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Time to take the conversation on adolescent health out of airconditioned conference rooms, and translate evidence into local contexts: A few reflections on the 11th World Congress on Adolescent Health in Delhi.

By Dolorosa Duncan
on November 1, 2017

From October 27th to 29th, New Delhi, a wonderfully vibrant, colorful and youthful city, hosted over 1000 delegates and 125 youths from 65 different countries exploring issues related to adolescent health. The 11th World Congress on Adolescent Health, themed “Investing in Adolescent Health – The Future is now” was organized by the International Association for Adolescent Health in partnership with donors and consortium partners. As two public health researchers working in the field of adolescent health in Tanzania, we were more than happy to be at the conference, as you can imagine. The event featured 8 keynote lectures, 4 plenaries, 3 debates, 81 oral presentations and over 100 poster presentations. Energetic presentation topics ranged from SRH/HIV, to Nutrition, NCDs, SRH/ School Interventions, Mental Health, Safety and violence, socially shaped behaviors and interactive media.

In his welcome message, Dr. Sunil Mehra, Chair of the national organizing committee, said this congress would provide an opportunity to learn and share from the vast range of experience gathered in Delhi to discuss and consider future directions. The scientific program for the World Congress had been put together by a “galaxy” of international and national experts and reflected both global and regional health needs of adolescents.

Anthony Costello, Director of the WHO Department on Maternal, Newborn, Child and Adolescent Health aptly stated in his opening speech that it’s time to strike a balance between instructing adolescents and engaging them in the process. He came up with a rather interesting acronym of his own email address: adolescent programs should be “Country-led, (show) Ownership, Systems, Teams, Equity/evidence, Leadership, Learning Operational science”, in short   – Now adolescents from around the world can start spamming him:)

The conference also brought in some new research and debates on topics such as mental health, nutrition, interactive media, adolescents in humanitarian settings, SRH/HIV taking into consideration adolescent brain development. Vikram Patel talked about a few new theories while re-thinking mental health in adolescents, based on neuroscientific and psychological observation. Adolescents are biologically and evolutionarily “primed” to behave the way they do, he said (if you have teenagers at home, you probably know what Vikram was referring to). While these developmental characteristics offer survival advantages they also present unique vulnerabilities. The social settings that teenagers live in are key to understanding “risk” behaviors and poor mental health. Mental and substance use disorders and injuries are leading causes of death and disability in both genders, and across the youth age spectrum in all countries (irrespective of their development index). 75% of mental disorders start before the age of 24, that is one good reason why the world should bother.

¨Social media, sexting, addiction, Oh My, adolescent Health in the digital world¨ (we admit this session title sounds a bit like a blog from our famous & very media-savvy EV colleague Shakira) was also a popular discussion, and co-chaired by our own Caroline Crosbie, Vice President of Pathfinder International. Dr. Michael Rich, `Mediatrician’ from the Centre on Media and Child Health (CMCH)  said that many teenagers are now suffering from “Fear of Missing Out” (FOMO), hence they are always online. Research shows that teenagers are spending much more time online than on homework (surprise surprise : ) ) and other activities.  Half of the teenagers surveyed by Dr. Rich felt they were `addicted’ to social media and 30% of the parents felt the same. Maybe it’s contagious. Given the advantages of (using) social media and the fact that media abstinence is rather difficult (like all forms of abstinence), striking a good balance between utilization of social media and other activities should perhaps be the aim. Parents should use media with the kids, learn from them (if need be), help them develop critical thinking, prioritizing and managing time, and create and be present.   Now if you think this sounds like parents “too good to be true”, you’re probably right. Which is why much of this typically ends up on schools’ plates.

Current countries’ policies do not target adolescents in humanitarian settings. In our world in turmoil, various reasons spark adolescent migration such as displacement, wars, the search for better opportunities and so on. However, when they reach host countries, they are often confined to prison-like places. In many of these countries, they fail to seek health care due to fear of deportation as they might be regarded as illegal immigrants, leading to challenges such as depression. At the World Congress, countries were advised to revise their policies. It might take masses of adolescents shouting this aloud before countries will actually listen.

¨Young, married and powerful, building momentum toward a brighter future¨ organized by Pathfinder International, was one of 9 satellite symposia sessions. An interesting discussion on successes and challenges in SRH programming for young married and unmarried adolescents, involved one emerging voice for Global Health 2016. In case you want to know more about this session, do get in touch with us. (but good to know perhaps: we’re already young, married and powerful!  🙂 )

Speaking of young people, how did they fare at the conference? Well, for the past three days, 150 energetic young people delegates were mainstreamed into the conference, had an opportunity to sit together, gather ideas and draft their own new charter that focused on 8 priority areas; rights based sexual and reproductive health, comprehensive sexuality education, gender based violence, mental health and suicide, adolescent and young people in humanitarian settings, sexual identification, gender identity, HIV/AIDS and non-communicable disease. After presenting their charter they urged donors, policy makers, countries and partners to prioritize young people’s concerns. This charter will make a case for young people to be recognized as equal stakeholders in decision making at all levels. One of the youth ambassadors insisted, “if you don’t have a space on the table, just sit on the floor, be engaged!”

As you might know, Adolescent Health has been gaining momentum on the global health policy agenda in recent years. A bit belatedly, perhaps, but better late than never. Now it’s time to step out of these high-level airconditioned rooms (even if we were grateful that the conference venue had air-conditioning, given the temperature in Delhi) and take action. We need political will and commitment; we need to align the guidelines with national priorities, engage young people throughout the process, turn the spotlights to adolescents and bring (more) visibility to the issue.






About Dolorosa Duncan

Dolorosa Duncan is a Field Regional Manager for Pathfinder International in Tanzania. She manages projects that provide essential maternal, child, and reproductive health care services to women and families living in poverty, and supports service delivery innovations including using mobile phones to improve the quality of counseling and access to emergency maternal health care. Dolorosa is a 2017 Eisenhower Fellow and 2016 Emerging Voices for Global Health.

About Anna Temba

Anna Temba is the Medical Dr. currently working as Clinical technical advisor with focus on Adolescent health, sexual and reproductive health and rights and health system strengthening at Pathfinder International. Former graduate of KCMC Tumaini University, and University of Manchester, UK, she has a public health background in reproductive health includes maternal, newborn and child health.
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