our future: a lancet commission on adolescent health and ...€¦ · our future: a lancet...
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Our future: a Lancet Commissionon adolescent health and wellbeing
Johannesburg September 2016
Potential,Opportunity& Challenge
Thepu
bertalcascade
Latechildhoodandadolescentneurodevelopment
The largest generation in human history…..
“Young people are the world’s greatest untapped resource.”UN Secretary-General
Recommendations
1. Reframe adolescent health2. Match action to need3. Universal health coverage4. Intersectoral action 5. Engaging and empowering youth 6. Grow knowledge and capacity
Key Recommendations
A Broader Lens
Globaladolescenthealthtoday Adolescenthealthneeds
Longer and Broader Still
ActionsforHealth
CountryGroups
3
EpidemiologicalTransition
Globalhealthprofileof10- to24-year-olds
51%
Diseaseburdenbycountrygroups1990-2013
1. Reframe adolescent health2. Match action to need3. Universal health coverage4. Intersectoral action 5. Engaging and empowering youth 6. Grow knowledge and capacity
Key Recommendations
CurrentServices
Insurancecoverage
Moreservicescovered
Morecostscovered
Expandinghealthcarefor10- to24-yearolds
Responsiveplatforms
Schools
Primary Lowersecondary
Uppersecondary
48fewerbirthspaper1000
68fewerbirthspaper1000
Secondaryeducation:thebestinvestmentinadolescentandyouthhealth?
1. Reframe adolescent health2. Match action to need3. Universal health coverage4. Intersectoral action 5. Engaging and empowering youth 6. Grow knowledge and capacity
Key Recommendations
Youth Engagement and Empowerment
The Importance of Data
SOCIALDETERMINANTS
MULTIBURDEN
Population 10-24 years (000s) 54,000 Proportion % population 10-24 31 GNI per capita ($US) 2,710
[Lower-middle income]
Health expenditure per capita ($US) [WHO minimum expenditure $US44]
115
Health workforce density per 1,000 [WHO minimum density 2.3]
2
Mobile phone subscriptions per 100 [All ages]
73
Internet users per 100 [All ages]
38
Nigeria’shealthprofilefor10-24-year-olds
HEALTHRISKS
HEALTHOUTCOMES
Nigeria
21
Trends in burden of disease in South African adolescents
DALYs in South African adolescents
Health risk trends in South African adolescents
Knowledge & Processes for Accountable Action
26
Structural &Policy
SocialMarketing
Community E-healthM-health
Schools HealthService
SRH/HIV
Under-nutrition*SexualviolenceInfectiousdiseasesSuicide
Obesity
Evidenceonwhatworksforadolescenthealth?
*NotpregnantGoodevidence InsufficientevidenceMoreevidenceneeded Noreviewevidence
Driving Accountability
“This generation of adolescents and young adults can transform all our futures; there is no greater priority in global health than ensuring they have the resources to do so.”