Table 2.
Priority indicators recommended by the GAMA AG for adolescent health measurement by domain and indicator type
| Indicator name | Initiatives including this indicator | Use status |
|---|---|---|
| Domain 1: Social, cultural, economic, educational, environmental determinants of health | ||
| Core indicatorsb | ||
| 1.01 Proportion of total population that are adolescents (10–19 years), by age group (10–14, 15–19 years), and sex | EMRO core indicators for adolescent healtha | In use |
| 1.02 Proportion of young people who have completed primary, lower secondary, and upper secondary school, by level, and sex | Adolescent country tracker; Lancet Commission on Adolescent Health and Wellbeing; SDGsa | In use |
| 1.03 Proportion of adolescents (10–19 years) who live below the national poverty line, by age group (10–14, 15–19 years), and sex | INSPIRE; SDGsa; UNECE Monitoring Framework (ICPD) | In use, modified by GAMA AG |
| Alternative indicator for 1.03: 1.03-ALT Proportion of adolescents (10–19 years) who live below the international poverty line, by age group (10–-14, 15–19 years), and sex | Adolescent country tracker; SDGsa | In use, modified by GAMA AG |
| 1.04 Proportion of adolescents (10–19 years) who live with moderate or severe food insecurity, based on the Food Insecurity Experience Scale (FIES), by age group (10–14, 15–19 years), and sex | INSPIRE; SDGsa | In use, modified by GAMA AG |
| 1.05 Proportion of female adolescents (15–19 years) who make their own informed decisions regarding sexual relations, contraceptive use, and reproductive health care | Global Strategy for WCAH; SDGsa; UNECE Monitoring Framework (ICPD) | In use |
| 1.06 Proportion of adolescents (10–19 years) not in education, employment, or training, by age group (10–14, 15–19 years), and sex | Global Strategy for WCAH; Lancet Commission on Adolescent Health and Wellbeing; SDGsa; UNECE Monitoring Framework (ICPD); Youth Development Index | In use, modified by GAMA AG |
| Additional indicators | ||
| A1.01 Proportion of adolescents (10–19 years) at the end of primary and at the end of lower secondary achieving at least a minimum proficiency level in (1) reading and (2) mathematics, by age group (10–14, 15–19 years), and sex | Global Strategy for WCAH; SDGsa | In use |
| Domain 2: Health behaviors and risks | ||
| Core indicators | ||
| 2.01 Prevalence of overweight and obesity among adolescents (10–19 years), by weight status (overweight, obese), age group (10–14, 15–19 years), and sex | FRESH; Global Reference List of 100 Core Health Indicators; Global Reference List of Health Indicators for Adolescentsa; Lancet Commission on Adolescent Health and Wellbeing; UNECE Monitoring Framework (ICPD) | In use |
| 2.02 Prevalence of thinness among adolescents (10–19 years), by age group (10–14, 15–19 years), and sex | EMRO core indicators for adolescent health; Global Reference List of Health Indicators for Adolescentsa | In use |
| 2.03 Past 30 day prevalence of heavy episodic drinking among adolescents (10–19 years), by age group (10–-14, 15–19 years), and sex | INSPIRE; Lancet Commission on Adolescent Health and Wellbeing; Global Information System on Alcohol and Healtha | In use, modified by GAMA AG |
| 2.04 Past 30 day prevalence of psychoactive drug use among adolescents (10–19 years), by type of substances, age group (10–-14, 15–19 years), and sex | Adolescent country tracker; EMRO core indicators for adolescent healtha; Youth Development Index | In use, modified by GAMA AG |
| 2.05 Past 30 day prevalence of tobacco use among adolescents (10–19 years), by type of tobacco used, age group (10–14, 15–19 years), and sex | EMRO core indicators for adolescent healtha; FRESH; Global Reference List of Health Indicators for Adolescents | In use |
| 2.06 Proportion of adolescents (10–19 years) who consumed at least 5 servings of vegetables and fruits daily during the past 7 days, by age group (10–14, 15–19 years), and sex | EMRO core indicators for adolescent healtha | In use |
| 2.07 Proportion of adolescents (10–19 years) who accumulated an average of at least 60 minutes per day of moderate to vigorous-intensity physical activity during the past 7 days, by age group (10–14, 15–19 years), and sex | EMRO core indicators for adolescent health; FRESH; Global Reference List of Health Indicators for Adolescentsa; Global Strategy for WCAH; WHO GPW 13 | In use, modified by GAMA AG |
| 2.08 Proportion of adolescents (10–19 years) involved in bullying within the past 12 months, by type of involvement (victim, perpetrator, both), type of bullying (in-person, digital/cyber), age group (10–14, 15–19 years), and sex | Adolescent country tracker; FRESH; INSPIRE; SDGsa; UNECE Monitoring Framework (ICPD) | In use, modified by GAMA AG |
