System-involved youth are a vulnerable population at high-risk of experiencing numerous sexual reproductive health (SRH) outcomes. They are likely to have several risk factors for teen pregnancy and parenting including abuse and neglect histories, lack of a supportive consistent adult in their lives, and limited opportunities to experience normal romantic relationships. Issues of pubertal development are rarely addressed in this population. Data is from system-involved adolescents (n = 301) enrolled in a SRH intervention. The final analysis is restricted to those who were sexually active at baseline (n = 229). Most participants were African Americans between 13-21 years of age. More than 70% reported an early mean age of first sex. Approximately a quarter self-reported early pubertal development. Logistic regression was utilized to examine the odds of pregnancy in relation to self-reported pubertal timing. The findings support the need to develop programming for system-involved youth which address their unique needs.

Nearly 31% of the Ghanaian population are adolescents, and these populations persistently face high rates of teenage pregnancies and unsafe abortions. This is despite sexual and reproductive health (SRH) being taught in the school curriculum. In this qualitative study, we explore the factors affecting adolescents\' access to, and experiences of, SRH services in Accra, Ghana. We conducted 12 focus group discussions (FGDs) with adolescents and 13 key informant interviews (KIs) in Ghana. The FGDs were conducted with school-going and out-of-school adolescents. KIIs were conducted with various stakeholders working with adolescents or in SRH services. All interviews were conducted in English, audio recorded and transcribed verbatim. We applied the Dahlgren-Whitehead Rainbow model of health determinants and used a thematic analysis. Eight themes were identified, across micro, meso and macro levels, that influence adolescents\' SRH access and experience in Accra. These included: family, social networks, the role of schools, health providers and services, the policy landscape, gender norms, cultural norms, and poverty. The findings highlight several factors that influence adolescents\' access to appropriate SRH services in this context and demonstrate the need for a multisectoral effort to address structural factors such as harmful gender norms and persistent poverty.

UNASSIGNED: Improving the sexual and reproductive health of adolescents remains a public health priority. Effective communication between parents and adolescents regarding sexual health and relationships is important and could influence adolescents to adopt safer sexual behaviors. However, several barriers can impede this communication in the UK population. The aim of the review is to explore barriers and facilitators, as well as wider determinants of parent-adolescent communication (PAC) on sexual health and relationships. The review will explore possible interventions aimed at promoting PAC on sexual health and relationships.
UNASSIGNED: The review will focus on exploring barriers and facilitators of PAC on sexual health and relationships in the United Kingdom. This study will synthesize qualitative literature to understand the significance of parent-adolescent sexual and reproductive health communication, the challenges and facilitators to effective communication in the United Kingdom. Using a detailed predetermined search strategy, the study will search for relevant studies from CINAHL, MEDLINE, PsycINFO, EMBASE, SCOPUS, Web of Science, and gray literature on Google Scholar. The Critical Appraisal Skills Program checklist will appraise the included studies\' methodological quality. A thematic synthesis approach will be used to synthesize data from included studies.
UNASSIGNED: Findings from the systematic review are expected to give information on the barriers and facilitators of PAC on sexual health and relationships which will further optimize interventions to improve this type of communication and guide future research in understanding this area.
UNASSIGNED: The review has been registered with the International Prospective Register of Systematic Reviews CRD (PROSPERO) (CRD42022351697).

BACKGROUND: Sexual reproductive health (SRH) is an important aspect of human life, especially in the younger age groups. Young adults are the most vulnerable group to SRH consequences, as they have limited access to its information and services. This is one of the earliest studies conducted to examine the knowledge of SRH among female university students in Jordan. The aim of this study is to assess the knowledge of SRH among female Jordanian university students and to determine the social and individual factors that may affect this knowledge.
METHODS: A cross-sectional design was used, and a convenient sample consisting of 427 female university students was recruited from the University of Jordan. The inclusion criteria were female unmarried students aged 18-25 years old, while the exclusion criteria were married, divorced, or engaged female students. A valid and reliable self-administered questionnaire was used to assess the student\'s knowledge of SRH. Data were collected between February 21 and March 20, 2022. IBM SPSS Statistics for Windows, Version 23.0 (Released 2015; IBM Corp., Armonk, New York, United States) was used for data analysis, and an independent sample t-test was used to investigate mean differences in the SRH score based on demographic characteristics.
RESULTS: Overall, it was found that only 26.2% of all the participants had adequate knowledge of SRH. Additionally, they have inadequate knowledge regarding the different aspects of SRH such as premarital, vaccination, menstruation, contraception, and sexually transmitted diseases (STDs), except for the section on folic acid, which demonstrated adequate knowledge. Furthermore, the participants\' scores of total SRH knowledge were significantly different based on their original place of living, current residency, educational level, religion, and university faculty.
CONCLUSIONS: Due to the inadequate level of knowledge, this study highlights the need to establish educational and awareness programs concerning SRH and to incorporate this subject into the university and school curricula.

