Co ntra c e ptive pro visio n in a do le sc e nts S. Muka ka 24 - - PowerPoint PPT Presentation
Co ntra c e ptive pro visio n in a do le sc e nts S. Muka ka 24 Se pte mb e r 2016 Ba c kg ro und The Spilhaus CRS is housed within The Zimbabwe National Family Planning Council(ZNFPC) building, within the Harare Hospital grounds
24 Se pte mb e r 2016
The Spilhaus CRS is housed within The Zimbabwe National Family Planning Council(ZNFPC) building, within the Harare Hospital grounds Ten (10) kilometres from Harare City Centre in the South Westerly direction Accessible by public transport Recruit participants from Harare’s densely populated suburbs
mpla no n,I UCD,Pill,tub a l lig a tio n
e rtility te sting
Info rma tio n E d uc a tio n a nd Co mmunic a tio n (IE C), Pe e r E d uc a to rs, Clinic a l se rvic e s a nd T ra ining , Re c re a tio n, Surviva l skills tra ining , L ife skills tra ining a nd Mo nito ring a nd E va lua tio n
Site ha s so me e xpe rie nc e with a do le sc e nts he a lth
se rvic e pro visio n.
Spilha us is o ne o f the site s imple me nting HPT
N 082(An a do le sc e nt tria l: Asse ssing a dhe re nc e a nd a c c e pta b ility
P a s a prima ry pre ve ntio n stra te g y a mo ng yo ung Afric a n wo me n)
Pre pa ra to ry wo rk do ne Dre w e xpe rie nc e s fro m impo rta nt sta ke ho lde rs
Co nti..
Pa ng e a -A we ll-e sta b lishe d a do le sc e nt HUB in
Chitung wiza lo c a te d 13 km a wa y fro m Spilha us CRS. I t se rve s yo uths fro m 16 ye a rs o f a g e se e king HI V te sting , ST I te sting a nd tre a tme nt, c o ntra c e ptio n se rvic e s a nd pre g na nc y te sting . T he y imple me nte d a pro je c t c a lle d SHAZ!-Wa s a life skills e duc a tio n a nd live liho o d tra ining fo r 16-19 ye a r o lds.
LESSONS LEARNT FROM PANGEA
Ado le sc e nts ne e d priva c y-a se pa ra te wing o f the c linic re no va te d
Ne e d fo r yo uth a ppe a ling se rvic e s-pro visio n o f WI
F I a nd de skto ps
Cle a n a nd we lc o ming se rvic e de live ry pla c e -re no va te d a wing o f
the c linic no w de dic a te d to the a do le sc e nt tria l.
I
nfo rma tio n de live ry me tho ds sho uld b e diffe re nt a nd a ppro pria te - use o f te c hno lo g y, fo r MT N 034 ma y c o nside r c o ntra c e ptive vide o a nd/ o r c o ntra c e ptive info rma tio n o n we b site
LESSONS FROM THE ASRH DEPARTMENT T
he ASRH is a de pa rtme nt within ZNF PC tha t is de dic a te d to pro mo ting a nd pro viding yo uth frie ndly he a lth se rvic e s
T
he y ha ve a yo uth frie ndly c linic o ffsite , ho we ve r the y ha ve yo uth frie ndly tra ine d he a lth sta ff a t site to o ffe r c linic a l(re pro duc tive he a lth) se rvic e s to a do le sc e nts who c o me to the Splilha us fa mily pla nning c linic
LESSONS FROM THE ASRH DEPARTMENT
ffic ie nt se rvic e s(sho rt wa iting time )
the se rvic e s
L e sso ns le a rnt fro m Yo uth CAB
Re -e mpha size d info rma tio n g a the re d fro m the 2 sta ke ho lde rs no te d e a rlie r
T
he Na tio na l Ado le sc e nt Se xua l a nd Re pro duc tive He a lth Stra te g y
ZNF
PC le a ds in the imple me nta tio n o f the stra te g y
3 pro ng e d a ppro a c h c o mmunity-b a se d (yo uth c e nte rs o ffe ring c o unse ling ,
re c re a tio na l a c tivitie s a nd c o ndo ms),
Sc ho o l-b a se d (life skills tra ining a nd c o unse ling ). He a lth-fa c ility– b a se d (o n-site yo uth-frie ndly c o rne rs,
whic h a re suppo se d to o ffe r vo lunta ry c o unse ling a nd te sting , a s we ll a s c o ndo ms a nd o the r fa mily pla nning me tho ds)
T
he c o untry’ s fa mily pla nning g uide line s spe c ify tha t “a g e a lo ne do e s no t c o nstitute a me dic a l re a so n fo r de nying a ny me tho d to a do le sc e nts” a nd tha t tho se “who a re se xua lly a c tive sho uld b e o ffe re d a c o ntra c e ptive me tho d o f the ir c ho ic e
No se pa ra te c linic a l g uide line s o r SOP fo r o ffe ring
c o ntra c e ptive se rvic e s in a do le sc e nts
Our so c ie ty do e s no t a lwa ys a ppro ve o f yo ung unma rrie d wo me n
g o ing o n c o ntra c e ptio n a s this is se e n a s a wa y o f e nc o ura g ing yo uths to indulg e in se xua l a c tivitie s e a rly
No tio n tha t pa re nta l o r spo usa l c o nse nt re q uire me nts—e xist fo r
re c e iving fa mily pla nning se rvic e sinvo lve me nt fo r unde r 18 ye a r o lds. Pro vide rs I mpo se Co nse rva tive Ag e , Ma rria g e , Pa rity a nd L ife style Re stric tio ns o n Yo uth. Ho we ve r, the c o untry’ s fa mily pla nning g uide line s c le a rly spe c ify tha t “a g e a lo ne do e s no t c o nstitute a me dic a l re a so n fo r de nying a ny me tho d to a do le sc e nts” a nd tha t tho se “who a re se xua lly a c tive sho uld b e o ffe re d a c o ntra c e ptive me tho d o f the ir c ho ic e ”
T
his le a ds to a do le sc e nts o pting fo r e a sily a va ila b le c o ntra c e ptio n e g
pro ve ra ) o r ille g a l a rb o rtio ns
Co ntra c e ptio n ma y c a use infe rtility la te r in life A nullipa ro us wo ma n c a nno t ha ve I
UCD inse rte d
L
a c k o f Yo uth-F rie ndly Re pro duc tive He a lth Se rvic e s a nd Co mmunic a tio n Ba rrie rs
L
ike pro vide rs, yo uth a re a lso he sita nt a b o ut using L ARCs a nd
kno wle dg e a b o ut the me tho ds, do ub ts a b o ut e ffic a c y. T he mo st po pula r c o ntra c e ptio n info rma tio n so urc e a re pe e rs
Hig h Co st o f Co ntra c e ptive s a nd Sto c k-Outs
Ado le sc e nts ha ve uniq ue ne e ds Priva c y No n judg e me nta l Co nfide ntia lity E
ffic ie nt se rvic e s(sho rt wa iting time )
Cle a n a nd we lc o ming se rvic e de live ry pla c e . Yo uth
a ppe a ling se rvic e s
Ado le sc e nts a c tive invo lve me nt in the pro visio n o f the se rvic e s I
nfo rma tio n de live ry me tho ds sho uld b e diffe re nt a nd a ppro pria te
Brie f e ffe c tive c o unse lling Ado le sc e nts a re like ly to o pt fo r: Optio ns with priva c y L
E
a sily a va ila b le
Ado le sc e nt will ne e d o ng o ing c o ntra c e ptive a dhe re nc e c o unse lling Ong o ing re minde rs fo r sub se q ue nt do se s