One Size Doesn't Fit All_Parveen_5.1.12


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  • Child-focused PVO supporting the development and wellbeing of over 13.5 million children and their communities in 29 countries; Primary funding from sponsorship programs, which serves a foundation for implementing grant-funded programs; Adopts an integrated multi-sectoral approach focused on ensuring successful transitions between infancy, early childhood, middle childhood, and young adulthood; Works with CBOs (local partners) in program design and implementation; Invests in long-term programs to strengthen local capacity and ensure program sustainability.
  • One Size Doesn't Fit All_Parveen_5.1.12

    1. 1. CORE Spring MeetingMay 01, 2012Integrating FP into Youth Programs:Zambia Family Planning IntegrationProjectSadia D. ParveenReproductive Health SpecialistChildFund International
    2. 2. ChildFund International:Core Intent and Outcomes ChildFund exists to: Help deprived, excluded and vulnerable children have the capacity to improve their lives and the opportunity to become young adults, parents and leaders who bring lasting and positive change in their communities. Promote societies whose individuals and institutions participate in valuing, protecting, and advancing the worth and rights of children. 2
    3. 3. ChildFund International: Desired Long-Term Goal for YouthYouth that are deprived, excluded andvulnerable have access to opportunities andsafe and supportive environments for:•Strengthening their economic, physical andsocial well-being as well their resilience torisks, especially in health;• Exploring their world and forming their own opinions;• Building capacity to be proactive members of their families;• Bringing lasting and positive change in their communities. 3
    4. 4. FPIP, Zambia: Background of Project Area • Catchment population – 75,000 • Rural, very poor communities • Health centers not easily accessible and lack trained providers• Adolescents and youth comprise 28% of the overall population, and present a huge unmet need• Teen pregnancy is high at 189/1000• Strong religious influence on FP practice
    5. 5. FPIP Zambia Phase IFPIP 2006-2008 aimed to increase the range of FPservices available at the community level –• Trained health center and health post staff as well as CBDs on youth-friendly reproductive health counseling and service;• Trained 49 youth peer educators who counseled and/or referred 3,528 youth for FP services, working closely with CBDs. 5
    6. 6. FPIP Zambia Phase I: Youth Voices“We provide counseling and services for adolescents. They usually askfor oral pills or condoms. We also do both counseling and services forSTIs. We served 10-15 adolescents for FP last month.” 6
    7. 7. FPIP Zambia Phase I: Healthcare Providers“We have RH/FP services for adolescents. Last week I provided VCT andFP for boys who wanted condoms and 5 girls who received oral pills. Ialso treated 3 (ages 17, 18 and 19) for STIs.” 7
    8. 8. FPIP Zambia Phase IIFPIP 2010 – 2012 built on Phase I experience and strengthenedrole of youth in CBFP information and service –• Trained 124 youth peer educators – o 75 male, 49 female o 100 in-school, 24 out-of-school o 16 married, 108 not married• Initiated Youth-Friendly Service at 27 health centers• Drafted youth peer educator curriculum in collaboration with MOH/Z and MOE/Z and FP Technical Working Group (in process)To date: Over 4000 youth received FP information and counseling, almost 200 receivedFP service directly from youth peer educators, majority referred to CBDs, and 177referred to health center for FP service. 8
    9. 9. ChildFund’s Experience: FPIP – ZambiaAdditional engagements of youth peer educators –•Child-Friendly School program•Engagement of youth in income generation projects, i.e.goat rearing, seed distribution, growing bananas, etc.•Youth participation and empowerment project 9
    10. 10. FPIP Zambia Phase II: Integration Points • Youth SRH/FP adapted as part of organizational strategy and core intervention • Reduced teen pregnancy a core impact indicator for the organization • FP method use by youth adapted as a breakthrough change in ChildFund’s Youth Theory of Change 10
    11. 11. FPIP Zambia Phase II:Integration Points (cont’d) • Projects (both sponsorship and non- sponsorship) designed to address youth SRH • Program managers and field staff trained on SRH-FP programming for youth • Development of toolkit for SRH-FP programs (including curricula and flip-cards) in progress 11
    12. 12. FPIP Zambia Phase II:Integration Points(cont’d) • Parents and community leaders aware of implications of teen pregnancy, HIV infection, sex trade, among others • Communities supportive of FP method use by sexually active youth • Neighborhood Health Committee members supervise youth peer educators 12
    13. 13. FPIP Zambia Phase II:Youth Role in FP Service Increased FP uptake 13
    14. 14. Key Learnings To Date• Youth play an influencing role in their community to effect change; they are a dynamic source of information for identifying gaps and developing potential solutions, especially in terms of reproductive health• Youth participation is a key ingredient in CBFP programming; they compliment the work of CBDs and present a vital link with the younger segment of the population that is entering reproductive maturity• Pairing youth with CBDs helps to increase coverage and efficiency (especially with regard to record keeping and reporting, and IEC activities).