142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Very Young Adolescents in Humanitarian Contexts: Risks and Needs

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 12:50 PM - 1:00 PM

Jennifer Schlecht, MPH, MSW , Reproductive Health Program, Women's Refugee Commission, New York, NY
Sandra Krause, RN, MPH , Reproductive Health Program, Women's Refugee Commission, New York, NY
Courtland Robinson, PhD , Center for Refugee and Disaster Response, Johns Hopkins School of Public Health, Baltimore, MD
Linnea Zimmerman, PhD MPH , Department of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Anna Kågesten, MPH , Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Adolescent health and well-being is impacted by where you transition through these formative years.  In settings of conflict and displacement, adolescents are particularly vulnerable to forced and transactional sex, early marriage, early pregnancy, and STI transmission.  However, adolescents are rarely targeted in humanitarian programming.  Interventions are needed for young adolescents to prevent and protect them from early pregnancy and reproductive health related morbidity.  The WRC, in collaboration with Johns Hopkins University, International Medical Corps, and Save the Children, has implemented qualitative research in three humanitarian settings—among Syrian refugees in Lebanon, Somali refugees in Ethiopia, and Burmese refugees in Thailand.  Participatory methods, inclusive of photo elicitation interviews and community mapping explored gender norms, safety, traditional practices, awareness of body change, and relationship development.  Focus groups were implemented with adults.  A total of 32 group discussions were implemented in Ethiopia and Thailand and 16 more are planned for Lebanon.  Groups are disaggregated by age (10-12, 13-14, 15-16 and adult) and gender.  Data will be used to design programs that better meet the needs of this population.  Findings from research in each site suggest that issues such as early marriage, trafficking, sexual violence and other forms of gender based violence are concerns during early adolescence and for parents.  Communities want more programming to protect and educate youth.  Adults and adolescents identified a gap in health education and services for young adolescents.

Learning Areas:

Planning of health education strategies, interventions, and programs
Program planning
Provision of health care to the public
Public health or related public policy
Public health or related research
Social and behavioral sciences

Learning Objectives:
Explain participatory research methods used within this research Identify the unique needs and risks faced during early adolescents following conflict, identified through three research settings Discuss interventions in settings of insecurity that would help to address these needs and risks

Keyword(s): Adolescents, Refugees

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a student investigator or co-investigator on multiple studies of reproductive health of displaced populations, including maternal mortality, family planning, adolescent health, and the impact of population disruption on demographic estimation techniques. I have experience implementing both quantitative and qualitative studies in the field of reproductive health and conflict.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.