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""#iiifVm݌  Ќ  fVm  fVmn0     I.INTRODUCTION#!!G". ""#1fVmn݌   Ќ  fVm  fVm.0     II.ADOLESCENTREPRODUCTIVEHEALTHINTODAYSWORLD#!!G".>""#2fVm.J݌   Ќ  fVm  fVm0     III.PROGRESSSINCETHE1994_ICPD_Ԁ#!!G".-""#3fVm1݌   Ќ  ~!  ~!0  0` ""    A.RightsandPolicy#!!G".HH$` "` "#3~!#݌   Ќ  ~!  ~!0  0` ""    B.ProgrammingforAdolescentReproductiveHealth#!!G".@` "` "#4~!݌   Ќ  fVm  fVm0     IV.CONSTRAINTSANDAPPROACHESTOOVERCOMETHEM#:!:!F".:""#10fVm݌ |  Ќ  fVm  fVm0     V.KEYFUTUREACTIONS#:!:!F". ""#19fVm݌ t Ќ  ~!  ~!| 0  0` ""    A.AdvocacyforAction#:!:!F".``&` "` "#19~!| ݌ p Ќ  ~!  ~!W 0  0` ""    B.FosteringAnEnablingEnvironment#:!:!F".5` "` "#20~!W r ݌ l Ќ  ~!  ~!A 0  0` ""    C.ProgrammesforAdolescents#:!:!F".-` "` "#22~!A \ ݌ h Ќ  ~!  ~!# 0  0` ""    D.StrengtheningKnowledgeforAction#:!:!F".5` "` "#25~!# > ݌ d Ќ  ~!  ~! 0  0` ""    E.ResourceMobilization#:!:!F".(` "` "#27~! ( ݌ ` Ќ  fVm  fVm 0     VI.CONCLUSIONS#:!:!F".H H ""#28fVm ݌ X Ќ  fVm  fVm0     Annex1:Agenda#:!:!F". ""#31fVm݌ L Ќ  fVm  fVmm0     Annex2:Participants,ObserversandSecretariat#:!:!F".:""#41fVmm݌ D  Ќ  fVm  fVmN0     Annex3:DocumentsDistributed#:!:!F".(""#50fVmNj݌ <" Ќ    _i_#Xu3X$#Xu3XXXu3USUK.,8RR#Xu3XXXu3#UK.,US.,RXXu3#XeX1#RXXu3  &R 1P,- REXECUTIVESUMMARY     TheRoundTableonAdolescentSexualandReproductiveHealthmettoreviewprogressmadetowardstheimplementationoftherecommendationsofthe1994InternationalConferenceonPopulationandDevelopment(_ICPD_)inCairo,identifyconstraintsandproposekeyfutureactions.Thesefindingswillbereportedtothemorethan120countriesthatwillattendthe_ICPD_+5InternationalForuminFebruary1999,andtotheUnitedNationsGeneralAssemblySpecialSessiononthereviewandappraisaloftheimplementationofthe_ICPD_ԀProgrammeofActionon30June2July1999. AdolescentReproductiveHealthinTodaysWorld  p      TheRoundTablenotedtheimportanceofcurrentadolescentsexualandreproductivehealthconcerns.Theworldnowhasthelargestgroupofadolescentsinhistory,withsome85percentlivingindevelopingcountries.Changingconditionshavebroughtrisksaswellasopportunities.Whileearlymarriageandsomeharmfultraditionalpracticesarediminishing,measurestopreventunwantedpregnancyandsexuallytransmitteddiseases(STDs)amongadolescentsremaininadequate,andthereisanalarmingriseinHIVinfectionamongyoungpeople.Inadditiontothesereproductivehealthissues,whicharebeginningtobebetterdocumented,thereremainareasofspecialconcernwhichneedmoreresearchandpolicyconsideration.Theseincludesexualabuseandexploitation,includingtrafficking,ofchildrenandyouth. ProgressSincethe1994_ICPD_  \   TheconsensusoftheRoundTablewasthatconsiderableprogresshasbeenachievedonanumberoffronts.Therightstoreproductivehealthofadolescentsaregraduallybeingrealized,andmorecountriesareformulatingpoliciesandinitiatingeffectiveprogramming.Increasedprogrammeevaluationhascreatedaconsensusaroundprinciplesforeffectiveaction.Aholisticandintegratedapproachtothereproductivehealthneedsofyoungpeopleisnowrecognizedasthesurestwaytoprotectandenhancesexualandreproductivehealth.Adolescentparticipationintheprocessisgraduallyincreasingandgenderequalityhasimproved.Emphasisisbeingplacedonfosteringasafeandsupportiveenvironmentinboththehomeandworkenvironments,andtomakeinformation,education,counsellingandhealthservicesmoreaccessibletoadolescents.Crosssectoralcollaborationhasincreasedaswell.Thereismorecooperationacrossdisciplinesandamongdifferentorganizations,withgreaterprivatesectorinvolvement. ConstraintsandApproachestoOvercomeThem  $*t%&   Resistancetoprovidinginformationandservicestoaddressthesexualandreproductivehealthneedsofadolescentshasdeterredyoungpeoplefromseekinghelp.Programmesaretoonarrowly_focused_ԀandoftendonotengageyoungpeopleintheirR  )#R'workorintheirnaturalsettings.Financialconstraintspreventsuccessfulprojectsfrom#Xu3Xe#XXu3 /d*+ beingsustained,expandedorreplicated.Povertyremainsaformidableenemyofhealth.Actionisneededtostrengthentheknowledgeandskillsofpeopleinlocalcommunities  1\,- astheystruggletocreateamoreenablingenvironment.Differencescandiminishifpeopleunitearoundthewellbeingoftheiradolescentchildren.Coalitionscanbecreatedincommunities,andmechanismsestablishedforcooperationamonggovernment,nongovernmentalorganizations,theprivatesector,internationalagenciesandthedonorcommunity.Researchisneededtoexpandknowledgeofeffectiveprogrammesthatcansustainandexpandactiononascalelargeenoughtomeettheneedsofadolescents,includingthosemarginalisedbypovertyandlackofeducation.Betterindicatorsofadolescentdevelopmentwillhelpstimulateandmeasureprogress.Resourcesforinnovativestrategiesandinitiativesshouldbemoreaccessibletoyoungpeopleengagedaspartnerswithadults. KeyFutureActions      TheRoundTableparticipantsplacedspecialemphasisontakingactiontofoster   anenablingenvironmentbytargetingadultsintheircommunities.Theyalsofavouredgreateremphasisonpromotingaholisticandintegratedapproachtoadolescents,withoutlosingsightofthecentralimportanceoftheirsexualandreproductivehealth.Theparticipantsgavespecialattentiontocooperationacrosssectors,especiallywiththeprivatesector,theestablishmentofcoalitions,convertingadversariestoallies,andstrengtheningtheknowledgebaseforbetterpolicy,programmingandadvocacy.ThekeysuggestionsmadebytheRoundTableparticipants,includethefollowing:  *Equipadultstobetterhelpadolescents  *Expandnationalpoliciesandimplementrights  *Increaseandsustainyouthparticipation  *Establishbetterindicatorsofprogress  *Conductmoreevaluationofinitiatives  *Encouragecostsharingandinnovativefinancing#$# Conclusions  D!   TheRoundTableconcludedthatconsiderableprogresshasoccurredsincethe_ICPD_.Peoplearemorecommittedtoseeingthatadolescentsexercisetheirrightstosexualandreproductivehealth.Effectiveactionhasincreasedinmostcountries,andastrongandgrowingconsensushasarisenaroundkeyprinciplesofwhatworks.Increasedrecognitionisbeinggiventothevitalimportanceofthehealthydevelopmentofadolescentsinachievingsexualandreproductivehealthandtotheneedforintegratedapproaches.Thiscannotbedonewithoutadultsfromallsectorscreatinganenvironmentconducivefortheprovisionofinformation,education,skills,counsellingandservicesforadolescents.@aa)aA    RRRR 0+, RRRRR 1h,- RI.INTRODUCTION +  1.  The1994Cairo_ICPD_Ԁprovedtobealandmarkforadolescentreproductivehealth.  