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:
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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.
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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:
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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.
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To increase access of 70% adolescents and
young people to comprehensive youth friendly, gender sensitive and sexuality education by the year 2009.
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To increase access to adolescent friendly services of 50% adolescents and
young people in 38 clinics within 5 years.
Activities: (Objective 1)
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Develop tools on the basis of
KAP survey to train gatekeepers
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Organize
advocacy meeting/orientation and seminars with gatekeepers along with local elected representatives.
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Orient club board members on the needs of ASRHR.
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Organize mass campaign through rally, TV talk show on ASRHR.
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Form local level network on ASRHR with GO and NGOs.
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Undertake post intervention
Activities: (Objective 2)
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Conduct base line survey in project areas.
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Conduct group meeting on
SRH in schools, out of school and madrasha.
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Organize debates in schools, colleges and madrashas.
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Develop and use BCC materials on early marriage, early pregnancy and health seeking behavior on
SRHR.
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Review & update curriculum & teaching aids.
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Organize capacity building and life skills training for the peer educators.
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Organize TOT on
SRH for school teachers.
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Develop curriculum, module and handouts for TOT of school teachers.
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Observance of national & international days & events e.g. National
Youth Day, International
AIDS Day
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Promote condom as a
dual protection method among the
young people.
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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:
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Outcomes |
Indicators |
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- Increased commitment of community gatekeepers on ASRHR.
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- 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.
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- Reduction of early marriage and pregnancy and increase in the number of adolescent health seeking behaviour.
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- 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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