Young Health Programme (YHP



the Plan:Changing the health of a generation of young people in Chadiza WhereChadiza, Zambia WhatYoung Health Programme When July 2011 – June 2014AimThe project aims to directly reach 12,500 young people (aged 10-24) and influence at least 44,815 people in the wider population indirectly including policy makers, educators, and health professionals in the communities in which these young people live. Registered charity no: 276035 Young Health Programme Zambia Year Two Report January 2013 – June 2013362902593345Project location The Young Health Programme (YHP) is being rolled out in nine communities of Chadiza Programme Unit, Eastern Province, Zambia.Specific communities targeted: Manje (John Health Centre)Nsadzu (Madzaela Health Post)Chilenga (Nsadzu Health Centre)Naviruli (Sinalo Health Post)Khumba (Miti Health Centre)Zemba (Zemba Health Centre)Tafelansoni (Tafelansoni Health Centre)Chadzombe (Chanjowe Health Post) Vubwi (Chikoma Health Centre)Target beneficaries 5715086360The focus of the Young Health Programme (YHP) in Zambia is on adolescents of Chadiza District in the Eastern and Central Provinces. The programme plans to reach 12,500 young people directly (7,500 girls and 5,000 boys) between the ages of 10 – 24 years in Chadiza. Additionally the programme plans to reach 44,815 indirect beneficiaries in total. 25,000 people comprising women, men, girls and boys in the general Chadiza population and 19,815 people through advocacy both at the district and national levels. Sensitisation Session on HIV at Nsadzu School in ChilengaGoal and Objectives Goal: To improve the health and well-being of adolescents in the Chadiza District of Zambia. Objective 1: To mobilise community support and increase advocacy for improved access and quality of young people’s health services.Objective 2: To promote information sharing, education and communication for adolescents on relevant health issues.Objective 3: To strengthen and improve the existing health services to provide quality youth friendly services. Summary of achievements January 2013- June 2013Reach: Delivering activities in the remaining five communities of Chadzombe, Naviruli, Khumba, Tafelansoni and Vubwi in addition to the original four communities reached in Year One. During the last six months 2,885 (1,320 female, 1,565 male) young people aged 10 to 24 years old were reached through YHP. This brings us over our target with a total of 14,359 young people reached since the start of the programme. The YHP has carried out 58 community sensitisations and four wider awareness campaigns which has supported strong indirect reach to a total of 31,841 people.Sustainability:The Peer Educators (PEs) are working in collaboration with the government health centres. Whilst the PEs are manning the Youth Friendly Corners (YFCs) at the health centres the government is providing materials like condoms to the PEs to support their outreach activities.Direct referrals of 360 adolescents to government health facilities for Sexual Reproductive Health (SRH) issues. Impact:Community drama performances on SRH are proving very effective in disseminating messages and changing attitudes in the communities. In addition to parents’ involvement, traditional leaders are also supporting the work of the PEs.YFCs in health centres are providing safe spaces for young people to take part in positive activities and get health advice. Local Advocacy: YHP has worked with the four Chiefs of Chadiza and other traditional leaders to draft a new curriculum for the girls’ initiation ceremonies which takes into account child protection concerns. Youth Voice: 1209675711835For the first time, young people have a platform for expressing their views on adolescent health to parents, traditional leaders and the wider community through a variety of activities, including community radio programmes, awareness campaigns and drama performances.Drama group performing a dance and song during the launch of Safe Motherhood week.Activities and Outcomes Objective one: To mobilise community support and increase advocacy for improved access and quality of young people’s health servicesDescription of activities against objective one During the period reported, the YHP in Zambia has continued to engage in a range of community mobilisation and advocacy activities to increase support for provision of quality adolescent health services. The project has expanded in Year Two, to begin delivering activities in the remaining five communities of Chadzombe, Naviruli, Khumba, Tafelansoni and Vubwi in addition to the original four communities. Through the range of activities, described below, in the last six months the project has indirectly reached 10,520 additional wider community members. In collaboration with different government departments including the Ministry of Health, Ministry of Community Development, Ministry of Mother and Child Health, Ministry of Education and other NGO partners, such as World Vision, CARE Zambia, Riders for Health and Plan Zambia Child Protection and Participation programme YHP carried out a series of activities aligned with different national and international days. During these events, mass sensitisation and awareness raising activities around young health