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Adolescent Sexual & Reproductive
Health Programs in Humanitarian
Settings: Save the Children's
Experiences

CORE Fall Meeting
October 17th, 2013
Presented by:

Brad Kerner
ASRH Advisor

Seema Manohar

ASRH in Emergencies Specialist
smanohar@savechildren.org
Save the Children’s Approach
Development
of Technical
Tools
ASRH Toolkit in
Humanitarian Settings
&
E-learning Course

Training partner
agencies and
emergency response
personnel
Key partner: UNFPA

Research &
Analysis

Emergency
Response

Document best
practices of access
to ASRH information
and services

Demonstrate how
ASRH can be
integrated into an
acute emergency
response

Key Partners:
Women’s Refugee
Commission, UNFPA,
UNHCR

Launch of pilot project
in DRC
Key partner: SCI,
UNFPA, WRC, UNHCR
ASRH Toolkit in
Humanitarian Settings
Objective:
 To providing guidance on what should
be done to ensure that SRH
interventions respond to adolescents’
needs in humanitarian settings
Target audience:
 RH programme managers and health
service providers working in
humanitarian settings
 Humanitarian programme managers
 Other service providers (youth center
coordinators, community workers)
working in emergencies
What is in the ASRH Toolkit?
Adolescent-inclusive minimum initial service package (MISP)
 How to make the 5 MISP objectives truly responsive to ASRH needs
Participation tools
 Adolescent participation
 Step-by-step exercise for adult and community participation
 RH entry points in existing adolescent programs
Assessment tools
 Including an adolescent focus to Initial rapid assessments
 Guide for Situational analysis focusing on ASRH
 Comprehensive SRH assessment questions for adolescents in stabilized
emergencies
Facility-based tools
 Psycho-social assessment (HEADSS )
 Adolescent-friendly SRH service checklist
Community-based distribution and peer education tools
 Peer Education resources
 Community-based distribution tools
Trainings on the ASRH Toolkit
E-Learning Training on ASRH Toolkit
LINK: http://www.iawg.net/resources/arh-video/player.html
E-Learning Module
Miranda,
16 years
old,
pregnant
Stephanne,
Affected by
GBV

Involving
youth in
improving
services

Sabrina,
Father,
concerned
about
sexual
violence
Johanne,
seeking HIV
and
pregnancy
testing

Local
Health
Workers
Research to Action: Goma, DRC

Christian (18) working on his message for the mural
“L’éducation sexuelle n’est pas un tabou’’ (SexEd is not taboo)
Goma, DRC
Pilot project includes:
Information & service
provision through
multiple channels
Adolescent mothers’
support groups
Typhoon WASHI, January 2012
Philippines
Coordinated with Health
Cluster RH Working Group
Mobilized youth volunteers

Trained humanitarian
response staff
Ensured youth
involvement
Regional Response for Syrian
Crisis
“My message to
the world: I want
the conflict in
Syria to end and
safety and peace
to be restored
back to normal
as it once was a
happy country.”
- 14 years old
Za'atari Refugee
Camp in Jordan
Syrian Crisis
Za’tari Camp, Jordan

Photo Credit: Muhammed Hamed/Reuters
Jordan
Youth Working Group
 UNICEF, Save the
Children, UNFPA
initiated the Youth
Working Group to
holistically address
issues facing youth
Youth Friendly Spaces
 age-appropriate,
culturally sensitive
ASRH information
Lebanon

•
•
•
•

Adolescent Mothers Support Groups in health facilities
Very Young Adolescents (VYAs)
Teen hygiene kits
Integrated into Save the Children’s Emergency Response
Strategy Plan
Iraq
Become an ASRH Advocate!

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Youth in Conflict_ Brad Kerner_10.17.13

