International work

6 DSW’ s Inte rnational Work

Ethiopia

Uganda Kenya

Tanzania

» DSW in the Field
For over twenty years, DSW has campaigned tirelessly education is most effective when adolescents are
on behalf of those who hold the future in their hands: taught and counselled by their own peers. In
the young people of today and the parents of addition, we involve parents, teachers, community
tomorrow. During this time we have built a solid members, and local and religious opinion leaders.
network of over six hundred youth clubs for sexual Their support and understanding is vital to ensure
and reproductive health and rights (SRHR) education a lasting improvement in the lives of young people.
and AIDS prevention training in the four East
However, DSW’s field work involves much more than
African countries where we operate: Ethiopia, Kenya,
sex education. We apply an integrated population-
Tanzania, and Uganda.
health-environment approach based on the needs
Through our Youth-to-Youth Initiative, peer educators and rights of young people and communities. We
at these clubs teach and motivate other young people support and promote capacity building of civil society
about how to prevent unwanted pregnancies and organisations and communities, with a special
HIV infections, and how they can implement positive focus on young people, as well as social and political
changes in their own lives and the lives of others in decision-makers, health providers and relevant
their communities. Our experience shows that sex stakeholders throughout the world.

“The global problems of our time such as poverty, food
shortages, and climate change can only be overcome by
meeting the unmet need for family planning and modern
contraception in the world’s poorest countries.”
Renate Baehr, DSW’s Executive Director

DSW’ s Inte rnational Work 7

Highlights
Capacity Building in Development www.youth-to-youth.org
During 2011 and early 2012, DSW developed and
conducted a total of 218 training courses across
Africa and Asia. These training sessions focused on Youth-to-Youth Website Launch
capacity building in relation to resource mobilisation,
In September 2011, DSW launched a dedicated
civic education, advocacy, entrepreneurship, and
website for the Youth-to-Youth Initiative. The youth
life skills, and were held in 11 countries. DSW is
focused website was set up to increase awareness
committed to helping individuals and local organisa-
on issues relating to SRHR, and to act as a point of
tions to build and increase their knowledge and
reference where young people could ask questions,
resources for the areas in which we operate. Courses
share experiences and motivate others. From its
held at the regional, national and international levels
initial launch to June 2012, the site has been visited
included formal training sessions, peer-to-peer ex-
by over 2,500 young people.
changes, “ripple effect” train-the-trainer approaches,
and online coursework.

“I’ve been empowered!” – Study Praises DSW’s Youth-to-Youth Initiative
Spanning four East African countries, DSW’s Youth- and in a number of cases, the ability to provide for
to-Youth Initiative has a membership of over 30,000 themselves and families through self-generated income.
young people. In an effort to assess the results of the
Initiative on young people and their social environ-
ment, the Deutsche Gesellschaft fuer Internationale “Before I was shy, now I am a public speaker
Zusammenarbeit (GIZ), commissioned an assessment and a highly recognised person; I am often
of the Initiative in 2011. The results were extremely
positive. The study praised the impact that the project called to organise public events.”
was having on girls in particular and how membership Youth club member.
has led to the development of life skills, self-esteem, Speaking about the benefits of DSW’s Youth-to-Youth Initiative.

» Project Controlling
DSW plans and manages projects with meticulous
care and proficiency:
» Before any project can begin, country office staff
create an operational plan that sets out measurable
goals, activities, timeframe, and budget considerations.
» Close collaboration with local partners and benefi-
ciaries ensures that projects are coordinated and
planned in accordance with the precise needs of
people in each country.
» Project managers working in the country office
ensure that everything is implemented according » Project coordinators and the controlling depart-
to the contract and produce monthly, or quarterly, ment in Hannover check the reports and submit
reports on the resources used and on the progress the results to the Board of Directors.
of projects initiated.
» We also commission external appraisers to evaluate
individual projects.


» Ethiopia Almost every second Ethiopian woman aged 20 is a mother.

