Strengthening Adolescent Reproductive Health in Bangladesh Project (YPSA)

Strengthening Adolescent Reproductive Health in Bangladesh Project

Donor:
CIDA and PLAN International Bangladesh

Goal

To improve reproductive health of vulnerable and underserved adolescents in the Sitakund, Upazilla under Chittagong district of Bangladesh

Specific Objective

Enabling environment created for provision of RH information and services in the target area;
Increased awareness and capacity among target adolescents to make informed decisions on their RH needs;
Quality ARH services are available for adolescents in target sites;
Increased utilization of gender sensitive ARH, information and services for adolescents;
Strengthened capacity of partner NGOs to provide counseling and quality ARH information and services;

Increased networking, documentation and dissemination of ARH issues in a manner that furthers adolescent’s interest;
Successful implementation of national ARH strategy and its action plan, in targeted districts through a partnership within the HNPSP framework.

Duration

January 01; 2008 – December 31; 2012

Location & Target Coverage

Target people are 10-19 year old age adolescent whose are vulnerable in the present context

Area Coverage				Beneficiary/TG coverage
Name of District	Name of Upazila/Thana	No. of union/Ward	No. of Village/Mahalla/Para	Categories	Direct	Indirect	Total
Chittagong	Sitakunda	02 Union, 01 Municipality/27 Words	116	Male	6600	14000 +	20600 +
				Female	8420	16000 +	24420 +
				Child	-	-	-
				Total	15020	30000 +	45020 +

Background

Adolescent’s reproductive health has become one of the most widely discussed and sensitive health issues. “Adolescent reproductive and sexual health refers to the physical and emotional well-being of adolescents and includes their ability to be healthy and remain free from to early or unwanted pregnancy, unsafe abortion, sexually transmitted diseases (STDs) including HIV/AIDS, and sexual violence and coercion” (Senderowitz, 1995; WHO, 1998).

Adolescents constitute one-fifth of the world’s population. In Bangladesh, as in many developing countries, adolescents are a large and growing population that includes those between 10-19 years of age (UNFPA 1998a). Adolescents comprise 25% total population in Bangladesh, approximately 33 million in the year 2001 (Y.Siddique & M. Kabir, 2002). Among them 52% are male, while 48% are female (BDHS Survey, 1999-2000). The annual growth rate of adolescent population is 4.33 percent, compared with 1.7 percent for the total population. Adolescence marks the passage of children into adulthood and without the proper guidance and availability of accurate information, it can lead one to unnecessary risk taking behavior.

During Adolescence, most children do not complete the process of achieving physical and emotional maturity. This developmental stage involves many complex processes including menarche, developing close friendships, dealing with peer pressure, struggling with identity, becoming aware of one’s own sexuality, graining independence, etc. Health and developmental statistics have demonstrated that, adolescents are at increased risk of wide variety of reproductive health issues. Here in Bangladesh, BBS statistics (1998) show that 12.7 percent of adolescents were already married and although the contraception use among married adolescent are on the increase, unmet needs still remain high.

YPSA planed to be implemented Strengthening Adolescents Reproductive Health Project supported by Plan International at Sitakunda Upazilla of Chittagong District. YPSA will emphasis on marginalized indigenous and disabled adolescents at targeted area.

Major Activities

Field workers training at centre level on Leadership & Management. Exposure visit Safety net for the poor per health facility Improvement of facilities according to quality criteria (Referral center (RC) in community) Rollout of the training (adolescent) on Life Skills Yearly workshop (WS) with all adolescents

Celebrate special events every year (girl child/HIV-AIDS/etc.)

Renovate or establish clubs for the adolescents Community awareness through TFD show Meeting with stakeholders Coordination with government and other partners Gender training to field facilitator, Plan and PNGO project staff School Sanitation Teachers conduct the school sessions including video show (IEC material, library etc.) / Reproductive health session in school Workshop for formulation of ARH action plan at district level BCC Session with adolescent Parents Meeting

Parents peer educator training
Child protection training
YPSA join the NEARS as a member

Target & Achievement

Future Plan

Building GO & NGO staff capacity for SRH through participatory process
Mobilizing community stakeholders through participatory process
Capacity building of local level stakeholders (Union Parishad members, CBO members, School Management Committee etc.).
Mobilize and facilitate Adolescents Group / clubs/ alliances Formation
Raising awareness , knowledge and skill of Adolescents On gender and SRH related issues
Capacity building of adolescent representatives/ peer Educators
Establishing/ strengthening adolescent friendly health service centers
Providing ASRH services
Organize local level training by partner s (GO, NGOs ) - Staff capacity development through training
Developing and implementing effective Communication system
Establishing functional networks at (national local levels)
Documenting and dissemination project experiences
Project Management

