Ayşegül Esin and Natalia Zarbailov
The article aims to evaluate the current state of sexual and reproductive health policy regarding sexual and reproductive health service and reproductive rights for most at risk adolescent/youth. The training of trainers and local trainings present the nature of major challenges in service provision and the quality of services in the light of findings from international trainings conducted in Turkey and Tajikistan. The process of course development and feedback from participants was in focus of attention. The major findings of the study show that the past 10 years have seen unprecedented commitments to global health and development became known as the Millennium Development Goals with their corresponding set of time-bound targets. Greater attention to adolescence Sexual and Reproductive Health and Rights is needed if global health targets are to be met. However, for specific target group as most-at-risk adolescents and young people the access to the quality comprehensive package of reproductive health services is not reality yet. In this article we present the most-at-risk adolescent/young people trends, health service needs and in service trainings on providing comprehensive sexual and reproductive health and rights in the Eastern European and Central Asia countries based on official bodies statements, researchers evidences and acquired experience. The main conclusion is that healthcare providers and services providers, those who work with most-at-risk populations, vulnerable groups of young people, have to be trained to be able to meet the specific needs of most-at-risk adolescents and young people, to respond to their needs and to ensure sexual and reproductive health services and rights. These special trainings are definitely relevant to target populations, especially most at risk adolescents and young people in the Eastern European and Central Asia Region.
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