Global evidence shows that sexual and gender minority (SGM) people are excluded and underserved by family planning (FP) and sexual and reproductive health (SRH) programs.1-4 The Advancing Inclusion of Sexual and Gender Minority Youth in Family Planning and Sexual and Reproductive Health Programs: Insights to Action Brief is a call to advance thinking and action on the intentional inclusion of SGM people and other people with diverse sexual orientation, gender identity, gender expression, and sex characteristics in youth-focused FP/SRH programs implemented in low- and middle-income countries (LMICs). It summarizes insights from learning and assessment activities conducted by Breakthrough ACTION and recommends eight priority actions to design and implement more inclusive and equitable programs for youth in all their diversity in LMICs.

The intended audience for this brief is program implementers working at the intersection of FP/SRH, positive youth development, and social and behavior change, or otherwise working to improve youth access to FP/SRH information and services. The insights and actions in this brief most directly apply to program design and implementation by health nongovernmental organizations working with multi-level partners and stakeholders, including funders, governments, and communities.


  1. Health Development Initiative (HDI). (2020). Addressing the Legal and Policy Challenges to Adolescents’ Access to Sexual and Reproductive Health Information and Services in Rwanda.
  2. Cousins, L., & Sharma, M. (2023). The heart of the matter: Embrace the reality of young people’s sexual and reproductive health and rights today. ICPD+30 Shadow Report. Rutgers International.
  3. Müller, A., Spencer, S., Meer, T., & Daskilewicz, K. (2018). The no-go zone: a qualitative study of access to sexual and reproductive health services for sexual and gender minority adolescents in Southern Africa. Reproductive Health, 15(1), 12.
  4. Swanepoel, M., Gaihre, R.M., Apte, K., Pasion, G.G. (2022, August). Expanding Inclusion: An intersectional lens on FP/RH services for people with disabilities, indigenous peoples, and LGBTQI+ communities within Asia. [PowerPoint Slides]. Knowledge SUCCESS, Johns Hopkins Center for Communication Programs.