  • 1. Adolescent Sexual & Reproductive Health Programs in Humanitarian Settings: Save the Children's Experiences CORE Fall Meeting October 17th, 2013 Presented by: Brad Kerner ASRH Advisor Seema Manohar ASRH in Emergencies Specialist smanohar@savechildren.org
  • 2. Save the Children’s Approach Development of Technical Tools ASRH Toolkit in Humanitarian Settings & E-learning Course Training partner agencies and emergency response personnel Key partner: UNFPA Research & Analysis Emergency Response Document best practices of access to ASRH information and services Demonstrate how ASRH can be integrated into an acute emergency response Key Partners: Women’s Refugee Commission, UNFPA, UNHCR Launch of pilot project in DRC Key partner: SCI, UNFPA, WRC, UNHCR
  • 3. ASRH Toolkit in Humanitarian Settings Objective:  To providing guidance on what should be done to ensure that SRH interventions respond to adolescents’ needs in humanitarian settings Target audience:  RH programme managers and health service providers working in humanitarian settings  Humanitarian programme managers  Other service providers (youth center coordinators, community workers) working in emergencies
  • 4. What is in the ASRH Toolkit? Adolescent-inclusive minimum initial service package (MISP)  How to make the 5 MISP objectives truly responsive to ASRH needs Participation tools  Adolescent participation  Step-by-step exercise for adult and community participation  RH entry points in existing adolescent programs Assessment tools  Including an adolescent focus to Initial rapid assessments  Guide for Situational analysis focusing on ASRH  Comprehensive SRH assessment questions for adolescents in stabilized emergencies Facility-based tools  Psycho-social assessment (HEADSS )  Adolescent-friendly SRH service checklist Community-based distribution and peer education tools  Peer Education resources  Community-based distribution tools
  • 5. Trainings on the ASRH Toolkit
  • 6. E-Learning Training on ASRH Toolkit LINK: http://www.iawg.net/resources/arh-video/player.html
  • 7. E-Learning Module Miranda, 16 years old, pregnant Stephanne, Affected by GBV Involving youth in improving services Sabrina, Father, concerned about sexual violence Johanne, seeking HIV and pregnancy testing Local Health Workers
  • 8. Research to Action: Goma, DRC Christian (18) working on his message for the mural “L’éducation sexuelle n’est pas un tabou’’ (SexEd is not taboo)
  • 9. Goma, DRC Pilot project includes: Information & service provision through multiple channels Adolescent mothers’ support groups
  • 10. Typhoon WASHI, January 2012 Philippines Coordinated with Health Cluster RH Working Group Mobilized youth volunteers Trained humanitarian response staff Ensured youth involvement
  • 11. Regional Response for Syrian Crisis “My message to the world: I want the conflict in Syria to end and safety and peace to be restored back to normal as it once was a happy country.” - 14 years old Za'atari Refugee Camp in Jordan
  • 12. Syrian Crisis Za’tari Camp, Jordan Photo Credit: Muhammed Hamed/Reuters
  • 13. Jordan Youth Working Group  UNICEF, Save the Children, UNFPA initiated the Youth Working Group to holistically address issues facing youth Youth Friendly Spaces  age-appropriate, culturally sensitive ASRH information
  • 14. Lebanon • • • • Adolescent Mothers Support Groups in health facilities Very Young Adolescents (VYAs) Teen hygiene kits Integrated into Save the Children’s Emergency Response Strategy Plan
  • 15. Iraq
  • 16. Become an ASRH Advocate!

Notas do Editor

  1. Very few practical guidelines exist on how to address ASRH in humanitarian settings in a youth-friendly wayThere are resources for addressing RH in emergencies and resources for addressing ASRH in development settings, but not for ASRH in emergencies address ASRH in humanitarian settings in a youth-friendly way
  2. The package offers comprehensive guidance, but the tools can stand alone
  3. - 5 live trainings have taken place with a total of 75 participants.
  4. Piloting a model ASRH project in Goma, DRC based on findings and recommendations of the project funded by UNHCR.
  5. Information & service provision through a Youth Center, linked to a health facilityInformation dissemination through in-school peer educators and theater-group for out-of-school and community activitiesAdolescent mothers’ support groups to ensure pregnant adolescents receive ANC and PNC services and plan for delivery in a facility.
  6. Coordinated with Health Cluster to be youth-inclusive; coordinated with UNFPA to address ASRH concerns within RH Working Group and collect age-disaggregated dataCoordinated with UNFPA to mobilize youth volunteers to provide peer to peer education and referral to servicesSensitized humanitarian response staff on ASRH threats including GBV, transactional sex, STI transmission and unwanted pregnancies Ensured youth involvement with UNFPA on variety of camp activities, including kits distribution, registration, assisting with medical missions, etc.
  7. Za’atari Camp & Host Communities Currently close to 120,000 refugees in Za’atari Camp and almost double that number who live in host communities Youth Working Group UNICEF, Save the Children, UNFPA initiated the Youth Working Group to holistically address issues facing youth including ASRH ASRH Programs through AFS & YFSSimilar to Child Friendly Spaces, Save the Children has set up Adolescent Friendly and Youth Friendly Spaces. In these spaces, adolescents receive age-appropriate, culturally sensitive ASRH information on puberty, menstrual hygiene, early marriage and pregnancy, GBV and HIV/STIs.
  8. * Started Adolescent Mothers Support Groups in health facilities* Integrating ASRH information sessions for Very Young Adolescents (VYAs) in Child Friendly Spaces * CDC funded research to examine unique needs and risks of VYAs of Syrian refugees in Lebanon and use findings to design ASRH programs during an active emergency* Distribution of teen hygiene kits with age-appropriate essential items such as underwear, headscarves, sanitary napkins, soap, etc. * ASRH is fully integrated into Lebanon’s Emergency Response Strategy Plan
  9. Most recent country program to integrate youth programming into emergency response:Plan to start ASRH education in YFSTargeted programming for young mothers and adolescent girls living in female-headed households.Developed a youth response strategy in which youth is mainstreamed across all Save the Children emergency sectors Distribution of teen hygiene kits