Photo Gallery

Target (09-10)		Achievement (09-10)	Cumulative Achievement from the beginning
.Program	Quantity	Quantity	.Program	Quantity
CCCDA training for Staff [refreshers/ training]	1 batch (Male-14 & Female 17)	1 batch (Male-14 & Female 17)	CCCDA training for Staff [refreshers/ training]	1 batch (Male-14 & Female 17)
Meeting with stakeholders	18 meeting (M-386, F-326)	18 meeting (M-386, F-326)	Meeting with stakeholders	45 meeting (M-1023, F-598)
Practice CCCD in the field level	Continued	Continued	Practice CCCD in the field level	Continued
Meeting with ARH support group [CCCD process]	14 meeting (Male- 162 & Female-148)	14 meeting (Male- 162 & Female-148)	Meeting with ARH support group [CCCD process]	14 meeting (Male- 162 & Female-148)
Workshop for formulation of ARH action plan at district level	01 meeting 40 (Male-36, Female-04)	01 meeting 40 (Male-36, Female-04)	Workshop for formulation of ARH action plan at district level	01 meeting 40 (Male-36, Female-04)
Orientation of indirect beneficiary on ARH and gender related issues –SMC 9 school	03 orientations (68 male & 09 female)	03 orientations (68 male & 09 female)	Orientation of indirect beneficiary on ARH and gender related issues –SMC 9 school	03 orientations (68 male & 09 female)
Orientation of indirect beneficiary on ARH and gender related issues – Union Parishad members, Religious leader	03 batch orientation (Male 81 & female 27)	03 batch orientation (Male 81 & female 27)	Orientation of indirect beneficiary on ARH and gender related issues – Union Parishad members, Religious leader	03 batch orientation (Male 81 & female 27)
Parenting Session	450 parenting session (male-2971 female 5033).	450 parenting session (male-2971 female 5033).	Parenting Session	450 parenting session (male-2971 female 5033).
Aware parents on adolescent parenting	(Male-12418, female-13934)	(Male-12418, female-13934)	Aware parents on adolescent parenting	(Male-12418, female-13934)
Parents Meeting	1103 parents meeting (male-4157 female -13709) participants	1103 parents meeting (male-4157 female -13709) participants	Parents Meeting	2351 parents meeting
Teachers Refreshers	01 batch (Male-12 & Female-08) participants	01 batch (Male-12 & Female-08) participants	Teachers Refreshers	01 batch (Male-12 & Female-08) participants
. Teachers Exposure visit	32 (Male-21 & Feamle-11)	32 (Male-21 & Feamle-11)	. Teachers Exposure visit	32 (Male-21 & Feamle-11)
Adolescent Group formation	7 (M-7) Adolescent group	7 (M-7) Adolescent group	Adolescent Group formation	745 (M-330, f-415) Adolescent group
Renovate or establish clubs for the adolescents	06 clubs	06 clubs	Renovate or establish clubs for the adolescents	06 clubs
Networking meeting among others club in local level	09 Networking meeting. (Male-120 & Female-134)	06 Networking meeting. (Male-120 & Female-134)	Networking meeting among others club in local level	09 Networking meeting. (Male-120 & Female-134)
BCC Session	A total 18903 Session (Male-129310 & Female-175856.	A total 18903 Session (Male-129310 & Female-175856.	BCC Session	A total 23431 Session .
Peer education Session (conduct by the peer)	5905 session	5905 session	Peer education Session (conduct by the peer)	5905 session
Teachers conduct the school sessions	2363 school session (class Six- class Ten)	2363 school session (class Six- class Ten)	Teachers conduct the school sessions	2395 school session (class Six- class Ten)
Anonymous question box setting in the school	09 anonymous question boxes	09 anonymous question boxes	Anonymous question box setting in the school	09 anonymous question boxes
Rollout of the training (adolescent) on Life Skills	349 batches (M-4150 & F-4575) .	349 batches (M-4150 & F-4575) .	Rollout of the training (adolescent) on Life Skills	608 batches (M-6600 & F-8420) .
Community awareness through TFD show	43 events (Male-1966 & Female-2986)	43 events (Male-1966 & Female-2986)	Community awareness through TFD show	79 events (Male-5166 & Female-5353)