issues were conducted. Community members including men, women and youths were sensitised on Sexually Transmitted Infections (STIs), family planning and gender based violence among other issues. A wide variety of engaging and exciting activities were carried out including drama performances, provision of Information Education Communication (IEC) materials including flyers, posters, and leaflets. Female and male condoms were also distributed to encourage protective sexual practises. At each of these events high profile government officials, Chiefs, community leaders and representatives of several NGOs were in attendance and made speeches that reinforced the messages around young health issues.Over the last six months, the mass awareness events included: National Youth Day (March 2013), “Opportunity for the Youth through Enterprise”On National Youth Day, young entrepreneurs from various schools, NGOs and government departments displayed different activities that they are involved in. Some displayed handmade crafts and carpentry products such as tables, chairs and kitchen units. YHP’s Peer Educators distributed various SRH materials such as the leaflets, booklets, both female and male condoms whilst other organisations were conducting HIV counselling and testing. The District Commissioner for Chadiza spoke and urged the youths to venture into various entrepreneurial activities. He also urged the youths to be responsible and to avoid being involved in risky behaviours such as substance abuse and unprotected sex as the country was losing a lot of young people due to HIV and AIDS.3276600193040National Safe Motherhood week launch (May 2013) under the theme “Preventing Fistula through Family Planning” The activities involved marches through the communities, and various organisations displayed different tools which promoted safe motherhood. The event included mobile hospital services to support women with various reproductive health inquiries such as fistula and other services such as breast cancer screening. During his speech the Minister of Community Development for Mother and Child Health urged women to develop positive health seeking behaviours and use child spacing or family planning methods. He also urged the young girls to avoid early pregnancies as it is one of the causes of fistula. After the speech the Minister with his entourage and the traditional leaders visited all the stands at the venue to familiarise themselves with what was being offered by various partners.The Day of the African Child (June 2013) under the theme “Eliminating harmful social, cultural practises affecting young people”Taking place in Chilenga community the Day of the African Child celebrations included the District Commissioner, government officials, Chief Mlolo and other traditional leaders in addition to community members. The theme was “eliminating harmful socio-cultural practices that can affect the development of young people as responsible and productive individuals”. The day sought to raise awareness of the harmful practices of girls’ initiation ceremonies and early marriage. The YHP drama group performed a short play depicting the practice of early marriage, showing the negative health impacts and the positive effects of the girl finishing school.World Voluntary HIV Counselling and Testing (VCT) day (June 2013). The theme was; “Reaching everyone, everywhere with VCT services”The VCT day activities took place in Chanida community, a border area with Mozambique to the east. Because of the high numbers of visitors transiting through, this community is especially vulnerable to high rates of HIV linked to incidences of transactional sex. The YHP activities included the PEs sharing health information through literature and drama performances. Whilst NGO, the Society for Family Health and the health department offered VCT services. The Chadiza District Commissioner encouraged people to go for HIV testing, to know their (HIV) status and leave responsible lives. YHP Project Officer explaining the content of the various handbooks with community members during VCT day The YHP has linked up with Plan’s wider child protection initiatives to build on advocacy work with traditional initiators and Chiefs with the aim of trying to remove the harmful elements from the girls’ initiation ceremonies. In the last six months, four traditional Chiefs of Chadiza, and 11 traditional initiators participated in a meeting to review a new draft curriculum that has been developed for the ceremonies. The Chiefs gave feedback on the how to best phrase the contents so that it is received well by the community and advised on a plan for the roll out. It is currently at a stage were the Chiefs are sharing the documents with their respective Indunas (Chiefs’ advisors) for their feedback. The final stage is that it will be reviewed by the Traditional Mother [ceremonial title of a key advisor to Chief Gawa Undi, leader of the Chewe people]. The YHP is aiming for her to approve it on behalf of the Chief and allow it to be used as a guide during the girls’ initiation ceremonies in the district. The YHP has also utilised Mphangwe community radio station, which covers Chadiza and beyond, to raise awareness of and disseminate messages around health issues. In