Adolescents and Young People

In China, young people between the ages of 10 and 24 constitute one-sixth of China’s population of 1.3 billion and two-thirds of the 140 million migrant workers. 

This group is threatened by the consequences of its own sexual and reproductive behaviors and is increasingly at risk for HIV/AIDS, Despite evidence of growing demand, the existing policy and mechanism for providing reproductive health information, counseling, and services to unmarried youth are not comprehensive and adequate. 

In the 1990’s CFPA initiated ARH pilot project in some universities and high schools in Beijing and Shanghai with support from UNFPA. Based on the project’s experiences, CFPA, with technical support from PATH (Program for Appropriate Technology in Health), launched an innovative adolescent reproductive health project for 80 million adolescents in 12 provinces and 2 rural counties over a five-year period (2000-2005). CFPA developed programs for at-risk youth (out-of-school youth, unmarried sexually-active youth, migrants, and working youth) in urban communities in the selected provinces. The experiences have been extended to 120 counties.

The objectives of ARH projects

To increase adolescents' awareness of positive gender and human rights values and safer sexual practices.

To increase adolescents' access to and utilization of quality sexual and reproductive health services and counseling (adolescent-friendly services).

To create a safe and supportive environment for adolescent sexual and reproductive health (ASRH) programming at the national, community, home, and school levels.

To improve capacity of CFPA at the national level to respond to the reproductive health needs of adolescents.

Approaches

Life planning skills rather than simple dissemination of sexual education;
Peer education to empower adolescents to make their own decisions regarding sex rather than imposing on the youth;
Encouraging participation rather than lecturing, and Promoting youth-friendly reproductive health services.
Communication and outreach for behavior change to millions in-school, out-of-school and floating adolescents and youth aged 10-24, supported with advocacy and service interventions, addressing behavioral goals.

Goals of Behavior Change

Delaying advent of sexual activity;
Reducing the number of partners among those who are already sexually active; 
Preventing unwanted pregnancy; 
Preventing STI with special focus on HIV/AIDS;
Refusing coercive sex.
Because of the excellent results of the pilot projects in the cities, UNFPA has recognized CFPA as the executive agency for adolescent reproductive health education in Country Program 5.

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