Average number of children per woman: 4.8 145
85
29
Population in millions 1970 2011 2050 * UN estimate
Addis Ababa
Capital of Ethiopia
Country Office since 1999

» What Does DSW Ethiopia Do?
Almost two-thirds of Ethiopian women are married
What Have We Achieved?
A snapshot of recent successes with the project
Project Highlights

in their teens with some girls marrying as young as “Working Together for Decent Work in East Africa”
seven years. As a result, they are often denied access include:
to education and paid employment. To help improve
» One hundred youth and women’s group
this situation, we launched the “Working Together for
members have been trained in leadership and
Decent Work in East Africa” project for Ethiopia in
entrepreneurship skills.
September 2011. This three year regional project was
set up to provide social protection and employment » 30,000 materials have been disbursed.
for those excluded from the formal labour market,
» Radio talk shows have reached an estimated
especially women and young people. Thirty youth and
audience of more than 10,000 listeners.
women’s groups, each consisting of 20–25 members
involved in various informal crafts and activities, » Our health awareness events have impacted
have so far been organised to benefit from the project. 2,300 people.
We mentor individual members with regards to
developing market-based skills, increasing economic
opportunities, enhancing their ability to move into Further information about our work in Ethiopia can be
formal employment and, creating networking found under www.dsw-online.org/ethiopia
opportunities. Ultimately, the sustainability of their
economic activities enables them to take ownership
to the eradication of this debilitating condition among
and control of their own futures.
women and girls in Ethiopia. Since prevention is
critical to fighting fistula, education, and family
planning services form the main strategies of this
The ”Fight Fistula“ Project project. In the past six months alone, we have trained
Child marriage, early pregnancy and Female Genital 40 leaders from girls clubs to give advice and support
Mutilation (FGM) are among the reasons two million about the condition, and we have reached more
women suffer from obstetric fistula, a serious child- than 83,000 people about issues relating to SRHR
birth-related condition that often affects young girls. and harmful traditional practices.
The goal of our “Fight Fistula” project is to contribute


» Kenya Average number of children per woman:

Just 44
4.4
per cent of all births in Kenya occur at health facilities.
Over 5,500 women die each year while giving
birth or due to pregnancy related conditions. 97
Nairobi 42
Capital of Kenya 11

In May 2011, the European Commission did a final
assessment of the “Safe Motherhood” project. Results
have been extremely positive: together with partners,
DSW significantly contributed to improving the
health of girls and young mothers in Kenya.
Project achievements include:
» Health education campaigns have reached more
than 4.5 million young mothers, teenagers, and
© Carsten Luther

community members with vital information about
family planning and pregnancy.

»
» Our staff, youth clubs, and partners have distributed
more than 100,000 educational materials.
What Does DSW Kenya Do? » More than 100,000 male and female condoms were
Since it was launched, DSW’s “Safe Motherhood” distributed to young people.
Project Highlights

project has aimed at enhancing the capacity of
» More than 900 health centre staff and community
health workers to help improve access to safe
workers were trained.
maternal and child health services in the slums of
Nairobi and in the Kaloleni District, Coast Province » More than 380,000 young mothers and their
of Kenya. In 2011, we donated equipment worth over children received health services such as pregnancy
95,000 Euro to various health institutions throughout tests, HIV tests, and vaccinations.
Kenya. As a result of the project’s success in the
» More than 300 young women and mothers were
field, we have also been invited to sit in a number of
provided with entrepreneurship skills training.
influential working groups chaired by the Kenyan
Ministry of Health.
Further information about our work in Kenya can be
found under www.dsw-online.org/kenya

Message to the Youth
A beneficiary of DSW’s “Working Together for Decent Work in
East Africa” project speaks about his experiences:
“My name is Stephen Omondi from Kenya. The aim of this project
is to help women and youth towards living a decent life. I under-
went a ten day training course and acquired skills which have
enabled me to empower my young fellows towards the realisation
© Carsten Luther

that it’s time to take control of our own lives. It is my opinion that
youth self-employment in the informal sector will lead to the
growth of cooperatives which will sustain the Kenyan economy
for years to come. The programme has made a positive impact on
our communities.”


» Tanzania 88 per cent of the population live on less
than two US Dollars a day.