Adolescents covered birth registration	103 adolescent	103 adolescent	Adolescents covered birth registration	103 adolescent
Celebrate special events every year (girl child/HIV-AIDS/etc.)	02 events.	02 events.	Celebrate special events every year (girl child/HIV-AIDS/etc.)	04 events.
Peer Identification	745 (male-330 & Female 415) peer educator.	745 (male-330 & Female 415) peer educator.	Peer Identification	745 (male-330 & Female 415) peer educator.
Roll out Training on Peer Education	22 batches (Male adolescent 290 & Female Adolescent 370 ) .	22 batches (Male adolescent 290 & Female Adolescent 370 ) .	Roll out Training on Peer Education	25 batches (Male adolescent 330 & Female Adolescent 415 ) .
Peer Education network at local level Yearly workshop	01 (Male-260 & Female-244)	01 (Male-260 & Female-244)	Peer Education network at local level Yearly workshop	01 (Male-260 & Female-244)
Rollout Training of GO,NGO Staffs on Counseling	01 batch. (Male 09 & female16)	01 batch. (Male 09 & female16)	Rollout Training of GO,NGO Staffs on Counseling	01 batch. (Male 09 & female16)
Gender Training/ Orientation for GO/NGO service provider	01 batch (Male 18 & female 05) .	01 batch (Male 18 & female 05) .	Gender Training/ Orientation for GO/NGO service provider	01 batch (Male 18 & female 05) .
Exposure visit on adolescent friendly health service centre for GO-NGO staffs	total 19 person (Male-06 & Feamle-13)	total 19 person (Male-06 & Feamle-13)	Exposure visit on adolescent friendly health service centre for GO-NGO staffs	total 19 person (Male-06 & Feamle-13)
Quality control care training/orientation for GO and NGO Service	05 Participants (Male-02 & Female-03)	05 Participants (Male-02 & Female-03)	Quality control care training/orientation for GO and NGO Service	05 Participants (Male-02 & Female-03)
GO-NGO Staffs refreshers on AFHS	01 batch (Male 12 & female 11) ..	01 batch (Male 12 & female 11) ..	GO-NGO Staffs refreshers on AFHS	01 batch (Male 12 & female 11) ..
Support and equipped to establish AFHS at GO [FWC] and NGO [Clinic]	03 nos.	03 nos.	Support and equipped to establish AFHS at GO [FWC] and NGO [Clinic]	03 nos.
Safety net for the poorest per health facility	16 serious patients .	16 serious patients .	Safety net for the poorest per health facility	23 serious patients .
School Sanitation	05 schools	05 schools	School Sanitation	05 schools
Providing counseling services	2640 female & 1724 male adolescent	2640 female & 1724 male adolescent	Providing counseling services	2640 female & 1724 male adolescent
Establish referral linkage with AFHS Centre (Referral Meeting)	02 meeting	02 meeting	Establish referral linkage with AFHS Centre (Referral Meeting)	02 meeting
Referral to the adolescent in the AFHS	(male 352 & female 908 )	(male 352 & female 908 )	Referral to the adolescent in the AFHS	(male 352 & female 908 )
Renovate clubs for the adolescents	03 Meeting	03 Meeting	Renovate clubs for the adolescents	03 Meeting
Development of training pool	Our 01 (male), TOT on Parenting	Our 01 (male), TOT on Parenting	Development of training pool	Our 01 (male), TOT on Parenting
	Our 02 staffs (male-01, Female-01) ,TOT on online Monitoring data posting.	Our 02 staffs (male-01, Female-01) ,TOT on online Monitoring data posting.		Our 02 staffs (male-01, Female-01) ,TOT on online Monitoring data posting.
	01 staffs (Male), training on Financial & Administrative Guide line	01 staffs (Male), training on Financial & Administrative Guide line		01 staffs (Male), training on Financial & Administrative Guide line
	05 Participants (Male-02 & Female-03), TOT on QOC	05 Participants (Male-02 & Female-03), TOT on QOC		05 Participants (Male-02 & Female-03), TOT on QOC
Organize Life skill training for the field staffs (Refreshers 01 day]	01 batch (Male 14 & female18)	01 batch (Male 14 & female18)	Organize Life skill training for the field staffs (Refreshers 01 day]	01 batch (Male 14 & female18)
Organize Gender training for the field staffs (Refreshers 01 day]	01 batch (Male 14 & female17)	01 batch (Male 14 & female17)	Organize Gender training for the field staffs (Refreshers 01 day]	01 batch (Male 14 & female17)
