1. Youth participation in sexual and reproductive health: policy, practice, and progress in Malawi
- Author
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Anne-Emanuelle Birn, Stewart Paul, Jannah Wigle, Brenda Gladstone, and Paula Braitstein
- Subjects
Male ,Malawi ,Economic growth ,medicine.medical_specialty ,Youth ,Health (social science) ,Adolescent ,Sexual Behavior ,Youth participation ,Youth engagement ,Context (language use) ,Participant observation ,Young Adult ,03 medical and health sciences ,Sex Factors ,0302 clinical medicine ,5. Gender equality ,medicine ,Humans ,030212 general & internal medicine ,Sociology ,10. No inequality ,Qualitative Research ,Health policy ,Reproductive health ,030505 public health ,business.industry ,Health Policy ,4. Education ,Public health ,Participation ,Age Factors ,Public Health, Environmental and Occupational Health ,Focus Groups ,Focus group ,Policy ,Reproductive Health ,Original Article ,Young people ,Female ,Reproductive Health Services ,Policymaking ,Sexual Health ,0305 other medical science ,business - Abstract
Objectives Ensuring youth participation in policymaking that affects their health and well-being is increasingly recognized as a strategy to improve young people’s reproductive health. This paper aimed to describe the policy context and analyze underlying factors that influence youth participation in sexual and reproductive health (SRH) policymaking in Malawi. Methods This critical, focused ethnographic study is informed by postcolonial feminism and difference-centered citizenship theory, based on data collected from October 2017 to May 2018. Multiple research methods were employed: document analysis, focus group discussions, and “moderate” participant observation. Semi-structured interviews were conducted with key informants and youth, supplemented by open-ended drawing exercises with youth. Results Progressive policies and the presence of youth in some policymaking structures indicate substantial headway in Malawi. However, underlying structural and societal factors circumscribe young people’s lived experiences of participation. Conclusions Despite recent progress in involving young people in SRH policymaking, notable gaps remain between policy and practice. Recognizing and integrating young people in all stages of SRH policymaking is critical to catalyzing the social and political changes necessary to ensure their reproductive health and well-being. Electronic supplementary material The online version of this article (10.1007/s00038-020-01357-8) contains supplementary material, which is available to authorized users.
- Published
- 2020
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