1. Planning Adolescent & Youth Sexual
and Reproductive Health:
Integration & Vulnerable Youth
Strategic information: Looking at it in
different ways
Dr Krishna Bose, WHO/HQ
Guatemala City, Guatemala,
27-29 November 2012

2. WHO Measurement Framework
Inputs and processes Outputs Outcomes Impact
Infrastructure; Information
and communications
technology
Health workforce
Supply Chain
Information
Intervention
access and
services
readiness
Intervention
quality, safety, and
efficiency
Coverage of
interventions
Prevalence of risk
behaviors
Improved health outcomes
and equity
Have finances been disbursed?
Have policies changed?
Is the process of implementation
happening as planned?
Has access to services improved?
Has the quality of services improved?
Has utilization improved?
Has intervention coverage improved?
Have risk behaviors improved?
Have health outcomes and equity
improved?
Contextual factors
Contextual factors

3. Impact
Reduce STI/HIV
&
Improve SRH among
young people
Contextual factors
WHO Measurement Framework

4. Impact
Reduce STI/HIV
&
Improve SRH among
young people
Contextual factors
WHO Measurement Framework
Delayed first sexual
intercourse
Increased Condom
Use
Increased
Contraceptive Use
Prophylatic ARV
treatment
Outcomes

5. Outputs Outcomes Impact
Health workers
trained on
Sexuality
Education
guidelines
Condoms and
contraceptives
available for
provision to YP
Delayed first sexual
intercourse
Increased Condom
Use
Increased
Contraceptive Use
Prophylatic ARV
treatment
Reduce STI/HIV
&
Improve SRH among young
people
Contextual changes: Non-­‐‑health system determinants
WHO Measurement Framework

6. Outputs Outcomes Impact
Health workers
trained on
Sexuality
Education
guidelines
ARV, Condoms,
contraceptives,
STI treatment
available for
provision to YP
Increased Condom
Use
Increased STI
Treatment
Increased
Contraceptive Use
Prophylatic ARV
treatment
Reduce STI/HIV
&
Improve SRH among young
people
Inputs and processes
Policies, legislation, norms
& standards for gender-
sensitive HIV prevention &
SRH promotion
Health facilities have
guidelines and materials
for communication with YP,
& the adults in their lives
Health workforce in place
Condoms, Contraceptive,
ARVs, STI treatment drugs
and supplies in place
The Health Information
System records the age,
sex and other key
demographic information
on YP
Contextual changes: Non-­‐‑health system determinants
WHO Measurement Framework

7. Outputs Outcomes Impact
Health workers,
Teachers,
Community
members & Peers
trained to provide
health promotion &
prevention
information,
including counseling
to prevent violence,
tobacco, alc. &
substance use,
unwanted
pregnancies
Safe places
available for sports
Nutritional
supplementation
available
Prevalence of:
Interpersonal
Violent behavior
tobacco, alcohol,
& substance use
Attempted Suicides
Physical Inactivity
Unhealthy Eating
habits
STI/HIV/SRH
Injuries
Anxiety, Depression &
Suicide
Nutrition: Anemia,
Obesity
Inputs and processes
National Adolescent Health
Policies & Strategies &
Plans of action are in place,
including fro reaching the
most vulnerable
Sustainable strategies in
place for Health workforce
capacity development
An integrated package of
services are available
including for prevention of
NCDs
The Health Information
System includes age, sex
and social determinants
that affect health of YP
Contextual changes: Non-­‐‑health system determinants
WHO Measurement Framework

8. WHO Health Topics
Mental
Health
Alcohol
Injuries
HIV
Health Promotion
and School Health
ASRH
Tobacco
Substance
Use
Diet and Physical
Activity
Obesity/Underweight
External Epidemiology
System
WHO Multi-national
Data Collection with
external technical lead
WHO Dept. Annual
Country-level Survey
Country-led National
Routine HMIS
DHS/MICS
HBSC
GSHS/GYTS
WHO STEPS
Adolescent
specific data
from WHO Depts.
WHO SIS
MCA Country-
level Data survey
Adolescent-Health
Relevant Datasources
Databases on Adolescents

9. Global Health
Observatory
(PAHO Ado
Portal)
Maternal &
Child Health
Database
MNCAH
Database
Adolescent
Health
Database
MCA data
repository
ADH guidance on
monitoring quality,
coverage, cost
ADH guidance on
routine adolescent
specific HMIS
ADH Systematic Approach Facilitating National Comprehensive Adolescent Health at a Country Level
ADH Adolescent Situation Assessment
MCA Country-level
Rights Assessment
ADH Adolescent
Programme Review
Data
Databases on Adolescents

10. Global Health
Observatory
Adolescent
Health
Database
MNCAH
Database
Child Health
Database
CAH single
data
repository
Data
Visualization
Country
Profiles
Annual and
Country
Reports
Using Databases on Adolescents

11. Tools provided by
Sameer Pujari, TFI
&
Adapted for ADH by
Maki Kajiwara, consultant
Brief examples of some innovations

12. StatPlanet for data visualisation
Policy data (MNCAH KI survey)
E:GuatemalaMNCAH
Shapefile_map_(ESRI)StatPlanet.exe

13. StatPlanet for data visualisation
OUTCOME data (DHS survey)
E:GuatemalaDHS Shapefile_map_(ESRI)
StatPlanet.exe

14. StatPlanet for data visualisation
OUTCOME data (GSHS)
E:GuatemalaGSHS
Shapefile_map_(ESRI)StatPlanet.exe

15. Excel-based Country Fact Sheets
data
E:GuatemalaExcel Fact Sheets
ADH

16. THANK YOU!
NAMASTE
नम#$
Special Thanks to:
• Sameer & Maki
• Saarik Gupta (for helping with preparation of slides)
• To you all, my audience, for your patience