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Sexual Reproductive Health & RightsSexual Reproductive Health & RightsSexual Reproductive Health & Rights
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Arusha, Tanzania
Sexual Reproductive Health & RightsSexual Reproductive Health & RightsSexual Reproductive Health & Rights

Increase CSE Knowledge


Increase CSE Knowledge

Increase to 95% the number of young people aged 10-24 who Demonstrate Comprehensive Prevention Knowledge levels

End Child


End Child

16.5 Million women aged 20 -24 have been in union before 18 years. few countries have set the age of consent to marriage above 18 years.

GBV and Child Marriage


GBV and Child Marriage

1 in 3 girls has been forced to have sex before the age of 18. They experience violence and harassment in, around and on the way to school.




Reduce early pregnancies among young people by 75%. They remain high with at least 95% of ever pregnant girls being out of school.
About us

Sexual Reproductive Health And Rights

S exual health is an integral part of overall health, well-being and quality of life. It is a state of physical, emotional, mental and social well-being in relation to sexuality, and not merely the absence of disease, dysfunction or infirmity.

Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all people must be respected, protected and fulfilled. To maintain one’s sexual and reproductive health, people need access to accurate information and the safe, effective, affordable and acceptable contraception method of their choice. They must be informed and empowered to protect themselves from sexuality transmitted infections. And when they decide to have children, women must have access to services that can help them have a fit pregnancy, safe delivery and healthy baby.

Sexual & Reproductive Health.

Good sexual and reproductive health is a state of complete physical, mental and social well-being in all matters relating to the reproductive system.

Family Planning

Access to safe, voluntary family planning is a human right..

Maternal health

Notable progress has been made in reducing the maternal mortality ratio (MMR) in sub-Saharan Africa,

Adolescent Pregnancy

Girls aged 15-19 years are twice as likely to die during childbirth as women 20 years and above.


Effective comprehensive sexuality education (CSE) enables young people to adopt positive sexual behaviours.
1 k
Maternal Deaths Averted
1 m
Unintended Pregnancies Averted
1 m
Unsafe Abortions Averted
1 k
New HIV Infections Averted

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Young People

WHO defines ‘Adolescents’ as individuals in the 10-19 years age group and ‘Youth’ as the 15-24 year age group.While ‘Young People’ covers the age range 10-24 years.

Young people make up the largest and fastest growing proportion of the general population in East and Southern Africa. If young people have opportunities to realise their potential, this youth population ‘bulge’ could be an opportunity to renew the continent’s social and economic capital.

Yet our adolescents and youth face many risks as they navigate their lives – unemployment and economic exclusion, unwanted pregnancies, high maternal deaths, sexually transmitted infections (STIs) and gender-based violence.

Death in childbirth and HIV-related complications are the two main causes of mortality among young women in the region. A high proportion of girls do not want to fall pregnant but are not using contraception, and unsafe abortions continue to contribute to maternal deaths and injuries. When teenagers become mothers and fathers, they are often unable to reach their full potential. Due to the sheer number of young people, their sexual behaviour will shape the course of the entire African continent. It is, therefore, critical to invest in young people’s sexual and reproductive health. Research shows that investments in reproductive health protect the well-being of young people, maximize their potential for healthy and productive lives, and improve social and economic development.

The goals of the ESA Commitment are as follows:

Schools and other education institutions must deliver good quality sexuality education that is culturally appropriate, gender sensitive and informed by evidence.
CSE must be linked to accessible, affordable and effective health services and commodities for young people. This includes condoms, contraceptives, HIV counselling and testing, HIV/STI treatment, post-abortion care, safe delivery, prevention of mother-to-child transmission and other related services.
HIV remains a problem, with 430,000 new infections per year among young people aged 15-24; with young women still more heavily affected and with an increase of 50 per cent in deaths among adolescents living with HIV globally.
Adolescent pregnancy often brings detrimental social and economic consequences for a girl, her family and broader community, especially if it leads to a girl dropping out of school. The health risk for adolescents is also greater, with higher risks of birth complications and maternal mortality.
It is critical for countries in the region to make gender and rights a non-negotiable component of any response to the needs of adolescents and young people, and to enforce existing zero-tolerance policies and laws effectively. In addition, countries must identify child marriage hotspots and use the laws and existing policies to protect the rights of girls and young women.
Sexual and reproductive health and rights

