Essential Packages Manual: Sexual And Reproductive Health .

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Essential Packages Manual:Sexual and Reproductive Health andRights Programmes for Young PeopleWhat young people want,what young people needEdition 2016

ed immune deficiency syndromeAccess, Services, Knowledge (Programme)antiretroviral (drugs)Centre for Human Rights and RehabilitationCommission on Population and DevelopmentConvention on the rights of persons with disabilitiesCentre for the Study of AdolescenceComprehensive sexuality educationcivil society organisationcritical youth empowermenthealth interventions that utilise internet technologyfemale genital mutilationhuman immunodeficiency virushuman papillomavirusInternational Conference on Population andDevelopmentinformation, education and communication(materials)International Planned Parenthood Federationintrauterine device (contraceptive)a telephone interactive voice response (IVR)programmeLesbian, gay, bisexual, trans, queer, intersexhealth interventions that utilise mobiletelecommunications technologymemorandum of understandingMy World My Life (Programme)meaningful youth participationnon-governmental organisationprevention of mother-to-child transmissionProgramme of Action (of ICPD)public-private partnershipsprivate sector programmesexual and gender-based violencespecific, measurable, achievable, realistic and timeboundshort message service (mobile-to-mobile messages,usually text-based)sexual and reproductive healthsexual and reproductive health and rightssexually transmitted Unite For Body Rights (Programme)United NationsUnited Nations Scientific, Educational and CulturalOrganisationUnited Nations Population Fundvoluntary counselling and testing for HIVWorld starts with me Alumni Youth AdvocacyNetworkWorld Health OrganisationWorld Starts With Me (Programme)youth-friendly servicesyoung people living with HIVEssential Packages Manual

AcknowledgementsThis Essential Packages Manual is published as an end-productand legacy of the Access, Services and Knowledge Programme,a multi-country SRHR programme for young people, implementedfrom 2013-2015 with funding from the Dutch Ministry of ForeignAffairs.The publication of this second edition of the Essential PackagesManual was made possible by the contributions and efforts ofmany people. The content was developed through a consultativeprocess, in which alliance members and partners from differentcountries, backgrounds and expertise delivered input andreviewed documents. We are especially grateful to Rachel Wilder,independent consultant, who managed to put the differentcontributions and insights together in a comprehensive manual.Next to that, Rachel strengthened the content of the manual byposing the rights questions and by providing valuable suggestionsand input.We would also like to thank STOP AIDS NOW! for their importantassistance with the design and printing of the manual. And finallya big word of thanks to Woutine van Beek and her colleagues atthe Alliance Secretariat, who guided the overall development andproduction of this Essential Packages Manual.Acknowledgements3

How to use this manualThe coloured frames,here on the right, provideguidance on how to makeoptimal use of the EssentialPackages Manual.Essentialchapter!FIND OUT HOW THIS MANUAL CAN BE HELPFUL TO YOURead this short chapterEach frame contains abrief description of achapter. Red colouredframes refer to chaptersthat outline a number ofessential conditions andcommitments that formthe pre-requisites to anysuccessful comprehensiveSRHR programme foryoung people. These arethus identified as essentialreadings for everyone.Essentialchapter!MAKE SURE TO READ ABOUT A RIGHTS-BASED APPROACHTO SEXUAL AND REPRODUCTIVE HEALTH PROGRAMMES FORYOUNG PEOPLERead chapter 2 about the multi-component approach, sexualrights and core valuesEssentialchapter!LEARN MORE ABOUT HOW TO PLACE YOUNG PEOPLE AT THECENTRE OF YOUR PROGRAMMEMake sure to read chapter 3 about meaningful youthparticipation and the youth-centred approachOther frames refer tochapters that deal witha specific programmaticarea and you can easilyselect those parts thatare important to you. Gothrough the scheme, selectrelevant parts and readwhat you need!WANT TO KNOW IF WORKING IN PARTNERSHIP IS THERIGHT SOLUTION? INTERESTED TO LEARN ABOUT HOW TOSUCCESFULLY MANAGE A SRHR PARTNERSHIP?Consult chapter 4!WANT TO LEARN MORE ABOUT HOW TO SUCCESFULLYEDUCATE AND INFORM YOUNG PEOPLE ON SRHR?Read chapter 5 on comprehensive sexuality education andSRHR information provision!INTERESTED TO KNOW MORE ABOUT HOW TO PROVIDEYOUTH FRIENDLY, HIGH-QUALITY AND AFFORDABLESERVICES?Find out in chapter 6 on SRHR services for young people!WANT TO FIND OUT HOW TO ENSURE A MORE SUPPORTIVESOCIAL AND POLITICAL ENVIRONMENT?Read chapter 7 on creating an enabling environment!4Essential Packages Manual

