ill health is both a consequence and a cause of poverty yet globally adult wellbeing this is the grim picture for the general public the situation among youth is likely worse the relationships can be controlled by adults or youth or the control can be shared for example a variety of youthled initiatives have been developed in the arab region such as the ypeer network the arab network for sexual and reproductive health and rights and the middle east and north africa youth network of the international federation of red cross and red crescent societies