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A never-before opportunity to strengthen investment and action on adolescent contraception, and what we must do to make full use of it

机译：从不介绍加强对青少年避孕的投资和行动的机会，以及我们必须做的事情以充分利用它

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Background Increasingly, the health and rights of adolescents are being recognized and prioritized on the global agenda. This presents us with a “never-before” opportunity to address adolescent contraception. This is timely, as there are enormous numbers of adolescents who are currently unable to obtain and use contraceptives. From research evidence and programmatic experience, it is clear that we need to do things differently to meet their needs/fulfil their rights. Main body In this commentary, we call for action in several key areas to address adolescents’ persistent inability to obtain and use contraceptives. We must move away from one-size-fits-all approaches, from a ‘condoms-only’ mind set, from separate services for adolescents, from ignoring the appeal of pharmacies and shops, and from one-off-training to make health workers adolescent friendly. Our efforts to expand access to quality contraceptive services to adolescents must be combined with efforts to build their desire and ability to use them, and to do so consistently. In order for these changes to be made, action must be taken on several levels. This includes the formulation of sound national policies and strategies, robust programme implementation with monitoring, regular programmatic reviews, and implementation research. Further, high-quality collection, analysis, and dissemination of data must underlie all of our efforts. As we move ahead, we must also recognize and draw lessons from positive examples of large scale and sustained programmes in countries that have led the way in increasing contraceptive use by adolescents. Conclusion This unprecedented moment in history gives us a real opportunity to bring about transformational change, particularly when there is so much at stake.
机译：背景日益增长的是，青少年的健康和权利正在得到认可和优先于全球议程。这给我们带来了一个“永不论”的机会来解决青少年避孕。这是及时的，因为目前无法获得和使用避孕药的巨大数量的青少年。从研究证据和程序经验中，很明显，我们需要以不同的方式做些不同，以满足他们的需求/履行其权利。主体在此评论中，我们在几个关键领域呼吁采取行动以解决青少年的持续无法获得和使用避孕药。我们必须远离一个尺寸适合所有方法，从“仅限于避孕套的”思维集中，从青少年的独立服务，从忽略药房和商店的吸引力，以及从一次性培训来制作卫生工作者青少年友好。我们努力扩大对青少年的质量避孕服务的努力必须与建立他们的愿望和能力使用它们，并始终如一地结合努力。为了使这些更改进行，必须采取措施的几个层次。这包括制定健全的国家政策和战略，具有监测，定期编程审查和实施研究的强大计划实施。此外，高质量的收集，分析和传播数据必须利益。当我们前进时，我们还必须认识到从大规模和持续的计划的积极示例中识别和汲取教训，这些国家在越来越多的时候导致青少年避孕使用的方式。结论历史上前所未有的时刻为我们提供了一种实现转型变革的真正机会，特别是当股权有很多时。

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