Basic training for the field workers on ARH (Refreshers)	01(Male 14 & female15)	01(Male 14 & female15)	Basic training for the field workers on ARH (Refreshers)	01(Male 14 & female15)
GO,NGO Service provider orientation on quality control care	01 batch (Male 15 & female 09)	01 batch (Male 15 & female 09)	GO,NGO Service provider orientation on quality control care	01 (Male 15 & female 09)
TOT on Adolescent Parenting	01 batch (Male 12 & female17)	01 batch (Male 12 & female17)	TOT on Adolescent Parenting	01 batch (Male 12 & female17)
Roll out Training on Adolescent Parenting	18 batch (Male-177 & Female 278 ) Parents peer are achieved	18 (Male-177 & Female 278 ) Parents peer are achieved	Roll out Training on Adolescent Parenting	18 batch (Male-177 & Female 278 )
Organize Leadership & management training for the Staffs (Refreshers)	01 batch (Male 13 & female17	01 batch (Male 13 & female17	Organize Leadership & management training for the Staffs (Refreshers)	01 batch (Male 13 & female17
Organize Peer Education training for the field staffs (Refreshers 1 day]	01 batch (Male 12 & female15 )	01 batch (Male 12 & female15 )	Organize Peer Education training for the field staffs (Refreshers 1 day]	01 batch (Male 12 & female15 )
Exposure visit	(Male-5 & Feamle-10)	(Male-5 & Feamle-10)	Exposure visit	(Male-5 & Feamle-10)
Participation in conference, workshop and seminar	02 Male	02 Male	Participation in conference, workshop and seminar	02 Male
Participation in national/ Local level network (ADF Networking Meeting)	02 meeting (male-49 & female 21)	02 meeting (male-49 & female 21)	Participation in national/ Local level network (ADF Networking Meeting)	02 meeting (male-49 & female 21)
Case study, Quarterly report, Annual report	on going	on going	Case study, Quarterly report, Annual report	on going
Organized local level workshop on ARH Strategy	01 workshop (Male-45 & Female-06)	01 workshop (Male-45 & Female-06)	Organized local level workshop on ARH Strategy	01 workshop (Male-45 & Female-06)
GO,NGO Service provider orientation on quality control care	01 batch (Male 15 & female 09)	01 batch (Male 15 & female 09)	GO,NGO Service provider orientation on quality control care	01 batch (Male 15 & female 09)
TOT on Adolescent Parenting	01 batch (Male 12 & female17)	01 (Male 12 & female17)	TOT on Adolescent Parenting	01 batch (Male 12 & female17)
Attend PMC Meeting	03 PMC Meeting & 02 co-ordinations Meeting.	03 PMC Meeting & 02 co-ordinations Meeting.	Attend PMC Meeting	05 PMC Meeting & 02 co-ordinations Meeting.
MOU signing	01 MOU signing	01 MOU signing	MOU signing	01 MOU signing
. Staffs coordination Meeting	08 staffs coordination meeting.	08 staffs coordination meeting.	. Staffs coordination Meeting	11 staffs coordination meeting.
Counseling Training for the staffs	04 participants(Male-2, Female-02)	04 participants(Male-2, Female-02)	Counseling Training for the staffs	04 participants(Male-2, Female-02)
Counseling Session	120 session (m-1080 & f-992)	120 session (m-1080 & f-992)	Counseling Session	120 session (m-1080 & f-992)
Child protection Training for the Staffs	02 batch (male19 &female-21)	02 batch (male19 &female-21)	Child protection Training for the Staffs	02 batch (male19 &female-21)
Half yearly workshop for the teacher	01 events (M-15, F-13)	01 events (M-15, F-13)	Half yearly workshop for the teacher	01 events (M-15, F-13)
			TOT on CCCDA Training	03 participants
			Enumeration	12178 H/H
			Adolescent Support group formed	65 groups
			ARH Orientation for UP & municipality	03 Orientation
			Sharing meeting with Upazilla level	02 meeting
			TOT on TFD	03 Person
			Yearly Adolescent workshop	02 annual gathering
			Supply of medicine	(M-09, Female-54)
			Basic Training for the field workers	01 batch(M-13,F-17)
			Teachers training on ARH	01 Batch (M-13, F-10)
			Training of the ARH Service Provider	01 batch(M-17.F-05)
			Gender Training	01 batch
			Leadership & management training	01 batch (M-14,F-18)