Table of contentsACRONYMS. 2ACKNOWLEDGEMENTS. 3CHAPTER 1: INTRODUCTION TO THE MANUAL1.1.1.2.1.3.Overview.7Background: The ASK programme.7How to use the manual.7CHAPTER 2: A HOLISTIC, RIGHTS-BASED APPROACH2.1.2.2.2.3.Multi-component approach. 11The three pillars of intervention. 11Rights-based approach and core values.12CHAPTER 3: TOWARDS A YOUTH-CENTRED APPROACH3.1.3.2.3.3.3.4.Meaningful youth participation.21A youth-centred approach and youth empowerment.21Strategies for success. 22Planning and implementation. 22CHAPTER 4: WORKING IN PARTNERSHIP4.1.4.2.4.3.Why work in partnership?. 26Principles and core values in partnering. 26Planning and implementation. 30CHAPTER 5: COMPREHENSIVE SEXUALITY EDUCATION (CSE)AND SRHR INFORMATION PROVISION5.1.Comprehensive sexuality education (CSE).375.2. SRHR information provision. 405.3. Minimum and progressive standards for CSE andinformation provision. 405.4. Self-assessment and baseline mapping. 435.5. Planning and implementation. 46CHAPTER 6: SRHR SERVICES FOR YOUNG PEOPLE6.1.6.2.6.3.6.4.Youth-friendly sexual and reproductive health services. 49Minimum and progressive service packages. 50Self-assessment and baseline mapping. 56Planning and implementation.61CHAPTER 7: CREATING AN ENABLING ENVIRONMENT7.1.7.2.7.3.7.4.7.5.What is advocacy?. 65Awareness raising. 68Minimum and progressive standards for advocacyand awareness raising. 69Self-assessment.70Planning your advocacy. 72ANNEX A: KEY CONCEPTS AND DEFINITIONS. 76ANNEX B: TOOLS AND RESOURCES. 78Table of Contents5

Chapter 1:Introduction to the manual1.1.1.2.1.3.6Overview. 7Background: The ASK programme. 7How to use the manual. 7Essential Packages Manual

