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Philippine Country Office
Adolescent Friendly Reproductive Health Services
(AFRHS): Protecting the Development of Children
And Youth UNESCO-APEID Conference - Bangkok, Thailand
March 26, 2009
By Ma. Melania B. Samonte, RSW
Content Outline
•About Save the Children and Its Impact Areas
•The Challenge
•The Solution
•The Concerns
•Working with Partners
•Gains/Lessons Learned
Save the Children US envisions a world
in which every child is ensured the right
to survival, development, protection
and participation as set forth in the UN
Convention on the Rights of the Child.
Save the Children commits itself to
create lasting, positive change in the
lives of disadvantaged children and
adolescents.
Vision
Mission: Save the Children fights for children’srights. We deliver immediate and lasting
improvements to children’s lives worldwide.
• Click to edit Master text styles
– Second level
• Third level
– Fourth level
» Fifth level
Sample TitleAdams Ilocos Norte (1984-
1988) Upland Rural Program
West Visayas ( 1982) Rural Development Program
Metro Manila (1987)Urban Development Program
Mindanao (2000/2006)Emergency/Disaster Response
Program/Mindanao Program
26 Years of Service to the
Filipino Children
Urban Development Realities
Metro Manila
Population growth ( MM
population: 12M)
Overcrowding
Security of land tenure
(demolitions)
Poverty incidence ( 87%
below poverty line)
Sanitation
Social ills (crimes, child
abuse, prostitutions, etc)
Access to basic services
(health and education)
Low Quality of services
What We Do - our Program
1. Children Are Protected
2. Children Learn and Develop
3. Children Are Healthy & Well-nourished
4. Children Thrive in Food Secure and Economically Viable Households
By age sector:3-5/ 6 -12 / 13 - 18
Teenage Sex
Teenage Marriage
OSYs
The Solution
ADOLESCENT FRIENDLY REPRODUCTIVE
HEALTH SERVICES NETWORK
• A Network of government health
centers providing Adolescent
Friendly Reproductive Health
Services, among others: health
education, counseling,
“commodity” provision, referral
and treatment.
The Network
• The Network is an initiative
of the City health offices of
Las Piñas, Parañaque,
Taguig, Las Piñas District
Hospital, Department Of
Health – Center for Health
Development and Save the
Children- Philippines
VISION
• “Healthy responsible and productive adolescents living in a nurturing, safe, friendly and supportive environment”
Seven Standards
•
Bounded by The 7 Adolescent Friendly Standards:
1. MULTI SECTORAL PARTNERSHIP IN QUALITY SERVICE:
Provide comprehensive and quality adolescent friendly
reproductive health services in partnership with other agencies
2. YOUTH INVOLVEMENT AND PARTICIPATION:
Promote youth involvement and participation in planning,
implementing and evaluating programs and services on
ARSH;
3. RESPECT DIVERSITY AND ACCEPTANCE
Promote an environment with due respect and acceptance of
the diversity of adolescents needs and concern with focus on
their privacy and confidentiality.
Seven Standards
•
4. ADOLESCENT FRIENDLY HEALTH SERVICE PROVIDERS
Presence of supportive, caring and trained health personnel working with
adolescents
5. ACCESSIBLE AND SUITABLE HEALTH FACILITIES
Organize clinic hours accessible and suitable for health examination and
counseling services.
6. THREE-WAY REFERAL SYSTEM
Provide continuity of services through a three-way referral system, the
community, health centers and the specialized agencies and vice versa.
Where communication and information loops maximize the existing
structures and mechanisms appropriate to respond to the needs of the
youth; and
7. ADOLESCENT, GENDER AND CULTURE SENSITIVE IECs.
Reinforce knowledge, attitude and practices of adolescents through
various youth, gender and culture sensitive communication, media
including utilization of the materials
The Adolescents in Bgy.
BF
YOUTH INVOLVEMENT AND
PARTICIPATION:
Promote youth involvement and
participation in planning, implementing
and evaluating programs and services
on ARSH
The Adolescents in Bgy.
BF
Youth Involvement on
Community Campaign
The Adolescents
• Capability building as peer educators in the prevention of
STI/HIV/AIDS, initial initiation to sex, etc.
The Adolescents
• As Health and Nutrition Advocates
The Adolescents
• One in Preventing the Spread of HIV/AIDS
The Adolescents
• Theater Groups-Street Plays
The Adolescents -
Concerns
• Some of our young people
engage with AFRHS are not
in school -----OSY’s
• Peer educators is not
enough!
The Adolescents as Peer
Educators
Case of Ligaya
• 16 y.o. peer educator on HIV/AIDS
• Out of school since she was 13 y.o.,
completed her first year high school
• Financially not capable/parents could
hardly afford her to send her in the school
• Usually hang out with her friends
• Has low self esteem
• Very much interested to go to school if
given the chance to
The Adolescent as
Peer Educators
- AFRHS Network ably
seen the need on how to
help the case of Ligaya
- AFRHS tapped the
expertise of the teachers
and maximize the health
center as a venue for
allowing the adolescents
attending classes
The Adolescents as Learners
inside the Health Center
The Adolescents as Learners
inside the Health Center
• Maximize the presence of health center
as a school venue for the OSYs
• Allowing teacher to be part of the health
center to teach children and youth
• Sustain the needs of adolescents not
only in health aspect (of becoming health
peer educators) but as well as on their
most basic needs --- education aspect
•The learners attend two sessions of the
Alternative Learning System held thrice a
week good for three hours
Alternative Learning System
as a Strategy
• Alternative Learning System
or ALS is a program of the
Department of Education for
children and youth who are not in
school. It is recognized as a form of
non-formal education where
experiential methodology is best
applied, the form of delivery is more
of environment based, community
related, flexible structure, learner
centered and resource saving.
Alternative Learning System
as a Strategy
• Alternative Learning
System or ALS is held in
any place where there is an
instructional managers (IMs) or
a teacher. Hence, the health
center is being maximized as
one the venue of being an
adolescent friendly health
services.
Children Are Protected
Through AFRHS and
ALS ---- children and
adolescents are
protected, learned
and developed!
Gains/Lessons Learned
1. Innovative ways of effectively engaging the youth in a more meaningful participation can create an impact to their lives;
2. Based on the experience, the role of the youth in the development aspect is more with give and take relationship or in partnership with the teachers. They are the peer educators inside the school sharing all about the prevention of STD/HIV-AIDS and the likes while attending classes to alternative learning system;
3. More and more peer educators are trained and likewise they serve as support system to health service providers;
4. Using their experiences, they advocate to prevent risky behaviors;
5. Support effective implementation of programs and work with alliance and partners is a collaborative way of doing great for the benefits of the disadvantaged group;
Value
Adolescent ,
Invest in the
Future ---
through
Education!
