Sexual Reproductive Health & Rights Policy (Draft) LISAP 30

th

June 2011- Salima

Presentation layout

• Background • Summary of NA outcomes • Activities to address the gaps • Vision • Mission • Target group • Objectives • Approaches • M&E system • Stakeholder involvement 02/05/2020 Livingstonia Synod AIDS Programme 2

Background

• LISAP is a department of the CCAP Synod of Livingstonia, started HIV & AIDS work in 1989 but established as an FBO in 1994 .

• LISAP coordinates & implements HIV & AIDS work , mobilises & empowers communities to initiate and sustain HIV & AIDS activities with a Christ centred spirit.

• Works within prevention, treatment, care and support, impact mitigation, capacity building and research.

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Summary of NA outcomes

Knowledge:

• In adequate knowledge of the youth on personal risk factors.

• In adequate knowledge for SRHR for aunts who provide information to the youths.

• Lack of linkages between health and education system.

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Attitude:

• Negative attitude of the youth towards HIV testing and counselling.

Skill:

• In adequate health workers with skills to provide SRHR.

• Lack of skills for the youth to resist sexual intercourse.

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N/A Outcomes cont’d

Behaviour:

• Low uptake of HIV testing and counselling.

• Early marriages.

• Low health seeking behaviour.

• Low sexual debut.

• Forced marriages .

Environment

• In adequate youth friendly health services in rural areas .

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Policy Vision

• A society with young people whose SRH rights are promoted and respected.

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Policy Mission

• To promote access to SRHR services for the youth in Northern Region through a holistic school and community approach.

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Target group

• Both in and out of school youth within the age bracket of 9 – 30 years. • Much focus on girls because the needs assessment observes that they are the most affected gender in terms of SRHR uptake.

• Both urban and rural areas of Malawi with a bias towards rural youth due to poor access to SRHR services compared to their urban counterparts.

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Objectives

• Increase knowledge in SRHR among 90% of young people in Northern Region by 2015 • Improve attitude of 60% of the youth in the Northern Region towards seeking SRH services by 2015 • Improve skills in SRHR for 100 teachers and 150 health workers in the Northern Region by 2015 02/05/2020 Livingstonia Synod AIDS Programme 10

Objectives cont’d

• 10% Increase in the uptake of HTC among the youth in Northern Region by 2015 • 75% of the health facilities in the Northern Region will not experience drug stock out for more than a month by 2015 02/05/2020 Livingstonia Synod AIDS Programme 11

Activities to address the gaps

• Train the youth in SRHR & life skills.

• Build capacity aunts and traditional initiators in SRHR counselling and guidance.

• Advocate for linkages between health workers and teachers on SRHR.

• Train health workers & teachers in SRHR, youth friendly health services & life skills.

• Educate parents and young people on dangers of early and forced marriages.

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Approaches

Diversification of Approaches

• The policy shall have different approaches targeting young people based on age, education level and gender. • The policy shall also target parents and teachers with a different approach from that of young people.

Youth participation

• Youth shall have full involvement and consultation in addressing issues that affect them.

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Approaches cont’d

• Teachers, parents, health workers & other stakeholders shall be actively involved in addressing issues that affect young people’s SRHR.

Positive approach of sexuality

• The policy as informed by the NA will focus on coming up with evidence based responses to SRHR for young people and shall combine different approaches that are effective. 02/05/2020 Livingstonia Synod AIDS Programme 14

Approaches cont’d

•

Sensitive issues

I nterventions for young unmarried youths shall focus on ABDE+ (Abstinence, Be faithful, Delay sexual activity & Equal partnership in making decisions about sexuality.

• The main focus is increasing sexual debut and marital age of young people.

• Culturally sensitive & guided discussions on issues like MSM, masturbation etc shall be 02/05/2020 encouraged Livingstonia Synod AIDS Programme 15

Social norms

• Working on cultural and traditional attitudes of early and forced marriages.

Co-operation with health services

• LISAP shall coordinate & network with government, mission hospitals and other stakeholders in different sectors for diversification of strategies that address issues of youth SRHR . 02/05/2020 Livingstonia Synod AIDS Programme 16

Approaches cont’d

Access to counseling

• LISAP shall encourage professional counseling to young people starting at community as well as school & health facility levels.

Inter-active participation of beneficiaries

• LISAP believes in active involvement of its beneficiaries in all its programming, therefore there shall be active involvement of the youth.

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M&E System

• LISAP shall utilise the existing M&E system within the organisation.

• Participatory M&E with the community & other stakeholders which shall inform programme management.

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Stakeholder involvement

• All projects begin with briefing stakeholders at different levels for proper coordination & complimentarity.

• Different stakeholders shall be involved in addressing the needs of the youth SRHR for diversification of methodologies.

• Project results or progress is also shared with stakeholders in different fora.

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