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Adolescent & Youth Friendly

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Meeting the health care needs of Adolescents and young people in Ondo State is paramount in the programme of the state government. This is necessary in view of the fact that out of the total population of 3,460,887, 1,151,477 are young people aged 10-24yrs. This population is significant. The government has also recognised that the state cannot make any meaningful progress in sustaining the current gains being made in


the education, economic, agriculture, sports and technological sectors among others without making the health of its young people its priority.The result of the 2012 maternal mortality study in Ondo State showed that 46% of maternal deaths during pregnancy in the state was due to abortion. This was seen to be commoner amongst young people.


To this end, the government of Ondo State has developed the State Strategic Framework for the Integration of Adolescent and Youth Friendly Health Services into Secondary Health Facilities in the state.


AYFHS are health facilities that are able to effectively attract adolescents and youths, provide a comfortable and appropriate setting for serving them and responsively meeting their needs, as well as succeed in retaining these young clients for continuing care. The World Health Organisation (WHO) indicates that such services must be equitable, accessible, acceptable, appropriate and effective.

Integration was defined by a WHO Technical Working Group as “the organisation, coordination and management of multiple activities and resources to ensure the delivery of more efficient, coherent services in relation to cost, output, impact and use. In the context of this developed framework and with focus on the integration of AYFHS into SHS, Integration is regarded as a process whereby services are offered to young people in secondary healthcare facilities as an integral component of care and part of the routine activities of the health facilities in such a way that it is of high quality and meets the expectations of the young people in Ondo State.


This framework was developed in the context of the National Action Plan for Advancing the Health and Development of Young People in Nigeria which strongly advocates that the integration of adolescent and youth friendly health services (AYFHS) into the secondary health care system is one of key actions for improving access of young people to comprehensive and appropriately friendly services.

In line with the focus of the National Youth Policy, the targets of AYHFS are:


  • Students in primary, secondary and tertiary institutions
  • Out of school Adolescents and Youths
  • Unemployed and under employed Youths
  • Adolescents and Youths with disabilities
  • Adolescents and Youths engaged in crime and delinquency
  • Female Adolescents and Youths
  • Rural Adolescents and Youths
  • Young men and women living with or affected by HIV/AIDs
  • Illiterate Adolescents and Youths
  • Youth Sex Workers


  1. Leadership and Governance
  2. Integrated Service Delivery
  3. Human Resources Development
  4. Program Financing and Partnerships
  5. Monitoring and Evaluation (Routine tracking, MIS, Research Promotion)
  6. Community Participation and Ownership


Leadership & Governance


Good governance is key to ensuring the success and sustainability of the AYFHP. Standards, incentives, information and accountabilities are key components of good health system governance that assure sound provider performance and ultimately, improved health outcomes.

Service Delivery

Identifying and meeting the needs and expectations of adolescents and young people in the communities where they live is an important feature in any successful youth friendly initiative. Service delivery is designed in such a way that it meets the needs and aspirations of the intended beneficiaries. Youth involvement and participation is considered crucial for the success of the initiative.

Human Resources Development

Appropriate human, material and financial resources as well as robust managerial system and related interventions in the areas of advocacy and demand creation are important to successful AYFHS programming.


Programme Financing and Partnerships

Globally, there are many approaches to health care financing. Regardless of the approach, the overarching focus of health system financing even in Ondo State is achievement of universal health coverage using the following strategies:


  1. Raising funds for health
  2. Reducing financial barriers to access through prepayment and subsequent pooling of funds in preference to direct out-of-pocket payments; and
  3. Allocating or using funds in a way that promotes efficiency and equity.


Monitoring and Evaluation

Available health systems management tools shall be modified to ensure they can capture the socio-demographic information and issues of young people appropriately. The programme will centrally develop additional complimentary tools where there is need for such to ensure that appropriate indicators can be generated for the AYFHS.


Community Participation and Ownership

Specific activities will be determined locally to ensure youth appeal, local relevance as well as cultural sensitivity to the programme environment. Demand creation will aim at improving young people’s knowledge of, and motivation to use AYFHS, with the goal of engendering appropriate health seeking behaviour to improve their overall health and well-being.


Foradolescent & youth friendly project related information and enquiries, please contact:


The Project Coordinator

Adolescent & Youth Friendly Project

Ministry of Health

Alagbaka, Akure.

Ondo State



Dr. Stephen Fagbemi

Project Coordinator


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