Average number of children per woman: 5.4 138

Arusha
46
14

© Martin Grohganz
» With our project “Healthy Action”, we organised
eleven community sensitisation activities in
three districts on reproductive health, civic
responsibilities, and rights which had a direct

»
impact on 13,000 people.
» Through intensive use of DSW’s youth truck
What Does DSW Tanzania Do? between January and May 2012, we reached more
In cooperation with our other country offices in than 5,300 people with awareness and health
Project Highlights

Ethiopia and Kenya, we launched the “Working campaigns focusing on HIV & AIDS prevention,
Together for Decent Work in East Africa” project forced marriages, and gender based violence.
for Tanzania in November 2011. This three year
» DSW Tanzania hosted a National Roundtable
programme will work towards improving the health
meeting whose objective was to bring together
and livelihoods of those excluded from the formal
national decision makers, donors, and non-state
labour market, especially women and youth. Early
actors for discussions regarding the advancement
results from the project have been very positive with
of family planning in Tanzania.
36 youth and women’s support groups established
in three targeted districts in Tanzania. Within these
groups a total of 865 people have benefited from
Further information about our work in Tanzania can be
the programme.
found under www.dsw-online.org/tanzania

Youth Truck
DSW staff travel around the country using Youth Trucks to visit
remote areas in order to spread information and advice about
reproductive health and contraceptives. By using direct
approaches such as group discussions and recreational activities,
they openly discuss sensitive issues in a youth-friendly manner.


» Uganda Average number of children per woman:

48 per cent of the population is below 15 years of age.
About 4 per cent of all 15–24 year
6.2

old girls are HIV positive. 94
35
Kampala 9
Capital of Uganda
Country Office
since 2000 © Stephen Luyima


»
The “Young Adolescents Project” has had
tremendous successes:
What Does DSW Uganda Do? » To date we have reached and educated more than
7,100 students, 1,900 parents, and 340 teachers.
While much has been done to improve access to SRHR
Project Highlights

information and services among older adolescents, » In 2011, more than 90 per cent of students had
there is a common held belief that boys and girls comprehensive knowledge about HIV & AIDS –
under the age of 15 are “too young” to be in need of compared with less than 25 per cent at the
SRHR information and services. Against this back- beginning of the project.
drop, DSW developed, in partnership with Bayer
» There has been a dramatic decrease in the school
HealthCare Pharmaceuticals, the innovative “Young
dropout rate for young girls. In 2008, 118 young
Adolescents Project” to create a supportive environ-
girls had left school, compared with only 29 girls
ment and improve SRHR education for young
in 2011.
adolescents in primary schools. The initiative has
been implemented in ten schools in the districts » The role of teachers in creating awareness and
of Masindi, Tororo, and Wakiso, and targets pupils, passing on knowledge about HIV & AIDS has
teachers, and parents as well as health workers in increased: in 2011, more than 90 per cent of the
promoting awareness and acceptance of family pupils named teachers in the classroom as one
planning methods and the use of contraceptives. of their information sources.
» We have trained 17 health workers in the provision
of youth-friendly health services and encouraged
to establish youth-friendly corners in their health
centres.
» The project gained wide acceptance among
district officials. In 2011, they decided to consider
© Peter Ginter, Bayer AG

sexual education as a priority for district education
departments as well as for the “District Develop-
ment Plans” in 2012.

Further information about our work in Uganda can be
found under www.dsw-online.org/uganda


» Advocating for Change –
in the South
Advocating for increased support from governments formulate policy priorities, monitor their implemen-
for gender equality, family planning, and sexual tation and influence decision-makers. Collaboration
and reproductive health and rights (SRHR), is vital with institutions, government agencies, and other
for maintaining and improving the health of young non-governmental organisations is an important
people and societies in order to help them reach cornerstone of our work. By cooperating and working
their full potential. Advocacy initiatives, such as DSW’s together with other actors, we help to ensure the
“Healthy Action” project, are aimed at empowering sustainability of our activities while achieving greater
East African non-state actors to advocate effectively results for all.
on health issues by increasing their capacity to

“DSW’s AHEAD project is at the cutting-edge of efforts to
mobilize civil-society demand and support for the funding
of reproductive health interventions in developing countries.
DSW's efforts are playing a vital role in saving the lives of
poor women in those countries.”
Tom Merrick,
Technical Advisor to the World Bank Institute


» What Have We Achieved in the South?

