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6    DSW’ s Inte rnational Work




                                                                                                        Ethiopia


                                                                                                     Uganda            Kenya



                                                                                                      Tanzania




»       DSW in the Field
        For over twenty years, DSW has campaigned tirelessly     education is most effective when adolescents are
        on behalf of those who hold the future in their hands:   taught and counselled by their own peers. In
        the young people of today and the parents of             addition, we involve parents, teachers, community
        tomorrow. During this time we have built a solid         members, and local and religious opinion leaders.
        network of over six hundred youth clubs for sexual       Their support and understanding is vital to ensure
        and reproductive health and rights (SRHR) education      a lasting improvement in the lives of young people.
        and AIDS prevention training in the four East
                                                                 However, DSW’s field work involves much more than
        African countries where we operate: Ethiopia, Kenya,
                                                                 sex education. We apply an integrated population-
        Tanzania, and Uganda.
                                                                 health-environment approach based on the needs
        Through our Youth-to-Youth Initiative, peer educators    and rights of young people and communities. We
        at these clubs teach and motivate other young people     support and promote capacity building of civil society
        about how to prevent unwanted pregnancies and            organisations and communities, with a special
        HIV infections, and how they can implement positive      focus on young people, as well as social and political
        changes in their own lives and the lives of others in    decision-makers, health providers and relevant
        their communities. Our experience shows that sex         stakeholders throughout the world.



                                        “The global problems of our time such as poverty, food
                                        shortages, and climate change can only be overcome by
                                        meeting the unmet need for family planning and modern
                                        contraception in the world’s poorest countries.”
                                                                                  Renate Baehr, DSW’s Executive Director
DSW’ s Inte rnational Work               7




    Highlights
    Capacity Building in Development                             www.youth-to-youth.org
    During 2011 and early 2012, DSW developed and
    conducted a total of 218 training courses across
    Africa and Asia. These training sessions focused on          Youth-to-Youth Website Launch
    capacity building in relation to resource mobilisation,
                                                                 In September 2011, DSW launched a dedicated
    civic education, advocacy, entrepreneurship, and
                                                                 website for the Youth-to-Youth Initiative. The youth
    life skills, and were held in 11 countries. DSW is
                                                                 focused website was set up to increase awareness
    committed to helping individuals and local organisa-
                                                                 on issues relating to SRHR, and to act as a point of
    tions to build and increase their knowledge and
                                                                 reference where young people could ask questions,
    resources for the areas in which we operate. Courses
                                                                 share experiences and motivate others. From its
    held at the regional, national and international levels
                                                                 initial launch to June 2012, the site has been visited
    included formal training sessions, peer-to-peer ex-
                                                                 by over 2,500 young people.
    changes, “ripple effect” train-the-trainer approaches,
    and online coursework.


    “I’ve been empowered!” – Study Praises DSW’s Youth-to-Youth Initiative
    Spanning four East African countries, DSW’s Youth-           and in a number of cases, the ability to provide for
    to-Youth Initiative has a membership of over 30,000          themselves and families through self-generated income.
    young people. In an effort to assess the results of the
    Initiative on young people and their social environ-
    ment, the Deutsche Gesellschaft fuer Internationale          “Before I was shy, now I am a public speaker
    Zusammenarbeit (GIZ), commissioned an assessment             and a highly recognised person; I am often
    of the Initiative in 2011. The results were extremely
    positive. The study praised the impact that the project      called to organise public events.”
    was having on girls in particular and how membership                                                       Youth club member.
    has led to the development of life skills, self-esteem,          Speaking about the benefits of DSW’s Youth-to-Youth Initiative.




»   Project Controlling
    DSW plans and manages projects with meticulous
    care and proficiency:
    » Before any project can begin, country office staff
      create an operational plan that sets out measurable
      goals, activities, timeframe, and budget considerations.
    » Close collaboration with local partners and benefi-
      ciaries ensures that projects are coordinated and
      planned in accordance with the precise needs of
      people in each country.
    » Project managers working in the country office
      ensure that everything is implemented according            » Project coordinators and the controlling depart-
      to the contract and produce monthly, or quarterly,           ment in Hannover check the reports and submit
      reports on the resources used and on the progress            the results to the Board of Directors.
      of projects initiated.
                                                                 » We also commission external appraisers to evaluate
                                                                   individual projects.
8         DSW’ s Inte rnational Work




»                    Ethiopia                                  Almost every second Ethiopian woman aged 20 is a mother.


                                                      Average number of children per woman:           4.8              145
                                                                                                              85
                                                                                                    29
                                                                                Population in millions 1970    2011       2050 * UN estimate
                                  Addis Ababa
                                  Capital of Ethiopia
                                  Country Office since 1999




»                    What Does DSW Ethiopia Do?
                     Almost two-thirds of Ethiopian women are married
                                                                                    What Have We Achieved?
                                                                                    A snapshot of recent successes with the project
Project Highlights




