The world’s largest online meeting of adolescents and young people, the Global Forum for Adolescents, closed today with a sweeping set of new commitments from governments and other stakeholders.The Global Forum, 11-12 October 2023, was organized by PMNCH – the world’s largest alliance for women’s, children’s and adolescents’ health – to galvanize attention to the needs and priorities of adolescents and young people around the world. The Forum closed today with the launch of the “Agenda for Action for Adolescents”, based on the opinions of 1.2 million young people ages 16-24, collected in more than 80 countries through the What Young People Want (WYPW) initiative, the world’s largest survey of young people.According to the World Health Organization, more than 1.5 million adolescents and youth died in 2021, averaging 4,500 deaths every day from preventable causes. Leading causes include road traffic accidents and interpersonal violence, while mental health disorders represent a rising concern for well-being. Many young people struggle to access sexual health and family planning services, risking unplanned pregnancies. Substance use, child marriage, nutritional status (under and over nutrition) and injuries are other major concerns. The Agenda for Action for Adolescents seeks to highlight the need for far-greater action. It is based on seven main advocacy asks, including more and higher quality education and skills training; more adolescent-friendly health services; greater support for mental well-being; and more prevention of stigma and discrimination, including greater provision of comprehensive sexuality education.“Adolescents and young people have specific health and well-being challenges often overlooked in policy and investment,” said Sahil Tandon of the David and Lucile Packard Foundation, co-lead of the drafting team for the Agenda for Action for Adolescents, and a member of the PMNCH Adolescent and Youth Constituency. "In fact, less than 1.6% of development assistance for health was dedicated to adolescent health between 2003 and 2015, even though there are 1.8 billion people between 10 and 24 in the world today,” said Mr. Tandon. “The Agenda for Action is intended to galvanize attention to where it is needed most, and to align all partners in addressing these needs.” During the Global Forum, 17 governments and two regional bodies highlighted their responses, announcing specific policy and financial commitments. The majority of commitments came from African governments, with nine countries (Botswana, Ethiopia, Ghana, Liberia, Malawi, Namibia, Nigeria, Republic of Congo and South Africa) setting out plans and investments focused on young people, including specific new financial commitments from Malawi and Liberia.Other governments and regional bodies pledging to improve adolescent health and well-being include Canada, Ecuador, Honduras, Mexico, Portugal, Serbia, Sint Maarten, and the United States, as well as the African Union and the European Commission.
The Global Forum also served as a launching pad for a new health and education strategy developed by the African Union, recognizing the key role that young people play in shaping the economic and social future of the continent. More than 1 billion (1.46b) people live in Africa, half (735 million) of whom are under the age of 20 (source). More than half of these commitments address the call for more vocational training and secondary/third-level education, mirroring the main priority identified by 1.2m adolescents and youth worldwide through the What Young People Want effort, launched by PMNCH earlier this year. Other pledges focus on providing affordable, high-quality adolescent health and well-being services and strengthening the agency of adolescents and youth.“Listening to young people helps governments to learn from our experiences and identify new ways to help us,” said Alims Blessing Iripa, 22, a youth activist from Nigeria who mobilized responses for the What Young People Want initiative. “Investing in young people's health and well-being today will pay off in the future,” she said.The Global Forum for Adolescents attracted more than 8,000 registrants over two days. Participants, including policymakers and young people, shared evidence, lived experience, and proven examples of effective policy and programming solutions. Forum sessions covered the full spectrum of challenges and opportunities experienced by young people growing up in today’s world, including the need for greater attention to adolescent well-being in schools, combating violence to foster safe spaces, and creating safety for digital natives. The Forum also saw the launch of advocacy tools, research products, innovation materials and key data to support advocacy for greater investment and commitment.Produced under the umbrella of the “1.8 Billion Young People for Change” campaign, the Global Forum for Adolescents is a key milestone in a multi-year advocacy drive led by the 1,400 partner-organizations of PMNCH and others. PMNCH has been working with young people over several years, exploring what they most want and need for their well-being, and putting their top concerns in front of decision-makers with power to ignite change.In addition to governments, many private sector and non-state organizations have also made pledges to Adolescent Well-Being. During the Clinton Global Initiative forum in September 2023, Fondation Botnar of Switzerland pledged USD$45 million to create safe online environments for young people, enhance civic engagement and make cities safe. Surgo Health, Pivotal Ventures, and MTV Entertainment Studios announced the creation of a Youth Mental Health Tracker. Ferring International pledged to prevent maternal deaths from postpartum hemorrhage and protect the lives of 20 million women and their families by 2030. Other organizations that made commitments include the Born This Way Foundation, Generation Unlimited, UNICEF, the FIA Foundation, The Wellbeing Foundation Africa, Goleadoras Foundation, One Earth and Mariwala Health Initiative.“This is the time for political commitment to new policies, more resources and increased funding overall. We need more data to drive those commitments and clear indicators on adolescent well-being to track progress,” said the Rt. Hon. Helen Clark, former Prime Minister of New Zealand and Board Chair of PMNCH. “All young people everywhere must have a fair chance to contribute to their own countries and to the world and, above all, to pursue their dreams.”Government commitments to adolescents well-beingCountry Commitment prioritiesBotswana Education, including Comprehensive Sexuality Education Gender equality and ending gender-based violence Pedestrian safety Monitoring Adolescent well-being Canada $1.4 billion a year for rights of women and girls $700 million of this for sexual and reproductive health and rights Adolescent sexual and reproductive health and rights as a priority Ecuador US$14.8 million for adolescent well-being Strengthen investments in national public health policy for adolescents Ensure access to evidence-informed health services Ethiopia By 2030, Reduce adolescent pregnancy by 50% Reduce HIV/AIDS by 25% Reduce STIs by 20% Ghana Comprehensive education programmes including nutrition, physical activity, sexual and reproductive health Quality and coverage of school health services Monitoring and evaluation of adolescent well-being with more investmentsHonduras Creating a new Secretary of State position in the Offices of Children, Adolescents and Family to facilitate decision making at the highest-level Increasing youth participation in democracy Ensuring young people are heard and respected in economic, political debates and social decisions Liberia US$ 1 million for marginalized youth. Budget line in Public Sector Investment Plan Annual Adolescent