1. Introduction to the manual1.1.OverviewAre you developing and implementing sexual and reproductivehealth and rights programmes for young people? Do you wantguidance to review your programmes in line with a rights-basedand gender-transformative approach and identify areas forimprovement? Do you seek support to meaningfully involveyoung people in your programmes? If you answered yes to any ofthese questions, this Essential Packages Manual could be veryhelpful for you.The Essential Packages Manual is a comprehensive guidefor successful sexual and reproductive health and rightsprogrammes for young people. It is a starting point for managers,programme officers, monitoring and evaluation staff and othersto critically review their programmes against proven standardsof good practice, to identify gaps and areas where they couldimprove to better serve young people, and to learn more abouta holistic approach to programming that places young people atthe centre. Those working in one programmatic area may wish tolearn a little more about another area, and this Manual providesan introduction to a range of interventions across programmaticareas.As a broad, over-arching guide, the Essential Packages Manualdoes not provide detailed, step-by-step guidance on howto improve programming. Further resources are identifiedthroughout the manual for those who wish to delve further intoparticular areas, and for those who seek more specific, detailedguidance on programme design, implementation and evaluation.A full list of recommended resources can be found at the end ofthe document.1.2. Background: The ASK programmeThis second edition of the Essential Packages Manual wasdeveloped from the ASK (Access, Services and Knowledge)programme and from the combined expertise of the ASKprogramme’s seven collaborating partners. The ASK programmesucceeded in its aim of increasing the uptake of sexual andreproductive health (SRH) services among young people, aged10 to 24 years, including under-served groups. The sevencollaborating partners, who implemented the ASK programme, are:3 Rutgers3 Amref Flying Doctors3 CHOICE for Youth and Sexuality3 dance4life3 Simavi3 STOP AIDS NOW!3 International Planned Parenthood Federation (IPPF)These partners implemented the ASK programme from 2013to 2015 in seven countries: Ethiopia, Ghana, Indonesia, Kenya,Pakistan, Senegal and Uganda. The ASK programme increaseduptake of SRH services among young people by tackling bothsupply-side barriers (such as the availability, affordability andquality of services and commodities) and demand-side barriers(such as young people’s knowledge, skills and self-efficacy).The ASK programme also increased direct information aboutSRHR for young people, not only to create more demand, butalso to meet their needs for evidence-based SRHR informationand education. Partners also worked to create enablingenvironments, in the diverse contexts in which they work, byreducing social, cultural, legal and political barriers to youngpeople’s uptake of SRH services.Introduction to the manualEssentialchapter!This Essential Packages Manual builds on the first edition ofEssential Packages Manual (2014), which was developed by theASK Alliance members and provided to all partners to supportthe implementation of the ASK programme. Over the course ofthe ASK programme, the Essential Packages Manual becamean exceedingly popular resource, for ASK partners as well asexternal organisations. The manual fulfilled an important needthat was not met by any other resource in the field. Demand forthe Essential Packages Manual led the Alliance to decide that itshould be revised and enriched, incorporating evidence fromthe programme itself, and published as a product and legacy ofthe ASK programme.The ASK programme produced a wealth of evidence aboutfactors that contribute to the success of SRHR programmesfor young people, as well as new lessons about working inpartnership at local, national and international levels to achievespecific targets in relation to young people’s uptake of services.In addition to programmatic interventions, the ASK programmeconducted operational research that produced new insights –knowledge not usually obtained from monitoring and evaluation.Evidence from programme implementation and evaluation,from partnership work as well as from operational research, arereflected in this Essential Packages Manual. Lessons learnedfrom other programmes and services provided by the sevencollaborating partners have further enriched the content of thisdocument.This revised edition of the Essential Packages Manual wasdeveloped through a consultative process, with all ASK partnersinvited to contribute. This process included face-to-facemeetings as well as ongoing communications and documentreviews. Partners were asked to reflect on and provide feedbackon the original Essential Packages Manual; they providedevidence and experiences from programme implementation;and they provided ideas to deliver better support for othersworking on SRHR programmes for young people.1.3.How to use the manualEssential chaptersThere are a number of essential conditions and commitmentsthat form the pre-requisites to any successful, comprehensiveSRHR programme for young people. All organisations andindividuals involved in SRHR programmes for young peoplewould benefit from learning about, and periodically reviewing,what these pre-requisites are. Thus, they are identified asessential reading in this manual.The essential chapters are Chapter 2: ‘A holistic, rights-basedapproach’ and Chapter 3: ‘Meaningful youth participation andyouth empowerment’. These chapters will help readers to viewtheir programmes through a rights-based lens and flag somevaluable resources to help readers enrich these aspects of theirprogrammes and service delivery.Chapter 2: ‘A holistic, rights-based approach’ provides anoverview to holistic, rights-based youth-centred approaches.This section articulates a multi-component approach in whichyoung people are placed at the centre of programmes that aredesigned to help them. It also unpacks four key values that arefundamental to employing a rights-based approach to sexualand reproductive health programmes and helps readers to viewtheir interventions through a rights-based lens.7