                     in their teens with some girls marrying as young as            “Working Together for Decent Work in East Africa”
                     seven years. As a result, they are often denied access         include:
                     to education and paid employment. To help improve
                                                                                    » One hundred youth and women’s group
                     this situation, we launched the “Working Together for
                                                                                      members have been trained in leadership and
                     Decent Work in East Africa” project for Ethiopia in
                                                                                      entrepreneurship skills.
                     September 2011. This three year regional project was
                     set up to provide social protection and employment             » 30,000 materials have been disbursed.
                     for those excluded from the formal labour market,
                                                                                    » Radio talk shows have reached an estimated
                     especially women and young people. Thirty youth and
                                                                                      audience of more than 10,000 listeners.
                     women’s groups, each consisting of 20–25 members
                     involved in various informal crafts and activities,            » Our health awareness events have impacted
                     have so far been organised to benefit from the project.          2,300 people.
                     We mentor individual members with regards to
                     developing market-based skills, increasing economic
                     opportunities, enhancing their ability to move into            Further information about our work in Ethiopia can be
                     formal employment and, creating networking                     found under www.dsw-online.org/ethiopia
                     opportunities. Ultimately, the sustainability of their
                     economic activities enables them to take ownership
                                                                                    to the eradication of this debilitating condition among
                     and control of their own futures.
                                                                                    women and girls in Ethiopia. Since prevention is
                                                                                    critical to fighting fistula, education, and family
                                                                                    planning services form the main strategies of this
                     The ”Fight Fistula“ Project                                    project. In the past six months alone, we have trained
                     Child marriage, early pregnancy and Female Genital             40 leaders from girls clubs to give advice and support
                     Mutilation (FGM) are among the reasons two million             about the condition, and we have reached more
                     women suffer from obstetric fistula, a serious child-          than 83,000 people about issues relating to SRHR
                     birth-related condition that often affects young girls.        and harmful traditional practices.
                     The goal of our “Fight Fistula” project is to contribute
DSW’ s Inte rnational Work               9




                                  »            Kenya                                   Average number of children per woman:

                                                                                       Just 44
                                                                                                                                       4.4
                                                                                                 per cent of all births in Kenya occur at health facilities.
                                                                                       Over 5,500 women die each year while giving
                                                                                       birth or due to pregnancy related conditions.                 97
                                        Nairobi                                                                                         42
                                        Capital of Kenya                                                                     11
                                                                                                         Population in millions 1970     2011        2050 * UN estimate
                                        Country Office since 2000


                                                                                           What Have We Achieved?
                                                                                           In May 2011, the European Commission did a final
                                                                                           assessment of the “Safe Motherhood” project. Results
                                                                                           have been extremely positive: together with partners,
                                                                                           DSW significantly contributed to improving the
                                                                                           health of girls and young mothers in Kenya.
                                                                                           Project achievements include:
                                                                                           » Health education campaigns have reached more
                                                                                             than 4.5 million young mothers, teenagers, and
                                                           © Carsten Luther




                                                                                             community members with vital information about
                                                                                             family planning and pregnancy.




»
                                                                                           » Our staff, youth clubs, and partners have distributed
                                                                                             more than 100,000 educational materials.
                                  What Does DSW Kenya Do?                                  » More than 100,000 male and female condoms were
                                  Since it was launched, DSW’s “Safe Motherhood”             distributed to young people.
Project Highlights




                                  project has aimed at enhancing the capacity of
                                                                                           » More than 900 health centre staff and community
                                  health workers to help improve access to safe
                                                                                             workers were trained.
                                  maternal and child health services in the slums of
                                  Nairobi and in the Kaloleni District, Coast Province     » More than 380,000 young mothers and their
                                  of Kenya. In 2011, we donated equipment worth over         children received health services such as pregnancy
                                  95,000 Euro to various health institutions throughout      tests, HIV tests, and vaccinations.
                                  Kenya. As a result of the project’s success in the
                                                                                           » More than 300 young women and mothers were
                                  field, we have also been invited to sit in a number of
                                                                                             provided with entrepreneurship skills training.
                                  influential working groups chaired by the Kenyan
                                  Ministry of Health.
                                                                                           Further information about our work in Kenya can be
                                                                                           found under www.dsw-online.org/kenya


                                                                                           Message to the Youth
                                                                                           A beneficiary of DSW’s “Working Together for Decent Work in
                                                                                           East Africa” project speaks about his experiences:
                                                                                           “My name is Stephen Omondi from Kenya. The aim of this project
                                                                                           is to help women and youth towards living a decent life. I under-
                                                                                           went a ten day training course and acquired skills which have
                                                                                           enabled me to empower my young fellows towards the realisation
               © Carsten Luther




                                                                                           that it’s time to take control of our own lives. It is my opinion that
                                                                                           youth self-employment in the informal sector will lead to the
                                                                                           growth of cooperatives which will sustain the Kenyan economy
                                                                                           for years to come. The programme has made a positive impact on
                                                                                           our communities.”
10           DSW’ s Inte rnational Work




»                    Tanzania                                   88 per cent of the population live on less
                                                                than two US Dollars a day.


                                                       Average number of children per woman:         5.4                  138

                                              Arusha
                                                                                                               46
                                              Country Office since 2006
                                                                                                 14
                                                                             Population in millions 1970        2011          2050 * UN estimate




                                                                                                                                                © Martin Grohganz
                                                                                 What Have We Achieved?
                                                                                 » With our project “Healthy Action”, we organised
                                                                                   eleven community sensitisation activities in
                                                                                   three districts on reproductive health, civic
                                                                                   responsibilities, and rights which had a direct




»
                                                                                   impact on 13,000 people.
                                                                                 » Through intensive use of DSW’s youth truck
                     What Does DSW Tanzania Do?                                    between January and May 2012, we reached more
                     In cooperation with our other country offices in              than 5,300 people with awareness and health
Project Highlights




                     Ethiopia and Kenya, we launched the “Working                  campaigns focusing on HIV & AIDS prevention,
                     Together for Decent Work in East Africa” project              forced marriages, and gender based violence.
                     for Tanzania in November 2011. This three year
                                                                                 » DSW Tanzania hosted a National Roundtable
                     programme will work towards improving the health
                                                                                   meeting whose objective was to bring together
                     and livelihoods of those excluded from the formal
                                                                                   national decision makers, donors, and non-state
                     labour market, especially women and youth. Early
                                                                                   actors for discussions regarding the advancement
                     results from the project have been very positive with
                                                                                   of family planning in Tanzania.
                     36 youth and women’s support groups established
                     in three targeted districts in Tanzania. Within these
                     groups a total of 865 people have benefited from
                                                                                 Further information about our work in Tanzania can be
                     the programme.
                                                                                 found under www.dsw-online.org/tanzania