Highlights from two of our advocacy projects in the
past year include:
» “Euroleverage”: We have provided comprehensive
technical assistance to our implementing partners
in the Euroleverage project regarding the develop-
ment and implementation of national advocacy
strategies aimed at increasing domestic and
European funding for reproductive health in their
countries. Interim findings from an impact analysis
indicate that the “Euroleverage” project resulted in:
• Reproductive health and family planning
Capacity Building in the South information being accessed by a total of
DSW conducted a total of 218 training workshops in 6.3 million people;
Senegal, Rwanda, India, Nepal, Malawi, Kenya, • Approximately 4.4 million condoms distributed;
Tanzania, Uganda, Mozambique, and Burundi through • Nearly 1 million clients with access to SRHR
the capacity building framework/approach of our services and;
projects “Healthy Action”, “Euroleverage”, “AHEAD for • More than 32,000 people trained in capacity
World Bank Advocacy”, “nEUwAID”, as well as “Fight building activities.
Fistula”, and our Youth-to-Youth Initiative. Held
during 2011 and early 2012, these training sessions
were based on a number of thematic priorities.
“Euroleverage”, and “nEUwAID”, for instance, included
training sessions focusing on enhancing local civil
society organisations (CSOs) capacities to better hold
the EU and their own governments accountable » “Healthy Action”: Our advocacy project, “Healthy
regarding commitments made. Action”, is carried out in Kenya, Tanzania, and
Uganda. In 2011, DSW Kenya hosted a three day
Participants involved in the training were also guided
training on civic education for health CSOs.
about issues relating to the definition of EU aid
Following the training, beneficiaries have been
policies for their own countries, how to navigate the
undertaking civic education in all regions of the
often complex funding environment, and how to
country through the use of edutainment and other
improve their chances of mobilising new funding for
forms of community outreaches to sensitise the
their projects.
community on governance issues in the health
sector. Since initiation, a total of 14 forums have
been held reaching more than 1,500 people. Key
political decision-makers have also felt the effect
of this civic education. In the past 12 months, over
150 councillors have signed “Calls to Action”,
committing themselves to supporting greater
allocations to health within local authority budgets
at ward level. Due to our work in this area, DSW
is also now part of the task force in charge of the
re-launch of the National Family Planning Campaign
in Kenya.


at the International Level
With austerity measures being implemented across collaboration, communication, and coordination
the EU, it is vital that decision-makers be held to effort. In 2011, DSW’s advocacy teams in Europe and
account for improved health outcomes in low- and in Africa, along with our partners, have been working
middle-income. Ensuring that these commitments together to shape the international communities
are realised requires an intense international advocacy actions on the issues we are engaged with.

“Many thanks for the nice and informative meeting at the [EU]
Parliament. I found it very useful, forwarded the essence also to
my capital experts.”
Paul Elberg, Deputy Head of Mission,
Embassy of Estonia Tips and Tricks
“Tips and Tricks: How to Access European Funds for Reproductive
Health and Poverty Alleviation”, is seen as a valued resource by other
non-profit organisations – as is our many other studies and guidelines.
More information available at: www.euroresources.org

D SW’ s Inte rn a ti o na l Wo rk 15

» What Have We Achieved at the International Level?

This past year, our international advocacy activities
have achieved the following:
» Within Action for Global Health (AfGH), we
organised two multi-stakeholder Roundtable events
with representatives from donors and civil society
in preparation of the Fourth High Level Forum
(HLF4) on Aid Effectiveness in April and June 2011.
As a result of our combined work within the
network, AfGH recommendations were reflected in
EU policy documents, including the European
Commission’s Agenda for Change, and the
Communication on Budget Support. » DSW engages directly with local civil society
networks in low- and middle-income countries by
conducting advocacy and resource mobilisation
courses to build and increase knowledge and
resources. These training sessions are designed to
not only enhance local CSOs capacities to better
hold the EU and their own governments accountable,
but also to help demystify and attract greater
funding for activities and issues relating to SRHR
work. In 2011 alone, DSW conducted 134 training
workshops in 11 countries across Africa and Asia.

