Programs

Strengthening Adolescent Sexual and Reproductive Health and Rights Services in Gorkha, Nepal

April 6, 2016

Introduction:

This is a one year project, started in November 2015 and will be ended at November  2016. This project is being supported by International Medical Crops. The project mainly focuses in improving sexual and reproductive health and rights services in Gorkha district of Nepal covering 25 local governing units (24 VDCs and Gorkha Municipality) with the total targeted adolescents’ population for this project is 34,376. Number of girls and boys in the project VDCs are 21,111 and 13,264 respectively. Out of this 15,542 (F= 8,246 and M= 7,296) are Very Young Adolescents (VYAs) (10-14 years).  Approximately 9,000 adolescent girls (15-19 years) are married. The project activities and group discussions for very young adolescents will be separated from the older adolescents group. There will be no special activities for married adolescents or pregnant adolescents as that might stigmatize the vulnerable adolescents. However, the project will engage and reach out to the vulnerable adolescents such as married and pregnant. There will be participation of parents of adolescents, teachers, health service providers, religious and other community leaders as well, and the participation in project activities will be recorded with age, sex, marital status, and ethnicity.

Objective and Scope:

The project has been envisioned strengthening the continuum of care through quality sexual and reproductive health programming in Gorkha district. This objective is related to improving access to and utilization of SRH information and services among adolescents through strengthening adolescent-friendly environments in line with the national adolescent Sexual and Reproductive Health Strategy and Implementation plan developed by the Family Health Division (FHD).

Project area:

The project area is the village development committees (VDCs) and municipality of Gorkha district. Of the total local units, the project has been implemented in 24 VDCs and Gorkha Municipality. These units have been selected with the discussion of multi-stakeholders’ meeting organized by District Public Health Office in Gorkha. Total local units have been divided into 4 clusters viz. to south west 6 VDCs (Cluster-A: Chhoprak, Dhuwakot, Gankhu, Khoplang, Srinathkot, Thalajung); to north west 6 VDCs (Cluster-B: Ghyachok, Hansapur, Jaubari, Kharibot, Muchchok, Simjung); to north 6 VDCs (Cluster-C: Uhiya, Gumda, Barpak, Laprak, Saurpani, and Takumajh-Lakuribot); and to south east 6 VDCs (Cluster-D: Bhumlichok, Bunkot, Fujel, Ghairung, Tanglichok, Makaising). Gorkha Municipality has been included in Cluster-A.

Expected outcomes:

  1. Increased knowledge among adolescents on Family Planning and ASRH
  2. Strengthened ASRH health service delivery at health facility level
  3. Increased community knowledge concerning ASRH

Major activities:

  • Conduct Participatory situation assessment (Baseline and End-line)
  • Raise awareness on SRH and gender through very young adolescents (VYAs) groups (10-14 years)
  • Implementing the peer to peer model for older adolescents (15-19 years) and conduct weekly peer education sessions on ASRH
  • Conduct weekly education sessions for adolescents
  • Develop and distribute IEC materials to VYA and peer groups and display SRH-focused community awareness posters
  • Conduct assessment of target health facilities along with exit interviw with adolescents
  • Conduct training tohealthservice providers on AFHS
  • Undertake actiontostrengthenadolescent friendliness of health facilities
  • Conduct orientation on parent-adolescent communication; train parents on parent-adolescent communication; and one to one follow-up sessions to parents
  • Conduct project orientation session to DPHO and other district level stakeholders
  • Conduct meeting with community stakeholders on project objective and activities
  • Celebration of Adolescent Rights through Government and Internationally Recognized Days

Targets:

  • Participatory assessment results for adolescents from 24 VDCs and Gorkha Municipality including 25 resource mapping (Baseline and End-line)
  • At least 25 health facility assessments on ASRH client satisfaction
  • At least 73 health service providers trained on providing adolescent-friendly health services (2 SHP from each community health facility and others from district)
  • Action taken in 25 health facilities to make them more adolescent-friendly
  • At least 25 Youth Spaces in the targeted VDCs and municipality established
  • Three issues of Youvan health magazine developed and 4000 copies distributed for each of the 3 issues
  • At least 6000 Saathi-Sangi booklets distributed to project VDCs and municipality
  • At least 1000 edutainment sessions for VYA and older adolescents
  • 12 different posters on ASRH and gender issues developed At least 800 distributed (flex and regular)
  • At least 1125 VYAs reached on SRH and gender issues
  • At least 1125 Older Adolescents reached on SRH, Life-skills and gender issues.
  • At least 1000 parents oriented on effective communication with their children (2 orientation sessions and 2 one to one sessions)
  • At least 4 celebration events celebrated across the 25 target local governing units to raise awareness on ASRHR.

Implementation process/Methodology:

  • The project is premised on evidence-based models that adhere to national policies and will utilize several modalities like CHOICES developed by Save the Children, Y-PEER developed by UNFPA and the Parent (Adult) Module developed by MAMTA HIMC for implementation.
  • Orientation meeting to district: Prior to initiation of work at the district level, IMC and SOLID Nepal will conduct an orientation at the DPHO, their line agencies and RH stakeholders on program activities and modalities. The meetings will provide an overview of program objectives, activities, work plan and log-frame.
  • VDC stakeholder meetings: At the VDC level, stakeholder consultation meetings will be conducted prior to implementation of activities. This is to gain the trust of the community stakeholders. In addition, quarterly meetings throughout the project year will be conducted to ensure the community is kept abreast of program activities and to answer any questions or receive feedbacks from the community members.

Pre-Intervention participatory assessments: This includes focus group discussions, key informant interviews, health facility assessments, adolescent mapping

Back to programs page