                                                                                 Youth Truck
                                                                                 DSW staff travel around the country using Youth Trucks to visit
                                                                                 remote areas in order to spread information and advice about
                                                                                 reproductive health and contraceptives. By using direct
                                                                                 approaches such as group discussions and recreational activities,
                                                                                 they openly discuss sensitive issues in a youth-friendly manner.
DSW’ s Inte rnational Work               11




                                          »           Uganda                                 Average number of children per woman:

                                                                                             48 per cent of the population is below 15 years of age.
                                                                                             About 4 per cent of all 15–24 year
                                                                                                                                                                6.2

                                                                                             old girls are HIV positive.                                                      94
                                                                                                                                                                 35
                                                                       Kampala                                                                          9
                                                                                                                                  Population in millions 1970     2011        2050 * UN estimate
                                                                       Capital of Uganda
                                                                       Country Office
                                                                       since 2000                © Stephen Luyima




                                                                                                                    What Have We Achieved?



»
                                                                                                                    The “Young Adolescents Project” has had
                                                                                                                    tremendous successes:
                                          What Does DSW Uganda Do?                                                  » To date we have reached and educated more than
                                                                                                                      7,100 students, 1,900 parents, and 340 teachers.
                                          While much has been done to improve access to SRHR
Project Highlights




                                          information and services among older adolescents,                         » In 2011, more than 90 per cent of students had
                                          there is a common held belief that boys and girls                           comprehensive knowledge about HIV & AIDS –
                                          under the age of 15 are “too young” to be in need of                        compared with less than 25 per cent at the
                                          SRHR information and services. Against this back-                           beginning of the project.
                                          drop, DSW developed, in partnership with Bayer
                                                                                                                    » There has been a dramatic decrease in the school
                                          HealthCare Pharmaceuticals, the innovative “Young
                                                                                                                      dropout rate for young girls. In 2008, 118 young
                                          Adolescents Project” to create a supportive environ-
                                                                                                                      girls had left school, compared with only 29 girls
                                          ment and improve SRHR education for young
                                                                                                                      in 2011.
                                          adolescents in primary schools. The initiative has
                                          been implemented in ten schools in the districts                          » The role of teachers in creating awareness and
                                          of Masindi, Tororo, and Wakiso, and targets pupils,                         passing on knowledge about HIV & AIDS has
                                          teachers, and parents as well as health workers in                          increased: in 2011, more than 90 per cent of the
                                          promoting awareness and acceptance of family                                pupils named teachers in the classroom as one
                                          planning methods and the use of contraceptives.                             of their information sources.
                                                                                                                    » We have trained 17 health workers in the provision
                                                                                                                      of youth-friendly health services and encouraged
                                                                                                                      to establish youth-friendly corners in their health
                                                                                                                      centres.
                                                                                                                    » The project gained wide acceptance among
                                                                                                                      district officials. In 2011, they decided to consider
               © Peter Ginter, Bayer AG




                                                                                                                      sexual education as a priority for district education
                                                                                                                      departments as well as for the “District Develop-
                                                                                                                      ment Plans” in 2012.


                                                                                                                    Further information about our work in Uganda can be
                                                                                                                    found under www.dsw-online.org/uganda
12    DSW’ s Inte rnational Work




»        Advocating for Change –
                             in the South
         Advocating for increased support from governments           formulate policy priorities, monitor their implemen-
         for gender equality, family planning, and sexual            tation and influence decision-makers. Collaboration
         and reproductive health and rights (SRHR), is vital         with institutions, government agencies, and other
         for maintaining and improving the health of young           non-governmental organisations is an important
         people and societies in order to help them reach            cornerstone of our work. By cooperating and working
         their full potential. Advocacy initiatives, such as DSW’s   together with other actors, we help to ensure the
         “Healthy Action” project, are aimed at empowering           sustainability of our activities while achieving greater
         East African non-state actors to advocate effectively       results for all.
         on health issues by increasing their capacity to

                                    “DSW’s AHEAD project is at the cutting-edge of efforts to
                                    mobilize civil-society demand and support for the funding
                                    of reproductive health interventions in developing countries.
                                    DSW's efforts are playing a vital role in saving the lives of
                                    poor women in those countries.”
                                                                                                                 Tom Merrick,
                                                                                 Technical Advisor to the World Bank Institute
DSW’ s Inte rnational Work               13




»   What Have We Achieved in the South?




                                                             Highlights from two of our advocacy projects in the
                                                             past year include:
                                                             » “Euroleverage”: We have provided comprehensive
                                                               technical assistance to our implementing partners
                                                               in the Euroleverage project regarding the develop-
                                                               ment and implementation of national advocacy
                                                               strategies aimed at increasing domestic and
                                                               European funding for reproductive health in their
                                                               countries. Interim findings from an impact analysis
                                                               indicate that the “Euroleverage” project resulted in:
                                                               • Reproductive health and family planning
    Capacity Building in the South                               information being accessed by a total of
    DSW conducted a total of 218 training workshops in           6.3 million people;
    Senegal, Rwanda, India, Nepal, Malawi, Kenya,              • Approximately 4.4 million condoms distributed;
    Tanzania, Uganda, Mozambique, and Burundi through          • Nearly 1 million clients with access to SRHR
    the capacity building framework/approach of our              services and;
    projects “Healthy Action”, “Euroleverage”, “AHEAD for      • More than 32,000 people trained in capacity
    World Bank Advocacy”, “nEUwAID”, as well as “Fight           building activities.
    Fistula”, and our Youth-to-Youth Initiative. Held
    during 2011 and early 2012, these training sessions
    were based on a number of thematic priorities.
    “Euroleverage”, and “nEUwAID”, for instance, included
    training sessions focusing on enhancing local civil
    society organisations (CSOs) capacities to better hold
    the EU and their own governments accountable             » “Healthy Action”: Our advocacy project, “Healthy
    regarding commitments made.                                Action”, is carried out in Kenya, Tanzania, and
                                                               Uganda. In 2011, DSW Kenya hosted a three day
    Participants involved in the training were also guided
                                                               training on civic education for health CSOs.
    about issues relating to the definition of EU aid
                                                               Following the training, beneficiaries have been
    policies for their own countries, how to navigate the
                                                               undertaking civic education in all regions of the
    often complex funding environment, and how to
                                                               country through the use of edutainment and other
    improve their chances of mobilising new funding for
                                                               forms of community outreaches to sensitise the
    their projects.
                                                               community on governance issues in the health
                                                               sector. Since initiation, a total of 14 forums have
                                                               been held reaching more than 1,500 people. Key
                                                               political decision-makers have also felt the effect
                                                               of this civic education. In the past 12 months, over
                                                               150 councillors have signed “Calls to Action”,
                                                               committing themselves to supporting greater
                                                               allocations to health within local authority budgets
                                                               at ward level. Due to our work in this area, DSW
                                                               is also now part of the task force in charge of the
                                                               re-launch of the National Family Planning Campaign
                                                               in Kenya.
14    DSW’ s Inte rnational Work