» As a member of AfGH, DSW was also an active
participant in the HLF4 on Aid Effectiveness in
Busan, South Korea, in November 2011. The event
was aimed at reforming the aid effectiveness Working with Religious Leaders to Improve
agenda and establishing a new global partnership
for development cooperation. In the run-up to the
and Support Access to Family Planning
Forum, DSW participated in global CSO consulta- In 2011, DSW worked together with Christian
tions and organised an online discussion on health Connections for International Health (CCIH) and
aid effectiveness which was followed by more Muhammadiyah to conduct an extended consultation
than 140 organisations worldwide. As a result of process with religious leaders and faith-based
our involvement, civil society will now be included institutions regarding their willingness to support
in the elaboration of the Global Monitoring Frame- advocacy for reproductive health and family planning.
work to be established in the follow-up to the As a result of our collective work, 120 faith-based
commitments made in Busan. organisations, religious leaders and religious institu-
tions, and 100 other supporting organisations and
non-state actors, adopted in Nairobi, Kenya, an
“Interfaith Declaration to Improve Family Health and
Well-Being” in support of access to family planning.

»
The declaration calls on others to endorse this
initiative to influence government and donor policies
www.dsw-online.org/interfaith and funding.


at the EU Level
As the world’s largest donor, the European Commission have a positive and far reaching impact on the lives
and the European Union Member States combined of people within low- and middle-income countries.
play a central role in international development
Our team works in close collaboration with staff and
cooperation and in health development policies.
Members of the European Parliament (MEPs), the
DSW’s EU liaison office works to influence key
European Commission (EC), the European External
political decision-makers to ensure that EU policies
Action service (EEAS), representatives of Member
States, and other civil society organisations (CSOs).
We support initiatives that seek to reinforce the
policies and funding on sexual and reproductive
health and rights (SRHR) as well as global health.

The DSW EU team celebrating DSW’s twentieth anniversary in Brussels.


» What Have We Achieved at the EU Level?

Our EU advocacy activities focused on creating change » In preparation for the negotiations on the new
and momentum for people living in low- to middle- EU financial instruments for development for
income countries by advocating for increases in 2014–2020, DSW Brussels contributed to online
external funding, awareness, and capacity building for consultations of the EEAS and the EC on the future
those that need it most. Key results for 2011 include: of EU external funding after 2013.

» European Parliament adoption of a two million Euro » With the publication of “Euromapping 2011” in
project under the EU budget 2012 in support of a October, DSW provided 400 Parliamentarians
regional CSO network targeting organisations in from 29 national parliaments, and over 500 more
East Africa working towards the Millennium decision-makers with an overview of European
Development Goal 5: Improve Maternal Health. commitments and actual disbursements towards
HIV & AIDS, reproductive health, and family
» Given the current austerity climate, health funding planning in low- to middle-income countries.
under the EU’s thematic programme “Investing This report is published jointly by DSW and the
in People” for 2012 had been seriously under threat European Parliamentary Forum on Population
after the Council of the EU suggested severe cuts of and Development (EPF).
five million Euro in its draft position on the budget
in July, 2011. Following joint advocacy efforts
by DSW and civil society actors, the EP’s Budget
Committee firmly rejected those cuts and adopted
an amendment that would re-establish the initial “This is a very useful
draft budget of 38 million Euro in commitments.
tool for our work in
» DSW spoke at two training events for Parliamentary Parliament.”
assistants on issues of SRHR at the EU level. As a
Jordi Xuclà, MP Spanish Parliament
,
result of these meetings, 13 participants from the
European Parliament learned about concrete fund-
ing opportunities available to MEPs and their staff.
1

Mothers’ Night Campaign
Mothers’ Night is a special EU campaign that was
set-up to help develop and increase awareness of the
high global maternal mortality of women and girls in
the world’s poorest countries. Every two minutes, a
woman dies of pregnancy related complications –
low- to middle-income countries account for 99 per
cent of these maternal deaths. To further sensitise
EU officials to these issues, DSW and the European
Parliament Working Group on Reproductive Health,
© Carsten Luther

HIV & AIDS and Development (EPWG) organised
an awareness raising Panel Debate in May, 2011.
The Debate was attended by over 50 participants,
including representatives from the EP, EC, and UN
officials as well as members of civil society. After the
event, DSW opened a photo exhibition displaying
the impact of our “Safe Motherhood” project in Kenya.

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