Sexual Health

Engaging adolescents in SRHR and family planning: from priorities to action.

TL;DR

This project aims to co-design a culturally relevant sexual and reproductive health (SRH) toolkit for adolescents aged 12-19 in semi-urban Pakistan by directly involving young people and key stakeholders through Priority Setting Partnerships, Participatory Action Research, and acceptability assessments.

Key Findings

Adolescents constitute a substantial portion of Pakistan's population yet face significant barriers to accessing sexual and reproductive health knowledge and services.

  • Adolescents make up to 23% of Pakistan's population.
  • Barriers stem from both systemic and individual factors, including cultural norms and low health literacy.
  • The target population is young people aged 12-19 years from semi-urban communities in Pakistan.

The project employs three distinct research components to co-develop the SRH toolkit.

  • First component: a Priority Setting Partnership (PSP) involving surveys and workshops to identify priority SRH topics.
  • Second component: a Participatory Action Research (PAR) approach using focus groups and interviews with adolescents, with youth champions facilitating peer education sessions.
  • Third component: an acceptability assessment conducted through workshops and surveys with stakeholders and young people to ensure the toolkit aligns with their needs and preferences.

The planned SRH toolkit will cover a range of key reproductive health topics relevant to adolescents.

  • Topics include contraception, safe abortion, and gender-based violence, among others.
  • The toolkit will be developed collaboratively in three languages: English, Urdu, and Sindhi.
  • The toolkit will be made accessible both online and in print.
  • All materials will be reviewed by participants before finalization.

Youth champions are incorporated into the research design as peer educators to help shape toolkit content.

  • Youth champions will facilitate peer education sessions as part of the Participatory Action Research component.
  • This approach seeks to enhance adolescents' knowledge, participation, and decision-making in SRH care.
  • The project centers adolescent voices in the co-creation process to promote accessibility and agency.

Dissemination of project findings is planned through multiple channels targeting stakeholders, communities, and policymakers.

  • Planned dissemination channels include stakeholder workshops, community meetings, reports, and peer-reviewed publications.
  • Additional channels include conferences, media engagement, and policy briefs.
  • The project seeks to support healthy adolescent development by strengthening SRH knowledge in young people in Pakistan.

What This Means

This research describes a planned project in Pakistan designed to address a significant gap: although adolescents make up nearly a quarter of Pakistan's population, young people there have very limited access to accurate information about sexual and reproductive health (SRH). Cultural norms and low health literacy are among the key barriers. Rather than designing health education materials without input from the people they are meant to help, this project takes a collaborative approach — working directly with adolescents aged 12 to 19 from semi-urban Pakistani communities to build a toolkit that reflects their actual needs and questions. The project uses three steps: first, surveys and workshops to find out which SRH topics young people consider most important; second, focus groups, interviews, and peer-led education sessions (led by trained 'youth champions') to shape the toolkit's content; and third, review workshops with both young people and other stakeholders to make sure the final product is acceptable and useful. The toolkit will cover topics such as contraception, safe abortion, and gender-based violence, and will be available in English, Urdu, and Sindhi, both online and in print. This research suggests that effective health education for young people works best when adolescents are actively involved in creating it rather than simply receiving information produced by adults. By centering the voices and priorities of young Pakistanis, the project aims to produce materials that are more likely to be trusted, understood, and used — potentially improving informed decision-making around reproductive health in a population that currently has very limited access to such information.

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Citation

S Lassi Z, Castleton P, Najmi H, Hayat S, Dhanwani A, Meherali S, et al.. (2025). Engaging adolescents in SRHR and family planning: from priorities to action.. Reproductive health. https://doi.org/10.1186/s12978-025-02073-3