»           Advocating for Change –
                   at the International Level
            With austerity measures being implemented across                collaboration, communication, and coordination
            the EU, it is vital that decision-makers be held to             effort. In 2011, DSW’s advocacy teams in Europe and
            account for improved health outcomes in low- and                in Africa, along with our partners, have been working
            middle-income. Ensuring that these commitments                  together to shape the international communities
            are realised requires an intense international advocacy         actions on the issues we are engaged with.



“Many thanks for the nice and informative meeting at the [EU]
Parliament. I found it very useful, forwarded the essence also to
my capital experts.”
   Paul Elberg, Deputy Head of Mission,
                    Embassy of Estonia      Tips and Tricks
                                            “Tips and Tricks: How to Access European Funds for Reproductive
                                            Health and Poverty Alleviation”, is seen as a valued resource by other
                                            non-profit organisations – as is our many other studies and guidelines.
                                            More information available at: www.euroresources.org
D SW’ s Inte rn a ti o na l Wo rk        15




»   What Have We Achieved at the International Level?

    This past year, our international advocacy activities
    have achieved the following:
    » Within Action for Global Health (AfGH), we
      organised two multi-stakeholder Roundtable events
      with representatives from donors and civil society
      in preparation of the Fourth High Level Forum
      (HLF4) on Aid Effectiveness in April and June 2011.
      As a result of our combined work within the
      network, AfGH recommendations were reflected in
      EU policy documents, including the European
      Commission’s Agenda for Change, and the
      Communication on Budget Support.                      » DSW engages directly with local civil society
                                                              networks in low- and middle-income countries by
                                                              conducting advocacy and resource mobilisation
                                                              courses to build and increase knowledge and
                                                              resources. These training sessions are designed to
                                                              not only enhance local CSOs capacities to better
                                                              hold the EU and their own governments accountable,
                                                              but also to help demystify and attract greater
                                                              funding for activities and issues relating to SRHR
                                                              work. In 2011 alone, DSW conducted 134 training
                                                              workshops in 11 countries across Africa and Asia.




    » As a member of AfGH, DSW was also an active
      participant in the HLF4 on Aid Effectiveness in
      Busan, South Korea, in November 2011. The event
      was aimed at reforming the aid effectiveness          Working with Religious Leaders to Improve
      agenda and establishing a new global partnership
      for development cooperation. In the run-up to the
                                                            and Support Access to Family Planning
      Forum, DSW participated in global CSO consulta-       In 2011, DSW worked together with Christian
      tions and organised an online discussion on health    Connections for International Health (CCIH) and
      aid effectiveness which was followed by more          Muhammadiyah to conduct an extended consultation
      than 140 organisations worldwide. As a result of      process with religious leaders and faith-based
      our involvement, civil society will now be included   institutions regarding their willingness to support
      in the elaboration of the Global Monitoring Frame-    advocacy for reproductive health and family planning.
      work to be established in the follow-up to the        As a result of our collective work, 120 faith-based
      commitments made in Busan.                            organisations, religious leaders and religious institu-
                                                            tions, and 100 other supporting organisations and
                                                            non-state actors, adopted in Nairobi, Kenya, an
                                                            “Interfaith Declaration to Improve Family Health and
                                                            Well-Being” in support of access to family planning.




»
                                                            The declaration calls on others to endorse this
                                                            initiative to influence government and donor policies
     www.dsw-online.org/interfaith                          and funding.
16    DSW’ s Inte rnational Work




»        Advocating for Change –
                          at the EU Level
         As the world’s largest donor, the European Commission    have a positive and far reaching impact on the lives
         and the European Union Member States combined            of people within low- and middle-income countries.
         play a central role in international development
                                                                  Our team works in close collaboration with staff and
         cooperation and in health development policies.
                                                                  Members of the European Parliament (MEPs), the
         DSW’s EU liaison office works to influence key
                                                                  European Commission (EC), the European External
         political decision-makers to ensure that EU policies
                                                                  Action service (EEAS), representatives of Member
                                                                  States, and other civil society organisations (CSOs).
                                                                  We support initiatives that seek to reinforce the
                                                                  policies and funding on sexual and reproductive
                                                                  health and rights (SRHR) as well as global health.




                                                   The DSW EU team celebrating DSW’s twentieth anniversary in Brussels.
DSW’ s Inte rnational Work            17




»   What Have We Achieved at the EU Level?

