Professional Documents
Culture Documents
Sustainability: Exploring feasible approaches for sustainable youth friendly ASRH services in resource limited settings
Presented by: Timothy Oboth Plan International Uganda
Session Objective
To explore the feasibility of different approaches for Youth Friendly Services (YFS) for Sexual Reproductive Health (SRH) in resourcelimited communities in northern Uganda
4/8/2014
Background: factors
High levels of poverty Limited access to accurate/comprehensive SRHR information/services <35% Negative socio-cultural stereotypes
Aggravate gender inequality Inhibit inter-generational communication on SRHR
Background
Consequences:
High teen pregnancy rate - 24% High school dropout rate primary school completion 25% Longer exposure to SRH risks among teenage girls who are sexually active
Reduce Y/SRH risks & improve outcomes through comprehensive information services & life skills To compare two models of service delivery
Promising Futures, Community by Community
Built capacity of community commodity distributers Transitioned to local government at end of grant
Model II: Y/SRH integration into local system Setup youth-peer SRH
network
Built capacity of existing public facilities in YFS and quality improvement Engaged influential adults to create an enabling environment for Y/SRH
4/8/2014 8
Results
Both models yielded immediate improvements in indicators over baselines:
Monitoring Indicator No of youth reached % increase in SRH awareness % increase in consistent condom use % increase in use of other FP methods % reduction in teenage pregnancy Model-I (YC) 49,422 7.8% 12% 15% 5% Model II (Integration) 42,135 55.2% 21.5% 26% 11.7%
4/8/2014
Results
Model-I service delivery at YC stalled due to lack of public financing after transition
Model-II continued to provide Y/SRH services with youth peer leaders integrated into the Village Health Team system
Challenges
Weak post-conflict public health system Gender-biased socio-cultural practices Unfavorable national Y/SRH/FP policies Civil society weak in advocacy/accountability
Lessons Learned
Establishing integrated Y/SRH within existing local & district health system:
Cost-effective, yields better results and is sustainable
Promising Futures, Community by Community
Recommendations
Thank you
Mr. Timothy Oboth Plan International Uganda Timothy.Oboth@plan-international.org
4/8/2014
14