Co ntra c e ptive pro visio n in a do le sc e nts S. Muka ka 24 - PowerPoint PPT Presentation

Co ntra c e ptive pro visio n in a do le sc e nts S. Muka ka 24 Se pte mb e r 2016

Ba c kg ro und  The Spilhaus CRS is housed within The Zimbabwe National Family Planning Council(ZNFPC) building, within the Harare Hospital grounds  Ten (10) kilometres from Harare City Centre in the South Westerly direction  Accessible by public transport  Recruit participants from Harare’s densely populated suburbs

Re c ruitme nt c a tc hme nt a re a

Spilha us Clinic

Co nt..

Se rvic e s o ffe re d b y ZNF PC Reproductive • Co ntra c e ptive pro visio n tra ining fo r he a lthy pro fe ssio na ls • Co ntra c e ptive pro visio n –Ja d e lle ,I mpla no n,I UCD,Pill,tub a l lig a tio n • F e rtility te sting health services • PAP Sme a r, VIAC • HIV testing • HIV counselling HIV Services • voluntary male circumcision • Co nd o m pro visio n • Pro mo te a nd pro vid e yo uth frie nd ly he a lth se rvic e s thro ug h: Ad vo c a c y, Info rma tio n E d uc a tio n a nd Co mmunic a tio n (IE C), Pe e r E d uc a to rs, Clinic a l ASRH Se rvic e s se rvic e s a nd T ra ining , Re c re a tio n, Surviva l skills tra ining , L ife skills tra ining a nd Mo nito ring a nd E va lua tio n

E xpe rie nc e with c o ntra c e ptive pro visio n in a do le sc e nts  Site ha s so me e xpe rie nc e with a do le sc e nts he a lth se rvic e pro visio n.  Spilha us is o ne o f the site s imple me nting HPT N 082(An a do le sc e nt tria l: Asse ssing a dhe re nc e a nd a c c e pta b ility o f PrE P a s a prima ry pre ve ntio n stra te g y a mo ng yo ung Afric a n wo me n)  Pre pa ra to ry wo rk do ne  Dre w e xpe rie nc e s fro m impo rta nt sta ke ho lde rs

Co nti..  Pa ng e a -A we ll-e sta b lishe d a do le sc e nt HUB in Chitung wiza lo c a te d 13 km a wa y fro m Spilha us CRS. I t se rve s yo uths fro m 16 ye a rs o f a g e se e king HI V te sting , ST I te sting a nd tre a tme nt, c o ntra c e ptio n se rvic e s a nd pre g na nc y te sting . T he y imple me nte d a pro je c t c a lle d SHAZ!-Wa s a life skills e duc a tio n a nd live liho o d tra ining fo r 16-19 ye a r o lds.

Co nti… LESSONS LEARNT FROM PANGEA  Ado le sc e nts ne e d priva c y-a se pa ra te wing o f the c linic re no va te d -se pa ra te wa iting a re a fo r the a do le sc e nts  Ne e d fo r yo uth a ppe a ling se rvic e s-pro visio n o f WI F I a nd de skto ps  Cle a n a nd we lc o ming se rvic e de live ry pla c e -re no va te d a wing o f the c linic no w de dic a te d to the a do le sc e nt tria l.  I nfo rma tio n de live ry me tho ds sho uld b e diffe re nt a nd a ppro pria te - use o f te c hno lo g y, fo r MT N 034 ma y c o nside r c o ntra c e ptive vide o a nd/ o r c o ntra c e ptive info rma tio n o n we b site

Co nti… LESSONS FROM THE ASRH DEPARTMENT  T he ASRH is a de pa rtme nt within ZNF PC tha t is de dic a te d to pro mo ting a nd pro viding yo uth frie ndly he a lth se rvic e s  T he y ha ve a yo uth frie ndly c linic o ffsite , ho we ve r the y ha ve yo uth frie ndly tra ine d he a lth sta ff a t site to o ffe r c linic a l(re pro duc tive he a lth) se rvic e s to a do le sc e nts who c o me to the Splilha us fa mily pla nning c linic

Co nt. LESSONS FROM THE ASRH DEPARTMENT  Ne e d fo r yo uth frie ndly sta ff- Ag e a nd a ttitude  No n judg e me nta l  Co nfide ntia lity  E ffic ie nt se rvic e s(sho rt wa iting time )  Brie f e ffe c tive c o unse lling  Ado le sc e nts a c tive invo lve me nt in the pro visio n o f the se rvic e s

Co nti.. L e sso ns le a rnt fro m Yo uth CAB  Re -e mpha size d info rma tio n g a the re d fro m the 2 sta ke ho lde rs no te d e a rlie r