| 2.09 Proportion of adolescents (15–19 years) who had their first sexual intercourse before 15 years of age, by sex | FRESH; Global Reference List of Health Indicators for Adolescents; INSPIREa; Measuring the Education Sector Response to HIV and AIDS | In use |
| 2.10 Proportion of adolescents (10–19 years) who used a condom at last sexual intercourse, by age group (10–14, 15–19 years), and sex | FRESH; UNECE Monitoring Framework (ICPD)a | In use, modified by GAMA AG |
| 2.11 Proportion of live births to female adolescents (10–19 years) attended by skilled health personnel, by age group (10–14, 15–19 years) | Countdown to 2030a; EMRO core indicators for adolescent health; Global Reference List of 100 Core Health Indicators; Global Strategy for WCAH; SDGs; UNECE Monitoring Framework (ICPD); WHO GPW 13 | In use, modified by GAMA AG |
| 2.12 Proportion of adolescents (10–19 years) who used a contraceptive (modern method) at last sexual intercourse, by method used, age group (10–14, 15–19 years), and sex | Countdown to 2030a; FP2020; Global Reference List of 100 Core Health Indicators; UNECE Monitoring Framework (ICPD) | In use, modified by GAMA AG |
| 2.13 Proportion of adolescents (10–19 years) who have their need for contraception satisfied with modern methods, by age group (10–14, 15–19 years), and sex | Countdown to 2030; FP2020; Global Reference List of 100 Core Health Indicators; Global Reference List of Health Indicators for Adolescents; Global Strategy for WCAH; Lancet Commission on Adolescent Health and Wellbeing; SDGsa; UNECE Monitoring Framework (ICPD); WHO GPW 13 | In use, modified by GAMA AG |
| Additional indicators | ||
| A2.01 Past 30 day prevalence of alcohol use among adolescents (10–19 years), by age group (10–14, 15–19 years), and sex | FRESH; Global Reference List of Health Indicators for Adolescentsa | In use |
| A2.02 Proportion of adolescents (10–19 years) who drank sugar-sweetened beverages one or more times per day during the past 7 days, by age group (10–14, 15–19 years), and sex | FRESHa | In use, modified by GAMA AG |
| A2.03 Proportion of female adolescents (10–19 years) who were aware of menstruation before menarche, by age group (10–14, 15–19 years) | None | Not currently in use |
| A2.04 Past 30 day prevalence of electronic cigarette use among adolescents (10–19 years), by age group (10–14, 15–19 years), and sex | Global Youth Tobacco Surveya | In use, modified by GAMA AG |
| Domain 3: Policies, programmes, and laws | ||
| Core indicators | ||
| 3.01 Existence of an operational adolescent (10–19 years) health programme with coverage at the national level | Countdown to 2030a | In use, modified by GAMA AG |
| 3.02 Existence of national standards for delivery of health services to adolescents (10–19 years) | Countdown to 2030a | In use |
| Additional indicators | ||
| A3.01 Existence of national policy exempting adolescents (10–19 years) from user fees for specified health services in the public sector, by type of service | WHO SRMNCAH Policy Surveya | In use |
| A3.02 Absence of legal age limit for married and unmarried adolescents (10–19 years) to provide consent, without spousal/parental/legal guardian consent, for specified adolescent health services, by marital status, and type of service | WHO SRMNCAH Policy Surveya | In use |
| Domain 4: Systems performance and interventions | ||
| Core indicators | ||
| 4.01 Proportion of adolescents (10–19 years) who made a visit to a health facility to receive a health service during the past 12 months, by age group (10–14, 15–19 years) and sex | Global Reference List of Health Indicators for Adolescentsa | Not currently in use |
| 4.02 Proportion of 15-year-old adolescents covered by human papilloma virus (HPV) vaccine (last dose in schedule), by sex | Global Strategy for WCAH; SDGsa | In use |
| 4.03 Existence of age- and sex-disaggregated health data for adolescents (10–19 years) in the national health information system | EMRO core indicators for adolescent healtha | In use |
| Additional indicators | ||
| A4.01 Proportion of schools that offer comprehensive school health services | None | Not currently in use |
| A4.02 Proportion of schools that offer life skills-based HIV and sexuality education during the previous academic year | SDGsa; UNECE Monitoring Framework (ICPD) | In use |
| Domain 5: Subjective well-being | ||
| Core indicators | ||
| 5.01 Proportion of adolescents (10–19 years) with someone to talk to when they have a worry or problem, by age group (10–14, 15–19 years) and sex | MMAPa | In use |
| Additional indicators | ||
| A5.01 Proportion of adolescents (10–19 years) with a positive connection with their parent or guardian, by age group (10–14, 15–19 years) and sex | MMAPa | In use |