the last six months, 28 radio programmes were broadcast featuring the traditional initiators, PEs and youth counsellors from the project areas. The topics of discussion focussed on: issues surrounding early marriage, teenage pregnancies (the contributing factors and causes) and the effects on the young generation, abortion, STIs including HIV and AIDS and access to the health information and services. Additionally the discussions on air have prompted communities to debate more widely the traditional and cultural issues that affect young people. YHP radio programme prompts further discussion in communitiesA radio programme on the issue of girls’ initiation ceremonies prompted a discussion in one community between men and women as to whether it is possible to stop the ceremony from happening. Some men strongly refused arguing it is their way of life and that the traditions have been passed down from generation to generation. But the women who teach the girls were able to point out that there are certain elements (such as teaching a young girl on how to behave in a sexual manner with a man) that can be harmful. On the cause of the perpetuation of these traditions, the view that came out quite strongly was that illiteracy was a big factor, that people who were unable able easily access health information were more likely to put traditions first above any other factor. The project conducted an advocacy research piece in April 2013 whose purpose was to provide additional information towards the baseline in order to inform programme implementation. The goal was to collect evidence and strengthen the advocacy base for the YHP, develop and disseminate key advocacy issues emerging from the programme and share best practices and lessons. Most of the information was gathered through focus group discussions in the sampled communities. Some of the key findings included; Increasing levels of knowledge about the law regarding early marriages, however customary law is still dominant and in practice families still arrange early marriages for their children. Early pregnancies are still common in the district and girls as young as 12 years get pregnant.Traditional practices for both girls and boys have a major bearing on the SRH decisions that young people make. Young people are better able to access services as a result of the project, in particular the training of youth counsellors, and the PE led community sensitisations were successful mechanisms for increasing the access of young people to health services. Outputs against objective oneFull implementation of YHP activities now expanded to nine communities 10,520 wider community members reached, bringing the total indirect reach since the start of the project to 31,841Four mass sensitisation events carried out on key public days 28 radio programmes broadcast to inform communities on issues related to health and cultural practices7,724 condoms distributed (7,333 male and 391 female condoms)Draft girls’ initiation ceremony curriculum written, shared with Chiefs for feedback and road map drawn out Advocacy research project completedOutcomes and impact against objective oneWe are seeing increasing involvement of parents and traditional leaders in YHP activities. For example, parents have been involved in helping handling sensitive issues such as abortion and initiation rites during the radio programme discussions. It is a positive change to see these taboo subjects being discussed between different generations. The development of the new curriculum for girls’ initiation ceremonies is expected to minimise the harmful elements of the traditional practices. Whilst this is a sensitive and gradual process, so far the engagement of leaders and initiators has been very encouraging. School authorities in the project area have also reported a reduction in the number of girls’ initiation ceremonies held during term time, which has had a positive impact in terms of increasing school attendance levels for girls. Long term this has the potential to have a positive impact on the academic performance of girls. “I feel very happy to see girls who left school due to pregnancy coming back wanting to continue their education. Especially in this district where illiteracy levels are very high, it is just so good to have programmes that encourage girls to go back to school”Mr Phiri, Teacher at Chilenga Basic School Objective two: To promote information sharing, education and communication for adolescents on relevant health issues.Description of activities against objective twoThrough the activities implemented by the YHP Zambia, over the last six months 2,885 young people have directly benefited by the project. Community sensitisations, school health clubs and Insakas have all been effective ways to reach young people directly. In the last six months, five school health clubs were established. Conducted by the school teacher who guides the various health topics, the club members prepare poems, drama and dances which communicate health messages. The club then delivers weekly performances to all school pupils. During this period 16 (8 girls, 8 boys) Insakas were conducted. These are social meetings usually conducted in schools that involves the school health clubs and others pupils. They