Itbroughttogetherpeoplefromvirtuallyallcountriesandculturesoftheworldtoaddresspopulationanddevelopmentissues.Delegatesreachedahighdegreeofconsensusonissuesregardingthesexualandreproductivehealthandwellbeingofyoungpeople.Thedifficultissuesraisedatthe_ICPD_Ԁneverthelessareonlypartlyresolved.Onereasonisthatadolescentsexuality,lyingattheheartofadolescentreproductivehealth,isanareaofgreatsensitivity.Adolescenceoccurswhentheindividualssexualresponseandreproductivehealthsystemsmature,bringingthepotentialforsexualrelations,prematurepregnancyandsexuallytransmitteddiseases(STDs).Todaythishappensassocietiesareundergoingrapidchange.Thetraditionalinfluenceofthefamilyhasdiminishedrelativetootherinfluences,whileyoungpeoplearelivinginconditionswhichdiffermarkedlyfromtheirparentsgeneration.Cairorecognizedthatyoungpeople ...arethemostimportantresourceforthefuture.ConsensuswasreachedontheurgencyofimplementingaProgrammeofAction_  #  1      _Ԁtomeet,amongotherthings,adolescents'needs, x withclearrecommendationsforadolescentreproductivehealth.2.  TheProgrammeofActionisspecific.Inthespecialsectiononadolescentsin l ChapterVII,onReproductiveRightsandReproductiveHealth,theobjectivesare: (a)toaddressadolescentsexualandreproductivehealthissues,includingunwantedpregnancy,unsafeabortionandsexuallytransmitteddiseases,includingHIV/AIDS,throughthepromotionofresponsibleandhealthyreproductiveandsexualbehaviour,includingvoluntaryabstinence,andtheprovisionofappropriateservicesandcounsellingspecificallysuitableforthatagegroup;and(b)tosubstantiallyreducealladolescentpregnancies.(7.44)TheProgrammeofActionalsostatesthat Countries,withthesupportoftheinternationalcommunity,shouldprotectandpromotetherightsofadolescentstoreproductivehealtheducation,informationandcareandgreatlyreducethenumbersofadolescentpregnancies.(7.46)3.  TheProgrammeofActionalsostatesasobjectivesinChapterVItheneed (a)to <" promotetothefullestextentthehealth,wellbeingandpotentialofallchildren,adolescentsandyouthasrepresentingtheworldsfuturehumanresourcesinlinewiththecommitmentsmadeinthisrespectattheWorldSummitforChildrenandinaccordancewiththeConventionontheRightsoftheChild;(b)tomeetthespecialneedsofadolescentsandyouth,especiallyyoungwomen,withdueregardfortheirowncreativecapabilities,forsocial,familyandcommunitysupport,employmentopportunities,participationinthepoliticalprocess,andaccesstoeducation,health,counsellingandhighqualityreproductivehealthservices;and(c)toencouragechildren,adolescentsandyouth,particularlyyoungwomen,tocontinuetheireducationinordertoequipthemforabetterlife,toincreasetheirhumanpotential,tohelppreventearlymarriagesandhighRZu\7eXXdXXd7  RRZu\7eXXdXXd7  Rriskchildbearingandtoreduceassociatedmortalityandmorbidity.(6.7) -`() Zu\7u3XXdXXd7  RZu \ #Xd#  R4.  Inotherwords,theProgrammeofActionrecognizedthatthesexualand  RZu\7u3XXdXXd7  Zu \ #Xd#  Rreproductivehealthofadolescentsdependsnotonlyonwhat they do,butalsoonwhat   adults dotoprovideemotionalsupportforadolescentsandcreateopportunitiesforthem  RZu\7u3XXdXXd7  Rtodeveloptheirfullpotential,aswellasensuringthattheyhaveaccesstohighquality,appropriateandaccessiblecounselling,information,educationandhealthservices.5.  TheRoundTableonAdolescentSexualandReproductiveHealthwasconvened   toexaminethefurtherimplementationoftheProgrammeofActionadoptedatthe_ICPD_.Thisreporthasfourmajorsectionswhichcoverthecurrentstateofadolescentreproductivehealth;progresssincethe1994_ICPD_;constraintsonachievingthe_ICPD_objectivesforadolescentsandhowtheymaybeovercome;andkeyactionsforthefuture.   II.ADOLESCENTREPRODUCTIVEHEALTHINTODAYSWORLD A     6.  TheRoundTablenotedtheseriousnessofadolescentsexualandreproductive  healthconcerns,especiallywithrespecttoemergingtrendsandhiddenissues.Theworldhasthelargestpopulationofadolescentsinhistory.In1995halftheworldspopulationwasunder25,includingmorethanonebillionadolescentsbetweentheagesof10and19.Nearly85precentofthemliveindevelopingcountries.Girlsremaindisadvantaged,thoughthegendergapisnarrowing.7.  Themeanageatmarriageisrising,althoughearlymarriageremainsaproblemin h manycountries.Theonsetofmenarchecomestypicallyearlier,however.Sexualrelationsoftenbegininadolescence,eitherduringorbeforemarriage.Althoughmoreadultsthaneverarenowusingsomeformofmoderncontraception,mostadolescentswhohavesexualrelationsdonotusecontraceptivesorcondomstopreventpregnancyorSTDsandHIV/AIDS.Adolescentpregnanciesandearlychildbirthendangerthehealthandlivesofbothmotherandchild.Inmanycases,adolescentgirlswhobecomepregnantandgivebirthforgoanychanceoffinishingtheireducationoroffindingsuitableemployment.Alargeproportionofadolescentpregnanciesareunwantedanditisestimatedthatasmanyas4.4millionabortionsaresoughtbyadolescentseachyear.8.  OneintwentyadolescentsisestimatedtobesufferingfromaSTD,often <&!" untreated,andmorethan50%ofnewHIVinfectionsoccuramong1524year_olds_,withyoungwomenbeingespeciallyvulnerabletoinfertilityandprematuredeath.Harmfulpracticessuchasfemalegenitalmutilationappeartobedecreasingbutcontinuetoposeahazard.9.  Inadditiontothesereproductivehealthissueswhicharebeginningtobebetter $,t'( documented,thereremainareasofspecialconcern,suchasthesexualabuseofadolescents,whereevidenceisjustbeginningtoemerge.Manyadolescentproblems,particularlyofanemotionalandsexualnature,remainhiddenbecauseyoungpeopleare /h*+ afraidtodiscussthem.Anxietiesaboutsexualfeelingsandsexualorientationareusuallykeptsecret,andignoranceexacerbatesmanyproblems.10.  Adolescentgirlsareespeciallyvulnerabletoreproductivehealthproblemsnotonly  becauseofpregnancybutbecauseoftheirlowersocietalstatus,comparedtoboys.Accordingly,specialattentionmustbegiventopromotetheirsexualandreproductivehealth.However,theRoundTablealsoemphasizedtheimportanceofaddressingtheneedsofadolescentboyswhoseconcernsareoftenoverlooked.11.  Adolescentsexualandreproductivehealthproblemsarecloselyintertwinedwith    otherindividualproblemsandunmetneeds.Forpeopletounderstandtheantecedentsandtakeeffectiveactiontopreventoramelioratethem,attentionmustbegiventothefamilial,social,culturalandeconomicaspectsoftheirenvironment.  III.PROGRESSSINCETHE1994_ICPD_Ԁ N t  12.  