
Vulnerability to STIs and HIV/AIDS, including married
girls
Violence, rape, including inside marriage, and
Sexual identity and sexual preference
11. Challenges
High rates of teen pregnancy
Low rates of condom use and other family
planning
Access to youth friendly health services still
low, but improving
Very limited youth-specific data available on
SRH and other youth issues
Mental health and alcohol & drug use are
emerging issues
12. Teen Pregnancy in The Pacific
Adolescent Fertility Rate = Number of live births per year among 1,000 girls aged 15 - 19
16. Areas of Focus
1. Comprehensive Sexuality Education
2. Youth Friendly Health Services
1. Peer Outreach
2. Youth Leadership and Engagement
17. Comprehensive Sexuality Education
• UNFPA is developing a Joint Program with UNICEF
and UNESCO (2014-2017)
• Will Provide Support to PICs in the areas of:
i. Supportive Policy
ii. Curriculum Development
iii. Educational resources
iv. Pre-service and in-service training
v. Research, monitoring and evaluation
vi. Advocacy and community participation
18. Youth Engagement and Leadership
• Advocacy (Governments, Communities,
Churches, Schools)
• Programming
Peer/Community Educator
Through Sport (education, awareness,
commodities, Champions/role models)
Service provision (Youth Friendly Health Services)
Community distribution of condoms
Human rights promotion and protection
• Advisor (e.g. Advisory panel to Comprehensive Sexuality
Education Programming or Youth Friendly Health Services)
19. Be in the picture: take a selfie
ICPD Review
A global process
Fiji participation
Youth Selfies Campaign
Global collection of selfies by young people in support of a UNFPA
proposal for a youth goal to be included in the post-2015 development
agenda.
Participate and ensure the Pacific is not forgotten or represented
More and updated information will be available from:
1. UNFPA Pacific website: http://pacific.unfpa.org
2. UNFPA Pacific social media platforms: Facebook/Twitter/Instagram
Hinweis der Redaktion
Key message for young people in this slide is that IT IS VERY IMPORTANT THAT THEY SEEK MEDICAL CARE ONCE THEY KNOW THEY ARE PREGNANT FOR THEIR HEALTH AS WELL AS THE BABY’S.
This graph shows the Maternal Mortality Rate (maternal deaths per 100,000 live births) in the regions of the world compared to the percentage of births that are attended by skilled health personnel
As you can see – generally where skilled birth attendance is high, maternal mortality is lower and vice versa. In sub-Saharan Africa in particular – the proportion of births attended by a skilled health personnel is below 50% and maternal mortality is very high
In our region – in Papua New Guinea 43% of births are attended by skilled health personnel (lowest in the region) and the Maternal mortality ratio is 230 per 100,000 live births (highest in the region)
Teen Pregnancy rates are coming down, but still high in many Pacific Countries
5 countries in the Pacific Islands are above the world rate for adolescent Fertility (Marshall Islands, Nauru, PNG, Solomon Islands, Vanuatu)
Fiji is about the average for the Pacific – not a major problem, but still significant
Key Message is to avoid pregnancy but if some do still fall pregnant – both partners should be responsible especially boys/men need to take a more active role in the health of the expectant mother and the baby.
Condom use is relatively low across the Pacific – Fiji in particular is among the lowest
This contributes to high unwanted and unintended teenage pregnancies and STIs in Fiji which means susceptibility to contract the HIV will be significantly high also.
HIV is relatively low in the Pacific.
Only PNG is approaching what is called a generalized epidemic – which means that more than 1% of the population is infected with HIV
However the number of new cases of HIV reported each year continues to go up in the Pacific – most recently in 2013 64 new cases were reported.
We, YOU MUST TAKE PRECAUTIONS!
In Fiji UNFPA currently supports the implementation of the Family Life Education programme in all secondary schools in Fiji
In Fiji, UNFPA is supporting youths through the ministries of youth and health. The programmes include this youth conference to increase youth participation and leadership in decision making processes. We provide support for small grants entrepreneurship programs which some of you are a part of. We also provide support for establishment of youth resource centres in all your divisional centres. We work with the Ministry of Health to increase access to health services especially sexual and reproductive health as well as organise strategic health campaigns to support behaviour change.
1. Our region’s report, Pacific Regional ICPD Review is available on our website http://pacific.unfpa.org
2. Regional leaders and policy makers including Fiji have been involved in the different stages: began with Pacific parliamentarian meeting in Suva, Fiji ----- APPC --- New York and between now and September, preparation for the GA
3. Very easy and you can start after this presentation. Two easy steps: STEP 1: Take a selfies; STEP 2: Email it to oceaniaselfies2014@gmail.com