by By Iulia-Elena Cazan and Rebecca Oas, C-Fam
The World Health Organization (WHO) released a new guideline on preventing adolescent pregnancies in low and middle-income countries. The proposed framework advances a vision of sexual and reproductive health and rights (SRHR) for young people that promotes controversial ideas, and norm changes inconsistent with what governments have agreed to.
Revised for the first time in over a decade, the guideline focuses almost exclusively on preventing adolescent pregnancies through increased and prolonged contraception use, including “self-administered injectable contraception,” and access to sexuality education.
In its recommendations, the WHO frames adolescents’ choice to discontinue “contraceptive use due to side-effects, and due to changing life circumstances and reproductive intentions” in a negative light and as an obstacle to overcome.
The framework calls on mobilizing “[p]olitical, governmental, religious, traditional and other influential leaders” to “support the access to, uptake of, and continued use of contraceptives.”
The guideline also asks policymakers to ensure that laws on age and consent related to sexual activities are designed in such a way as to promote adolescents’ access to contraception. Such a move could mean lowering the age of legal consent or making regulations more flexible to enable young people’s access to contraception without stigma.
Critics note that an exclusive focus on mass contraceptive use among adolescents monopolizes the discourse on how to best prevent adolescent pregnancies and undermines efforts to tackle the problem holistically.