Chapter 3: ‘Towards a youth centred approach’ explains what itmeans to place young people at the centre in your programme,why it is important and how it relates to youth empowerment. Thechapter offers strategies that organisations can adopt to createconditions for successful youth participation and leadership,including an introduction to concrete steps that should be taken.Read what you needWe would suggest reading the whole manual, so you havea basic familiarity with all different kinds of interventions andprogrammes for young people, and can see how they relate toyour particular expertise and programme focus. However, themanual is designed so that you can dip in and out of the differentsections and focus on programmatic interventions that are mostimportant for you.What do you want to learn? What aspects of your work mightneed improvement? With the help of the coloured frames onpage 4, you can easily navigate through the manual and selectthose parts that are relevant to you.The chapters include:3 Chapter 4: Working in partnership3 Chapter 5: Comprehensive sexuality education and SRHRinformation provision3 Chapter 6: SRH services for young people3 Chapter 7: Creating an enabling environmentChapter 4: ‘Working in partnership’ addresses the question ofwhy working in partnership may be the right solution to achieveyour programmatic objectives, and provides an overview ofexploring partnership options and managing one or multiplepartnerships.The programme chapters – Chapter 5, 6 and 7 – are eachstructured in a similar way to support you to assess yourprogramme/service and begin to think through steps you needto take to improve it. Thus, each chapter begins with some keydefinitions and discussions of that programmatic area, and this isfollowed by laying out the minimum and progressive standards.Any organisation delivering SRHR interventions to young peopleshould be meeting the minimum standards, and the progressivestandards include aspects of service and programme deliverythat are beyond the bare basics but are considered goodpractice.The tools are:3 Self-assessment questions help you to find out where yourprogramme(s) sit on the ‘measuring stick’ of minimal andprogressive standards in relation to different programmaticareas. These questions will help you to reflect on howwell your programme embodies core values and rightsrelated to sexual and reproductive health. Self-assessmentexercises will help you identify areas of weakness that can beimproved.3 Baseline mapping is a research tool to help you researchyour context: under-served groups of young people, otherproviders and programmes, and also the environmentyou are working in. The context is always changing and itis vital to stay on top of new developments. This will helpyou to prioritise where to focus your efforts to improve yourprogrammes.3 Planning and implementation sections offer practicalsteps that you should consider to move your programmetowards more rights-based practice and also towardsprogramme targets. These sections help you to developan understanding of what is involved in progressing yourprogramme from where it stands currently towards theminimum or progressive standards.After going through the self-assessments, the baselinemapping and the planning and implementation sections ofthe Essential Packages Manual, you will have a clear idea ofareas of programming and/or service delivery you would like toimprove. At this point, it will be useful to consult more detailedprogramme manuals and guidance to advance your planningand implementation.3 Resources (Annex B) give an overview of tools, guidelines,protocols, standards, manuals and other resources whichwill help you to find more comprehensive information onsubjects you want to know more about.Don’t forget!Annex A offers a handy list ofdefinitions that may help you whilereading the sections of your choice.Following the minimum and progressive standards, eachprogrammatic chapter includes a self-assessment questionnaireto help you assess how well your programme/service isperforming. This is accompanied by a baseline mappingexercise, to map out the young people in your community, notonly the obvious young people but also more marginalisedyoung people, and the services and programmes available tothem. This will help you to identify the gaps in service provision,and who might be missing out.Each programmatic chapter concludes with an introduction toplanning and implementation. These sections will support you toreflect on steps that are involved in bringing your programme upto minimum standard or to invest in improving your programmeto achieve progressive standards.Practical toolsThe manual contains some practical tools to assist you inimproving your work and taking the next step towards youthcentred, right

these questions, this Essential Packages Manual could be very helpful for you. The Essential Packages Manual is a comprehensive guide for successful sexual and reproductive health and rights programmes for young people. It is a starting point for managers, programme officers, monitoring and evaluation staff and others

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