    Our EU advocacy activities focused on creating change      » In preparation for the negotiations on the new
    and momentum for people living in low- to middle-            EU financial instruments for development for
    income countries by advocating for increases in              2014–2020, DSW Brussels contributed to online
    external funding, awareness, and capacity building for       consultations of the EEAS and the EC on the future
    those that need it most. Key results for 2011 include:       of EU external funding after 2013.

    » European Parliament adoption of a two million Euro       » With the publication of “Euromapping 2011” in
      project under the EU budget 2012 in support of a           October, DSW provided 400 Parliamentarians
      regional CSO network targeting organisations in            from 29 national parliaments, and over 500 more
      East Africa working towards the Millennium                 decision-makers with an overview of European
      Development Goal 5: Improve Maternal Health.               commitments and actual disbursements towards
                                                                 HIV & AIDS, reproductive health, and family
    » Given the current austerity climate, health funding        planning in low- to middle-income countries.
      under the EU’s thematic programme “Investing               This report is published jointly by DSW and the
      in People” for 2012 had been seriously under threat        European Parliamentary Forum on Population
      after the Council of the EU suggested severe cuts of       and Development (EPF).
      five million Euro in its draft position on the budget
      in July, 2011. Following joint advocacy efforts
      by DSW and civil society actors, the EP’s Budget
      Committee firmly rejected those cuts and adopted
      an amendment that would re-establish the initial         “This is a very useful
      draft budget of 38 million Euro in commitments.
                                                               tool for our work in
    » DSW spoke at two training events for Parliamentary       Parliament.”
      assistants on issues of SRHR at the EU level. As a
                                                               Jordi Xuclà, MP Spanish Parliament
                                                                              ,
      result of these meetings, 13 participants from the
      European Parliament learned about concrete fund-
      ing opportunities available to MEPs and their staff.
                                                                                                                1




    Mothers’ Night Campaign
    Mothers’ Night is a special EU campaign that was
    set-up to help develop and increase awareness of the
    high global maternal mortality of women and girls in
    the world’s poorest countries. Every two minutes, a
    woman dies of pregnancy related complications –
    low- to middle-income countries account for 99 per
    cent of these maternal deaths. To further sensitise
    EU officials to these issues, DSW and the European
    Parliament Working Group on Reproductive Health,
                                                                                            © Carsten Luther




    HIV & AIDS and Development (EPWG) organised
    an awareness raising Panel Debate in May, 2011.
    The Debate was attended by over 50 participants,
    including representatives from the EP, EC, and UN
    officials as well as members of civil society. After the
    event, DSW opened a photo exhibition displaying
    the impact of our “Safe Motherhood” project in Kenya.

