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Youth participation in sexual and reproductive health: policy, practice, and progress in Malawi

Author

Listed:
  • Jannah Wigle

    (Dalla Lana School of Public Health)

  • Stewart Paul

    (Parent and Child Health Initiative (PACHI))

  • Anne-Emanuelle Birn

    (Dalla Lana School of Public Health)

  • Brenda Gladstone

    (Dalla Lana School of Public Health)

  • Paula Braitstein

    (Moi University
    Academic Model Providing Access to Healthcare (AMPATH)
    Dalla Lana School of Public Health)

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.

Suggested Citation

  • Jannah Wigle & Stewart Paul & Anne-Emanuelle Birn & Brenda Gladstone & Paula Braitstein, 2020. "Youth participation in sexual and reproductive health: policy, practice, and progress in Malawi," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(4), pages 379-389, May.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:4:d:10.1007_s00038-020-01357-8
    DOI: 10.1007/s00038-020-01357-8
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    References listed on IDEAS

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    1. Ford, J.L. & Browning, C.R., 2011. "Neighborhood social disorganization and the acquisition of trichomoniasis among young adults inthe United States," American Journal of Public Health, American Public Health Association, vol. 101(9), pages 1696-1703.
    2. Richards-Schuster, Katie & Pritzker, Suzanne, 2015. "Strengthening youth participation in civic engagement: Applying the Convention on the Rights of the Child to social work practice," Children and Youth Services Review, Elsevier, vol. 57(C), pages 90-97.
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