Danielle Engel

TL;DR: Trend analysis of key ASRHR indicators at global, national, and subnational levels indicates that adolescent girls today are more likely to marry later,delay their first sexual experience, and delay their first childbirth, compared with 25 years ago; they are also morelikely to use contraceptives.

TL;DR: Overall, looking across the six health topics over a 25-year trajectory, there has been great progress at the global and regional levels in putting adolescent health, and especially adolescent sexual and reproductive health and rights, higher on the agenda, raising investment in this area, building the epidemiologic and evidence-base, and setting norms to guide investment and action.

TL;DR: The relevance of the comprehensive definition of sexual and reproductive health and rights (SRHR) to adolescents is analyzed and adolescent-specific implications for the implementation of an essential package of SRHR interventions are identified.

TL;DR: A range of significant challenges remain, have newly emerged, or can be seen on the horizon, including persistent denial of adolescent sexuality; entrenched gender inequality; resistance to meaningfully engaging adolescents and young people in political and programmatic processes; changes in population dynamics; humanitarian and climate crises; and changes in family and community structures.