Adolescent and youth sexual and reproductive health (AYSRH) content is stronger in the FP2030 country commitments compared to the FP2020 country commitments.

However, the AY commitments still lag in terms of having a specified budget for adolescent and youth (AY) family planning (FP), specifying measurable targets for monitoring progress of their AY objectives, identifying and addressing root causes that impact AYFP, and clearly articulating their commitment to reducing financial barriers.

The AY population continues to grow, as does the need for knowledge of and access to contraception.

Policymakers and program managers should continue to strengthen their policies and programs and increase their budget allocations for AYSRH to meet the needs and fulfill the rights of adolescents and youth.

Family Planning 2020 (FP2020) was established in 2012 with the goal of expanding contraceptive access. By 2020, 46 countries had made commitments to FP2020. A sustained focus on adolescents and youth (AY) began in 2016. During the commitment formulation process, substantial support was offered to countries to develop AY commitments based on sound data, research evidence, and programmatic experience. This study assesses how country commitments under FP2020 and FP2030 have evolved over time with respect to improving attention to and focus on the needs of adolescents and youth sexual and reproductive health (AYSRH).

We analyzed the content of FP2020 and FP2030 country commitments focusing on AY (aged 10–24 years) using a scoring guideline we developed to measure the AY commitments in terms of completeness, clarity, and quality.

This analysis shows that FP2030 commitments better articulate strategies and activities to reach AY with contraceptive information and services when compared to FP2020 commitments.

FP2030 commitments are stronger in some areas on AYSRH, such as commitment to establish national or local policies, strategies, and guidance for AY programming, specifying the target audience of the AY commitment, and partnering with AY or youth-led organizations in commitments. However, more work remains to be done by countries to dedicate a budget for achieving AY objectives, including measurable targets for monitoring progress, identifying and addressing the root causes that impact AY access to and use of contraception, including child marriage and gender-based violence, and reducing financial barriers to access contraception.

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