TheconsensusoftheRoundTablewasthatconsiderableprogresshasbeen p achievedonanumberoffronts.Therightsofadolescentsaregraduallybeingrealized,especiallyattheinternationallevel.Countriesrequestinghelparenowaskingnotjustwhattodobuthowtodoit.Thefocushasshiftedtoabroaderapproachtoaddressingsexualandreproductivehealthandtheneedtoachieveoveralleconomicandsocialdevelopmentoftheadolescent.Theheterogeneityoftheadolescentpopulationandtheirattendantdifferingneedsisreceivingmoreattention.Thestatusofwomenisimproving,asistheparticipationofyouthindevelopmentefforts.Greaterattentionisbeinggiventotheevaluationofwhatworks.Traditionallynarrowlystructured,orvertical,programmesaregraduallygivingwaytoamoreintegratedapproach.Consensusisbeingreachedonkeyprinciplesforeffectiveaction.Thereismorecooperationacrossdisciplines,amongdifferentorganizationsandbetweenthepublicandprivatesectors.Greaterattentionisbeinggiventotheimportanceofcreatingasafeandsupportiveenvironmentforadolescentsthroughestablishmentoffamilyandcommunitysupportsystems,relevantpoliciesandbetterprogramming.Ultimately,adultsmustcreateanurturingclimateforadolescentsandmakeavailablesoundinformation,education,counsellingandhealthservices.  A.RightsandPolicy T ('x"# 13.  Attheinternationallevel, the_ICPD_Ԁbuiltonthelegalfoundationsofthe1981 ()x$% ConventionontheEliminationofAllFormsofDiscriminationAgainstWomenandthe1989ConventionontheRightsoftheChild.The_ICPD_Ԁgaveastrongvoicetotherightsofadolescentstoreproductivehealthinformationandcare.Italsorecognizedthatyoungpeopleshouldbeinvolvedintheplanning,implementationandevaluationofadolescentreproductivehealthprogrammes.Inpreparationforthe42ndCommissionontheStatusofWomen,theUNDivisionfortheAdvancementofWomen,togetherwithUNICEF, /h*+ _UNFPA_,andtheEconomicCommissionforAfrica,convenedanExpertGroupMeetingonAdolescentGirlsandtheirRightsinOctober1997,whichstronglyadvocatedtheserights.ItsconclusionswerewellreceivedbytheCommissionontheStatusofWomeninMarch1998.Thesepowerfulinternationalendorsementsrepresentmajorstepsinadvancingarightsagendaforadolescents.14.  Atthe national level,asreportedinreviewsofcountryprogrammesaswellasin   nationalandregionalmeetings,manycountrieshaveformulatedpoliciesforadolescenthealth,givingspecificattentiontothesexualandreproductivehealthneedsofadolescents.Attemptsareunderwaytoharmonizelawsandregulationswithincountriestoachieveconsistencyacrosssectorsthatincludehealth,education,socialwelfare,labour,justice,religiousaffairs,andthemassmedia.Sucheffortsinvolvetheremovalofbarrierstoexistinginformationandservicesforadolescentsaswellasgreatereffortstomeettheirneeds.ExamplesfromCostaRica,GhanaandSouthAfricaweredescribedduringtheRoundTable.AninitiativebyWHO,_UNFPA_,UNICEFandAdvocatesforYouthisunderwaytoupdatethe1987WHOpublication, LawsandPoliciesAffectingAdolescentHealthwithRespecttoReproductiveHealth.#Xu3X#15.  XXu3D#Xu3Xs]#isseminatingInformationonRights XXu3Beyondtheestablishmentofguaranteed p rightsforadolescents,theimportanceofdisseminatinginformationtoyoungpeople,professionalsandthegeneralpublicisbeingrecognizedasanessentialcomponentofpopulationprogrammes.Twoexamplesarenoteworthy:the1995_IPPF_Ԁ Charteron l SexualandReproductiveRightsandthe1997CommonwealthSecretariat'sguideforyoungpeopletogovernmentagreements, GlobalCommitmentstoYouthRights.Acountryexampleisthe1996DanishFamilyPlanningAssociationpublication SexualandReproductiveHealthandRightsforYouth.  B.ProgrammingforAdolescentReproductiveHealth#Xu3X]# ` T  16. XXu3  AttentiontoEvaluation Thesuccessinidentifying,elaboratinganddisseminating @! informationaboutadolescentreproductivehealthhasstimulatedactionandthedemandforknowledgeaboutwhatiseffective.Thishasledtomoreprogrammesandprojectevaluationsaimedatincreasingtheknowledgenecessaryforstrategicinterventions.Althoughevaluationremainsinsufficient,therehasbeensomeprogressinthisarea.TwoexampleswerecitedattheRoundTable:theworkoftheFOCUSonYoungAdultsProgram,whichlooksatdifferentmodelsofhealthcare,includingthoseathealthfacilities,schools,outreachprogrammesandtheuseofsocialmarketing;andthe 1995 ,(|#$ WHO/_UNFPA_/UNICEF# d#ԀStudyGrouponProgrammingforAdolescentHealth,which ()x$% reviewedscientificevidenceontheeffectivenessofinterventionsforadolescenthealth,highlightedstrategiestoestablish,implementandsustainprogrammes,anddevelopedaframeworkforcountryprogrammingwithrecommendationsforactionbasedonthesefindings.#Xu3X#D#R .,- V X  RRV#X  RR""H"   `  RR񀀀RRRRRR .,- V X  R  RRRRRRoundTableon @  @`  @  @  @h  @  @ H@ AdolescentSexualandReproductiveHealth  X RV       V X  R@@ a FordFoundationHeadquarters,320E.43rdSt.,NewYork X RV X  V X  R@@!a1417April1998RV X  V X  RRV X  V X  RRationale  X RV X  V X  RRV X  V X  R  TheICPDgaveparticularattentiontothereproductivehealthneedsofadolescents.RV X  V X  RChapterVIIoftheProgrammeofActionhasasectiondevotedtoadolescents,withtheRV X  V X  Robjectives(7.44)ofaddressingadolescentsexualandreproductivehealthissues,andRV X  V X  Rsubstantiallyreducingalladolescentpregnancies.Countries,withthesupportoftheRV X  V X  Rinternationalcommunity,areurgedto protectandpromotetherightsofadolescentstoRV X  V X  Rreproductivehealtheducation,informationandcare.....(7.46),andGovernments,inRV X  V X  RcollaborationwithNGOs,areurgedto meetthespecialneedsofadolescentsandtoRV X  V X  Restablishappropriateprogrammestorespondtothoseneeds.(7.47)RV X  V X  RRV X  V X  R  Thisroundtablehasbeenorganizedtoreviewthestatus,achievements,RV X  V X  Rprogrammeexperiencesandpolicychangesthathavebeeninitiatedatvariouslevels,RV X  V X  RsincetheCairoConference,torespondtothereproductiveandsexualhealthneedsofRV X  V X  Radolescents.Specifically,themeetingaimstogeneratesuccessstories,lessonslearnedRV X  V X  RandconstraintsfacedbycountriesinimplementingtheICPDrecommendations.EachRV X  V X  Rsessioninthemeetingisexpectedtocomeupwithactionsatglobal,regionalandcountryRV X  V X  Rlevelsinordertoaccelerateprogressinthisarea.TheconclusionsincludingfutureactionsRV X  V X  RemanatingfromthismeetingwillbeconsolidatedinabackgroundreportforreviewbyRV X  V X  RtheInternationalForumscheduledforFebruary1999andasinputstotheSecretaryRV X  RGeneralsreportfortheSpecialSessionoftheGeneralAssemblyinJune1999.RV X  V X  R RV X  V X  RDay1(Tuesday,14April)  RV X  RRV X  R9:009:30 `  Registration   RV X  V X  RRV X  V X  V X  V X  V X  V X  V X  V X  V X  V X  R*U& ddbdd &""U,xdd +  !( "  !  