TAILIEUCHUNG - Including Married Adolescents in Adolescent Reproductive Health and HIV/AIDS Policy

It is not assumed that, when subjected to such "forces" of positive feedback, people do not try to find mechanisms with which to cope. The models assume that people do the best they can in the circumstances they face. What the models do is to identify conditions in which this is not enough to lift communities out of the mire. Turner and Ali (1996), for example, have shown that in the face of population pressure inBangladesh small land-holders have periodically adopted new ways of doing things so as to intensify agricultural production. However, the authors have shown too that this has resulted in an imperceptible improvement. | Including Married Adolescents in Adolescent Reproductive Health and HIV AIDS Policy Paper prepared for the WHO UNFPA Population Council Technical Consultation on Married Adolescents WHO Geneva 9-12 December 2003 Judith Bruce Shelley Clark Director of Gender Family and Development Assistant Professor International Programs Division Harris Graduate School of Public Policy Population Council University of Chicago jbruce@ sclark1@ Acknowledgments We are particularly grateful to Annie Dude University of Chicago who provided valuable and extensive assistance compiling the tables. We also wish to acknowledge the financial support of the World Health Organization the Bill Melinda Gates Foundation the . Department for International Development The Ford Foundation and The John D. and Catherine T. MacArthur Foundation all of which have supported a broad investigation into the conditions of married adolescents lives. In addition we thank Population Council staff members Amy Joyce Rachel Goldberg and Erica Chong for their help in preparing this manuscript. Contents The Traditional Omission of Married Why Are Married Adolescents at Risk .4 Early Marriage Brings Intensified and Often Riskier Sexual Exposure .4 Social Isolation Lack of Opportunity and Low Identifying the Policy Gap with Respect to HIV and Married Marginalisation of Married Adolescents in Prevailing Adolescent Sexual and Reproductive Health Lack of Prioritising Adolescents Within Safe Motherhood and MCH Common HIV AIDS Protection Messages Are Often Inappropriate for Married Adolescents .10 Exercises to Guide Country-Specific Assessments of HIV Risks Associated with Early Estimating Levels and Distribution of HIV AIDS in the Current Determining Prevalence of Early Marriage for the Entire Country and for Specific Subpopulations .12 Determining the Magnitude of the HIV Risks .

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