TY - JOUR T1 - What Does Not Work in Adolescent Sexual and Reproductive Health: A Review of Evidence on Interventions Commonly Accepted as Best Practices JF - Global Health: Science and Practice JO - GLOB HEALTH SCI PRACT SP - 333 LP - 340 DO - 10.9745/GHSP-D-15-00126 VL - 3 IS - 3 AU - Venkatraman Chandra-Mouli AU - Catherine Lane AU - Sylvia Wong Y1 - 2015/09/10 UR - http://www.ghspjournal.org/content/3/3/333.abstract N2 - Youth centers, peer education, and one-off public meetings have generally been ineffective in facilitating young people’s access to sexual and reproductive health (SRH) services, changing their behaviors, or influencing social norms around adolescent SRH. Approaches that have been found to be effective when well implemented, such as comprehensive sexuality education and youth-friendly services, have tended to flounder as they have considerable implementation requirements that are seldom met. For adolescent SRH programs to be effective, we need substantial effort through coordinated and complementary approaches. Unproductive approaches should be abandoned, proven approaches should be implemented with adequate fidelity to those factors that ensure effectiveness, and new approaches should be explored, to include greater attention to prevention science, engagement of the private sector, and expanding access to a wider range of contraceptive methods that respond to adolescents’ needs.The 1994 International Conference on Population and Development (ICPD) was a landmark event for adolescent sexual and reproductive health (ASRH). Thanks to the efforts of advocates from around the world, the pressing need to address the sexual and reproductive health (SRH) of young people including adolescents was acknowledged in the ICPD’s Programme of Action.1We submit that in 1994, while there was some awareness and understanding of the SRH needs and concerns of (mostly unmarried) adolescents in low- and middle-income countries (e.g., high rates of early and unintended pregnancy, early childbearing, unsafe abortion, and sexually transmitted infections), there was limited understanding of effective ways of responding to these needs and problems.2 The knowledge available at that time suggested that adolescents and young people lacked understanding of sexuality, reproduction, and sexual and reproductive health; that they were not getting the information and education they needed at home, at school, or elsewhere in their communities; and that they were neither able nor willing to obtain … ER -