OpeningSession l" ! ǭ9:309:40   WelcomeRemarks l$"# 0 l 0 l"l"0 " "0t " " Ms.VirginiaDavisFloyd,Director,FordFoundation l%#$t"t" 0 l 0 l"l"0 " "0t " " t"t" 9:4010:00OpeningStatement  l    0 t DrNafisSadik,ExecutiveDirector,UNFPA 0&$h(&'t"t" ( 0RV X  RRV X  R10:0010:30   Coffeebreak *<(( RV X  V X  R  +<)) V X  RV X  RRV X  V X  RRV X  V X  V X  V X  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  RR/!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  RR/!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  /!TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  RR/$TRYl3' LetterW@6&A4#3' Letter6&A4 SmallT  R*U & ddxdd & ""U,xdd +  !(  !  SessionI . PromotinganEnablingEnvironmentforARH d 10:3010:50 PurposeandOrganizationoftheRoundTable h   0 l 0 l"l"0 " "Mr.M.Nizamuddin,Director,TechnicalandPolicyDivisionh " "  10:5011:00Remarks   d 0 l 0 l"l"0 " "Ms.MargaretHempel,DeputyDirector,FordFoundation  " "  Chairperson:  `  Dr.JulietaRodriguezRojas,Founder,AdolescentProgramme,CostaRica   ` Rapporteur: Ms.BjorgThorsteinsdottir,President,IFMSA /%# \   ( /*,XX hXX*11:0011:30 `  PanelPresentations:   4     `  ProtectingReproductiveRightsofAdolescents   `   Dr.PramillaSenanayake,AssistantSecretaryGeneral,IPPF  ,|    `  DevelopinganARHYouthPolicyPostICPD $t    `  0 Dr.KwameAmpomah,Director,NationalPopulation $t Council, h      p Ghana p " "  11:3011:45  `  Discussant: h    `  0 Ms.WendyThomas,ChiefExecutive,PopulationConcern, h UK d " "    `    11:4512:30 `  Discussion   \      ` 0 ReviewoftheimpactoftherecommendationsoftheICPDontheevolutionofnationallawsandpolicies(aswellasremovalofbarriers)onadolescentreproductivehealthandreproductiverights  " "  12:3014:00 `  Lunchbreak     "P 14:0014:45 `  PanelPresentations:   $P 0  0` ""0 ` "` "UNFPAsupportedAdolescentSexualandReproductiveHealthandRightsProgrammes  " "    `   Dr.CharlotteGardiner,SeniorTechnicalOfficer, 'D##    `   TechnicalBranch,TechnicalandPolicyDivision,UNFPA    ` 0 SocioculturalandeconomicDimensionsofARH(FocusonTeen Pregnancy):ACriticalPerspective+4'' " "    `  0 Mr.ClaudioStern,Coordinator,ResearchonAdolescent ,4(( SexualityReproductiveHealth,ElColegiodeMexico -0)) " "    `  .,** /!TRY3' LetterWT6&A4 3' Letter6&A4T  р   `  AdvocacyforSexualandReproductiveHealthandRights     `  0 Ms.SeemaChouhan, Director,BetterLifeOptionsProgramfor  Youth,CEDPA (# (#  *U & ddxdd & (#(#U,xdd +    14:4515:000 0 " "LessonslearnedforFutureSuccess: d " " 0 l 0 l"l"0 " "FocusonYoungAdultsProgram  " "  l     H Ms.LindsayStewart,DeputyDirector,FOCUS   d 15:0015:30 `  Discussion @     ` 0 Focusonthesocialenvironmentandthefactorsthatfacilitateorhinder @  obstaclestoprovisionofARHinformationandservicesandtheirimplicationsforadvocacyandhealthpromotion. 8  (# (#   15:3016:00 `  Coffeebreak   0  16:0017:30 `  WorkingGroups 0     ` 0 ReviewoftheSessionpresentations/discussionsandsynthesisof 0 lessonslearned,constraints,andrecommendationsforfutureactions.  (# (#  17:3018:00 `  ##Reportbackfromworkinggroups $t 18:00   `  Reception $t . X,XX hX8.   `    EndofSessionOne $t    `     h Day2(Wednesday,15April) h     p  NOTE:AlloftodayssessionswillbeheldatConferenceRoom8,UNSecretariat  p   *U&ddxdd & (#(#U,xdd +  !( !h !#K#  10:0011:000 0 " "SpecialSessiononAdolescentPregnancyPrevention: |! " " 0 l 0 l"l"0 " "0t " "Dr.NafisSadik,Chairperson t"t" Ѐ @  Ms.JaneFonda,Presenter t$   @j j TheGeorgiaCampaignonAdolescentPregnancyPrevention, t% ! @"Atlanta,Georgia  p&!" @% OpenForum /%#l(#$ ( /11:0011:30 `  CoffeeBreak *%%  +&& *U&ddxdd &(#(#U,xdd +  !(  !(  SessionII.HealthPromotion d Chairperson:̀ Ms.GiseleMankamteYitamben,Director, d AssociationpourleSoutienetlAppuilaFemmeEntrepreneur,Senegal   h Rapporteur: Dr.VinyaAriyatne,SarvoyadaNGO,SriLanka /%# d  ( /~  *,XX hXX*11:3012:15 `  PanelPresentations: @     `  TeenConcernsandHowYoungPeopleMakeChoices   ` 0  Mr.SiyandaMacanda,YouthParticipant,SouthAfrica 8  (# (#     `      `  RHNeedsofAdolescents 4     `   Ms.ChristaHarding,YouthParticipant,AdvocatesforYouth,USA  4    `  DevelopingIECProgrammesBasedonARHNeeds 0    `   Dr.AshaMohamed,SeniorProgrammeOfficer,PATH  ,| 12:1512:30 `  Discussant: (x    ` 0 Ms.MargaretAcayo,CommissionerforYouth,MinistryofGenderand (x CommunityDevelopmentandformerProjectManager,PEARLProgramme,Uganda  (# (#    ` 12:3014:00 `  LunchBreak   l 14:0014:30 `  PanelPresentations: l    `  DistillingBestPracticesinARH !l    `  0 Ms.YolaWissa,ProjectDirector,YouthLeadershipDevelopment "h Project,Egypt #d (# (#    `      `  InnovativeApproachesforGeneratingDataonAdolescents   `  0 Dr.SolomonOrero,ViceChairman,CentrefortheStudyof &X!! Adolescence,Kenya 'T"" (# (# 14:3014:45 `  Discussant: (L$$    `  Ms.NellRasmussen,Director,FPADenmark  )L%% 14:4515:30 `  Discussion  +H''   0 ` 0 ` (#` (#ReviewofimpactoftheICPDonthedevelopmentofappropriate  information,educationandcommunicationapproachesandmaterialsnecessarytoinducebehaviourchangeamongadolescentstoensuretheirreproductivehealth;theconductofsocioculturalresearchtoidentifyneedsofadolescents,andindicatorsformonitoringandevaluatingquality,relevanceandeffectivenessofARHprogrammes.  (# (#  15:3016:00 `  Coffeebreak   16:0017:30 `   WorkingGroups     0  0` (#(#0 ` (#` (#Reviewofthesessionpresentationsanddiscussionstosynthesizeand   analyzelessonslearned,constraints,andfutureactionsrequired  (# (#  17:3018:00 `  Reportbackfromworkinggroups    Day3(Thursday,16April)  9:3010:00 `  Presentations:     `  SexualandReproductiveHealthEducation     `  0 Dr.EvertKetting,Coordinator,SexualandRHProgramme, @`!  @`!  @`!  @`!   NetherlandsSchoolofPublicHealth | (# (#    `  TheNeedtoDemystifySex   `   Ms.NadiaBlaja,YouthParticipant,RepublicofMoldova  p . X,XX hX.*U&ddxdd &(#(#U,xdd +   h 10:0010:150 0 " "Lessonslearnedfromasuccessstory: " " *,X tXX*0 l 0 l"l"0 " "PromotingGenderSensitivityandSexualityEducationinandoutofSchools  " " 6,Xz tX,X tX6 l    0 z Ms.MercedesMunoz,GeneralCoordinator,Venezuelan ! AssociationforAlternativeSexualityeducation(AVESA) #"z "z " #- ,XX,Xz tX-10:1510:30 `  Discussant : $@     ` 0 Ms.KetevanChkatarahvili,ZhordaniaInstituteofHumanReproduction,RepublicofGeorgia  (# (#  10:3011:00 `  CoffeeBreak )4%% R%(TRYl3' LetterYl3' Letter#3' Letter#3' LetterT  R   `     h EndofSessionTwo +4'' *U&ddxdd &(#(#U,xdd +  !