| Domain 6: Health outcomes and conditions | ||
| Core indicators | ||
| 6.01 Adolescent (10–19 years) mortality rate, by age group (10–14, 15–19 years) and sex | Adolescent country tracker; Countdown to 2030; Global Reference List of 100 Core Health Indicators; Global Reference List of Health Indicators for Adolescents; Global Strategy for WCAHa; Youth Development Index | In use |
| 6.02 Adolescent (10–19 years) mortality rate, by specified causes of death, age group (10–14, 15–19 years) and sex | Countdown to 2030a; Global Strategy for WCAH | In use, modified by GAMA AG |
| 6.03 Number of new cases of HIV infections among adolescents (10–19 years) per 1,000 uninfected adolescent population, by age group (10–14, 15–19 years) and sex | Global Reference List of 100 Core Health Indicators; Global Strategy for WCAH; SDGsa; UNECE Monitoring Framework (ICPD); WHO GPW 13 | In use |
| 6.04 Number of new cases of sexually transmitted infections (STIs) among adolescents (10–19 years), by age group (10–14, 15–19 years) and sex | Global Reference List of 100 Core Health Indicatorsa | In use, modified by GAMA AG |
| 6.05 Proportion of adolescents (10–19 years) who report a suicide attempt during the past 12 months, by age group (10–14, 15–19 years) and sex | EMRO core indicators for adolescent health; MMAPa | In use |
| 6.06 Proportion of adolescents (10–19 years) who report symptoms of depression and/or anxiety, by age group (10–14, 15–19 years) and sex | EMRO core indicators for adolescent health; Global Reference List of Health Indicators for Adolescents; Global Strategy for WCAH; MMAPa | Not currently in use |
| 6.07 Number of new cases of specified types of injuries among adolescents (10–19 years) per 100,000 population, type of injury, age group (10–14, 15–19 years) and sex | EMRO core indicators for adolescent healtha | In use |
| 6.08 Proportion of adolescents (10–19 years) who experienced physical violence during the past 12 months, by perpetrator (parents/caregivers, teachers, other adults, intimate partners, peers), age group (10–14, 15–19 years) and sex | FRESH; INSPIREa | In use, modified by GAMA AG |
| 6.09 Proportion of adolescents (10–19 years) who experienced contact sexual violence during the past 12 months, by perpetrator (parents/caregivers, teachers, other adults, intimate partners, peers), age group (10–14, 15–19 years) and sex | INSPIREa | In use, modified by GAMA AG |
| 6.10 Adolescent (10–19 years) birth rate, by age group (10–14, 15–19 years) | Adolescent country tracker; Countdown to 2030; EMRO core indicators for adolescent health; FP2020; Global Reference List of 100 Core Health Indicators; Global Reference List of Health Indicators for Adolescentsa; Global Strategy for WCAH; Lancet Commission on Adolescent Health and Wellbeing; SDGs; UNECE Monitoring Framework (ICPD); Youth Development Index | In use, modified by GAMA AG |
| 6.11 Prevalence of anemia among adolescents (10–19 years), by age group (10–14, 15–19 years) and sex | EMRO core indicators for adolescent healtha; Global Strategy for WCAH; Lancet Commission on Adolescent Health and Wellbeing | In use |
| Additional indicators | ||
| A6.01 Proportion of adolescents (10–19 years) perpetrating physical violence during the past 12 months, by age group (10–14, 15–19 years) and sex | None | Not currently in use |
| A6.02 Proportion of young women and men (18–29 years) who experienced sexual violence by age 18, by perpetrator (parents/caregivers, teachers, intimate partners, peers), age at victimization (<10, 10–14, 15–18 years) and sex | Global Reference List of 100 Core Health Indicators; Global Strategy for WCAH; INSPIRE; SDGsa; UNECE Monitoring Framework (ICPD) | In use |
| A6.03 Proportion of adolescents (10–19 years) who report suicidal thoughts during the past 2 weeks, by age group (10–14, 15–19 years) and sex | EMRO core indicators for adolescent health; MMAPa | In use, modified by GAMA AG |
| A6.04 Proportion of adolescents (10–19 years) with symptoms of anxiety or depression who report contact with a health professional or counsellor for their mental health symptoms, by age group (10–14, 15–19 years) and sex | Global Reference List of 100 Core Health Indicators; MMAPa | Not currently in use |
| A6.05 Proportion of female adolescents (10–19 years) who have undergone female genital mutilation/cutting, by age group (10–14, 15–19 years) | Countdown to 2030; Global Reference List of 100 Core Health Indicators; SDGsa | In use, modified by GAMA AG |
a
Metadata for the proposed indicator were derived primarily from this initiative.
b
An alternative indicator (1.03-ALT) is listed below the linked core indicator (1.03).