are very interactive and friendly sessions where various SRH information is shared through the use of games and cards. In order to encourage openness, the pupils are separated into boys and girls groups so that they can discuss personal health issues freely. Girls learning about SRH during Insaka sessions at local Chadiza schoolsBuilding on work from earlier in the year, young people trained by the YHP have delivered 58 community sensitisations across the targeted communities. The outreach activities are delivered in collaboration with the government health facilities on specific days. During these sessions, the PEs and the drama groups accompany the health staff to outreach posts and centres. Here the drama groups mobilise the community members and communicate relevant health information, for example on, stigma and discrimination, STIs and HIV/AIDs, child marriages, pregnancy and abortion and the associated health effects, to the audiences through song and dance. The performances also encourage positive behaviour change by acting out real life scenarios common in communities. The PEs follow up these performances with leading community discussions on the highlighted topics, supported by the health workers. “Before I did not know much about sexual and reproductive health issues. What I know now I have learned through the sensitisations the youth groups conducted in my community. There is a lot of pressure on me from my village to get married, but because of what I have learned about my body, my health and my opportunities I know I want to concentrate on my school”17 year old female pupil at Nsadzu Basic School Outputs against objective two2,885 young people reached directly through the project, 14,359 in total since the beginning of the project 58 community sensitisation meetings conducted on critical health issuesFive new school health clubs set up 16 Insakas held, which have involved 391 young people Outcomes and impact against objective twoMost communities in the project areas have traditional values; as such parents oppose their children’s exposure to SRH information. However, through drama performances, sensitive SRH information is transmitted to both young and old people in the communities. Young people are therefore becoming more knowledgeable and enlightened about their SRH and are able to make informed decisions. This is evidenced in the records from the health facilities which show an increased number of young people seeking VCT services and accessing condoms. Additionally as a result of the drama performances, both young and old have been made aware of harmful traditional practices and the risks they expose young people to. Drama group giving messages to community members during Voluntary Counselling and Testing Day (VCT) for HIV Prevention in Chadiza District, Chanida areaAll outreach activities are conducted using a child rights approach. Communities and young people are sensitised on topics such as child abuse, increasing open discussion of the issues, and encouraging people to report incidents to the authorities. Since the project began this work, the district police have indicated an increase in the number of reported cases of sexual abuse and defilement, suggesting that the work of the YHP is having an impact on the recognition and response to child abuse cases.Objective three: To strengthen and improve the existing health services to provide quality youth friendly services.Description of activities against objective threeIn the last six months the project conducted the training of a new batch of Youth Counsellors from the five additional communities (Chadzombe, Naviruli, Khumba, Tafelansoni and Vubwi). 25 young people (14 female, 11 Male) aged between 18 and 25 years of age were selected by the health centre committees. The four day training equipped the youths with health knowledge around HIV and AIDS, STIs, challenges of growing up, substance misuse, SRHR, sexually transmitted infections, gender based violence, family planning, contraception, teenage pregnancy and termination of pregnancy. The training also gave them a grounding in basic counselling skills and looked at wider related topics such as legislation, stigma and discrimination, confidentiality, decision making and assertiveness, and the provision of youth friendly services. The training aimed to build the capacity of the Youth Counsellors to handle SRH issues affecting young people in their communities in a friendly and appropriate manner. Following the training, the Youth Counsellors were established to operate in the health facilities with the supervision of the health staff to conduct HIV counselling and testing and to provide reproductive health information to young people. “This time I can go at the clinic and get condoms from the young people who are found at the health centre’s Youth Friendly Corner. I even follow them at home and ask them anything concerning health matters and even get some material to read myself”18 year old male community member, Manje community 3803650223520Over the last six months, the five YFCs established earlier in the year in health centres, have been equipped with furniture and recreational facilities such as pool tables, board games, sports equipment and sewing machines. In