Transcript Youth Friendly Clinics - American University in Cairo

Youth Friendly Clinics is the
solution
Fatma Elzahraa Geel
National Population Council
June 2014
Presentation Outlines
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Why do we need YFCs in Egypt?
Are YFCs Covering Egypt
Objectives
Methodology
Previous Studies
What have we found?
Implications
Recommendations
Why do we need YFCs in Egypt?
• Youth constitute one fifth of the population (
Almost 16.9 million)
• Youth seek a range of reproductive health
information and services
• Adults and communities are generally not
equipped to respond to young people’s needs
• YFCs provide comprehensive services and
counseling
• Great majority of YFCs’ clients were satisfied
with information and services they received
and were willing to come back to the clinics.
Are YFCs Covering Egypt
• MOHP has 9 Clinics scattered all over 6 governorates (Cairo,
Qalubia, Menoufia, Behera, Sohag, and Aswan).
• EFPA has 16 YFCs scattered all over 10 governorates (Ismailia,
Dakahlia, Qualubia , Menoufia, Behera, Kafr el sheikh,
Matrouh, Aswan, Menya, and BeniSuef).
• Less than half of Governorates are covered by YFCs( 11 out of
26 governorate).
Objectives
1- Identify the youth RH needs
2-Clarify the source of information
3- Specify the role of YFCs.
4- Explain the main obstacles that prevent youth to use the services.
5- Determine the actions required.
Methodology
• Eight in-depth interviews with YFCs services providers
• FGDs with 84 young people and 80 with parents
• Exit interview with 140 youth clients (64 males and 76
females).
• All the interviews were conducted during June-August, 2010 at
YFC premises in 3 governorates(Ismailia, Suez, and Behera)
• Secondary analysis of Young People Survey data, 2009
Previous Studies
• FHI in October and November 2007
• Several gaps exist that need to be bridged to
ensure that YFCs become effective
• Needs for accurate and simple RH information
through an attractive approach
• Service providers and peers should be well
trained to communicate, reach out for youth of
all segments and present simple
• More services and medical specialties together
with upgrading the quality of delivered services
will improve utilization.
Previous Studies
• FHI and UNFPA in March 2009
• There is still a long way to go to meet the SRH needs of
youth
• The non-use of existing services is might due to that
young people face many barriers to use sexual and
reproductive health services, for example culture and
norms restrict young people’s access to affordable
services and correct information, or they may feel
embarrassed at being seen at clinics or, simply, they do
not have information that such services exist.
• Sometimes, the negative attitudes of the service
providers limit young people’s access to SRH services.
What have we found?
Both of them Seek the information
“Both young man and woman seek sexual
information from different sources”. A young
woman“
Young people need RH information
YOUNG FEMALE(%)
YOUNG MALE(%)
Puberty and physiological
change
46
36
Marriage
29
21
Childbirth
9
4
STIs and sexual weakness
5
9
Psychological issues
2
4
Risky behaviors and others
9
26
100
100
Totals
Young man were worried about the
possibility of problems with their genitals
and masturbation,
“Sexual weakness is my main worry,
because if a person unable to practice sex
that might lead to divorce”. A young man
From whom do they get the
information?
1- Three out of Five females got information from
family and almost one out of two males got it
from peers
2- Almost half of the young people found this
information inadequate
Parents and their sons find it difficult to talk
about these issues
“ It is very difficult to discuss such issues with family, what can you say?. We just advise
him to get married. Not only parents embarrassed but also young people who feel
shy about talking, whenever I want to discuss anything with my son, he says oh
mother don’t talk about that.”
An uneducated mother.
“Oh sure there is a lot of information required for me and for my father who is 50 years
and does not know”
Educated young male.
Friends sometimes can’t be supportive
“My married friend sometimes provides information about marriage that makes me
scared…I can’t discuss everything with friends. If they are educated it will be better”
An uneducated female.
Sometimes friends might cause a problem...they might train each other how to
smoke...young males are worse than young females…A mother can guide her
daughter but for the sons they are fully alone”
An educated female .
Teachers may not provide enough information
“students want to know some information about how to make
‘Gosl’(‫ ) الغسل‬or showering after having sex, but the religion
teachers do not provide it. Some students don’t even know
how to act in case of having Masturbation ”
A young educated male.
“Teachers used to not discuss such issues with students.
A Young educated female.
How did the community perceive the
YFC?
• It was just a Family Planning
clinic.
• However, regardless of the
names, they were satisfied
with the services provided in
the clinic.
Do the community know about YFCs?
“This is not a Youth Friendly Clinic. This is a Family Planning
Clinic…I have been working close to it for a long time and I
don’t know what it is…the fourth Channel should provide a
program about it, or a car with a microphone should move
around to tell about it and its activities”
An educated father
YFCs can provide clear accurate
information
“Having such a clinic is useful in order to provide clear,
accurate information without interference from parents.
My older daughter got married but her husband didn’t
know how to practice sex for 15 days…there should be a
raising awareness for males and females”
An educated mother
Are YFCs Clients Satisfied?
• 80% were satisfied with the hygiene
• 74% were described their discussion with
services providers as good
• 80% described both privacy and the treatment
inside the clinic as good, although there were
slightly variation by location
• 92% considered the cost was reasonable
• Overall 93% of clients said they would revisit
the clinic.
Obstacles Affecting Accessibility of YFC Services:
Services providers point of view
1. RH issues still unacceptable
2. Misconceptions that lead people to believe the discussion of RH issues is
improper.
3. YF clinics have a hidden agenda and play a negative role in the community .
4. Limitations on the mobility of females to either attend conferences or visit
YFCs.
5. Males feel that they have sufficient information which makes them
unwilling to pursue more sources.
Obstacles Affecting Accessibility of YFC
Services: Community point of view
• Lack of information about YFCs.
• Inaccessibility to the clinics.
• Services are under the umbrella
of family planning clinics
• Lack of privacy.
• SRH issues sensitivity
Implications
• Lack of addressing the SRH needs of the youth
with lack of community support may expose
them to seek information from non trusted
sources.
• Consequently, this may lead to risky
behaviors.
• Lack of knowledge about YFCs is considered as
a lost opportunity to address the youth SRH
needs.
Recommendations
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Revisit the role of YFCs to provide premarital care or examinations
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Encourage young people to participate in reformulate the role of YFCs.
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YFCs can conduct outreach activities at schools and sporting clubs
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Build the capacity of existing youth centers to provide youth-friendly services
through collaboration between MOHP and MOYS
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Develop advertisement and social marketing plan by collaborating between MOHP,
National Information Council(NIC) and National Population Council
Thank you