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International work

  • 1. 6 DSW’ s Inte rnational Work Ethiopia Uganda Kenya Tanzania » DSW in the Field For over twenty years, DSW has campaigned tirelessly education is most effective when adolescents are on behalf of those who hold the future in their hands: taught and counselled by their own peers. In the young people of today and the parents of addition, we involve parents, teachers, community tomorrow. During this time we have built a solid members, and local and religious opinion leaders. network of over six hundred youth clubs for sexual Their support and understanding is vital to ensure and reproductive health and rights (SRHR) education a lasting improvement in the lives of young people. and AIDS prevention training in the four East However, DSW’s field work involves much more than African countries where we operate: Ethiopia, Kenya, sex education. We apply an integrated population- Tanzania, and Uganda. health-environment approach based on the needs Through our Youth-to-Youth Initiative, peer educators and rights of young people and communities. We at these clubs teach and motivate other young people support and promote capacity building of civil society about how to prevent unwanted pregnancies and organisations and communities, with a special HIV infections, and how they can implement positive focus on young people, as well as social and political changes in their own lives and the lives of others in decision-makers, health providers and relevant their communities. Our experience shows that sex stakeholders throughout the world. “The global problems of our time such as poverty, food shortages, and climate change can only be overcome by meeting the unmet need for family planning and modern contraception in the world’s poorest countries.” Renate Baehr, DSW’s Executive Director
  • 2. DSW’ s Inte rnational Work 7 Highlights Capacity Building in Development www.youth-to-youth.org During 2011 and early 2012, DSW developed and conducted a total of 218 training courses across Africa and Asia. These training sessions focused on Youth-to-Youth Website Launch capacity building in relation to resource mobilisation, In September 2011, DSW launched a dedicated civic education, advocacy, entrepreneurship, and website for the Youth-to-Youth Initiative. The youth life skills, and were held in 11 countries. DSW is focused website was set up to increase awareness committed to helping individuals and local organisa- on issues relating to SRHR, and to act as a point of tions to build and increase their knowledge and reference where young people could ask questions, resources for the areas in which we operate. Courses share experiences and motivate others. From its held at the regional, national and international levels initial launch to June 2012, the site has been visited included formal training sessions, peer-to-peer ex- by over 2,500 young people. changes, “ripple effect” train-the-trainer approaches, and online coursework. “I’ve been empowered!” – Study Praises DSW’s Youth-to-Youth Initiative Spanning four East African countries, DSW’s Youth- and in a number of cases, the ability to provide for to-Youth Initiative has a membership of over 30,000 themselves and families through self-generated income. young people. In an effort to assess the results of the Initiative on young people and their social environ- ment, the Deutsche Gesellschaft fuer Internationale “Before I was shy, now I am a public speaker Zusammenarbeit (GIZ), commissioned an assessment and a highly recognised person; I am often of the Initiative in 2011. The results were extremely positive. The study praised the impact that the project called to organise public events.” was having on girls in particular and how membership Youth club member. has led to the development of life skills, self-esteem, Speaking about the benefits of DSW’s Youth-to-Youth Initiative. » Project Controlling DSW plans and manages projects with meticulous care and proficiency: » Before any project can begin, country office staff create an operational plan that sets out measurable goals, activities, timeframe, and budget considerations. » Close collaboration with local partners and benefi- ciaries ensures that projects are coordinated and planned in accordance with the precise needs of people in each country. » Project managers working in the country office ensure that everything is implemented according » Project coordinators and the controlling depart- to the contract and produce monthly, or quarterly, ment in Hannover check the reports and submit reports on the resources used and on the progress the results to the Board of Directors. of projects initiated. » We also commission external appraisers to evaluate individual projects.
  • 3. 8 DSW’ s Inte rnational Work » Ethiopia Almost every second Ethiopian woman aged 20 is a mother. Average number of children per woman: 4.8 145 85 29 Population in millions 1970 2011 2050 * UN estimate Addis Ababa Capital of Ethiopia Country Office since 1999 » What Does DSW Ethiopia Do? Almost two-thirds of Ethiopian women are married What Have We Achieved? A snapshot of recent successes with the project Project Highlights in their teens with some girls marrying as young as “Working Together for Decent Work in East Africa” seven years. As a result, they are often denied access include: to education and paid employment. To help improve » One hundred youth and women’s group this situation, we launched the “Working Together for members have been trained in leadership and Decent Work in East Africa” project for Ethiopia in entrepreneurship skills. September 2011. This three year regional project was set up to provide social protection and employment » 30,000 materials have been disbursed. for those excluded from the formal labour market, » Radio talk shows have reached an estimated especially women and young people. Thirty youth and audience of more than 10,000 listeners. women’s groups, each consisting of 20–25 members involved in various informal crafts and activities, » Our health awareness events have impacted have so far been organised to benefit from the project. 2,300 people. We mentor individual members with regards to developing market-based skills, increasing economic opportunities, enhancing their ability to move into Further information about our work in Ethiopia can be formal employment and, creating networking found under www.dsw-online.org/ethiopia opportunities. Ultimately, the sustainability of their economic activities enables them to take ownership to the eradication of this debilitating condition among and control of their own futures. women and girls in Ethiopia. Since prevention is critical to fighting fistula, education, and family planning services form the main strategies of this The ”Fight Fistula“ Project project. In the past six months alone, we have trained Child marriage, early pregnancy and Female Genital 40 leaders from girls clubs to give advice and support Mutilation (FGM) are among the reasons two million about the condition, and we have reached more women suffer from obstetric fistula, a serious child- than 83,000 people about issues relating to SRHR birth-related condition that often affects young girls. and harmful traditional practices. The goal of our “Fight Fistula” project is to contribute
