What is the experience of youth-friendly services designed to help non-pregnant teenagers delay childbearing and improve their reproductive health?
There are mixed conclusions from US studies that have assessed the impact of specialized youth services to improve contraceptive use and help young women delay pregnancy. • In a US study, six family planning clinics introduced a special protocol that addressed adolescents’ psychological and social concerns. Elements of the service included: one-to-one counseling; delaying the pelvic exam (which many teenagers often fear); special staff training; trained teenage counselors; involvement of male partners; encouragement of parental involvement; additional time for discussion; more frequent follow-up visits; and other refinements. The intervention resulted in higher rates of contraceptive continuation and lower pregnancy rates (within one year) among clients in the experimental group than in the control group. 10 • A US study looked at the effect of an ambitious effort to expand family planning services directed at teenagers in the area near the clinic. Among the added strategies were expan
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