Rädda Barnen SRHR information och utbildning Project
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Resultat
The "Adolescent Sexual and Reproductive Health and Rights (ASRHR) at the fore: Working with children and young people as agents of change for better health outcomes” project was conceptualised based on the in-depth assessment that was conducted in 2016 to identify gaps and remaining priorities on sexual and reproductive health and rights for children, adolescents and young people in Eastern and Southern Africa (ESA). The gap assessment report identified four main issues to focus on: Policy environment : Translating sexual and reproductive health and rights policies into action. Structures and institutions that can support programme development: Building strong partnerships at local and national regional level for effective sexual and reproductive health and rights programming. Capacity of teachers, health workers and community workers: Mentorship and support to ensure effective delivery of relevant and age-appropriate comprehensive sexuality education. Gaps in youth sexual and reproductive health and rights service provision in the target communities. The gaps above informed the development of the project objectives and desired outcomes. The project was implemented in 8 countries namely Kenya, Malawi, South Africa, Swaziland, Tanzania, Uganda, Zambia and Zimbabwe. During the period August 2016 - December 2017, project implementation was through the Save the Children International regional office and country offices. In the period January 2018 - October 2019, the project implementation modality was changed due to the Mexico City Policy (MCP) reinstatement in 2017 and because of the decision by Save the Children International to be MCP compliant. The project implementation was then transitioned to Save the Children Sweden Regional ASRHR Hub (hosted by Save the Children South Africa) in collaboration with selected 13 local partners (CBOs and CSOs) that were non-compliant to MCP in the eight project countries. Significant strides were made to reach children, adolescents and young people (CAYP) with relevant and comprehensive sexual and reproductive health and rights information. During the three-year period of project implementation (August 2016 - October 2019): - 2,938,378 CAYP were reached directly and indirectly . Out of this figure 391,919 CAYP were reached directly (211,437 females and 180,482 males). Direct reach was defined as making sure that the child has been engaged with for at least four hours of CSE activities and learning. Indirect was defined as the child receiving information from a material developed by Save the Children or an implementing partner and also if the child receives CSE information from an adult trained by Save the Children or an implementing partner . - The project also directly reached adults within the circle of care of CAYP including parents, teachers, caregivers, guardians, community gate keepers (religious and traditional leaders) totalling 285,947 (145,874 females and 140,100 males). - The process oriented approach (POA) trainings created a critical mass of 1,378 (769 females and 609 males) key social change agents (teachers, parents and care givers in different communities in the project countries. These change agents will continue to provide CSE and information, to generate more discourse about SRHR in schools, communities and access SRHR services. - A total of 71, 696 health workers trained in SRHR for CAYPs (617 reached directly and 71 079 reached indirectly) - Additionally, the Save the Children Sweden Regional ASRHR Hub, was consulted to provide technical input into the development of the SADC sexual and reproductive health and rights strategy at country level, feeding in the experiences and expertise from partners in the different project countries i.e. The CSO Forum before the second session in 2018 of the African Charter of the Rights and Welfare of the Child Commission focused on ASRHR for the first time in and made specific recomendations that were facilitated by the new Ugandan partner organisation Reproductive Health Uganda (RHU). - Lastly, the Regional ASRHR Hub hosted the learning and exchange symposium in Lusaka, Zambia in 2019 to enable partners to share experiences and display CSE and SRHR interventions implemented in the eight project countries. The symposium was used as an opportunity to meaningfully learn and engage on how to effectively scale up SRHR programmes for CAYP.
The overall goal of the intervention is 'Improved Sexual Reproductive Health and Rights (SRHR) for children, adolescents and young people in East and Southern Africa' . The objectives of the intervention are: 1. Promoting the SRHR of children, adolescents and young people through the provision of comprehensive sexuality education focusing on gender sensitive approaches. 2. Increasing access for children, adolescents and young people to clinical and non-clinical SRHR services including community based services. 3. Creating an enabling legislative and policy environment in the selected project countries through advocating for legislation that promotes the realisation of the SRHR of children, adolescents and young people at the national and regional level. 4. Improving the knowledge management and shared learning on SRHR at regional level. The primary target group were children, adolescents and young people aged 5-18 years and secondary target groups included young people aged 19-24 years, with a focus on parents, teachers, community health providers, and community leadership including traditional and religious leaders and national governments.
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