  • 4. DSW’ s Inte rnational Work 9 » Kenya Average number of children per woman: Just 44 4.4 per cent of all births in Kenya occur at health facilities. Over 5,500 women die each year while giving birth or due to pregnancy related conditions. 97 Nairobi 42 Capital of Kenya 11 Population in millions 1970 2011 2050 * UN estimate Country Office since 2000 What Have We Achieved? In May 2011, the European Commission did a final assessment of the “Safe Motherhood” project. Results have been extremely positive: together with partners, DSW significantly contributed to improving the health of girls and young mothers in Kenya. Project achievements include: » Health education campaigns have reached more than 4.5 million young mothers, teenagers, and © Carsten Luther community members with vital information about family planning and pregnancy. » » Our staff, youth clubs, and partners have distributed more than 100,000 educational materials. What Does DSW Kenya Do? » More than 100,000 male and female condoms were Since it was launched, DSW’s “Safe Motherhood” distributed to young people. Project Highlights project has aimed at enhancing the capacity of » More than 900 health centre staff and community health workers to help improve access to safe workers were trained. maternal and child health services in the slums of Nairobi and in the Kaloleni District, Coast Province » More than 380,000 young mothers and their of Kenya. In 2011, we donated equipment worth over children received health services such as pregnancy 95,000 Euro to various health institutions throughout tests, HIV tests, and vaccinations. Kenya. As a result of the project’s success in the » More than 300 young women and mothers were field, we have also been invited to sit in a number of provided with entrepreneurship skills training. influential working groups chaired by the Kenyan Ministry of Health. Further information about our work in Kenya can be found under www.dsw-online.org/kenya Message to the Youth A beneficiary of DSW’s “Working Together for Decent Work in East Africa” project speaks about his experiences: “My name is Stephen Omondi from Kenya. The aim of this project is to help women and youth towards living a decent life. I under- went a ten day training course and acquired skills which have enabled me to empower my young fellows towards the realisation © Carsten Luther that it’s time to take control of our own lives. It is my opinion that youth self-employment in the informal sector will lead to the growth of cooperatives which will sustain the Kenyan economy for years to come. The programme has made a positive impact on our communities.”
  • 5. 10 DSW’ s Inte rnational Work » Tanzania 88 per cent of the population live on less than two US Dollars a day. Average number of children per woman: 5.4 138 Arusha 46 Country Office since 2006 14 Population in millions 1970 2011 2050 * UN estimate © Martin Grohganz What Have We Achieved? » With our project “Healthy Action”, we organised eleven community sensitisation activities in three districts on reproductive health, civic responsibilities, and rights which had a direct » impact on 13,000 people. » Through intensive use of DSW’s youth truck What Does DSW Tanzania Do? between January and May 2012, we reached more In cooperation with our other country offices in than 5,300 people with awareness and health Project Highlights Ethiopia and Kenya, we launched the “Working campaigns focusing on HIV & AIDS prevention, Together for Decent Work in East Africa” project forced marriages, and gender based violence. for Tanzania in November 2011. This three year » DSW Tanzania hosted a National Roundtable programme will work towards improving the health meeting whose objective was to bring together and livelihoods of those excluded from the formal national decision makers, donors, and non-state labour market, especially women and youth. Early actors for discussions regarding the advancement results from the project have been very positive with of family planning in Tanzania. 36 youth and women’s support groups established in three targeted districts in Tanzania. Within these groups a total of 865 people have benefited from Further information about our work in Tanzania can be the programme. found under www.dsw-online.org/tanzania Youth Truck DSW staff travel around the country using Youth Trucks to visit remote areas in order to spread information and advice about reproductive health and contraceptives. By using direct approaches such as group discussions and recreational activities, they openly discuss sensitive issues in a youth-friendly manner.
  • 6. DSW’ s Inte rnational Work 11 » Uganda Average number of children per woman: 48 per cent of the population is below 15 years of age. About 4 per cent of all 15–24 year 6.2 old girls are HIV positive. 94 35 Kampala 9 Population in millions 1970 2011 2050 * UN estimate Capital of Uganda Country Office since 2000 © Stephen Luyima What Have We Achieved? » The “Young Adolescents Project” has had tremendous successes: What Does DSW Uganda Do? » To date we have reached and educated more than 7,100 students, 1,900 parents, and 340 teachers. While much has been done to improve access to SRHR Project Highlights information and services among older adolescents, » In 2011, more than 90 per cent of students had there is a common held belief that boys and girls comprehensive knowledge about HIV & AIDS – under the age of 15 are “too young” to be in need of compared with less than 25 per cent at the SRHR information and services. Against this back- beginning of the project. drop, DSW developed, in partnership with Bayer » There has been a dramatic decrease in the school HealthCare Pharmaceuticals, the innovative “Young dropout rate for young girls. In 2008, 118 young Adolescents Project” to create a supportive environ- girls had left school, compared with only 29 girls ment and improve SRHR education for young in 2011. adolescents in primary schools. The initiative has been implemented in ten schools in the districts » The role of teachers in creating awareness and of Masindi, Tororo, and Wakiso, and targets pupils, passing on knowledge about HIV & AIDS has teachers, and parents as well as health workers in increased: in 2011, more than 90 per cent of the promoting awareness and acceptance of family pupils named teachers in the classroom as one planning methods and the use of contraceptives. of their information sources. » We have trained 17 health workers in the provision of youth-friendly health services and encouraged to establish youth-friendly corners in their health centres. » The project gained wide acceptance among district officials. In 2011, they decided to consider © Peter Ginter, Bayer AG sexual education as a priority for district education departments as well as for the “District Develop- ment Plans” in 2012. Further information about our work in Uganda can be found under www.dsw-online.org/uganda
  • 7. 12 DSW’ s Inte rnational Work » Advocating for Change – in the South Advocating for increased support from governments formulate policy priorities, monitor their implemen- for gender equality, family planning, and sexual tation and influence decision-makers. Collaboration and reproductive health and rights (SRHR), is vital with institutions, government agencies, and other for maintaining and improving the health of young non-governmental organisations is an important people and societies in order to help them reach cornerstone of our work. By cooperating and working their full potential. Advocacy initiatives, such as DSW’s together with other actors, we help to ensure the “Healthy Action” project, are aimed at empowering sustainability of our activities while achieving greater East African non-state actors to advocate effectively results for all. on health issues by increasing their capacity to “DSW’s AHEAD project is at the cutting-edge of efforts to mobilize civil-society demand and support for the funding of reproductive health interventions in developing countries. DSW's efforts are playing a vital role in saving the lives of poor women in those countries.” Tom Merrick, Technical Advisor to the World Bank Institute
  • 8. DSW’ s Inte rnational Work 13 » What Have We Achieved in the South? Highlights from two of our advocacy projects in the past year include: » “Euroleverage”: We have provided comprehensive technical assistance to our implementing partners in the Euroleverage project regarding the develop- ment and implementation of national advocacy strategies aimed at increasing domestic and European funding for reproductive health in their countries. Interim findings from an impact analysis indicate that the “Euroleverage” project resulted in: • Reproductive health and family planning Capacity Building in the South information being accessed by a total of DSW conducted a total of 218 training workshops in 6.3 million people; Senegal, Rwanda, India, Nepal, Malawi, Kenya, • Approximately 4.4 million condoms distributed; Tanzania, Uganda, Mozambique, and Burundi through • Nearly 1 million clients with access to SRHR the capacity building framework/approach of our services and; projects “Healthy Action”, “Euroleverage”, “AHEAD for • More than 32,000 people trained in capacity World Bank Advocacy”, “nEUwAID”, as well as “Fight building activities. Fistula”, and our Youth-to-Youth Initiative. Held during 2011 and early 2012, these training sessions were based on a number of thematic priorities. “Euroleverage”, and “nEUwAID”, for instance, included training sessions focusing on enhancing local civil society organisations (CSOs) capacities to better hold the EU and their own governments accountable » “Healthy Action”: Our advocacy project, “Healthy regarding commitments made. Action”, is carried out in Kenya, Tanzania, and Uganda. In 2011, DSW Kenya hosted a three day Participants involved in the training were also guided training on civic education for health CSOs. about issues relating to the definition of EU aid Following the training, beneficiaries have been policies for their own countries, how to navigate the undertaking civic education in all regions of the often complex funding environment, and how to country through the use of edutainment and other improve their chances of mobilising new funding for forms of community outreaches to sensitise the their projects. community on governance issues in the health sector. Since initiation, a total of 14 forums have been held reaching more than 1,500 people. Key political decision-makers have also felt the effect of this civic education. In the past 12 months, over 150 councillors have signed “Calls to Action”, committing themselves to supporting greater allocations to health within local authority budgets at ward level. Due to our work in this area, DSW is also now part of the task force in charge of the re-launch of the National Family Planning Campaign in Kenya.
