CONTENTS

        Chapters
  1. Growing Numbers, Diverse Needs
  2. Growth, Change, and Risk
  3. Programs for Young Adults
  4. Evaluation Findings
  5. Winning Support from the Community and Young Adults

HIGHLIGHTS

Included with this issue: Population Reports is published by the Population Information Program, Center for Communication Programs, The Johns Hopkins School of Public Health, 111 Market Place, Suite 310, Baltimore, Maryland 21202-4012, USA


Volume XXIII, Number 3
October, 1995

Small Health Programs

Controversy and fear of controversy have blocked large-scale service- delivery programs in most countries (see Chapter 5.1, Building Community Support). For the most part, health officials and nongovernmental organizations have been able to win public and political support only for small programs that serve the needs of specific groups of young people with the most obvious, pressing health problems—groups such as pregnant girls, homeless youth, young prostitutes, and drug users. As a result, reproductive health services for youth—whether outreach clinics, condom distribution, or contraceptive counseling—have remained small, isolated efforts (see Table 9). The high rate of HIV infection among young people has led to increased support for small AIDS-prevention programs, which provide information, condoms, and training in negotiation skills to young people at high risk. The experience of these small, often innovative programs could inspire larger efforts if they were more widely known and accepted. For example, small programs provide some health services to young people in Jamaican youth centers, Ghanaian YWCA hostels, Mexican and Thai factories, and Cyprian night club districts (87, 95, 186, 479, 503). In Brazil and Tanzania pilot programs are experimenting with methods of training community workers and health care providers who work with young people (116, 372, 589).

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