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Abstract：
BACKGROUND: The South African government has pioneered several policy documents that emphasise the importance of sexual and reproductive health (SRH).
OBJECTIVE: We examined how national policies address access and provision of contraception to adolescents in South Africa.
METHODS: South African national policies.
METHODS: We systematically searched various academic databases such as EbscoHost, Science Direct, Google Scholar, PubMed and Scopus, and other relevant sources to obtain 854 policy documents. Using a set of explicit inclusion criteria, we screened and selected 11 South African policies for analysis. Next, we analysed three international policies and frameworks to extract the key elements from them. Thereafter, we used these key elements to develop an analytical framework for conducting the analysis of the South African national policies.
RESULTS: We found that South Africa\'s SRH policies largely address the provision of contraception by following international guidelines. These policies recognise the value of providing contraception to adolescent girls. However, we also found gaps in some policies, which could impede how they are translated into practice. These include recognising that adolescent boys can play a role in contraception; adolescents have varying SRH needs and are a key stakeholder not only for policy development but also for monitoring and accountability.
CONCLUSIONS: With a specific focus on South Africa\'s contraception services in the public sector, these findings are relevant to policymakers, providers and users of contraceptives.Contribution: This review proposes recommendations that will assist with strengthening health policy development and thus improve primary health care services related to contraception for adolescents.
OBJECTIVE: We examined how national policies address access and provision of contraception to adolescents in South Africa.
METHODS: South African national policies.
METHODS: We systematically searched various academic databases such as EbscoHost, Science Direct, Google Scholar, PubMed and Scopus, and other relevant sources to obtain 854 policy documents. Using a set of explicit inclusion criteria, we screened and selected 11 South African policies for analysis. Next, we analysed three international policies and frameworks to extract the key elements from them. Thereafter, we used these key elements to develop an analytical framework for conducting the analysis of the South African national policies.
RESULTS: We found that South Africa\'s SRH policies largely address the provision of contraception by following international guidelines. These policies recognise the value of providing contraception to adolescent girls. However, we also found gaps in some policies, which could impede how they are translated into practice. These include recognising that adolescent boys can play a role in contraception; adolescents have varying SRH needs and are a key stakeholder not only for policy development but also for monitoring and accountability.
CONCLUSIONS: With a specific focus on South Africa\'s contraception services in the public sector, these findings are relevant to policymakers, providers and users of contraceptives.Contribution: This review proposes recommendations that will assist with strengthening health policy development and thus improve primary health care services related to contraception for adolescents.
摘要：
背景：南非政府开创了几项强调性健康和生殖健康（SRH）重要性的政策文件。
目的：我们研究了南非的国家政策如何解决青少年获得和提供避孕的问题。
方法：南非国家政策。
方法：我们系统地搜索了各种学术数据库，例如EbscoHost，科学直接，谷歌学者，PubMed和Scopus,和其他相关来源获得854份政策文件。使用一组明确的纳入标准，我们筛选并选择了11项南非政策进行分析。接下来,我们分析了三项国际政策和框架，以从中提取关键要素。此后,我们使用这些关键要素来开发一个分析框架，以进行南非国家政策的分析。
结果：我们发现，南非的SRH政策主要通过遵循国际准则来解决避孕问题。这些政策认识到为少女提供避孕的价值。然而,我们还发现了一些政策的差距，这可能会阻碍它们如何转化为实践。其中包括认识到青春期男孩可以在避孕中发挥作用；青少年有不同的性健康和生殖健康需求，不仅是政策制定的关键利益攸关方，也是监测和问责的关键利益攸关方。
结论：特别关注南非公共部门的避孕服务，这些发现与政策制定者有关，避孕药具的提供者和使用者。贡献：本审查提出的建议将有助于加强卫生政策的制定，从而改善与青少年避孕有关的初级保健服务。
目的：我们研究了南非的国家政策如何解决青少年获得和提供避孕的问题。
方法：南非国家政策。
方法：我们系统地搜索了各种学术数据库，例如EbscoHost，科学直接，谷歌学者，PubMed和Scopus,和其他相关来源获得854份政策文件。使用一组明确的纳入标准，我们筛选并选择了11项南非政策进行分析。接下来,我们分析了三项国际政策和框架，以从中提取关键要素。此后,我们使用这些关键要素来开发一个分析框架，以进行南非国家政策的分析。
结果：我们发现，南非的SRH政策主要通过遵循国际准则来解决避孕问题。这些政策认识到为少女提供避孕的价值。然而,我们还发现了一些政策的差距，这可能会阻碍它们如何转化为实践。其中包括认识到青春期男孩可以在避孕中发挥作用；青少年有不同的性健康和生殖健康需求，不仅是政策制定的关键利益攸关方，也是监测和问责的关键利益攸关方。
结论：特别关注南非公共部门的避孕服务，这些发现与政策制定者有关，避孕药具的提供者和使用者。贡献：本审查提出的建议将有助于加强卫生政策的制定，从而改善与青少年避孕有关的初级保健服务。
