PREPARE manual for nurses:Building trust, promoting health and changing communities

One in every five people in the world is an adolescent and 85% live in low and middle-income countries. Nearly two thirds of premature death and one third of the total disease burden in adults are associated with conditions or behaviour that begin in youth. Among 15-19 year olds, suicide is the second leading cause of death, followed by violence in the community and family. Promoting nurturing relationships between parents and children early in life, good relationships between young people, training in life skills, and reducing access to alcohol and lethal items such as firearms and knives can help prevent violence. More effective and sensitive care for adolescents experiencing violence is needed. Many adolescent health challenges are closely interrelated and successful interventions in one area can lead to positive outcomes in other areas. The World Health Organization reports that among women aged 15-45 years, gender-based violence accounts for more deaths and disability than cancer, malaria and traffic injuries put together. This has become an important factor, which negatively affects girls and women’s reproductive health and wellbeing. This manual was written for the PREPARE school clinics to promote positive relationships through mentoring, role modelling, education, research and empathic service provision so that young people feel valued, respected and can enjoy positive self and peer relationships free from harm.