(  !  SessionIII: @l  @ ProvidingYouthFriendlyServices  `  Chairperson:  \  Ms.RhaziJernitiHafida,CentredeSauvegardedelEnfanceetde  \  @  @`  @  @ lAdolescence,Morocco Rapporteur:   T Mr.RobertThomson,ADHUnit,WHO /%# T  ( / 7 -,XX hX,XX-11:0011:45 `  PanelPresentations : ,|  Ѐ   `  0    0 ` 0 ` (#` (#ImprovingtheAccessibilityandQualityofARHInformationand ,|  Services(x  (# (#    `   Dr.HerbertFriedman,ARHExpert,UK (x     ` 0  YoungPeoplesNeedsandFutureProgrammingforSexualand @l"  @l"  @l"   p ReproductiveHealthinDevelopingCountries l (# (#    `  0 Ms.JaneHughes,AssociateDirector,PopulationSciences,  (# (# 0  0` (#(#0 ` (#` (#0 (# (#TheRockefellerFoundation  (# (#    `  StrengtheningRHServicesandSexualityEducationfor   \    `  Adolescents:ARegionalPerspective  X    `   Mr.GlennLeckie,Director,StichtingLobi,FPA,Surinam and T    `   Ms.SuzanneCohen,ARHSpecialist,IPPFWesternHemisphere  X    `   RegionalOffice  \    ` 11:4512:00 `  Discussant:  X    `  Ms.ZhangZhirong,Director,ChinaPopulationWelfareAssociation   `  12:0012:30 `  Discussion  "P 0  0` (#(#0 ` (#` (#Analyticreviewofprogrammaticinitiativesinreachingadolescentswithdiverseneeds(gender,age,socioeconomicandmaritalstatus,inschool,outofschoolandstreetkids)indifferentsettings;negativemediaandrolemodels,etc.  (# (#  12:3014:00 `  LunchBreak   '<## 1 ,XX,XX hX 1  (<$$ %%TRY3' LetterY3' Letter 3' Letter 3' LetterT  R%%TRYl3' LetterYl3' Letter#3' Letter#3' LetterT  Oa)  R*U&ddxdd &(#(#U,xdd +    14:0014:15   Lessonslearnedfromasuccessstory: d  l    CounsellingServicesforYoungPeople d   l     t  Ms.AuroraSilayanGo,Director, d  l     t FoundationforAdolescentDevelopment,Philippines  ` -,XX hX,XX-14:1514:30 `  Presentation: <     `  TheRoleofPrivateFoundationsinResourceMobilizationfor   `  ARH   `  0 Ms.CarmenBarroso,Director,ProgrammeonGlobalSecurity 0  andSustainability(PopulationArea),JDandCMacArthurFoundation(x  (# (#  14:3015:30 `  Discussion   p    0  0` (#(#0 ` (#` (#Identificationofconstraintstoservicedelivery(knowledge,attitudes,practicesofadolescents;trainingandattitudesofserviceprovidersincludingservicedeliverystandards/norms;resourcemobilizationandconstraints.)  (# (#  15:3016:00 `  Coffeebreak  \ 16:0017:30 `   WorkingGroups   \ 0  0` (#(#0 ` (#` (#  (# (#    ` 0 GroupI/II 󀄀Focusonvariousapproachestoprovidingservicesin X responsetovariousneedsofyoungpeople,howyoungpeopleperceivetheseservicesandhowbarriertoaccesstotheseservicesareovercome;Reviewofthesessionpresentationsanddiscussionstosynthesizeandanalyzelessonslearned,constraints,andfutureactionsrequired  (# (#    ` 0 GroupIII 󀄀ReviewoftheimpactoftheICPDonIEC,FLEand !H sexualityeducationandcounsellingforadolescentsincludingthedevelopmentofcurricula,approaches,materialsandprogrammesforpeers,teachers,serviceproviders,parents,andcommunityleaders);schoolsystemsaspartners:formsofsexualityeducationacceptableinschool/outofschool;reachingyouthnotinschool;andlinkinginformationtoservices. '8## (# (#  17:3018:00 `  Reportbackfromworkinggroups  )0%%     `    h EndofSessionThree +0'' ROa&  R ,0(( Oa&  Day4(Friday,17April)   - ,XX,XX hX-*U&ddxdd &(#(#U,xdd +  !(  !   SessionIV: @  @ InnovativeApproachestoInvolveYouth inARHProjects  `  Chairperson: d  Dr.GiselaBlumenthal,HealthandPopulationAdviser,MinistryofForeignAffairs,  d Finland   ` Rapporteur: Mr.RoniLiyanage,AssistantYouthOfficer,IPPF/%# \  ( /, -,XX hX,XX-9:3010:00 `  PanelPresentations: 4     `     `  InvolvingtheCommunityinARHprogrammes    `   Ms.MouniraHammami,TunisiaWomensUnion,Tunisia  ,|     `  0 Ms.MonicaAntoinetteGutierrezGomez,YouthParticipant, (x PeruvianYouthCouncil,Peru $t (# (# 1 ,XX,XX hX.1*U&ddxdd &(#(#U,xdd +   l 10:0010:150 0 " "Lessonslearnedfromasuccessstory: " " ЀTheRoleofParentsandtheExtendedFamilyinARH 󀀀Mr.PeterPurdy,MargaretSangerCenterInternational   -,XX X,XX-10:1510:30 `  Discussant     `   Dr.PremaMathaiDavis,ChiefExecutiveOfficer,YWCA,USA   10:3011:00 `  CoffeeBreak    11:0011:45 `  PanelPresentations :      `        `  InnovativeYouthinitiatedApproaches !    `   Ms.NikeEsiet,ActionHealth,Inc.,Nigeria  "    `  InvolvingYoungPeople:TheAlgerianExperienceinAdolescent   `  SexualandReproductiveHealth   `   Ms.NadiaBellal,PopulationInitiativesforPeace,Algeria  &!!    `  ARHProgrammesThroughtheMassMedia  (##    `   Mr.MarkConnolly,HealthPromotionAdviser,UNAIDS   |*%% *U&ddxdd &(#(#U,xdd +     11:4512:00Lessonslearnedforfuturesuccess:DevelopingHIV/AIDSπEducationMessageswithandforYoungPeople:TheScenariosπfromtheSahelProject̀ Ms.KateWinskell,Coordinator,GlobalDialoguesTrust,Dakar  d 12:0012:30 `  Discussion H     `  Reviewofcommunitysupportsystemsandrelevantapproachesto H     `  ensurecommunityparticipationinARHprogrammes,innovative   `  approachestomobilizingcommunityresources,youngpeople,etc.   `  insupportofARHprogrammes  <  12:3014:00 `  Lunchbreak 8  *U&ddxdd &(#(#U,xdd +   8  14:0014:450 PanelPresentation:ActionforAdolescentHealth:Towardsa   CommonAgendaforEnsuringtheSustainabilityofARHProgrammesandServices Dr.ChandraMouli,MedicalOfficer,WHO;  Dr.BruceDick,SeniorHealthAdviser,UNICEF;Mr.JamesChui,Manager,YouthThemeGroup,UNFPA # " " #14:4515:30 `  Discussion    0  0` (#(#0 ` (#` (# Approachestocounterobstaclestoprogrammedelivery,monitoring  andevaluation;constraintsinupscalingpilotprojects,collaborativemechanismsandissuesofprogrammesustainability;and   recommendationsforfutureactions. (# (#  15:3016:00 `  Coffeebreak   *U &!ddxdd &(#(#U,xdd +  !(   ! 16:0017:00   FinalPlenarySession !` 0 l 0 l"l"0 " "0H  " "Dr.NafisSadik,Chairperson H "H "  l    FeedbackandKeyRecommendationsfromParticipants  $`  l     SynthesisandConclusionoftheMeeting  &\!! 0 l 0 l"l"0 " "0H  " "Dr.HerbertFriedman,GeneralRapporteur 0&$ '\""H "H " ( 0  <(#" X"OY(#D  Annex2:Participants,Observers#DC#ԀDandSecretariat#DC# CԈ X   RoundTableonAdolescentSexualandReproductiveHealth@@''NewYork,1417April1998 l #D#LISTOFPARTICIPANTS  0   AFRICA  ,  *U#&$ddxdd &!(#(#U,dd , dd , d +  *a (  *Name ?a* 4 a ?Title/Organization ?a* 4 a ?Country 4* 4 a 4Ms.MargaretAcayo    'P  'CommisionerforYouth,Ministryof   GenderandCommunityDevelopment,andformerProjectManager,PEARLProgramme '0  '3$|pX,XX X3c/oUNFPA,0 ckX$|pX0P.O.Box7184Kampala, Uganda  P  3VQ}X ckX3Tel.0 } (256)41341466p }"}" Fax.0 } (256)41236645 (4 }"}" (Dr.KwameAmpomah   4  Director,ReproductiveHealthandIEC 4 DivisionNationalPopulationCouncil    P.O.BoxM-76 4 Accra, Ghana  P Tel.0 } (233)21780426}"}" Fax.0 } (233)21662249 }"}" Ms.NikeEsiet  4  ActionHealth,Inc.  4! 