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DEBRIEFING. EVALUATION OF PILOT YOUTH FRIENDLY SERVICES. Outline. Project Overview Objectives of evaluation Methodologies of evaluation Key Findings Conclusions and Discussions Recommendations. 1. Project Overview. Youth Counselling Service | Youth Friendly services. Project Objective. - PowerPoint PPT Presentation
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KEM LEY | Principal investigatorNHIM DALEN |Consultant
EVALUATION OF PILOT YOUTH FRIENDLY SERVICES
DEBRIEFING
2
Outline1. Project Overview2. Objectives of evaluation3. Methodologies of evaluation4. Key Findings5. Conclusions and Discussions6. Recommendations
1. Project Overview
3
HC Pong RoHC Kg. HaoHC AkpiwatHC Ponley
To promote access to reliable SRH information sources and related basic services, targeting young people and women
living in rural villages, working in garment factories or studying in secondary schools.
Project Period: 27 monthsFeb 2010- Apr
2012
YOUTH COUNSELLING SERVICE | YOUTH FRIENDLY SERVICES
Supporting the public health provider in consolidating SRH‐related skills and
introducing a pilot SRH service for youth.
Project Objective
Interventions
Demand Side Supply SideIntense community demand creation work
Target Populations
Target HCs50,000 of young people women living in rural villages, working in garment factories and in schools.
Outreach, PE & VHV/VHSG
2. Objective of Evaluation Objective of the evaluation is to evaluate
relevance, efficiency, effectiveness, sustainability and impact of the pilot Youth Counseling Services established by the Project in 4 Health Centers, and to identify lesson learned and best practices. Particular focus shall be put on sustainability, with an in‐depth evaluation of the impact of free consultations for youth in improving access to services.
4
Staff ConsultationPreliminary Findings
Final Report
FGD
Desk Stud
yKII
3. Methodologies Desk Review Evaluation Tools Development Project Overview meeting Data collection
Key Informants Interview Focus Group Discussion
Secondary Data Analysis (HIS data)
Report writing Feedback on
First draft Second Draft Final draft of evaluation
Final Report
5
3. Methodologies FGDs
A group of school youth in Tekphos Commune
A group of female Garment Workers (MV) A group of young people in Koh Krabey
village A group of HCMC at Kampong Hao HC A group of VHSG at Pong Ro HC Cesvi staffs
KII: Interview with service providers in Akphivat,
Kampong Hao, Pong Ro and Ponley HC OD 1 Chief together with MCH representative
Debriefing with Cesvi country Representative and Management team
6
3. Methodologies
7
Document Collection
Overall agreement
between Cesvi and ART
Evaluation Tools development
and agreement& Desk Study
3-7 April 2012
Contract Sign
Data Collection Tolls Approved
Field workPreparation
Confirmation with KII and
FGD
Preliminary findings
Consultation
Data Collection Final Report submision
Field work KII, FGD and
Staff Meeting
9-12 April 2012 19-20 Apr
2 May26 Apr
Timeline of the Evaluation of YFS
4. Key findings Significant increased access of young population across
youth friendly services Specially trained staff on VCCT, STI, ANC, Delivery, Birth
Spacing and Counseling Great HCMC and Feedback Committee involved in youth
friendly services Appropriate IEC materials and Well recorded book
( Registration Book) Significant increased awareness of targeted youth on sexual
and reproductive health Good coordination between MCMC, HC, OD, PHD, Local
Authority and Cesvi staff
8
4. Key findings Increased user fee as evidence of
increased access of youth to youth friendly services
Increased satisfaction Targeted Youth Peer Educators Health Centre Staff Stakeholders Local Authority
9
4. Key findings Improved quality of youth friendly services
Increased accessibility of youth and general population
Availability Reduced waiting time Specially trained staff Availability of drugs and equipments Increased satisfaction among interviewed
youth and peers
10
Rapid Assessment Findings
11
A: Facility
B: Service Providers
C: Management
D: Clients' Satisfaction
E: Other Possible
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
2
2
4
1
2
2
2
2
2
2
0
0
0
1
1
0
1
0
0
0
YFS Status
CompletelyMostlyPartlyNot at all
Percentage of responses
4. Findings Access to YFS Services by Type of Service
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2010 2011 Jan-Feb 20120
10002000
30004000
50006000
3138
5240
814
Trend of YFS Clients Distribution by Type of Services
STDANCBSCounselling
# o
f Clie
nt
4. Findings Access to YFS Services by HC
13
2010 2011 Jan-Feb 20120
1000
2000
3000
4000
5000
6000
3454
4909
797
Trend of YFS Clients Distribuition by HC
Pong RoKg.HaoAkphiwatPonley
# o
f Clie
nt
5. Key Challenges Lack of meaningful involvement of
youth in particular aspects (eg Youth Peer Counselors
Youth friendly services need more time and resources
Stakeholders' involvement has room for improvement
Lack of exit strategy Users fee can not make cover all
needed activities 14
5. Key Challenges Very limited time for completing
different steps of counseling Lack of innovative health financing
schemes for staff motivation Imbalance benefits among health
Centre Staff especially midwife and NGO supported staff
There is no community resource mobilization
15
6. Recommendation1 Meaningful Participation of Youth
Village based youth club (Club Moderators and Club Equipments, Materials, Plan…)
Youth Peer Educators (One Peer Educator per 10 to 15 peer beneficiaries or targeted youth
Youth Peers play critical roles in youth friendly service providers as youth counselor
Youth Saving Group Involvement in Community Coordination Bodies
( CCWC, HCMC, VHSG, EFC, School MC… ) as full membership
16
6. Recommendation 2 Youth Friendly Services at HC
Convenient hours for consultation and counseling
Convenient room Respect for young people Privacy and confidentiality honored Adequate space and sufficient privacy Comfortable surroundings Youth Peer Counselors available IEC Materials and Edutainment17
6. Recommendation 3 Stakeholders' involvement
Coordination Bodies (CCWC, HCMC, VHSG, ….)
Advocate for full membership of those coordination bodies
Project Design and Project implementation and Monitoring
18
6. Recommendation 4 Exit Strategy
Mainstreaming main activities within Commune Development Plan-CDP, Commune Investment Plan-CIP and Plan of CCWC
Integrate core indicators (STI, ANC, BS and Consoling ) into monitoring checklist of CCWC
Full membership of Youth Peer in Community Coordination Bodies (CCWC, HCMC, VHSG, EFC, School MC…)
Simple Proposal Writing Skills and Planning Technical Skills building for HCMC …)
19
6. Recommendation 5 HC Health Financing
All sources of income should be collected and shared based on revised guideline or agreement
Innovative approach for increased income should be happened ▪ Community Resource Mobilization▪ Community Based Health Insurance▪ Commune Budget Plan ▪ Government Budget ▪ General User Fee… 20
6. Recommendation 6 Efficiency and Sustainability
Full package of Health Equity Fund for P1 and partial package for P2-Youth
Initiate community based health insurance for non poor youth
Community Resource Mobilization –Pagoda based Fund Raising and Saving Group among youth
Youth Peer Counseling 21