Despite global agreements on adolescents\' sexual and reproductive health and rights, access to and the utilisation of these services by the adolescents remain underutilised in low and middle-income countries. The aim of the study was to explore challenges and improvement strategies of adolescent-friendly health services in the northwest of Namibia. This study employed a qualitative approach utilising an explorative strategy. Semi-structured interviews were used to collect the data. Fifteen nurses were selected using a convenience sampling technique. The interviews were audio recorded, transcribed verbatim and the data were analysed using thematic analysis. The data analysis led to the emergence of the following three themes: Challenges affecting the delivery of Adolescent Friendly Health Services, Challenges affecting participation of adolescent to AFHS and strategies to improve the provision of adolescent-friendly health services. Findings from this study revealed several barriers reportedly faced by adolescents in accessing AFHS as including a lack of comprehensive sexual reproductive health (SRH) services in many healthcare facilities, a lack of trained staff, unfavourable environments for adolescents, a lack of information about the services provided, and recruitment of providers who are not friendly to young people and adolescents. This study findings may lead to an improvement in the provision of such services in healthcare settings. The study can lead to an improvement in the provision of adolescent-friendly services in health care settings. It can help the Ministry of Health and Social Services, along with its agencies, to formulate strategies that can be used to mitigate the challenges d in the provision of adolescent-friendly services.
Malgré les accords mondiaux sur la santé et les droits sexuels et reproductifs des adolescents, l’accès et l’utilisation de ces services par les adolescents restent sous-utilisés dans les pays à revenu faible ou intermédiaire. Le but de l\'étude était d\'explorer les défis et les stratégies d\'amélioration des services de santé adaptés aux adolescents dans le nord-ouest de la Namibie. Cette étude a utilisé une approche qualitative utilisant une stratégie exploratoire. Des entretiens semi-structurés ont été utilisés pour collecter les données. Quinze infirmières ont été sélectionnées à l\'aide d\'une technique d\'échantillonnage de convenance. Les entretiens ont été enregistrés audio, transcrits textuellement et les données ont été analysées par analyse thématique. L\'analyse des données a conduit à l\'émergence des trois thèmes suivants : les défis affectant la prestation de services de santé adaptés aux adolescents, les défis affectant la participation des adolescents à l\'AFHS et les stratégies visant à améliorer la fourniture de services de santé adaptés aux adolescents. Les résultats de cette étude ont révélé plusieurs obstacles auxquels les adolescents seraient confrontés pour accéder à l\'AFHS, notamment le manque de services complets de santé sexuelle et reproductive (SSR) dans de nombreux établissements de santé, le manque de personnel qualifié, les environnements défavorables pour les adolescents, le manque d\'informations sur les services. Fournis et le recrutement de prestataires peu amicaux envers les jeunes et les adolescents. Les résultats de cette étude pourraient conduire à une amélioration de la fourniture de tels services dans les établissements de soins de santé. L’étude peut conduire à une amélioration de la fourniture de services adaptés aux adolescents dans les établissements de soins de santé. Il peut aider le ministère de la Santé et des Services sociaux, ainsi que ses agences, à formuler des stratégies pouvant être utilisées pour atténuer les défis liés à la fourniture de services adaptés aux adolescents.

This systematic review summarizes the impact of cystic fibrosis (CF) on sexual and reproductive health (SRH) in males and females, covering pubertal development, hormonal function, family planning, and fertility. Included articles featured historical CF diagnostic criteria, preclinical or clinical data (retrospective cohorts or open label trials), while excluded articles lacked full text availability, explicit methodology, or comparisons between CF and non-CF patients. Genotype differences in CFTR mutations influenced symptom severity. Males with CF experienced delayed puberty, hypogonadism, infertility from obstructive azoospermia, and semen parameter issues. Female CF patients showed decreased fertility, possibly linked to disrupted ionic balance and ovarian cystic disease. Assistive reproductive technologies addressed fertility issues, but success varied based on disease severity and genotype. CFTR modulators aided pulmonary function and sexual health but require further assessment for fertility benefits.

