BACKGROUND Reproductive health of vulnerable adolescent girls is a top priority in global programs. Alcohol consumption, drug abuse, high risk sexual behaviors, sexually transmitted diseases, sexual assault, escape from home, unrestrained sex in the family, history of robbery, imprisonment and living in drug hangouts expose adolescents to different sorts of damage and injury. These adolescent girls are at risk of AIDS and other STDs, unwanted pregnancies, illegal and unsafe abortions, unplanned pregnancy and childbirth, and unsafe motherhood. Therefore, assessing these girls' reproductive health needs and designing programs to improve their sexual and reproductive health seem to be essential. This study will be conducted to design a comprehensive program for improving the reproductive health of vulnerable adolescent girls. METHODS The present study is an exploratory sequential mixed methods study (Qual-Quan) designed in three phases. In the first phase, a qualitative study will be used to describe the reproductive health needs of vulnerable adolescent girls, identify facilitating and inhibiting factors, and explain the strategies of reproductive health programs for these girls. Participants will be selected in this phase using purposive sampling method, and the data will be collected through semi-structured interviews. The obtained data will be analyzed using conventional qualitative content analysis. In the second phase, through a quantitative study, the strategies obtained from the qualitative study and review of the literature will be provided to reproductive health care providers, experts, policymakers, and planners to prioritize and select the best strategies. In the third phase, the initial draft of the program will be formulated based on prioritized strategies and will be proposed in a panel comprised of specialists in the areas of reproductive and sexual health, health promotion, social injuries and a psychiatrist. Finally, the final program will be developed and presented after obtaining the agreement and approval of the panel members. DISCUSSION Designing a program based on a qualitative study, review of the existing evidence and programs, and using the opinions of experts in different areas can lead to different aspects of reproductive and sexual health of vulnerable adolescent girls. On the other hand, taking into account all cultural sensitivities and taboos as well as political, economic and social barriers, the development of such a program can provide the appropriate possibility of presenting comprehensive reproductive and sexual health services to vulnerable adolescent girls and achieve the goals agreed universally.

中文翻译：

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针对弱势少女的全面生殖健康方案。

背景技术易受伤害的少女的生殖健康是全球计划的重中之重。饮酒，吸毒，高危的性行为，性传播疾病，性侵犯，逃离家园，家庭无拘无束的性生活，抢劫史，监禁和生活在毒hang中，使青少年遭受各种伤害和伤害。这些少女有患艾滋病和其他性传播疾病，意外怀孕，非法和不安全堕胎，计划外的怀孕和分娩以及不安全的母亲的危险。因此，评估这些女孩的生殖健康需求并设计改善其性健康和生殖健康的方案似乎至关重要。进行这项研究是为了设计一项综合计划，以改善弱势少女的生殖健康。方法本研究是一个探索性顺序混合方法研究（Qual-Quan），分三个阶段进行。在第一阶段，定性研究将用于描述易受伤害的少女的生殖健康需求，确定促进和抑制因素，并解释针对这些女孩的生殖健康计划的策略。在此阶段，将使用有目的的抽样方法选择参与者，并通过半结构化访谈收集数据。所获得的数据将使用常规的定性内容分析进行分析。在第二阶段，通过定量研究，将从定性研究和文献回顾中获得的策略提供给生殖健康护理提供者，专家，政策制定者和计划者，以对其进行优先级排序和选择最佳策略。在第三阶段，将根据优先战略拟定方案的初稿，并将在生殖和性健康，促进健康，社会伤害和精神科医生领域的专家组成的小组中提出。最后，在获得小组成员的同意和批准后，将制定并介绍最终方案。讨论在定性研究的基础上设计程序，对现有证据和程序进行回顾，并使用不同领域专家的意见，可能导致脆弱少女的生殖健康和性健康的不同方面。另一方面，考虑到所有文化敏感性和禁忌以及政治，经济和社会障碍，