Abstract
Purpose: Recent years have seen gains in adolescent sexual and reproductive health (SRH) led by lower rates of adolescent pregnancy associated with later sexual debut and adoption of highly effective methods of contraception. However, these gains mask persistently high rates of adolescent pregnancies, HIV, and sexually transmitted infections (STIs) in communities facing the severest structural and systemic inequalities. One theory for understanding persistent disparities is that recent gains occurred in settings and for individuals most amenable to available interventions. There is an opportunity for further improvement by taking a human-centered approach in which gaps are identified and innovative strategies are developed in collaboration with affected communities.
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