BACKGROUND: Research suggests that girls who reach menarche at an early age are at greater risk for negative sexual and reproductive health (SRH) outcomes than their later-maturing counterparts, but very little research has examined this issue in sub-Saharan Africa, especially in West Africa. The goal of the current study was to determine whether early menarche was associated with any SRH outcomes in a sample of Ghanaian girls.
METHODS: The study data were drawn from the baseline assessment of a longitudinal study involving two age cohorts (13-14 and 18-19 years) of 700 adolescent girls from Ghana. Logistic regressions were used to assess the association between early menarche (before age 13) and seven SRH outcomes (adolescent sexual activity, early sexual initiation, inconsistent condom use, transactional sex, sexual violence, multiple sexual partners, and adolescent pregnancy).
RESULTS: Early menarche was significantly associated with adolescent sexual activity (odds ratio [OR] = 6.4; 95% confidence interval [CI] 2.1-19.7), and sexual violence (OR = 3.2; 95% CI 1.6-6.2) in the younger cohort and early sexual initiation (OR = 3.2; 95% CI 1.19-8.61) and multiple sexual partners (OR = 3.7; 95% CI 1.39-9.87) in the older cohort. Early menarche was also associated with transactional sex and teen pregnancy in the full sample.
CONCLUSIONS: These findings suggest the need for special attention to the needs of early-maturing girls in SRH programming. Interventions are needed to delay adolescent sexual activity in girls with early menarche. Efforts to prevent sexual violence among adolescent girls in Ghana may benefit from targeting and addressing the specific needs of early-maturing girls.

UNASSIGNED: Parents are the primary caregivers and influential figures in adolescents\' lives. They play a crucial role in shaping their children\'s attitudes, beliefs, and behaviors regarding sexual reproductive health. A vast difference in knowledge between adolescents and their parents indicates failure in knowledge translation and is associated with sexual and reproductive consequences, such as teenage pregnancies.
UNASSIGNED: In this cross-sectional study between December 2020 and December 2021, 834 teenage mothers and their parents/guardians (n = 861) were enrolled from all five provinces of Rwanda. Knowledge of sexual reproductive health (SRH) rights was assessed, and the differences between the understanding of parents and their children were analyzed using Chi-square tests.
UNASSIGNED: There were statistically significant differences for all the assessed aspects of SRH knowledge rights between parents and their teenagers (ie, on the age of consent, safe abortion, right to education for teenage mothers, understanding of financial responsibilities, and perceptions of legal consequences).
UNASSIGNED: There is a significant knowledge difference between the two generations regarding their understanding of SRH rights. It is recommended that future programming should devise innovative ways that bring together parents and their children to discuss sexual reproductive health rights, which will result in empowered children and teenagers in Rwanda. Also, awareness programs are needed to improve the knowledge gaps regarding SRH in the public by policymakers, NGOs, and educators.

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Teenage pregnancy occurring in girls aged 10-19 years remains a serious worldwide health problem. Stillbirths and newborn deaths are 50% higher among infants born to adolescent mothers than among those born to mothers aged 20-29 years, which contributes to the increased deliveries of newborn babies among females aged 10 to 19 years. The aim of the study was to gain understanding of the views of teenagers towards teenage pregnancy in the Capricorn district, Limpopo province. A qualitat ive, explorative, and descriptive study was adopted. The target population constituted 15 purposively selected male and female teenagers aged between 13 and 19 years, from three secondary schools. Data were collected using in-depth interviews and analysed using the thematic approach. An inductive thematic approach was used to identify common and recurring themes. Four themes emerged during data collection namely: essentially, optionally, socio-cultural, and economic motivated influences. The findings showed that peer pressure, lack of knowledge on sexual issues, social media, inadequate parental guidance and support, poor access to health facilities, awkward operating hours, bad attitudes of nurses, and absence of youth-friendly services space contribute to the increased number of teenage pregnancies.
Les grossesses adolescentes survenant chez les filles âgées de 10 à 19 ans restent un grave problème de santé mondial. Les mortinaissances et les décès de nouveau-nés sont 50 % plus élevés chez les nourrissons nés de mères adolescentes que chez ceux nés de mères âgées de 20 à 29 ans, ce qui contribue à l\'augmentation des accouchements de nouveau-nés chez les femmes âgées de 10 à 19 ans. Le but de l\'étude était de mieux comprendre les opinions des adolescentes à l\'égard de la grossesse précoce dans le district du Capricorne, province du Limpopo. Une étude qualitative, exploratoire et descriptive a été adoptée. La population cible était constituée de 15 adolescents et adolescentes sélectionnés à dessein, âgés de 13 à 19 ans, issus de trois écoles secondaires. Les données ont été collectées à l’aide d’entretiens approfondis et analysées selon l’approche thématique. Une approche thématique inductive a été utilisée pour identifier des thèmes communs et récurrents. Quatre thèmes ont émergé lors de la collecte des données, à savoir : essentiellement, facultativement, les influences socioculturelles et économiques. Les résultats ont montré que la pression des pairs, le manque de connaissances sur les questions sexuelles, les médias sociaux, l\'encadrement et le soutien parental inadéquats, le faible accès aux établissements de santé, les horaires d\'ouverture difficiles, les mauvaises attitudes des infirmières et l\'absence d\'espace de services adaptés aux jeunes contribuent à l\'augmentation de la population. nombre de grossesses chez les adolescents.