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Rights Driven Institutionalization of Sexual and Reproductive Health in Pakistan – A Conservative
Muslim Society
International AIDS Conference 2014
Qadeer BaigCountry Representative for PakistanRutgers WPF
Where the story begins! Pakistan has a population of
188 million out of which 30 % are adolescents. (52 Million approx.)
These people were at an increased risk of STIs and HIV & AIDS due to limited access to SRHR information and services
Rutgers WPF implemented a 4 year programme (2009-13)-Rights driven institutionalization of SRHR in Pakistan with funding from EU and Dutch Govt.
Religious and cultural Conservatism
Where we made the difference…..
Final Beneficiaries: using AIM methodology to change
attitudes and behaviours, the 4 years project reached
139,250 young people 970 teachers 240 health professionals 196 CSOs members141 media representatives 145 Government officials/policy makers 47 religious leaders and 182,944 parentsNational and Provincial Policies
Magic Approach – A.I.MA: Assessing Prevalence of SRHR: A Sexual and Reproductive Health and Rights Assessment
Framework (SeHRAF), Baseline and End report & toolkit – Dr John D Witt
I: Institutionalizing SRHR – LSBE (CSE)In school - A comprehensive curriculum on life skills and SRH
information for adolescents, endorsed by Religious scholarsAt home- An innovative parents involvement strategy (PIS)
All IPs adopted LSBE curriculum and continue advocacy efforts Policy - LSBE is part of National Education policy-a guiding
document for all provinces National Youth policy emphasizes provision of ‘youth friendly and
health care counseling and guidance facilities’ Punjab Youth Policy 2012 - awareness on HIV/AIDS and STIs and
increase availability of integrate SRHR information and services for adolescents
Youth Friendly Health Services 240 Health care Providers trained to provide Youth
Friendly Sexual and Reproductive Health Services ‘Guidelines for Youth Friendly Sexual and Reproductive
Health Services’ developed for take up by the Health department
About 20 health centers are operational and providing youth friendly services.
M: Monitoring of SRHR Situation resulting due to InstitutionalizationAn online SRHR violation monitoring system was
developed and piloted in one of the project areas. Enabling Environment
SRHR subsector Rights Driven Approach
Resources To Cheer!Piloted and Evidence based curriculumCulturally AppropriateSupport from
Religious leaders SRHR experts Educationist Textbook review Boards Bureau of Curriculum Health careProvidersMedia
Innovation - Parent Involvement Strategy (PIS)
Opened a channel of communication between wards and their parents but also educated the parents thru Reverse Education
PIS centered on stories (girls & boys), Hira’s story (girl). Its theme was harassment and its key messages:Girls are not responsible to create the situations of harassmentparents should support their daughters to enhance their confidence.
Aamir’s story (boy) introduced the gender concept - key messages Boys don’t lose their respect and dignity in the society by sharing rolesMen and women are equal and they should share their responsibilities when needed.
Methodology – End Evaluation 2009-13
Document Review Beneficiaries Survey (Sample Size: 381) Focus Group Discussions (FGDs) with
Beneficiaries and Local Stakeholders (Total no. 08)
In-Depth Interviews (IDIs) with Rutgers WPF Staff, Implementing Partners and Experts (Total no. 18)
FGDs/IDIs/SGDs- parents, teachers, CSOs, religious leaders, media personnel, implementing partners, government officials‘
Outcome of our worksFIVE Euros per student - for a cause of LSBE
87% 97% 82% 91%52%
12%
Hamara Kal-Project Results
www.schools4life.org.pkwww.facebook.com/
D4l.Pakistanwww.twitter.com/
dance4lifePK
Thank You