TY - JOUR
T1 - Prioritizing programming to address the needs and risks of very young adolescents
T2 - A summary of findings across three humanitarian settings
AU - Schlecht, Jennifer
AU - Lee, Catherine
AU - Kerner, Brad
AU - Greeley, Meghan
AU - Robinson, Courtland
N1 - Funding Information:
This supplement presents a body of research that examines the experiences and needs of adolescents, and most prominently, those 10–14 years of age, herein referred to as very young adolescents (VYAs), displaced from Syria, Somalia and Myanmar. The supplement aims to document the lived experiences of VYAs, whose circumstances have been impacted by conflict and displacement, in order to improve their protection and inform immediate and longer-term humanitarian health response for this population. Many of the research activities presented through this supplement were informed by the Blum et al. framework, and sought to understand factors that may hinder or support the achievement of the central goals outlined in the framework. Settings for research activities were selected based on feasibility and partnerships, as well as the ability to maximize variation across sites, including geographic region, phase of the emergency (acute, chronic, and post-conflict), and type of settlement (camp, local settlement, and host community). This research was managed by the Women’s Refugee Commission, thanks to support from the Centers for Disease Control and Prevention (CDC) and dissemination support from the Government of Canada. Consortium partners included Johns Hopkins School of Public Health-Department of International Health; American University in Beirut, Department of Epidemiology; International Medical Corps in Ethiopia; Adolescent Reproductive Health Network in Thailand; and Save the Children in Lebanon.
Publisher Copyright:
© 2017 The Author(s).
PY - 2017/11/14
Y1 - 2017/11/14
N2 - Background: Between 2013 and 2014, a series of qualitative and quantitative research efforts were undertaken in three conflict affected communities (Syrian refugees in the Bekaa Valley, Lebanon, Somali refugees in Kobe Refugee camp Ethiopia, and migrant communities from Myanmar settled in Tak Province, Thailand) that sought to understand the lived experiences of very young adolescents during emergencies. A research consortium that included the Women's Refugee Commission, Johns Hopkins University, American University in Beirut, International Medical Corps in Ethiopia, Save the Children in Lebanon and the Adolescent Reproductive Health Network in Thailand convened around these activities. Methods: The core research initiative, "Sexual and Reproductive Health Needs and Risks of Very Young Adolescents in Humanitarian Contexts" involved three phases of research: 1) A program needs assessment completed with key informants working on adolescent sexual and reproductive health in each context 2) qualitative research, that incorporated participatory approaches, with adolescents 10-16 years of age, and adults in the community in all three settings, and 3) A household survey with 10-14 year-olds in Ethiopia and Thailand. An additional phase of research was added in Lebanon and Ethiopia, to further explore the issue of child marriage which was a prominent experience identified within the core research initiative on very young adolescents. Results: This research supplement, exploring the experiences during early adolescence, highlighted the crucial role of education, prominent experiences of insecurity, existing knowledge on body change and fertility, peer and family relationships among this age group, as well as concerns around child marriage (Lebanon and Ethiopia), child labor (Thailand), and gender roles. Conclusion: Given the findings presented within this supplement, there are broad implications for work with very young adolescents by humanitarian actors in the settings where research was undertaken, and potentially, more broadly. Programs that promote health and well-being during early adolescence are critically needed in settings of conflict and displacement, and coordination among the diverse range of actors involved in such programming will be essential. Additionally, SRH programs for adolescents (10-14 years of age) in emergencies should include, at minimum, sensitive care for survivors of sexual violence, menstrual hygiene management, life skills, and fertility education. Humanitarian programs can better engage with parents, teachers, and community leaders as partners in the development and implementation of programs. Finally, fundamental rights to protection and education for all adolescents must be upheld.
AB - Background: Between 2013 and 2014, a series of qualitative and quantitative research efforts were undertaken in three conflict affected communities (Syrian refugees in the Bekaa Valley, Lebanon, Somali refugees in Kobe Refugee camp Ethiopia, and migrant communities from Myanmar settled in Tak Province, Thailand) that sought to understand the lived experiences of very young adolescents during emergencies. A research consortium that included the Women's Refugee Commission, Johns Hopkins University, American University in Beirut, International Medical Corps in Ethiopia, Save the Children in Lebanon and the Adolescent Reproductive Health Network in Thailand convened around these activities. Methods: The core research initiative, "Sexual and Reproductive Health Needs and Risks of Very Young Adolescents in Humanitarian Contexts" involved three phases of research: 1) A program needs assessment completed with key informants working on adolescent sexual and reproductive health in each context 2) qualitative research, that incorporated participatory approaches, with adolescents 10-16 years of age, and adults in the community in all three settings, and 3) A household survey with 10-14 year-olds in Ethiopia and Thailand. An additional phase of research was added in Lebanon and Ethiopia, to further explore the issue of child marriage which was a prominent experience identified within the core research initiative on very young adolescents. Results: This research supplement, exploring the experiences during early adolescence, highlighted the crucial role of education, prominent experiences of insecurity, existing knowledge on body change and fertility, peer and family relationships among this age group, as well as concerns around child marriage (Lebanon and Ethiopia), child labor (Thailand), and gender roles. Conclusion: Given the findings presented within this supplement, there are broad implications for work with very young adolescents by humanitarian actors in the settings where research was undertaken, and potentially, more broadly. Programs that promote health and well-being during early adolescence are critically needed in settings of conflict and displacement, and coordination among the diverse range of actors involved in such programming will be essential. Additionally, SRH programs for adolescents (10-14 years of age) in emergencies should include, at minimum, sensitive care for survivors of sexual violence, menstrual hygiene management, life skills, and fertility education. Humanitarian programs can better engage with parents, teachers, and community leaders as partners in the development and implementation of programs. Finally, fundamental rights to protection and education for all adolescents must be upheld.
KW - Adolescents
KW - Health
KW - Humanitarian
KW - Refugee
KW - Sexual and reproductive health
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U2 - 10.1186/s13031-017-0126-9
DO - 10.1186/s13031-017-0126-9
M3 - Review article
AN - SCOPUS:85034012887
SN - 1752-1505
VL - 11
JO - Conflict and Health
JF - Conflict and Health
M1 - 31
ER -