54SomorinStreetIfako,GbagadaLagos, Nigeria  d$ Tel.0 } (234)1863198,%}"}" Fax.0 } (234)1861166H&}"}" email:ahi@linkserve.com.ng   ' Dr.SolomonOrero  d ( ViceChairman,CentrefortheStudyofAdolescence  (* P.O.Box19329Nairobi, Kenya  (, Tel.0 } (254)2570254/(254)2243320-}"}" Fax.0 } (254)2241674 \.}"}" Ms.GiseleMankamteYitamben _  X 2 DirecteurdeprojectAssociationpourleSoutienetl'AppuialaFemmeEntrepreneurorAssociationforSupporttoWomensEnterprises(ASAFE)  !7 BP5213Douala, Cameroon  x9 Tel.0 } (237)308690#yF#@:}"}" Fax.0 } (237)422970\ ;}"}" #-O#email:asafe@camnet.cm  !<  #O# ARABSTATES  # = *w%&&dddd dd d #&$(#(#w,dd , dd , d +  *a %"? *Name ?a*t%#@a ?Title/Organization ?a*t%#Aa ?Country +!t%#Ba +Ms.NadiaBellal  '8%D ProjectManager,PopulationInitiativesforPeace(PIFP)  '8%F PolycliniquedeAinBenian,GouvernoratduGrandAlger, Algerie  '8%H Tel/Fax(213-2)302940  )&J "OY)X  R"OY)X  "OY-X  RMs.RhaziJernitiHafida  d CentredeSauvegardedelEnfanceetdelAdolesence,InstitutRoyaldeFormationdesCadresetdelaJeunesse  AvenueelNour,YaccoubElMansourRabat, Morocco  ( Tel.0 K 212-7690634#aQ#K(#K(#  Fax.0 K 212-7-692450 dK(#K(# Ms.MouniraHammami     TunisiaWomensUnion,Inspecticeprincipaldeleducation,̄ofwomenteachersleague  D   9,rueMohamedAbdou-MutuellevilleTunis, Tunisia    Tel.0 K (2161)257385H K(#K(# Fax.0 K (2161)757952  \K(#K(# Ms.YolaWissa   <  ProjectDirectorYouthLeadershipDevelopmentProject  ( x 351RamsisSt.SecondFloor,Cairo, Egypt  d  Tel./Fax(202)2710630Tel(202)403/3068email:effectiv@intouch.com#2U#     #CX#ASIA/PACIFIC  l  *w'&(dddd dd d %&&(#(#w,dd , dd , dd +  *a h  *Name ?a*a ?Title/Organization ?a*a ?Country +!a +Dr.VinyaAriyaratne  $t  HealthAdvisor,SarvoyadaMovement  $t! SarvodayaHQ98,RawatawattaRoadMoratuwa SriLanka  $ Tel.0 K (941)647159t%K"K" Fax.0 K (941)647084 8&K"K" Ms.MalaBannarjee  h) Head,DepartmentofVisualAids,McKinsey&Co.  T+ G-1417,C.R.Park,NewDelhi, India -110019 T- Tel.0 K (9111)6429352 l.K"K" Ms.AuroraSilayanGo   t/  President.,FoundationforAdolescent t0 Development  81 1140R.HidalgoStreetQuiapo,Manila, Philippines  83 Tel/FaxNo.(632)734-1788e-mail:fadinc@codewan.com.ph  5 Ms.ZhangZhirong  l6 Director,ChinaPopulationWelfareAssociation  08 No.12,Dahuisi,HaidianDistrict,Beijing, China 10008 0: Fax.0 K 861062173494#Y## ;K"K"  # )/e*OaEUROPE  "< *w+&,dddd dd dd '&((#(#w,dd , dd , d +  *a $> *Name ?a*$H ?a ?Title/Organization ?a*$H @a ?Country +!$H Aa +Dr.GiselaBlumenthal  '(#D HealthandPopulationAdviser,SocialDevelopment,MinistryofForeignAffairs  'd"F MinistryofForeignAffairs,Helsinki, Finland  'd"H Fax.0 K 358-9-1341-6428'(#IK(#K(# email:gisela.blumenthal@formin.fi  (#J  )/e**Oa*  R )/e**Oa*   )/e.*Oa.  RMs.KetevanM.Chkhatarhshvili  ( ZhordaniaInstituteofHumanReproduction  ( Kostavastr.37Tbilisi,380009 RepublicofGeorgia    Tel.0 K 995-32-987086`K(#K(# Fax.0 K 995-32-998108$t K(#K(# email:uwz@repro.org.ge  8  Dr.HerbertFriedman    ARHSpecialistandformerheadofADHUnit,WHO   T Ѐ27DWarwickSquarèPimilicoSWIV2AD̀London, UK    ЀTel./Fax.441716300762email:hlfriedman@aol.com  T  Dr.EvertKetting    CoordinatorFamilyPlanningandSexualandReproductiveHealthNetherlandsSchoolofPublicHealth  4  AdmiraalHelfrichlaan13527KVUtrecht, TheNetherlands  p  Tel.0 K 31-30-29132328 K(#K(# Fax.0 K 31-30-2913242L K(#K(# e-mail:e.ketting@tip.nl    Ms.NellRasmussen  h ExecutiveDirector,FPADenmark  h  SexogSamfundSkindergade28,Firstfloor,1159Copenhagen, Denmark  # Tel.0 K (45)33931010h$K(#K(# Fax.0 K (45)33931009,|%K(#K(# e-mail:nr@sexogsamfund.dk  @& Ms.WendyThomas   \( ChiefExecutive,PopulationConcern  H) 178-202GreatPortlandStreetLondonW1N5TB UK   , Tel.0 K 44(0)1716311546-K(#K(# Fax.0 K 44(0)1713233540X.K(#K(# email:wendyt@populationconcern.org.uk#k`# l/   LATINAMERICA   \0 *w-&.dddd dd d +&,(#(#w,dd , dd , d +  *a  X2 *Name ?a*l 3a ?Title/Organization ?a*l 4a ?Country +!l 5a + Dr.GlennLeckie   !6  Director, !7 StichtingLobi(FPA)  "8  FajalolistrNo.13 !9 Paramaribo, Surinam #k# ": Tel.0 K (597)400-960P#;K(#K(# Fax.0 K (597)400960$d<K(#K(# email:lobi@sr.net/gleckie@usa.net  $( = Ms.MercedezMunoz  0&!> GeneralCoordinator,AVESA(VenezuelanAssociationforAlternativeSexEducation)  '#A ApartadoPostal:3307CarmelitasCaracas  &D"C Venezuela Tel.0 K (582)518-081/(582)510212|(#EK(#K(# Fax.0 K (582)525-410 @)$FK(#K(# Dr.JulietaRodriquezRojas  ( ЄFounderofAdolescentProgrammēManageroftheNationalHealthCareπSystem    P.O.Box10105 d GerenciaDivisionMedicaCajaCostarricensedeSeguroSocial SanJose, CostaRica  `  Tel.0 K (506)257-9122(x K(#K(# Fax.0 K (506)2335682 < K(#K(# Mr.ClaudioStern   D    Coordinator,ResearchonAdolescent D   SexualityandReproductiveHealth,ElColegiodeMexico      ElColegiodeMexico D  CaminoalAjuscoNo.2010740 Mexico ,D.F.   Tel.0 K (525)6455955ext.4118 K(#K(# Fax.0 K (525)6450464X K(#K(# email:cstern@colmex.mx#m# l    SpecialInvitedSpeaker:USA   \  *w/&0dddd dd d -&.(#(#w,dd , dd , dd +  *a X  *Name ?a*l a ?Title/Organization ?a*l a ?Country +!l a +Ms.JaneFonda   GeorgiaCampaignonAdolescentPregnancyPrevention   1CNNCenterSuite1080SouthTowerAtlanta,Georgia30303 USA  `# Tel:(404)5245808Fax:(404)5245809email:c/ojan.memory@turner.com #u# \&  NGOs/FOUNDATIONS  P' *w1&2dddd dd dd /&0(#(#w,dd , dd , dd +  *a L) * Name ?a**a ? Title/Organization ?a*+a ? Country +!,a +Ms.CarmenBarroso  X- Director,ProgrammeonGlobalSecurityandSustainability(PopulationArea),JDandCMacArthurFoundation  0 140SouthDearbornSt.,Suite1100Chicago,Illinois60603, USA  2 Tel.0 K (312)726-80003K"K" Fax.0 K (312)917-0200 X 4K"K" Ms.SeemaChauhan  !5 CEDPADirector,BetterLifeOptionsforYouth  t"7 TheCentreforDevelopmentandPopulationActivities1717MassachusettsAve.,N.W.2ndFl.WashingtonD.C.,20036, USA  #L; Tel.0 K (202)667-1142$ <K"K" Fax.0 K (202)332-4496% =K"K" email:seema@cedpa.org  L&!