Abstract

Applying the social determinants of health lens to the situation of young key populations in Zambia: what can it tell us about what we could do?

Highlights

  • According to census data, Zambia has a predominantly young population with 65% under the age of 25 years

  • Should further investigation confirm some of the conclusions of this analysis, more will be needed to achieve health equity for young key populations than tailored services alone

  • 13 Are there substantive differences here between the population groups? These data cannot say but the comparisons suggest how a further analysis could proceed in order to more clearly situate young men who have sex with men (MSM) or WSW within the wider population of young people in Zambia and, to more clearly know what influence socio-economic characteristics can have, if any, on differences in sexual and reproductive health (SRH) outcomes

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Summary

Introduction

Zambia has a predominantly young population with 65% under the age of 25 years. Improving the sexual and reproductive health of young people aged 15-24 years has become a crossing-cutting priority for sustainable development for the country. Certain sub-groups within this population, namely young gay men and other men-having-sex-with-men; young sex workers; young transgender people; and young prisoners – collectively termed key populations – may have poorer sexual and reproductive health than their general population peers. The application of the social determinants of health framework offers a way to understand these inequities in order to more effectively address them

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