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Adolescent sexual and reproductive health in El Salvador (English)

The aim of the study is to understand the sexual and reproductive health (SRH) behavior and determinants among adolescents in El Salvador using data from a survey of 1,258 adolescents’ aged 10-19 and 12 interviews with representatives from the Ministry of Health (MOH), Ministry of Education (MOE), nongovernmental organizations (NGOs), and United Nation (UN) agencies. The study found that adolescents were not educated enough on their sexual and reproductive health rights (SRHR), and have limited use of and access to contraceptives. Alcohol and violence were found to be associated with risky sexual behavior, requiring a multisectoral response from the government and civil society. Adolescents need to receive earlier and more accurate information on their SRHR; and this information should be disseminated in a way that empowers adolescents to make responsible decisions about their sexual reproductive health. The MOE can play a vital role in informing adolescents in this area, and adjust these programs when necessary. Further, the role of parents is critical, as the study found that adolescents are not receiving adequate and enough SRHR information from their parents. In addition, the MOH needs to offer adolescent-friendly health services, which includes trained health personnel. Although adolescents stated that the maternal and child health programs offered were satisfactory and the government has made an effort at educating adolescents on human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), both the promotion of contraceptive methods and monitoring adolescent SRHR remain as key challenges to be addressed by multisectoral interventions.


  • Author

    Cortez,Rafael A., Revuelta, Karin-Annabela, Guirola, Yolanda

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  • Document Type

    Working Paper

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  • Country

    El Salvador,

  • Region

    Latin America & Caribbean,

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  • Doc Name

    Adolescent sexual and reproductive health in El Salvador

  • Keywords

    Sexual Orientation and Gender Identity;maternal and child health;dropping out of school;allocation of health resource;human rights based approach;access to health information;prohibition of child labour;sexually active adolescent girls;Acquired Immune Deficiency Syndrome;unmet need for contraception;maternal mortality and morbidity;data collection and analysis;Reproductive Health;young people;risky sexual behavior;reproductive health rights;Sexually Transmitted Infection;human rights principle;sexually active adolescents;adolescent fertility rate;form of discrimination;human rights violation;participation and empowerment;adolescent-friendly health services;inequitable gender norms;violence against woman;universal human rights;attaining gender equality;access to information;lack of awareness;freedom of expression;multiple sexual partners;role in society;human rights instrument;adolescents with disabilities;reproductive health education;lack of knowledge;basic human right;public health system;standard of living;human rights institution;access to life;access to contraceptive;sexually active females;sexual reproductive health;initiate sexual activity;Human Immunodeficiency Virus;public interest litigation;onset of puberty;attitudes towards contraception;intimate partner violence;births to adolescents;gross national income;living in poverty;old age group;years of schooling;access to health-care;family and friends;risky sexual behaviour;premarital sexual activity;reproductive health outcomes;international human right;public health concern;adolescent pregnancy;rural area;adolescent boy;reproductive right;adolescent males;reproductive system;sexual pleasure;young age;unplanned pregnancy;adolescent females;sexual rights;social support;pregnant adolescent;gender inequalities;Gender Inequality;sexual abuse;Sexual Violence;young woman;non-governmental organization;common law;old adolescents;unmarried adolescent;marital status;female adolescents;young person;cultural practice;vulnerable group;maternal death;therapeutic abortion;civil society;Maternal Morbidity;food purchase;early age;sexual health;rural counterpart;social security;geographic location;conceptual framework;social determinant;pregnant woman;unsafe abortion;adult woman;regression analysis;analytical techniques;cultural right;important component;voluntary participation;social interaction;responsible behaviour;international health;holistic approach;gender difference;legal obligation;sex life;life circumstances;original manuscript;healthy development;school program;youth group;education council;school meal;accountability mechanism;parental consent;pregnant student;present study;youth access;sexual harassment;female condom;average household;financially support;large families;university student;trade school;cultural environment;informed consent;poor adolescents;wealth quintile;negative attitudes;healthcare provider;demographic information;representative sample;household level;intergenerational transmission;confidence interval;population share;social network;life prospects;postnatal services;abortion law;illegal abortion;female behaviour;sexual responsibility;sex education;financial benefit;early pregnancy;married woman;contraceptive knowledge;married counterparts;adolescent woman;married adolescents;quantitative method;total fertility;adolescent motherhood;fiscal resource;social program;raise awareness;unmarried woman;hiv transmission;average age;household benefit;study including;health economist;ethnographic analysis;youth population;global population;health challenge;educational program;women's right;international treaty;telephone line;urban household;monthly expense;religious event;responsible decision;old man;human capital;quantitative survey;social policies;social policy;noncommercial purposes;subsidiary right;accurate information;community association;contraceptive method;emotional change;sexual identity;gender equity;international support;pathfinder international



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Cortez,Rafael A. Revuelta, Karin-Annabela Guirola, Yolanda

Adolescent sexual and reproductive health in El Salvador (English). Health, nutrition, and population (HNP) discussion paper Washington, D.C. : World Bank Group.