I n c o untry c linic a l g uida nc e re g a rding c o ntra c e ptive pro visio n in a do le sc e nts  T he Na tio na l Ado le sc e nt Se xua l a nd Re pro duc tive He a lth Stra te g y  ZNF PC le a ds in the imple me nta tio n o f the stra te g y  3 pro ng e d a ppro a c h  c o mmunity-b a se d (yo uth c e nte rs o ffe ring c o unse ling , re c re a tio na l a c tivitie s a nd c o ndo ms),  Sc ho o l-b a se d (life skills tra ining a nd c o unse ling ).  He a lth-fa c ility– b a se d (o n-site yo uth-frie ndly c o rne rs, whic h a re suppo se d to o ffe r vo lunta ry c o unse ling a nd te sting , a s we ll a s c o ndo ms a nd o the r fa mily pla nning me tho ds)

Co nti..  T he c o untry’ s fa mily pla nning g uide line s spe c ify tha t “a g e a lo ne do e s no t c o nstitute a me dic a l re a so n fo r de nying a ny me tho d to a do le sc e nts” a nd tha t tho se “who a re se xua lly a c tive sho uld b e o ffe re d a c o ntra c e ptive me tho d o f the ir c ho ic e  No se pa ra te c linic a l g uide line s o r SOP fo r o ffe ring c o ntra c e ptive se rvic e s in a do le sc e nts

Ba rrie rs, myths a nd misc o nc e ptio ns a nd c o ntra c e ptive a dhe re nc e in a do le sc e nts  Our so c ie ty do e s no t a lwa ys a ppro ve o f yo ung unma rrie d wo me n g o ing o n c o ntra c e ptio n a s this is se e n a s a wa y o f e nc o ura g ing yo uths to indulg e in se xua l a c tivitie s e a rly  No tio n tha t pa re nta l o r spo usa l c o nse nt re q uire me nts—e xist fo r re c e iving fa mily pla nning se rvic e sinvo lve me nt fo r unde r 18 ye a r o lds. Pro vide rs I mpo se Co nse rva tive Ag e , Ma rria g e , Pa rity a nd L ife style Re stric tio ns o n Yo uth. Ho we ve r, the c o untry’ s fa mily pla nning g uide line s c le a rly spe c ify tha t “a g e a lo ne do e s no t c o nstitute a me dic a l re a so n fo r de nying a ny me tho d to a do le sc e nts” a nd tha t tho se “who a re se xua lly a c tive sho uld b e o ffe re d a c o ntra c e ptive me tho d o f the ir c ho ic e ”  T his le a ds to a do le sc e nts o pting fo r e a sily a va ila b le c o ntra c e ptio n e g o ve r the c o unte r(c o nd o ms/ info rma l una utho rize d pro vide rs(pill ,de po pro ve ra ) o r ille g a l a rb o rtio ns

Co nti…  Co ntra c e ptio n ma y c a use infe rtility la te r in life  A nullipa ro us wo ma n c a nno t ha ve I UCD inse rte d  L a c k o f Yo uth-F rie ndly Re pro duc tive He a lth Se rvic e s a nd Co mmunic a tio n Ba rrie rs  L ike pro vide rs, yo uth a re a lso he sita nt a b o ut using L ARCs a nd o the r c o ntra c e ptive me tho ds fo r simila r re a so ns: la c k o f kno wle dg e a b o ut the me tho ds, do ub ts a b o ut e ffic a c y. T he mo st po pula r c o ntra c e ptio n info rma tio n so urc e a re pe e rs  Hig h Co st o f Co ntra c e ptive s a nd Sto c k-Outs

Co ntra c e ptive pro visio n fo r a do le sc e nts vs a dults  Ado le sc e nts ha ve uniq ue ne e ds  Priva c y  No n judg e me nta l  Co nfide ntia lity  E ffic ie nt se rvic e s(sho rt wa iting time )  Cle a n a nd we lc o ming se rvic e de live ry pla c e . Yo uth a ppe a ling se rvic e s

Co nti..  Ado le sc e nts a c tive invo lve me nt in the pro visio n o f the se rvic e s  I nfo rma tio n de live ry me tho ds sho uld b e diffe re nt a nd a ppro pria te  Brie f e ffe c tive c o unse lling  Ado le sc e nts a re like ly to o pt fo r:  Optio ns with priva c y  L o w c o st  E a sily a va ila b le  Ado le sc e nt will ne e d o ng o ing c o ntra c e ptive a dhe re nc e c o unse lling  Ong o ing re minde rs fo r sub se q ue nt do se s

/ / / T ha nk yo u