Pakistan floods: read a selection of innovations and guidance for acute crises response.

We are Elrha, a force for change in the humanitarian community. The research and innovation we support equips the humanitarian community with the knowledge of what works, so people affected by crises get the right help when they need it most.
Our purpose is clear: to empower the humanitarian community to improve humanitarian response. We make this happen by supporting and championing the outcomes of robust research and proven innovations.
We empower the humanitarian community. Find out how we can support you...

Principal Investigators: Linnea Zimmerman and Courtland Robinson, Johns Hopkins University


The purpose of this research is to understand how conflict and displacement affect patterns of early marriage, demand for childbearing and fears of sub-fecundity (waiting months, or years, to achieve pregnancy) and how these in turn affect desire for and use of reproductive health services.

Understanding the drivers of early marriage and the consequences of sub-fecundity that motivate early childbearing are critical in terms of understanding use of health services. Desires for family formation drive demand for and use of family planning; thus, these results can help improve sexual and reproductive health (SRH) programmes by improving outreach, counseling and addressing key barriers. Findings from this research will build the evidence base for adolescent SRH programmes and policies in the context of protracted conflict and displacement.

Courtland Robinson

Johns Hopkins University

Adolescent sexual and reproductive health in humanitarian crises include a range of issues – including early marriage and fertility decision-making – that need a stronger empirical base for developing effective programs and policies, including protection, family planning, and social services.

Expected Outcomes

This work has the potential to contribute to adolescent SRH programmes and build the research base in areas that have been largely neglected. By understanding the social pressures that inform childbearing in conflict settings, SRH programmes can more effectively tailor their messages and interventions. Humanitarian circumstances, including poverty and displacement, amplify vulnerabilities and barriers to the use of adolescent SRH services. This calls for even more effective and context-specific services.

This research will build on previous studies in Bangladesh and Yemen to enable some longitudinal comparisons. It will build the evidence base for designing services that respond to the needs of the adolescents in conflict-affected communities, and provide insight into the effect of COVID-19 on adolescent SRH. It will also produce an outline for adolescent SRH services including the content and approach of new strategies.

Photo of Refugee camp outside of Cox’s Bazaar, Bangladesh. Credit: Jenn Leigh.
Photo of Refugee camp outside of Cox’s Bazaar, Bangladesh. Credit: Jenn Leigh.

Subscribe to our newsletters....

Elrha © 2018 - 2022 Elrha is a registered charity in England and Wales (1177110). KEEP IN TOUCH Want to stay up to date with our latest updates? Sign up to our newsletters
Elrha Please upgrade your browser

You are seeing this because you are using a browser that is not supported. The Elrha website is built using modern technology and standards. We recommend upgrading your browser with one of the following to properly view our website:

Windows Mac

Please note that this is not an exhaustive list of browsers. We also do not intend to recommend a particular manufacturer's browser over another's; only to suggest upgrading to a browser version that is compliant with current standards to give you the best and most secure browsing experience.