Generating demand and community support for sexual and reproductive health services for young people: A review of the Literature and Programs

BACKGROUND: This review investigates the effectiveness of interventions aimed at generating demand for and use of sexual and reproductive health (SRH) services by young people; and interventions aimed at generating wider community support for their use. METHODS: Reports and publications were found in the peer-reviewed and grey literature through academic search engines; web searches; the bibliographies of known conference proceedings and papers; and consultation with experts. The studies were reviewed against a set of inclusion criteria and those that met these were explored in more depth. RESULTS: The evidence-base for interventions aimed at both generating demand and community support for SRH services for young people was found under-developed and many available studies do not provide strong evidence. However, the potential of several methods to increase youth uptake has been demonstrated, this includes the linking of school education programs with youth friendly services, life skills approaches and social marketing and franchising. There is also evidence that the involvement of key community gatekeepers such as parents and religious leaders is vital to generating wider community support. In general a combined multi-component approach seems most promising with several success stories to build on. CONCLUSIONS: Many areas for further research have been highlighted and there is a great need for more rigorous evaluation of programmes in this area. In particular, further evaluation of individual components within a multi-component approach is needed to elucidate the most effective interventions

Policy and knowledge in fisheries management:a policy brief

The EU project Policy and Knowledge in Fisheries Management investigated the use of biological knowledge in various parts of the fisheries system, using North Sea cod as a case study. The project examined the way scientific advice was generated from technical and institutional perspectives, as well as the way claims about science appeared in both policy-setting and in public debate through the press. The results suggested that many people involved in the system want a new way to reflect about science in management. People from all major stakeholder groups are calling for a more interactive system of producing a common knowledge base. Such a system could bring uncertainty from its current marginal role as the leftovers of certainty to the heart of the science process. It would requir