sexual and reproductive health

The NGO Health Service Delivery Project 2012 – 2018 – Final Report

From 2012 to 2017, USAID supported the Surjer Hashi (SH), or Smiling Sun, network through the NGO Health Service Delivery Project (NHSDP). The UK Department for International Development (DfID) provided additional funding beginning in the second project year. A consortium led by Pathfinder International, NHSDP provided material and technical support to 25 NGOs, who served a catchment area of 26.3 million people through a network of 399 static and 10,872 satellite clinics and 11,842 community service providers (CSPs). In its five years of implementation, the SH network made 251,490,942 services contacts, 8,237,567 of which were for antenatal care (ANC) and 42,577,833 were adolescents or youth. More than three million visits to SH clinics for children under five years of age integrated activities to monitor children’s growth and promote healthy nutrition. By providing 7,839,430 Couple Years' Protection, the SH network averted 2,000 maternal and 10,000 child deaths and 1.9 million unwanted pregnancies. Read More...

Mid-Term Evaluation of the Adolescents Empowerment Program (AEP) in Mukuru and Kajiado, 2019

BACKGROUND
The Adolescents Empowerment Program (AEP) is a five-year (2015-2020) education project that is seeking to empower marginalized in-and out-of-school adolescent girls and boys aged 10-19 years in urban informal Nairobi (Mukuru) and rural Kajiado areas of Kenya. The AEP is focusing on three main areas: (i) adolescent sexual and reproductive health, (ii) economic empowerment and (iii) use of ICT to support and enhance learning.

OBJECTIVES
The specific objectives of the midline study were to assess knowledge, attitudes and practices of adolescents on ASRH, gender norms, saving and economic empowerment, financial literacy, youth leadership and decision making, education and schooling.

METHODS
Quantitative and qualitative methods were used.

KEY FINDINGS
- The AEP was associated with likelihood of adolescents seeking SRH services, increased confidence to access SRH services and higher intention to use contraceptives.
- Negative gender norms and harmful traditional practices are prevalent, especially in Kajiado.
- The AEP was associated with increasing adolescents’ likelihood to save.
- At midline, there were increases in adolescents with economic empowerment.
- The AEP was associated with increasing adolescents’ financial literacy.
- The AEP was associated with greater participation in youth groups and improved youth leadership norms.
- The AEP had marginal effects on schooling outcomes such as learning and attendance.
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