Context
“Youth-friendly” family planning services, services tailored to meet the particular
sexual and reproductive health needs of young people (aged 10–24 years), may improve
reproductive health outcomes, including reduction of unintended pregnancy. The objectives
of this systematic review were to summarize the evidence of the effect of youth-friendly
family planning services on reproductive health outcomes and to describe key characteristics
of youth-friendly family planning interventions. The review, conducted in 2011, was
used to inform national recommendations on quality family planning services.
Evidence acquisition
Several electronic bibliographic databases, including PubMed, PsycINFO, and Popline,
were used to identify relevant articles published from January 1985 through February
2011.
Evidence synthesis
Nineteen articles met the inclusion criteria. Of these, six evaluated outcomes relevant
to unintended pregnancy, contraceptive use, and knowledge or patient satisfaction.
The 13 remaining studies identified perspectives on youth-friendly characteristics.
Of the studies examining outcomes, most had a positive effect (two of three for unintended
pregnancy, three of three for contraceptive use, and three of three for knowledge
and/or patient satisfaction). Remaining studies described nine key characteristics
of youth-friendly family planning services.
Conclusions
This review demonstrates that there is limited evidence that youth-friendly services
may improve reproductive health outcomes for young people and identifies service characteristics
that might increase their receptivity to using these services. Although more rigorous
studies are needed, the interventions and characteristics identified in this review
should be considered in the development and evaluation of youth-friendly family planning
interventions in clinical settings.
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