Primary Submission Category: Reproductive health
perspectives and experiences of Venezuelan adolescents ages 10-19 regarding sexual and reproductive health in a Complex Humanitarian Crisis
Authors: Lallo Yadeta Subasri Narasimhan Genesis Luigi Roopan Gill
Presenting Author: Lallo Yadeta*
Background: the ongoing political, human rights, and socio-economic developments in Venezuela have led to the displacement of more than 6 million people to neighboring countries and beyond since 2015 creating a Complex Humanitarian Emergency (CHE). CHEs are caused by a combination of social, political and economic collapse and express in the disruption of essential services, including, health systems. This negatively affects health outcomes. For instance, Venezuela has one of the highest rates of the region: 101 live births per 1,000 15-19 years old women, with no clear data for those below 14 years old. In this context, the sexual and reproductive health (SRH) needs of this population are unmet.
Objectives & scope: understand what are the perspectives and experiences of Venezuelan adolescents and youth ages 10-19 regarding sexual and reproductive health? This study is part of a larger project aimed at adapting an existing digital SRH educational platform (Aya Contigo) to this demographic.
Methods: we adapted the photovoice methodology to engage adolescents and youth ages 10-19 in photo-taking, in-depth interviews, and focus group discussions about their SRH needs and experiences in the context of a CHE. We recorded and transcribed the qualitative data and conducted a theme analysis through a ‘flexible coding’ approach in Dedoose.
Results & Conclusions: we recruited 23 adolescents and youth and 13 completed the study. Preliminary findings show 1) the need of safe spaces within and outside of the healthcare system to express their identities and sexuality; 2) participants’ feeling of disconnection from institutions like school, health services, authority figures within the family regarding their SRH; 3) despite the effects of a CHE on their life course, participants do have clear, actionable ideas for “more positive” and equitable futures free from stigma.