some cases, the (Health) Ministry has supported youths with footballs and jerseys and some health centres have formed teams that meet regularly for recreation. As young people gather to play various games, the Peer Educators give a health talk on selected SRH issues and engage the users in discussions that are intended to provoke positive behaviour change. During these discussions, if youths wish to speak confidentially or be tested for HIV they will go into a private room with a Youth Counsellor. The facilities have provided young people with a safe space to use their time constructively and diverted their attention from potentially risky activities and environments which could have a negative impact ontheir health. Sign for Youth Friendly Corner welcoming youthsMonitoring visits were conducted by Plan staff, the local partner PPAZ alongside representatives from the Ministry of Community Development, Mother and Child Health and Chadiza district officials. The monitoring team observed that the health centres where the YFC are operating are recording lower number of STIs and that the numbers of HIV testing is increasing. In order to sustain the activities at the YFC, young people are encouraged to use the pool tables for income generation activities to have some funds as a group. Money is raised through the pool tables via a small fee for tokens used to operate. Equally sewing machines have been provided by the Ministry which young people can use the make clothes and raise funds. “The Youth Friendly Corners are very helpful in the delivery of the health package we have for the young people as a Ministry. I have gone around the centre in the district and we have established these corners in other centres also and we have given some health facilities football jerseys, and sewing machines for income generating activities. I hope we continue working together to change the behaviour of the young people as they are a very vulnerable group in the district”Doctor at the District Medical Office, ChadizaYoung people are continuing to be referred to the government health centres by PEs at sensitisation meetings and through outreach activities. During the period reported, 360 adolescents were referred to the health centres for specialised services including HIV counselling and testing, 25 adolescents accessed STI screening, 169 young women accessed antenatal care, and 556 women received family planning counselling. Five Health Centre Advisory Committees were established in five communities to oversee the provision of health services. The committees meet regularly to review the services being offered at the health facility with a view as to what can be improved in the provision of such services. They include the representatives from the health facility, a local councillor, a youth and parents. They are currently helping in the construction of shelters where the youths can conduct their recreational activities (as the youth friendly corners have been so successful, many of the facilities are now looking to expand the youth provision available with additional space for games and activities). Outputs against objective threeFive Health Centre Advisory committees established and functioning Two joint monitoring visits to YFCs with government representatives 360 adolescents referrals to health facilities for specialised service (HIV counselling and testing) and other health information223 young people (93 males and 130 girls) attended counselling and HIV testing servicesFive youth friendly corners furnished25 youth counsellors trained 556 women received family planning counselling Outcomes and impact against objective threeThe government is supporting the establishment of youth friendly corners and taking part in providing the youths with the required facilities and equipment. This support will ensure sustainability of the activities after the project comes to an end. The Health Advisory Committees are supporting the young people in the construction of additional shelters to encourage them to meet at the health facilities. This is evidence of the increasing recognition of the importance of youth friendly provision, and the success of the YFC at attracting young people to access health services. “I enjoy playing pool with my friends at the clinic. It keeps us busy and we learn a lot about our health such as abstinence, how to keep and use a condom and other health information. This encourages me to come again”17 year old male community member, Naviruli community ChallengesThe YHP Zambia has been looking at how to improve its data collection from the field and also how to involve young people more directly in the monitoring and evaluation of the programme. A data collection tool was developed to enable more data to be captured directly by PEs themselves. The tool supports peer educators to capture information about the project activities they are delivering (for example number of people reached, types of activity carried out etc). The adolescents record their information in files at the health centres, which are then consolidated as part of the programmes monthly reporting processes. Field staff are supporting the young people to familiarise themselves and use the tool as it is rolled out. The aim is that this tool