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Adolescents

 

Situation Analysis: In Bangladesh, adolescents constitute about 23% of the total population. Many adolescents exposed to sex before marriage and thus are vulnerable to unwanted pregnancy. Adolescents are practically vulnerable to STI/HIV/AIDS, as most of them know little about STI/HIV/AIDS. Child sexual abuse and exploitation are becoming everyday affair in Bangladesh. A vast majority of adolescents lack in adequate knowledge about sexuality and reproductive health needs, limited access to health and family planning services. Literacy rate is 48% where as female adolescent rate is only 42%. Female adolescent literacy rate in rural areas are deplorable. Involvement of adolescents/youths in policy management, adolescent friendly clinical services and supply of BCC materials are negligible to meet their needs and requirements.

Problem Analysis:

  • In Bangladesh 60% of the girls are married before 18 years of age, Median age of first marriage for women-17.5 years and men- 25 year, Child birth among the adolescents is (15-19) 177 per 1000, Median age at first birth is between 17 and 19 years, adolescent fertility is one of the highest in the world. And, pre- marital sex is substantially high amongst the male adolescents.
  • Vast majority of Bangladeshi adolescents never heard of HIV/AIDS, only 17% of adolescent married women had heard of HIV/AIDS and knowledge of STI is lower compared to knowledge of HIV/AIDS and adolescents perceived of limited access to reproductive health services.

Goal: Adolescents and young people are aware and empowered to make informed choices and decisions to improve their sexual and reproductive health & rights.

Strategic Direction: Strengthening partnership between FPAB and other organizations/ institutions/ clubs/ groups working with adolescents and young people.

Objectives:

  • To strengthen commitment and support of the 50% of community gatekeepers in project areas for sexual and reproductive health needs and rights and of adolescent/young people by the year 2009.
  • To increase access of 70% adolescents and young people to comprehensive youth friendly, gender sensitive and sexuality education by the year 2009.
  • To increase access to adolescent friendly services of 50% adolescents and young people in 38 clinics within 5 years.

Activities: (Objective 1)

  • Conduct KAP survey
  • Develop tools on the basis of KAP survey to train gatekeepers
  • Organize advocacy meeting/orientation and seminars with gatekeepers along with local elected representatives.
  • Orient club board members on the needs of ASRHR.
  • Organize mass campaign through rally, TV talk show on ASRHR.
  • Form local level network on ASRHR with GO and NGOs.
  • Undertake post intervention

Activities: (Objective 2)

  • Conduct base line survey in project areas.
  • Conduct group meeting on SRH in schools, out of school and madrasha.
  • Organize debates in schools, colleges and madrashas.
  • Develop and use BCC materials on early marriage, early pregnancy and health seeking behavior on SRHR.
  • Review & update curriculum & teaching aids.
  • Organize capacity building and life skills training for the peer educators.
  • Organize TOT on SRH for school teachers.
  • Develop curriculum, module and handouts for TOT of school teachers.
  • Observance of national & international days & events e.g. National Youth Day, International AIDS Day
  • Promote condom as a dual protection method among the young people.
  • Conduct mid-term and final evaluation at the end of 2009.

Activities (Objective 3) Introduce and develop youth friendly services in clinics

Outcomes and Indicators:

Outcomes

Indicators

  • Increased commitment of community gatekeepers on ASRHR.
  • 50% community gatekeepers played proactive role on ASRHR
  • Reduced opposition against sexuality education to young people in the community
  • Increased change of attitudinal behaviour among the young people.
  • Reduction of early marriage and pregnancy and increase in the number of adolescent health seeking behaviour.
  • Decreased increase in early marriage
  • Decreased number of early and repeated pregnancy
  • Increased number of young people visiting clinics and interacting with each others
  • Reviewd and updated all existing gender sensitive materials
  • Developed and distributed booklets, posters and displayed video film on ASRHR
  • Institutionalized 20 model adolescent friendly clinics
  • Increased number of young people visiting clinics for counseling and services
  • Developed guidelines/protocol and mode of operation to government clinics.



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