HWC- SRHR in Palestine 2016-2019

Activity identifier
SE-0-SE-6-5211011001-PSE-13020

The HWC has applied to Sida for funding of 31.5 million SEK to carry out the "Sexual and Reproductive Health and Rights Program in Palestine’ during the period 2017-2019. The intervention aims at: 1. increasing access to quality sexual and reproductive health services in the clinics of HWC; and 2. to promote comprehensive knowledge on sexuality and sexual rights among children, adolescents, women, and men within Palestinian society. Both aims are expected to lead to behavioral change regarding sexual health and rights, lower rates of unintended pregnancies, and higher men engagement in issues related to SRHR. The intervention’s total budget is 31.5 million SEK, with approximately 4.2 million SEK being forwarded to the Arab Forum for Sexuality, Education and Health or Muntada as project type support.

Expected results

The main goal of the development intervention as stated by Health Work Committees (HWC) in their application and logical framework is 'to contribute to the promotion of [the status] of sexual and reproductive health and rights (SRHR) among the Palestinian society.' The overall objective of the intervention is to 'enhance indictors related to the sexual and reproductive health of adolescents, men and women, by increasing access to information and services related to SRHR.' The overall objective of the program is broken down into five specific objectives that are aimed to be reached through a set of activities and outputs. Some of the objectives can be more easily achieved than others, whereby others are more difficult to track and monitor- not to mention that any real difference in behavior and attitude is a process that naturally requires time. The HWC assume an active role in a myriad of coalitions such as the Palestinian Network for Nongovernmental Organizations (PNGO), the Civil Coalition to Defend Palestinian Rights in Jerusalem, the NGO Forum for Combating Violence Against Women, the Arab Women Network, along with other active networks in Palestine. Additionally, HWC attends the health sector working group and in 2016 was closely involved in the development of the National Policy Agenda. HWC aligns its work with the MoH in terms of coverage of services and accessing areas that are beyond the reach of the Palestinian Authority, i.e. East Jerusalem and Area C. The partnership between HWC and Muntada is symbiotic, whereby Muntada is expected to learn from the organizational and managerial assets of HWC and to expand its operations, and HWC is expected to learn from the specialized expertise of Muntada on comprehensive sexuality education. At the end of the intervention, engagement of men and boys on issues related to SRHR will be enhanced in the areas of intervention. The quality of the SRHR services that HWC offers will be more inclusive (integrate dealing with people with disabilities), and in selected communities, sexuality knowledge as a human right will be promoted through raising awareness on SRHR. The last specific objective set out by HWC states that research studies in the fields of sexual and reprodutive health on youth and menopause will be developed. While the idea of documenting experiences and generating lessons learnt is important, developing a research study requires having a dedicated team that has the capacity to collect, analyze, and disseminate data. Therefore, it is overly ambitious to have three research studies available by the end of the program period. This issue will be brought up as a dialogue issue with the cooperation partner. Sweden's assessment is that the results framework is realistic, but contains some elements that are overly ambitious and merit a discussion. The lay out of the framework in terms of monitoring the results is confusing and is backed up by too many activities. A revised results framework is expected by the end of the first year once a baseline study has been done and the indicators have been refined.

Results

Sweden assesses that HWC have carried out the activities as planned and as shown in the results framework on sexual and reproductive health and rights (SRHR). The trainings and groundwork conducted in 2017 has proven to show significant results in 2018, as follows:   - Preparation of a preconception healthcare technical guideline and a manual on psychosocial support and sexual and reproductive health and rights. This is an effort by HWC to systematize their work on SRHR and to ensure that all staff are equipped to carry out their work appropriately;  - A significant increase in the uptake of mental health services at the HWC clinics after staff continued receiving training on screening and referring patients for mental health issues. HWC cooperates with other NGOs to refer patients and this includes victims of gender-based violence. Linking mental health to SRHR is a nuance and is something that all actors working on SRHR globally are trying to do; - A significant increase in the number of home visits to reach out to people with disabilities after HWC staff were trained on effectively working with people with disabilities; - Rehabilitation of five of the HWC clinics to become disability-friendly based on the baseline study done in 2017; - Progress in terms of working with male groups and discussing contested subjects;- Capacity building for the staff of the third party partner, Muntada al Jensaneya, on project management and on monitoring and evaluation; - Increase in male involvement, which has been a challenge, from 1% men attending awareness workshops to 8%; - A study on menopause and SRHR was published by HWC and a study on sexuality was published by Muntada al Jensaneya; - Widespread awareness raising on SRHR through 315 broadcasting spots; - Muntada al Jensaneya's website has reached more than 300,000 users from different Arab countries (Egypt, Algeria, Morocco), and 80,000 viewers. The website includes information on sexuality and has an anonymous Q&A platform.  In 2017, HWC faced a magnitude of challenges in introducing SRHR at their clinics and different communities. However, in 2018 a significant increase in the knowledge on SRHR and the uptake of services is shown. Additionally, the organizational challenges in 2017 have been resolved. HWC has exerted an effort in strengthening their organization through trainings and introducing new policies. Additionally, a mid-term evaluation confirmed that HWC has taken the necessary steps to improve their organizational structure, especifically in relation to anti-corruption, financial management, and capacity development of their staff. 

Summary

From

Granting agency
Swedish International Development Cooperation Agency
Implementing organisation
Developing country-based NGO
Aid type
C01 - Project-type interventions
Strategy
Palestine 2015-2019

To

Recipient
Palestinian Territory, Occupied

For

Sector
Population policies/programmes and reproductive health
Subsector
Reproductive health care

Duration

Activity length
2017 – 2020

Financial information

Paid per year (net value)
2017 USD 1 170 001
2018 USD 1 265 765
Total paid amount (net value)
USD 2 435 766
Total committed amount

Transactions

DisbursementThe amount placed at the disposal of a recipient country or agency.
Type Description Receiver Org Transaction ID Date Value
Commitment---2017-03-01USD 3 685 504
Disbursement---2017-12-28
USD 1 170 001
Disbursement---2018-12-28
USD 1 265 765

This post shows the annual total amount of disbursements for this particular activity. For the current year, the figure reflects the total amount of disbursements up until the date of the latest data update. The date of the latest data update is available on Openaids startpage.

Documentation

Contract

Results, outcomes and outputs

Focus areas (policy markers)

Marker Principal objective Significant objective Not targeted
Gender Equality
Aid to Environment
Participatory Development/Good Governance
Trade Development
Aid Targeting the Objectives of the Convention on Biological Diversity
Aid Targeting the Objectives of the Framework Convention on Climate Change - Mitigation
Aid Targeting the Objectives of the Framework Convention on Climate Change - Adaptation
Aid Targeting the Objectives of the Convention to Combat Desertification
Reproductive, Maternal, Newborn and Child Health (RMNCH)

Source

Activity data from IATI