will support more comprehensive and up to date quality information about the activities happening on the ground. As there are some areas not reached by the PEs owing to large distances and poor transport, more PE training will be conducted in Year Three to ensure remote areas are serviced. The target is to train 10 new PEs per community. Additionally two youths have dropped out of the project in the last six months; one PE who has gone to live in another community in order to study and one youth counsellor who got married. The new training will serve to maintain the numbers of PEs and Youth Counsellors. An internal review of the project carried out in April 2013 was attended by service providers and PEs drawn from all nine communities. The review of activities showed that, a small number of trained PEs had engaged less with project activities during the second year because of a lack of incentives. In order to resolve this challenge the youths have been encouraged to use money raised through income generating activities (pool tables and sewing machines) to purchase food for meetings which will act as an incentive.There is still a challenge of talking about condoms in schools and some of the older generation are not supporting the distribution of condoms to the youths in the communities as it is perceived that they encourage the young people to engage in casual sex. The project has continued to engage the traditional leaders and the parents in communities in the aim of gradually changing attitudes on these issues. The open discussions generated through the radio programmes are supporting this change.Annex 1 – Progress against Logframe indicatorsProgress against all indicators within log frame Number:Current reporting periodTotal number: Programme to dateComments Goal LevelReduced reported teenage pregnancyWill be measured in Year 3Reduced reported early marriages Will be measured in Year 3, but during the period reported there has been evidence of increased reporting of abuse cases to the police Victim Support Unit at the police and a reduction in initiation ceremonies for girls during the school term. Increased access and utilisation of Youth Friendly Services.In 6 months 169 young mothers accessed ante natal care services, 355 young mothers have accessed antenatal care servicesThis will be mainly measured in Year 3, but we are already collecting data on specific types of visits such as the number of young women accessing antenatal care. There is evidence of a general increase in the number of young people visiting the health centres to access SRH information and services. increase in knowledge of health and reproductive health issues and rights2,885 young people reached directly through community sensitisations by drama members PEs and health care providers. 10,520 wider community members also reached. 14, 359 young people and 31,841 wider community members This will be measured in more detail in Year 3, but the number of adolescents and community members reached with health messages is an indicator of likely increased understanding of adolescent health issues. Objective 1: Outcome Level1.1 Increase in advocacy and lobbying capacity of Local Non-Government Organisations, Community BasedOrganisations and other community action groupsThere has been some advocacy on the ASRH issues with traditional initiators and leaders to postpone the girls’ initiation ceremonies to school holiday times or better still when they are about to get married in their adulthood.1.2 Demand for quality adolescent healthservices for both girls and boys areincreasedThere has been a steady increase in the number of young people accessing the information and services from the health centres in the last 6 months.The project has seen an increase in demand due to the sensitisation and drama performances conducted in the communities’ and one to one counselling sessions.Improved access and quality to young health servicesAccess is improving through the training of Youth Counsellors, outreach of Peer Educators, and work of the Health Advisory Committees. Objective 2: Outcome Level2.1 Increase in knowledge of health issues and prevention among adolescents participating in programme )Information from the health facilities showed that in the period 93 males and 130 female accessing VCT services.223 young people (93 males and 130 female) accessed VCT services bring the number to 196 males and 258 females to date.This is based on the statistics from the health centres and additionally information from young people themselves through the advocacy research.2.2 Increase in reported positive health behaviours by young people (e.g. increase in reported condom use during last sexual encounter)Through outreach activities and static services (service provided at the health centre) condoms are distributed. To date 14,027 condoms (male and female) have been distributed. Impact and results will be seen in year 32.3 Reduction in the proportion of adolescents girls who have unplanned pregnancy by the end of the projectImpact and results will be seen in year 3. Anecdotal evidence suggests a slight reduction. Objective 3: Outcome Level3.1 Increase in availability of integrated Youth Friendly Services in health facilities The government health services which have integrated YFS include: Antenatal care services, Obstetric Deliveries, STI/RTI, Gynaecological issues, Referrals, SRH medical, HIV and AIDS and other SRH counselling.The health staff and the youths have continued to provide health education and information at the health facilities via the YFS. 3.2 Increase health care providers who are more responsive to adolescent needs26 Youth Counsellors trained during the period reported.51 Youth Counsellors 51 Youth Counsellors in total now supporting young people to access health services. 