SEXUAL REPRODUCTIVE HEALTH AND RIGHTS

SEXUAL REPRODUCTIVE HEALTH AND RIGHTS

Goal

Improved sexual and reproductive health practices for female and male adolescents/youths with and without disabilities (10-24) in Lilongwe District

  1. To promote access to comprehensive and quality sexual education (CSE) which is age appropriate, non judgemental and gender sensitive SRHRs/HIV/AIDs information to  adolescents and youths including the teenage mothers and HIV positive youths with and without disabilities.

Strategy

This will be done through comprehensive sex and sexuality education for the adolescents and youth with and without disabilities. The project will ensure that it provides such information in a non judgemental manner and is age appropriate. The information will be provided through fixed sites-public and private clinics, peer out-reach programs, school linked clinics, social marketing, community based distribution and social networks. Youths will be encouraged to develop IEC materials based on their specific SRH issues, bringing it home. Such material will include those in word, Braille and sign language. Posters with relevant information will also be used

 

Activities:

  1. Briefing of (10) Traditional Authorities
  2. Briefing of 30 Area Development Committee members. The briefing will be for one day and for 15 days, covering two T/As each day. ( suggested activity to be removed from line of activities)
  3. Identification and training of Trainer of trainers on ASRHRs/HIV/AIDs using ASRHR training manual. (32 TOT: 8/4 PAs)
  4. Training of 80 (20 per PA) Community facilitators  using ASRHR training manual
  5. Reproduction of (168) training manuals (English, 2 local languages);
  6. Reproduction of (168) training manuals in Braille and sign language (DVDs in English and 2 local languages);
  7. Reproduction of (100) posters in 2 local languages;
  8. Provision of recreational material for young people at service delivery points (80: 20 per district)
  9. Training of 30 pre and post-test counselors Conduct 5 spoken word Art and motivational/inspirational speeches (once a year for two and half year)
  10. Training of health workers on ASRHRs/HIV/AIDs using ASRHR manual from 30 centres .
  11. Orientation in sign-language for 30 health service providers (2 per health centre for 15 health centres per district )and translators for 5 days;
  12. Training 300 adolescents/youths (300 from each district) and 8 officers in theatre for change for service demand creation

 

Outcomes

Outcomes:  1. Increased access to and quality of age- appropriate, non-judgemental and gender sensitive SRHR/HIV/Aids information for adolescents with and without disabilities:

  1. Increase proportion of the adolescents aged 10-19 years with comprehensive age appropriate and correct knowledge on ASRHRs/HIV/Aids by 30% by December 2016;
  2. Increased % of adolescents with established positive and safe behaviours regarding HIV and AIDs (including condom-use).
  3. Increased % of adolescents seeking HIV testing and receiving results from 20% to 60% by December 2020
  4. Increased participation of adolescents with and without disabilities in ASRHRs activities by 40% by December 2020
  5. To increase access to quality adolescent/youth friendly health services.

Strategy

The project will facilitate the establishment of YFHS in health facilities and outreach centres which will be agreed upon by the youths themselves as a way of ensuring their full participation in their SRHR. These centres will provide universal access to accurate sexual and reproductive health information, a range of safe and affordable contraceptives, sensitive counselling, quality ante natal, delivery services and postnatal care for the youths and prevention and management of STI including HIV. This will be made possible through training providers and more young people in service provision, creating a friendly environment for those with disability, teen mothers, HIV positive youths etc. Introduction of youth days, educating the youths on their rights, youth engagement (recreational activities), addressing providers bias, involving the youth in policy making. Young people will provide some of the services after training and coaching and mentoring will form an integral part of the service delivery by both health workers and young people.

The programme will support training of HSAs in SRH while the Community Resource Persons (CORPs) will be trained to become CBDAs that will include the beneficiaries.  In addition, the project will facilitate the formation of Village Saving and Loans (VSL) groups and link beneficiaries of the project to already existing groups where possible. This will enable them to have funds for transport and upkeep while they attend ANC and for costs related to delivery at the health facility. Provision of long-acting reversible contraception a great choice for adolescents and youth and emergency contraceptives by government will also be explored.

The project will ensure that the services are demand driven through mobilizing youth leaders for reproductive health and family planning rights, partnership buildings- evidence based program designs, constituency building, and post training activities for instance rallying students support and bringing the issues home. The project will create a safe place for them- have people of the same age together and use locally based people because they can go to them at their convenient time.

Integrated outreach services will form an integral part of the strategy so as to reach the hard to reach target populations. The health workers will go out and bring services closer to the people. This will include provision of FP services, STI prevention treatment and management, HIV and AIDS services, cervical cancer screening, post abortion care, FANC, labour and delivery as well as postnatal care and these activities will compliment what the Malawi Government is doing in addressing the sexual and reproductive health needs of adolescents and young people as outlined in the National Sexual and Reproductive Health and Rights Strategy (2011-2016) document.