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