Act2Live: Addressing Neglected Health Issues Among Vulnerable Young People in Africa

ACT2LIVE

ACT2LIVE

About Temba

The Africa Alliance of YMCAs

Young Men’s Christian Association (YMCA)

a global movement, present in 119 countries, established in 1884 – we celebrated being 170 years old on 6 June 2014!

Africa Alliance of YMCAs (AAYMCA) is a pan-African youth development network with membership of YMCAs in 20 countries,16 of which are very active.

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Change Agenda

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OUR VISIONEmpowering young people for the African

Renaissance

OUR CHANGE PHILOSOPHY “From Subject to Citizen” (S2C)

We work to move young people to become a Citizen– where they understand the root causes of problems and articulate informed views and are part of positive change at various levels of leadership.

OUR PROGRAMME THEMES

Civic Action Transformative Masculinity Youth Justice Economic Renaissance

Our Presence in Africa & Our Health Interventions

2,121,469 youth participants,10 countries

13-35 yrs old

Also with YWCA in Zambia

Neglected Health IssuesOur broadened definition: Those diseases and issues that affect vulnerable youth living in low income and rural parts of Africa’s countries.

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Sexual health

Mental health

Drug & alcohol abuse

Access to health services

Fistula

Lifestyle illnesses

0 1 2 3 4 5 6 7

Vulnerable Youth

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Commercial sex workers Survivors of political violence

Youth living in the street Young people in conflict with the law (including ex-offenders)

Youth living with/affected by HIV/AIDS

Young people affected by conflicts and violence (including ex-combatants)

Youth with disability Youth people living in slums

Orphans

Our Work involves: Peer educators

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Youth advocates

Our Work involves: Youth advocates

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Peer Educators

Associations pour la Promotion de la Santé des Jeunes de Thiès (RAPSAJET)

Our Work involves: Partnerships

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Associations pour la Promotion de la Santé des Jeunes de Thiès (RAPSAJET)

Youth advocates

In Madagascar & Liberia: Mobilsing young people, stakeholders in implementation of the programmes

In Zambia: Distribution of condoms during project events

Our Work involves: Health Service Professionals

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Peer Educators Youth advocates

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1. Health FinancingCountry 2013/2014 2012/2013 2011/2012 2010/2011

Kenya  

4.2 3.0 8.0 5. 54

Zambia  

6.2 6.8 9.3 9.3

Zimbabwe  

8.2 9.87 - -

Madagascar  

7.5 7.6 8.2 9.2

Togo  

5.5 6 4 4

Senegal  

4.65 4.89 4.73 4.61

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2. Accountability of Policy Making

Africa Youth Charter (2006) Maputo Protocol (2007) National youth policies

Liberia National Youth Policy (2012-2017) Zambia Health Strategic Plan (2011-2015)Zimbabwe National Youth Policy (2000)Togo Youth Policy (2007)MadagascarSenegal

National Health Sector Strategies and Plans

Peer Educators in Carion, Madagascar volunteering at the local health centre

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3. Barriers to Youth-Friendly Services

(a) Structural barriers: Distance, Personnel, medicines and equipment

(b) Financial barriers: ability to pay for services. Even where consultation is free or subsidized, medicines will not be for free.

(c) Cognitive barriers: Beliefs and knowledge,

Communication in the patient-provider encounter, and culture.

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4. KAPB - Knowledge, Attitudes, Practice and Behaviour

“…female health workers ring insults at young female patients problems openly and even laugh about them with their colleagues…” - FGD participant in Madagascar

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• Critical evaluation of cost of health services

• Training of health service providers on provision of youth friendly information and services

• Youth engagement in health sector dialogue

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Be a Citizen!Am a youth with a dream, so I will rise

up, stand up, for my rights.

Take me as a part of you

Don’t see me as subject but a citizen and together we will rise

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Be a Citizen!Oneness!One Hope!

One People!Let’s Stand Together!

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