3.3 Increase in utilisation of health services by young peopleYoung people accessing: Family Planning Counselling: 556Contraceptive services (oral/injectable): 425Antenatal Services: 169STI screening; 25VCT: 223Other general SRH counselling: 63 Young people accessing: Family Planning Counselling: 1,031Contraceptive services (oral/injectable): 758Antenatal Services: 355STI screening; 40VCT: 454Other general SRH counselling:115There has been a steady increase in the utilisation of the health services such as Contraception services and Family Planning Counselling. Objective 1: Output LevelNumber and type of stakeholders involved in advocacy and lobbying at district and community level2037No new training during the period reported, but the project is continuing to work with Area Development Committee chairpersons, initiation advisors, community leaders and parents on local advocacy issues including the traditional ceremonies. Number of community meetings held58156156 community outreach meetings have been held so far with PE and drama groups since the onset of the project. Number and type of campaigns conducted49Awareness raising activities were conducted during the World VCT day, Launch of National Safe motherhood Week, National Youth Day, and International Day of the African Child. Number and type of community leaders/parents supportive for health for young people2037The project has been working with a small group of individuals on an ongoing basis. Over the period reported, this has expanded to include an additional 5 teachers, 10 traditional leaders/initiators and 5 parentsObjective 2: Output LevelNumber of adolescents (males and females) trained as Peer Educators055 No peer educators were trained during the period under review.Number of adolescents reached by peer educators2,88514,359In the last six months the community outreach sensitisations have reached 2,885 young peopleNumber of schools with active school health clubs and mentorship programmes.59The schools are Nsadzu Basic, Madzaela Basic, Zemba Basic and John B. Schools in the first year and Sinalo, Tafelansoni, and Chanjowe Basic schools during the period. New schools include Kalemba, and Vubwi Basic Schools.Number and type of action groups in the community/district.59Five youth action groups have been formed in the new communities.Number of outreach activities conducted in the communities58156In the current reporting 58 outreach activities were conducted giving a total of 156 community sensitisationsObjective 3: Output LevelNumber of adolescents accessing youth friendly health services4233,651Number and type of health services offered by health facilities (including mobile)STI screeningHIV counselling and testingFamily Planning servicesAbortion counsellingAntenatal Care and obstetric care servicesDuring the period reported, 223 young people (130 girls) received voluntary counselling and testing for HIV/AIDS Number of trained health providers providing youth friendly services in year 2012 Further training is planned for Year 3 Number of referrals received for health services360758This includes 202 young women and 158 young men. Number of youth friendly corners formed 59The final 5 clinics have had their YFCs furnished and equipped. Annex 2 – Global Indicators OutputsNumber -current reporting periodTotal number-programme to dateOutcomesWhen outcome measure expectedTotal number of young people who have received health information through AZ YHP2,88514,359Examples might be: % increase in knowledge of adolescents on health issues% decrease in myths/misconceptions amongst adolescents on various health issuesImproved access and services to address health needs of young people evidenced by:% increase in young people accessing services from health clinics/counseling servicesIncreased engagement of influencers in relevant committees/groups/activities eg workshop attendanceIncreased support from community leadership for health interventions for young people Number of referrals made eg by HIC and peer educators, counsellors, teachersLikely to be Yr 3 for outcomesNumber of young people who received information about:Sexual and reproduction healthMental health and emotional well-beingSubstance abuseViolenceNutritionInfectious diseasesAccidents/injuryOther health issueAccess to healthcare2,88514,359Number of young people directly trained in delivery of interventions 055Total number of frontline health providers who successfully complete training programmes in adolescent health 012Total number of influencers (parents, teachers, and leaders) reached by programme 2037Estimated population reached via awareness raising/media campaigns10,52031,841 ................
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