> Ms.MargaretHempeland Ms.AlexandranaMarcelo  p  DeputyDirectorHumanDevelopmentandReproductiveHealthFordFoundationProgrammeOfficer    320East43rdStreetNewYork,NY10017 USA  ( Tel.0 K (212)573-5048K"K" Fax.0 K (212)351-3661dK"K" email:m.hempel@fordfound.orgTel.0 K (212)5734935 K"K" email:r.marcelo@fordfound.org  t  Ms.JaneHughes    AssociateDirector,PopulationSciences,RockefellerFoundation    420FifthAvenueNewYork,NY10018-2702, USA    Tel.0 K (212)869-8500X K"K" Fax.0 K (212)8528278l K"K" email:jhughes@rockfound.org  0  Mr.RoniLiyanage  8  Asst.YouthOfficer  8 !  RegentsCollege 8 " InnerCircle,RegentsPark,London, UK  L # NW14NSTel.0 K (44171)4877900 %K"K" Fax.0 K (44171)4877950 L&K"K" Dr.AshaMohamed   '  SeniorProgrammeOfficer,PATH   (  PATHHeadquarters ) 4NickersonStreetSeattle,WA98109-1699, USA  ,|+ Tel.0 K (206)285-3500D,K"K" Fax.0 K (206)285-6619-K"K" Internet:info@path.org  |. ЀDr.PremaMathai-Davis  0 ChiefExecutiveOfficer,YWCA,USA   $1  EmpireStateBuilding , $2  Suite301 3 350FifthAvenueNewYork,NY10118, USA  $t5 Tel.0 K (212)273-7800<6K"K" Fax.0 K (212)465-2281 7K"K" Mr.PeterPurdy  X8 DeputyDirectorforInternationalPrograms,MargaretSangerCenterInternational    ;  26Bleeker X< NewYork,NY11012, USA  = Tel.0 K (212)274-7270 >K"K" Fax.0 K (212)274-7299 X!?K"K" Mr.HernanSanhueza,M.D.andMs.SuzanneCohen  &!E RegionalDirectorInternationalPlannedParenthoodFederation,WesternHemisphereRegion,Inc.ProgrammeAdvisorAdolescents  &!K 120WallStreetNewYork,NY10005-3902, USA  t#M Tel.0 K (212)248-6400<$NK"K" Fax.0 K (212)248-4221%P OK"K" email:scohen@ippfwho.org  &!Q Dr.PramillaSenanayake  ,*|%U AssistantSecretaryGeneral,IPPF  ,*|%Y RegentsCollegeInnerCircle,RegentsPark,London, UK  (#[ NW14NSTel.0 K (44171)48779000*%]K"K" Fax.0 K (44171)4877950*D&^K"K" email:psenanayake@ippf.org  +'_ Ms.LindsayStewart  d DeputyDirector,FocusonYoungAdultsProgramme,FOCUS   1201ConnecticutAvenueN.W.,Suite501WashingtonD.C.20036-2645 USA   Tel.0 K (202)835-0818ext.230dK"K" Fax.0 K (202)835-0282(x K"K" e-mail:focus@pathfind.org  <  Ms.BjorgThorsteinsdottirPls.sendcommunicationsto:Skagasen7,109Reykjavik,IcelandFax:(354)5771020email:pres@ifmsa.org  d  InternationalFederationofMedicalStudentsAssociation(IFMSA)   X GeneralSecretariatFaculteitderGeneeskundeAMC-Meibergdreef15NL-1105AZAmsterdam    TheNetherlands  T  tel:31-20-5665366fax:31-20-6972316e-mail:ifmsa@amc.uva.nl    Ms.KateWinskell  D  Coordinator,ScenariosfromtheSahelProject,GlobalDialoguesTrust,Dakar  D# #mx#B.P.11589DakarPeytavin, Senegal#l#   $ Tel.0 K (221)8253554 %K"K" Fax.0 K (221)8240741H&K"K" 52DeanStreetNewcastleuponTyneNE11PGUnitedKingdomTel:441912329219Fax:441912326109## 0,  3OaAGENCIES  $- *w4&5dddd dd dd 1&2(#(#w,dd , dd , dd +  *a  / *Name ?a*40a ?Title/Organization ?a*41a ?Country +!42a +ЀMr.MarkConnolly  P4 HealthPromotionAdviser,UNAIDS  5 20,avenueAppiaCH1211Geneva27 Switzerland  d8 Tel.0 K (4122)7914461(9K"K" Fax.0 K (4122)7914165  :K"K" Dr.BruceDick  "< SeniorHealthAdviser,UNICEF  !D= 3UnitedNationsPlaza(TA25A)NewYork,NY10017, USA  "? Tel.0 K (212)8887465#@K"K" Fax:0 K (212)8246461/6470#`#D$AK"K" email:bdick@unicef.org  %X B Ms.JaneFergusonMr.RobertThomsonandDr.ChandraMouli  p)$G Chief,AdolescentHealthUnit,WHÒADHConsultant,WHOMedicalOfficer,ADHUnit,WHO  p)$L 20,avenueAppiaCH1211Geneva27, Switzerland  $'t"N Tel:41(22)7913369Fax:41(22)7914189email:fergusonb@who.ch  t)$Q 3Oa.  R3Oa.  3Oa2  RMs.VasanthaKandiah  d  Chief,FertilityandFamilyPlanning d Section  (  DESA,PopulationDivision d UnitedNations, NewYork, USA 10017  Tel.0 K (212)9633207##dK"K" Fax.0 K (212)9632147(xK"K" email:kandiah@un.org#O# <    6/eYOUTHPARTICIPANTS   ,  *w7&8dddd dd dd 4&5(#(#w,Sdd ,m dd , dd +  *a  (  *Name ?a*<  a ?Title/Organization ?a*< a ?Country +!< a +Ms.NadiaBlaja  X  YouthParticipant,c/oTheFamilyPlanningAssociationofMoldova  l  9MilescuSpataruStreet,Apt.106Chisinau, RepublicofMoldova  X  c/oMr.EinarSandved,UNFPARepresentative13,AurelVlaicuStreet,Bucharest2,RomaniaFax.0 K 401-201-5791 0K"K" Ms.MonicaAntoinetteGutierrezGomez  L PeruvianYouthCouncil(CJP)   Jr.SanBruno274,Depto.402,UrbanizacionSantaFlorencia,SanMiguel,Lima, Peru  `! Tel.0 K (511)2636220 ("K"K" Ms.ChristaHarding  0# Intern,AdvocatesforYouth   0$  1025VermontAve.,N.W.Suite200 0% WashingtonD.C.20005, USA #X# D& Tel.0 K (202)3475700## 'K"K" Fax.0 K (202)347-2263(K"K" email:christa@advocatesforyouth.org  D) Mr.SiyandaMacanda  * Student,Youthessaycontestwinner  + P.O.Box1880KingWilliamsTown5600 SouthAfrica  $t. Tel.0 K (433)341298/K"K" email:e97m3277@dolphin.ru.ac.za#"# 0  (X(#(#(  +&; AdditionalinviteestotheSpecialSessiononAdolescentPregnancyPrevention & &Ms.JillSheffield % ? FamilyCareInternational588Broadway,Suite503,NewYork,N.Y.10012Mr.SteveSinding,DirectorofPopulationSciences&& && ) %D #& &&&#& & &&RockefellerFoundation *%E 420FifthAvenue,NewYork, +&F 6/e/  R6/e3  RN.Y.100182702FAX:2127643468#& & &&ޡ#  Ms.NoeleenHeyzerExecutiveDirector,UNIFEM304e.45thStreet,6thFloor,NewYork,NewYork10017Fax.(212)906-6705Ms.SharonEpsteinFOCUS,1201ConnecticutAvenue,N.W.Suite501,WashingtonD.C.200362645FAX:2028350282Ms.MargaretCatley-Carlson,PresidentThePopulationCouncilOneDagHammarskjoldPlazaNewYork,N.Y.100172201FAX:7556052Ms.JeannieRosoff,PresidentAlanGuttmacherInstituteNewYorkandWashington120WallStreet,NewYork,NY10005FAX:248-1952# &&Š#& & @ Ms.BethFredrickAlanGuttmacherInstituteNewYorkandWashington120WallStreet,NewYork,NY10005FAX:248-1952# &&!#& & P Ms.AdrienneGermain,PresidentInternationalWomen'sHealthCoalition24East,21stSt.,NewYork,N.Y.10010Tel:(212)9798500;Fax:(212)9799009# &&#& & 8"# Ms.CorinneN.C.Whitaker,Ph.D.ProgramOfficer:AfricaInternationalWomen'sHealthCoalition24East21Street,NewYork,NY10010Tel:(212)9798500;Fax:(212)9799009email:iwhc@igc.apc.org# &&ݦ#& &  (p#* Ms.PeggyCurlin,PresidentCentreforDevelopmentandPopulatioǹActivities(CEDPA)1717MassachusettsAvenue,N.W.2ndFloor,WashingtonD.C.20036FAX:2023324496 .X)1 ЇMs.SusanDavis,ExecutiveDirectorWEDO355LexingtonAve.,NewYork,N.Y.10017Dr.AwynCohallDirector,DivisionofAdolescentCareAmericanAcademyofPediatrics141NorthWestPointBlvdElkGroveVillage,Illinois60007-1098FAX:8472285097Mr.JamesWagoner.PresidentAdvocatesforYouth1025VermontAve.,N.W.Suite200,WashingtonD.C.20005Ms.AnikaRahman,PresidentCenterforLawandReproductiveHealthPolicy120WallSt.,NewYork,N.Y.10005LucilledeLucena(RepresentingMs.GloriaFeldt,Pres.andCEO)Director,FPIAOperationsPlannedParenthoodFederationofAmerica810SeventhAvenue,NewYork,NewYork10019;Fax(212)2451845Dr.KarusaKiraguJohnsHopkinsUniversityCenterforCommunicationPrograms111MarketPlace,Suite310Baltimore,MD212024012FAX:4106596266Mr.PeterRobertsJohnsHopkinsUniversityCenterforCommunicationPrograms111MarketPlace,Suite310Baltimore,MD212024012FAX:4106596266# &&#& &PatrickL.Coleman,DeputyDirector,CCPSchoolofHygieneandPublicHealth111MarketPlace,Suite,310Baltimore,Maryland212024024Tel:(410)6596300;Fax:(410)6596266email:pcoleman@jhuccp.org# &&ج#& & X,'` # &&#& & .X)b