TEST Your knowledge on sexual and reproductive health and rights

Sexual & Reproductive Health

Family Planning Adolescent Pregnancy Comprehensive Sexuality Education Maternal Health
Access to safe, voluntary family planning is a human right. Family planning is central to gender equality and women’s empowerment, and it is a key factor in reducing poverty. Yet in developing regions, an estimated 218 million women who want to avoid pregnancy are not using safe and effective family planning methods, for reasons ranging from lack of access to information or services to lack of support from their partners or communities. This threatens their ability to build a better future for themselves, their families and their communities.
Early childbearing, high fertility rates and inadequate access to maternal health services are the main contributing factors in the high number of maternal deaths among young women in Africa. Girls aged 15-19 years are twice as likely to die during childbirth as women 20 years and above. Coupled with HIV, complications during pregnancy and childbirth are the leading cause of death for young women aged 15-19 years, with 26 per cent of all maternal deaths occurring among adolescents. In the ESA region, adolescent fertility rates are either declining slightly or stagnant. However, ten countries have rates of more than 100 per 1000 live births. Unsafe abortion because of unwanted pregnancy is also common among adolescents. It is an indicator of girls’ and women’s unmet need for contraception. In sub-Saharan Africa, extreme poverty, inadequate access to reproductive health information and services, and restrictive abortion laws cause many women to resort to clandestine abortion providers to avoid unintended pregnancy, resulting in about 3 per cent obtaining unsafe abortions each year. Unsafe abortion is a major contributor to maternal deaths, with 14 unsafe abortions performed for every 100 births in Africa.
Effective comprehensive sexuality education (CSE) enables young people to adopt positive sexual behaviours. These include delaying the age of sexual debut, reducing the frequency of sex and number of sexual partners, and increasing use of contraception, especially condoms. The recent decline in HIV of more than 25 per cent in high burden African countries has been attributed to young people adopting protective behaviours as well as investments in programmes for young people. In the East and Southern Africa region, large numbers of adolescents attend primary school but do not complete it, nor progress to high school. In addition, many drop out due to unwanted pregnancies. Due to the goal of Universal Primary Education (UPE), many older adolescents are enrolling in primary education. However, in countries where age-appropriate CSE is not rolled out in the first years of primary education, many drop out before benefiting from the protective effects of CSE.
Notable progress has been made in reducing the maternal mortality ratio (MMR) in sub-Saharan Africa, which declined by 49 per cent over 23 years, from 990 deaths per 100,000 live births in 1990 to 510 per 100,000 in 2013. In the East and Southern African region, several countries have made progress towards MDG 5, in particular Rwanda, Ethiopia, Eritrea and Angola. Despite this good news, much remains to be done. An estimated 64,000 women died in childbirth in East and Southern Africa in 2013. Moreover, the majority of countries are far from reaching the Millennium Development Goal 5 target to improve maternal health. Countries heavily affected by HIV in East and Southern Africa have made little or no progress since 1990. Some ESA countries initially saw an increase in their MMR due to HIV & AIDS. However, this trend is now reversing in the context of increasing HIV testing and ART initiation for pregnant women. Conflict and political instability also negatively affect the MMR in the region. South Sudan, for instance, initially reported an extremely high MMR rate but this is now reversing. Although women who receive regular antenatal care are far more likely to give birth with a skilled health attendant and are better able to recognize the signs of complications before, during and after delivery, antenatal care coverage remains very low. In nearly half of all countries in the ESA region, more than 90 per cent of women make at least one antenatal visit. However, in countries where maternal mortality presents the biggest challenge among women of reproductive age, such as Ethiopia, fewer than half of all women make even one antenatal visit. In many countries, the quality of care is poor and while the first antenatal check-up may be free, women must pay for subsequent visits. Postnatal care coverage is not reported on by most countries in the region, particularly coverage for the 2-3 day postnatal visit. Where reported, the percentage is extremely low. Bleeding during pregnancy or childbirth accounts for one quarter of all maternal deaths in East and Southern Africa. Many lives are also claimed by high blood pressure, obstructed labour, HIV, malaria, tuberculosis and infections. Other important risk factors include women marrying and having babies while still in their teens, short intervals between births, and high numbers of lifetime pregnancies.

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