Abstract:
bstract
Objectives Ensuring youth participation in policymaking that affects their health and well-being is increasingly recognized
as a strategy to improve young people’s reproductive health. This paper aimed to describe the policy context and analyze
underlying factors that influence youth participation in sexual and reproductive health (SRH) policymaking in Malawi.
Methods This critical, focused ethnographic study is informed by postcolonial feminism and difference-centered citi-
zenship theory, based on data collected from October 2017 to May 2018. Multiple research methods were employed:
document analysis, focus group discussions, and ‘‘moderate’’ participant observation. Semi-structured interviews were
conducted with key informants and youth, supplemented by open-ended drawing exercises with youth.
Results Progressive policies and the presence of youth in some policymaking structures indicate substantial headway in
Malawi. However, underlying structural and societal factors circumscribe young people’s lived experiences of
participation.
Conclusions Despite recent progress in involving young people in SRH policymaking, notable gaps remain between policy
and practice. Recognizing and integrating young people in all stages of SRH policymaking is critical to catalyzing the
social and political changes necessary to ensure their reproductive health and well-being.
