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Current Standing

A report from the office of District Education Office, Adjumani District indicated worryingly high teenage pregnancy and early marriage leading to 5,729 adolescents dropping out of schools in the district. Findings from the baseline assessment conducted by AFOD and DHO in Mungula, Mireyi and host areas prior to the start of project also indicated high proportion of teenage pregnancy of 12.6%.

This compelled AFOD in collaboration with Adjumani district local government through the district health office to implement a project on adolescent sexual reproductive health in 2016 (ASRH) in Mungula I, Mungula II, Mireyi refugee settlement and host areas. The project aimed at creating demand and increasing utilization of ASRH services offered at different levels of health care facilities in the district. AFOD identified schools as a key entry point for delivering key messages to create immediate impact with full participation and involvement of the teachers, pupils and their parents.

The project also further supports the District health system to use improvement methods to improve community adolescent reproductive health services and ensure its integration into family planning and primary health care as well apply the lessoned learned from the health facilities and the community to create innovations that impact on the health of the adolescent and the young people in refugees and host communities in Adjumani District.

Strategic Objectives

  1. To increase access to, demand for and utilization of quality reproductive and maternal child health services for youth and women in child bearing age in districts of focus.
  2. To enhance capacity of health workers to deliver high quality reproductive health services.

Outcome

  1. Increased access to, demand for and utilization of quality reproductive and maternal child health services for youth and women in child bearing age in districts of focus.
  2. Improved skills and knowledge of health workers on RH/maternal health care services.

Achievements

  1. Demand and uptake of Reproductive Health services for the adolescents have risen in all the targeted 8 health facilities in refugee settlements in Mungula, Mireyi and host areas. Since August 2016, the average number of adolescents who seek health services has shot to 80 per month between August to September 2016
  2. AFOD intervention has significantly improved both the will and service uptake. For instance, Aliwara H/C II before AFOD intervention had extremely low ASRH service intake with an average of 17, between April –June2016, now it registers over 60 adolescents who seek ASRH services and other health care need, interestingly due to AFOD community meetings between August –September 45 teenagers voluntarily sought for cervical cancer vaccination in Openzizi H/C most from Anzoyo and Adropi Koziza Village.
  3. Health workers trained to support ASRH services in health facilities and teachers to support adolescents in schools followed by community meetings.
  4. AFOD conducted community dialogue meetings with participants where a total of 2151 refugees and 1,522 hosts benefited All were adolescents who dropped out of schools. In schools, AFOD had school health talk visits and interacted with 2,500 participants mostly in upper primary. Through community dialogue involving schools and parents, AFOD was able to make a difference in the life of adolescents in just six months of project intervention.
  5. Many school drop-outs including married adolescents were able to return to schools they had earlier on abandoned due to pregnancy and early marriage. Through AFOD’s tireless efforts, 4 married girls are among the candidates who sat their P.L.E in Adjumani in 2016.
  6. The Key challenge now is the financial limitation to sustain the gains registered so far and to scale-up interventions to reach more youths and adolescents both in schools and out of schools linking them with skill trainings and livelihood opportunities for their own well-being.