  • 9. 14 DSW’ s Inte rnational Work » Advocating for Change – at the International Level With austerity measures being implemented across collaboration, communication, and coordination the EU, it is vital that decision-makers be held to effort. In 2011, DSW’s advocacy teams in Europe and account for improved health outcomes in low- and in Africa, along with our partners, have been working middle-income. Ensuring that these commitments together to shape the international communities are realised requires an intense international advocacy actions on the issues we are engaged with. “Many thanks for the nice and informative meeting at the [EU] Parliament. I found it very useful, forwarded the essence also to my capital experts.” Paul Elberg, Deputy Head of Mission, Embassy of Estonia Tips and Tricks “Tips and Tricks: How to Access European Funds for Reproductive Health and Poverty Alleviation”, is seen as a valued resource by other non-profit organisations – as is our many other studies and guidelines. More information available at: www.euroresources.org
  • 10. D SW’ s Inte rn a ti o na l Wo rk 15 » What Have We Achieved at the International Level? This past year, our international advocacy activities have achieved the following: » Within Action for Global Health (AfGH), we organised two multi-stakeholder Roundtable events with representatives from donors and civil society in preparation of the Fourth High Level Forum (HLF4) on Aid Effectiveness in April and June 2011. As a result of our combined work within the network, AfGH recommendations were reflected in EU policy documents, including the European Commission’s Agenda for Change, and the Communication on Budget Support. » DSW engages directly with local civil society networks in low- and middle-income countries by conducting advocacy and resource mobilisation courses to build and increase knowledge and resources. These training sessions are designed to not only enhance local CSOs capacities to better hold the EU and their own governments accountable, but also to help demystify and attract greater funding for activities and issues relating to SRHR work. In 2011 alone, DSW conducted 134 training workshops in 11 countries across Africa and Asia. » As a member of AfGH, DSW was also an active participant in the HLF4 on Aid Effectiveness in Busan, South Korea, in November 2011. The event was aimed at reforming the aid effectiveness Working with Religious Leaders to Improve agenda and establishing a new global partnership for development cooperation. In the run-up to the and Support Access to Family Planning Forum, DSW participated in global CSO consulta- In 2011, DSW worked together with Christian tions and organised an online discussion on health Connections for International Health (CCIH) and aid effectiveness which was followed by more Muhammadiyah to conduct an extended consultation than 140 organisations worldwide. As a result of process with religious leaders and faith-based our involvement, civil society will now be included institutions regarding their willingness to support in the elaboration of the Global Monitoring Frame- advocacy for reproductive health and family planning. work to be established in the follow-up to the As a result of our collective work, 120 faith-based commitments made in Busan. organisations, religious leaders and religious institu- tions, and 100 other supporting organisations and non-state actors, adopted in Nairobi, Kenya, an “Interfaith Declaration to Improve Family Health and Well-Being” in support of access to family planning. » The declaration calls on others to endorse this initiative to influence government and donor policies www.dsw-online.org/interfaith and funding.
  • 11. 16 DSW’ s Inte rnational Work » Advocating for Change – at the EU Level As the world’s largest donor, the European Commission have a positive and far reaching impact on the lives and the European Union Member States combined of people within low- and middle-income countries. play a central role in international development Our team works in close collaboration with staff and cooperation and in health development policies. Members of the European Parliament (MEPs), the DSW’s EU liaison office works to influence key European Commission (EC), the European External political decision-makers to ensure that EU policies Action service (EEAS), representatives of Member States, and other civil society organisations (CSOs). We support initiatives that seek to reinforce the policies and funding on sexual and reproductive health and rights (SRHR) as well as global health. The DSW EU team celebrating DSW’s twentieth anniversary in Brussels.
  • 12. DSW’ s Inte rnational Work 17 » What Have We Achieved at the EU Level? Our EU advocacy activities focused on creating change » In preparation for the negotiations on the new and momentum for people living in low- to middle- EU financial instruments for development for income countries by advocating for increases in 2014–2020, DSW Brussels contributed to online external funding, awareness, and capacity building for consultations of the EEAS and the EC on the future those that need it most. Key results for 2011 include: of EU external funding after 2013. » European Parliament adoption of a two million Euro » With the publication of “Euromapping 2011” in project under the EU budget 2012 in support of a October, DSW provided 400 Parliamentarians regional CSO network targeting organisations in from 29 national parliaments, and over 500 more East Africa working towards the Millennium decision-makers with an overview of European Development Goal 5: Improve Maternal Health. commitments and actual disbursements towards HIV & AIDS, reproductive health, and family » Given the current austerity climate, health funding planning in low- to middle-income countries. under the EU’s thematic programme “Investing This report is published jointly by DSW and the in People” for 2012 had been seriously under threat European Parliamentary Forum on Population after the Council of the EU suggested severe cuts of and Development (EPF). five million Euro in its draft position on the budget in July, 2011. Following joint advocacy efforts by DSW and civil society actors, the EP’s Budget Committee firmly rejected those cuts and adopted an amendment that would re-establish the initial “This is a very useful draft budget of 38 million Euro in commitments. tool for our work in » DSW spoke at two training events for Parliamentary Parliament.” assistants on issues of SRHR at the EU level. As a Jordi Xuclà, MP Spanish Parliament , result of these meetings, 13 participants from the European Parliament learned about concrete fund- ing opportunities available to MEPs and their staff. 1 Mothers’ Night Campaign Mothers’ Night is a special EU campaign that was set-up to help develop and increase awareness of the high global maternal mortality of women and girls in the world’s poorest countries. Every two minutes, a woman dies of pregnancy related complications – low- to middle-income countries account for 99 per cent of these maternal deaths. To further sensitise EU officials to these issues, DSW and the European Parliament Working Group on Reproductive Health, © Carsten Luther HIV & AIDS and Development (EPWG) organised an awareness raising Panel Debate in May, 2011. The Debate was attended by over 50 participants, including representatives from the EP, EC, and UN officials as well as members of civil society. After the event, DSW opened a photo exhibition displaying the impact of our “Safe Motherhood” project in Kenya.