Mr.BillAngel,Officer-in-ChargeandMs.KarinJohanson,JPO# &&@#& &  YouthUnit,UnitedNations,NewYork,N.Y.Mr.PranayGupte,ExecutiveDirectorandMs.AshaliVarma# &&֮#& &,TheEarthTimes 8 Mr.MilesStoby,ExecutiveDirectorUNPartnershipTrustFundSmitaPamar,MPH,DirectorofInternationalPrograms,SIECUS130West42ndStreet,Suite350,NewYork,NY10036tel:(212)8199770;fax:(212)8199776email:siecus@siecus.org# &&#& & X    (X(# &&#Xu3X SecretariatforthisRoundTable:  @ StirlingScruggs,ICPD+5CoordinatorM.Nizamuddin,Director,TechnicalandPolicyDivision#XXu3#Xu3X  DeliaBarcelona,RoundTableFocalPoint#XXu3k#Xu3X  JamesChui,YouthThemeGroup#XXu3#Xu3XԀManager  RichardOsborn,SeniorTechnicalOfficerCharlotteGardiner,SeniorTechnicalOfficerPeterMcCormick,InformationAdviserAlmazWoldeMariam,Programme/AdministrativeAssistantNicoleSantistevan,Assistant#XXu3^#Xu3X ("x  VictoriaRector,Assistant#XXu3#Xu3XVasanthaKandiah,FocalPoint,PopulationDivision $< # HerbertFriedman,GeneralRapporteur#XXu3# &"% Ї D9?T  -(#  Annex#DƵ#3:DDocumentsDistributed#DM# Ԉ    RoundTableonAdolescentSexualandReproductiveHealth    NewYork,1417April1998   ̶6,Xr` XVQ}X61.0 r OpeningStatement, Dr.NafisSadik,ExecutiveDirector,UNFPA r(#r(# 2.0 r WelcomeRemarks ,Ms.VirginiaDavisFloyd,Director,FordFoundation r(#r(# 3.0 r  TheSexualandReproductiveHealthofAdolescents:AReviewofUNFPA   ProgrammeExperiences (BackgroundPaper)presentedbyDr.CharlotteGardiner,   UNFPA r(#r(# 4.0 r  TowardsaCommonAgendaforEnsuringtheSustainabilityofARH   Programmes,Framework preparedbytheJointStudyGroupfromWHO,UNICEF  andUNFPA r(#r(# 5. WHO/UNICEF/UNFPATechnicalReporton ProgrammingforAdolescent   r HealthandDevelopment   6. r  YouthHealthforChange ,UNICEFNotebookonProgrammingforYoungPeoples   r HealthandDevelopment7. r  ProtectingtheReproductiveRightsofAdolescents ,presentationoverheadsby   r Dr.PramillaSenanayake,IPPF8.0 r DevelopinganARHYouthPolicyPostICPD ,Dr.KwameAmpomah,National  PopulationCouncil,Ghana r(#r(# 9.0 r  SocioCulturalandEconomicDimensionsofAdolescentReproductiveHealth " (FocusonTeenPregnancy):ACriticalPerspective ,and TeenagePregnancyasa # SocialProblem:ACriticalPerspective ,bothpaperswrittenbyMr.ClaudioStern, $  ElColegiodeMexico r(#r(# 10.0 r  AdvocacyforSexualandReproductiveHealthandRightsandCEDPAsYouth '"# Programs presentationoverheadsbyMs.SeemaChouhan,Director,BetterLife (#$ OptionsProgramforYouth,CEDPA r(#r(# 11.0 r  LessonslearnedforFutureSuccess:FOCUSonYoungAdultsProgramme , |+&' presentationoverheadsbyMs.LindsayStewart,DeputyDirector,FOCUS r(#r(#  x-() 9?T1H  R9?T5H  R12.0 r  TeenConcernsandHowYoungPeopleMakeChoices ,presentationbyMr.  SiyandaMacanda,YouthParticipant,SouthAfrica r(#r(# 13.0 r  RHNeedsofAdolescents ,presentationbyMs.ChristaHarding,YouthParticipant,  AdvocatesforYouth,USA r(#r(# 14.0 r  DevelopingIECProgrammesBasedonARHNeeds ,presentationoverheadsbyDr.   AshaMohamed,PATH r(#r(# 15.0 r  AchievingYouthEmpowermentThroughPeerEducation ,projectmaterials    presentedbyMs.YolaWissa,YouthLeadershipDevelopmentProject,Egypt r(#r(#   16 .0 r InnovativeApproachesforGeneratingDataonAdolescents presentation   overheadsbyDr.SolomonOrero,CentrefortheStudyofAdolescence,Kenya r(#r(# 17.0 r  SexualandReproductiveHealthEducation ,abstractofpresentationbyDr.Evert  Ketting,NetherlandsSchoolofPublicHealth r(#r(# 18.0 r  TheNeedtoDemystifySex ,presentationmadebyMs.NadiaBlaja,Youth  Participant,RepublicofMoldova r(#r(# 19.0 r  PromotingAdolescentSexualandReproductiveHealth:ANonFormalSexuality | EducationProposalInandOutofVenezuelanSchools ,projectmaterials | presentedbyMs.MercedesMunoz,VenezuelanAVESA r(#r(# 20.0 r  ImprovingtheAccessibilityandQualityofInformationandServicesforthe t ReproductiveandSexualHealthofAdolescents abstractofpresentationbyDr. t HerbertFriedman r(#r(# 21.0 r  ImprovingtheFit:YoungPeoplesNeedsandFutureProgrammingforSexual l! andReproductiveHealthinDevelopingCountries paperwrittenbyMs.Jane l" Hughes,RockefellerFoundation,andMs.AnnP.McCauley,FOCUSonYoungAdultsProgram r(#r(# 22.0 r  StrengtheningReproductiveHealthServicesandSexualityEducationfor `&!" Adolescents ,presentationmadebyGlennLeckie,FPA,Surinam`'"#r(#r(# 23.0 r  NGOGovernmentCollaborationforAdolescentsHealth presentationoverheadsby \)$% Ms.SuzanneCohen,IPPFWesternHemisphere r(#r(# 24.0 r  CounsellingServicesforYoungPeopleandSuggestedFrameworkonAdolescent T,'( SexualityProblemsofFilipinoYouth presentationoverheadsbyMs.Aurora T-() SilayanGo,FoundationforAdolescentDevelopment,Philippines r(#r(# 25.0 r  AdolescentReproductiveHealth:InvolvementoftheCommunity presentation  overheadsbyMouniraHammami,TunisiaWomensUnion r(#r(# 26.0 r  SomeLessonsLearnedaboutMakingParentEducationProgramsWork    presentationoverheadsbyMr.PeterPurdy,MargaretSangerCenterInternational r(#r(# 27.0 r  InnovativeApproachestoInvolveYouthinARHProjects:ScenariosofPost   ICPDProjectsInvolvingYouth presentationoverheadsbyMs.NikeEsiet,Action    HealthIncorporated,Nigeria r(#r(# 28.0 r  TheAlgerianExperienceintheAreaofYoungPeoplesSexualandReproductive   Health:ResultsandFutureProspects (French&English),paperwrittenbyDr.   NadiaBellal,PopulationInitiativesforPeace,Algeria r(#r(# 29.0 r  ARHProgrammesThroughtheMassMedia ,presentationoverheadsbyMr.Mark  Connolly,UNAIDS r(#r(# 30.0 r  ScenariosfromtheSahelProject ,projectmaterialspresentedbyMs.Kate  Winskell,GlobalDialoguesTrust,Dakar r(#r(# 31. r  Comments madebyMs.BjorgThorsteinsdottir,President,IFMSA x 32. SummaryofIssuesandKeyFutureActionsfromtheRoundTable ,presentedby t  r theGeneralRapporteurXu3XUSUK.,  Copyright1998 d!  @r  @`  @  @ UnitedNationsPopulationFund @r  @`  @  @ 220East42ndStreet @r  @`  @  @ NewYork,N.Y.10017 @r  @`  @  @ USA @r  @`  @  @ ISBN:0-89714-515-1Priorpermissiontoquoteoradaptthismaterialdoesnotneedtobeobtainedfrom_UNFPA_,butappropriatereferencetothesourceshouldbemade.#Xu3XXXu3##XXu3#UK.,US.,