January 25, 2016
Written by Suzanne Ehlers, President and CEO, PAI and Katja Iversen, CEO, Women Deliver
When Ephraim Kisangala describes what he sees as a physician in Uganda, his voice is heavy with the weight of his work. He tells the story of his patient Jovia,* a 14 year-old Ugandan girl who became pregnant after being raped by a family member. Jovia’s pelvis was too narrow and underdeveloped to deliver her baby, so Ephraim was forced to perform an emergency caesarean section. Jovia still hopes to pursue an education, though as a young, single mother it will not be easy.
Jovia’s story is not unique. The education of thousands of girls in Uganda has been derailed because they have experienced sexual violence, unintended pregnancy, or have suffered from an unsafe abortion. If more young people had access to contraception, safe abortions, and post-abortion care, there would be more girls in school and university.
In developing countries, nearly one in every five girls becomes pregnant before her 18th birthday, putting her health severely at risk. In fact, complications due to pregnancy and birth is one of the leading causes of death for girls 15-19 globally.
Young people—those under 30—constitute more than half of the world’s population; in some countries, young people make up as much as 80 percent. Their needs, their opportunities, and their choices not only define the world as we know, but how we want it. To take full control of their lives, young people need to protect their health and decide for themselves if and when to have children. This certainly cannot be done if they do not know about contraception and the different methods available, or are deprived access to quality family planning counseling and services. While some progress has been made in these areas, the pace has been far too slow, mainly due to lack of political will and insufficient funding. It is clear that there is an urgent need to accelerate the pace and secure political champions who are willing to speak out and act on reproductive health and rights.
Research shows that when you include young people in decision making and invest in their health, rights, and wellbeing, everybody wins. And the gains go beyond health. Nobody knows this better than the young people who are impacted by restrictive policies but who play a critical role in keeping their countries accountable for their promises.
Youth must be a factor in all advocacy planning—from funding youth-led advocacy programs to reserving seats for youth at the table. As we begin to tackle the Sustainable Development Goals, PAI and Women Deliver will do our part to make sure that young people are meaningfully included in developing, implementing, and evaluating the policies and programs that impact their lives.
This work is already underway. In fact, this week, hundreds of young advocates from around the world will participate at the International Conference on Family Planning in Indonesia. They’ll come together again this May at the Women Deliver 2016 Conference in Copenhagen to create a strategy for meaningful youth engagement, for youth, by youth.
We all have a role to play and we need to listen, learn, and elevate the voices of young people. They are not only our leaders of tomorrow, they are leaders of today, deserving of direct participation in public policy. As they say: nothing about us, without us.