Laying the foundation for girls' healthy futures: can sports play a role?

For many girls in developing countries, adolescence is characterized by a high risk of early and unwanted sexual activity, forced marriage, and early pregnancy-related events. By themselves, the provision of contraceptive services are unlikely to change these trends. Also since many girls receive no formal education, and those who do often have negative experiences, school-based sex education will have only a limited impact. Other approaches are needed to support girls in their transition to adulthood. The Population Council is investigating the feasibility of targeting adolescent women through sports programs. Creating opportunities for young women to develop self-esteem, master new skills, and establish a sense of bodily integrity may be critical to improving girls' health and self-image. Physical education and participation in sports are an untapped, potentially important area for public health intervention. Girls' perception of their bodies, how sports benefit girls, and possibilities in developing country settings are discussed.