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Lectura rápida Tiempo de leer: 6 minutos

Ampliación de los programas de AySRH: Aumento del impacto sin afectar la calidad

Resumen del tema Conversaciones de conexión 5, Sesión 3


En noviembre 11, Knowledge SUCCESS y FP2030 organizaron la tercera sesión en nuestro conjunto final de conversaciones en la serie Connecting Conversations. en esta sesión, speakers discussed key considerations for scaling up effective and evidence-based AYSRH programs to ensure that impact is far-reaching across youth populations and geographies.

Perdí esta sesión? Lea el resumen a continuación o acceda a las grabaciones (en inglés o Francés).

Featured Speakers:

  • Adenike Esiet, director ejecutivo, Action Health Incorporated.
  • Brendan Hayes, senior health specialist, Global Financing Facility.
  • Dr. Galina Lesco, head of National Resource Centre for Youth-Friendly Health Services, NEOVITA Health for Youth Association.
  • Laura Ghiron, member, ExpandNet Secretariat, presidente, Partners in Expanding Health Quality and Access (moderador).
Clockwise from left: Laura Ghiron (moderator), Dr. Galina Lesco, Brendan Hayes, Adenike Esiet.
En el sentido de las agujas del reloj desde la izquierda: Laura Ghiron (moderador), Dr. Galina Lesco, Brendan Hayes, Adenike Esiet.

What do you think are necessary components or activities for effectively scaling up AYSRH programs?

Ver ahora: 17:15

Panelists spoke about the importance of strong legal and governmental frameworks to support programming. Adenike Esiet shared her experiences providing a comprehensive sexual education curriculum in Nigeria. She described several key areas that were critical to effective program implementation: national policy frameworks, evaluation mechanisms, access to curriculum development and classroom resources, and extensive training for those delivering the curriculum to students. She also emphasized the importance of evaluating potential intervention points and designing the program with these in mind.

“One of the key things to do when scaling up a program is to look at the different key component areas of how the program would be implemented at a smaller scale.”

Adenike Esiet

Dr. Galina Lesco highlighted the necessity for interventions to be evidence-based. She also built on Ms. Esiet’s earlier point that programming requires a supportive legal framework, sustainable financing mechanism, quality control system, and promotion to the relevant population. Brendan Hayes spoke about the need to ensure sustainable financing when scaling up AYSRH programming. He described how the majority of innovation regarding financing has occurred outside of the governmental sphere, but emphasized that governmental stakeholders should have a more robust role in financing these programs. Señor. Hayes also suggested that utilizing local and national governments could be instrumental in ensuring that programs deliver interventions that are free at the point of care.

What are some of the challenges that you’ve encountered when implementing and scaling up AYSRH programs? How have you been able to transcend those challenges?

Ver ahora: 29:17

Milisegundo. Esiet discussed the need for policies to be in place to support the implementation of AYSRH programming. She provided the example of how advocacy efforts surrounding AYSRH in Nigeria had been occurring for nearly a decade, but were struggling to fully reach youth due to funding constraints and a lack of governmental support. Sin embargo, when the AIDS epidemic hit the region, governmental officials decided to enact policies that would finally support the AYSRH work that was already being performed. She also discussed the specific challenges faced within her sexuality education program. Some of these issues included training teachers who did not have a background in sexuality education, taking teachers out of the classroom in order to provide this training, and tailoring the teacher training to address not only curriculum content, but also their internal biases and personal values.

“Even when we had a good program that was ready to be scaled up, we encountered systemic challenges.”

Adenike Esiet

Señor. Hayes described how in many instances, the pilot stage does not involve the rollout of a perfectly designed intervention, but requires consistent refining and reevaluating. He emphasized that challenges are inevitable, yet unpredictable in their nature; for this reason, programs need to be adaptive. Dr. Lesco discussed how programming in Moldova is often difficult due to limited financial resources. She described the need for constant monitoring and data collection on program effectiveness, as this data is presented to governmental agencies in order to have programs included in the national budget. She also highlighted the necessity of this data for advocacy efforts and securing funding from international donors.

“We often have this idea that in the pilot phase, we are incubating the perfect intervention that we will then bring to scale; in reality, most of our experiences in scaling programs involve lots of bits and starts, and are full of things that went wrong and had to be retooled.”

Brendan Hayes

How does stakeholder engagement factor into scaling up AYSRH programs? What is the role of youth within this engagement process?

Ver ahora: 42:45

Dr. Lesco spoke about the importance of involving youth in all steps of program design and implementation. She discussed how her program makes an effort to engage youth in planning/organization, program evaluation, implementación (in the form of volunteering), and in promotion of services to the community. In regards to other key stakeholders that need to be engaged, Dr. Lesco discussed the need to secure support from state authorities at the beginning of the program design stages and to sustain their involvement throughout the implementation process. She also mentioned the need to involve professional associations and educational institutions, as she emphasized that consistent curriculum revision for health professionals is critical to ensuring long-term sustainability. Dr. Lesco went on to discuss the importance of also engaging members of the community, including parents, NGO program managers, and representatives from religious groups.

“Youth involvement is one of the most important preconditions of a program for it to be accepted and affordable. Without the <a href="https://knowledgesuccess.org/2021/11/09/positive-youth-development-young-people-as-assets-allies-and-agents/">active participation of youth</a>, these programs are not possible.”

Dr. Galina Lesco

Milisegundo. Esiet emphasized that while it’s important to engage stakeholders that are already supportive of the program, it is also necessary to engage with groups that may oppose AYSRH, as they often have the potential to effectively derail even well-designed programs. She highlighted the importance of actively involving youth throughout program implementation, specifically discussing her experience applying youth feedback to develop the educational materials given to students in the sexuality education program to ensure the curriculum was responsive to their needs and resonated with them. Milisegundo. Esiet provided information about the sexuality education textbook that her program developed, “Family Life and Education Students Handbook.”

Where are the most cost-effective intervention points for governments in order to improve AYSRH outcomes?

Ver ahora: 51:47

Señor. Hayes described how these intervention points can differ greatly based on the different contexts of AYSRH service provision; because of this, strategies should be devised at the country level. He highlighted the diversity of multi-sectoral partners involved in the implementation of AYSRH programs and explained that reaching consensus among these stakeholders is often a cost-effective strategy for improving program outcomes. He also discussed the impacts of the COVID-19 pandemic: Many countries have experienced a massive reduction in economic growth, subsequently decreasing governmental revenue and placing additional financial restraints on already limited health budgets. Es más, the pandemic has introduced competing priorities for international donors who were previously focused on funding AYSRH programming. He mentioned the importance of aligning programs with the work already being conducted at the country level, integrating service provision into existing systems, and managing the scope of programs so as to ensure cost effectiveness. Por fin, he emphasized the need for building a critical mass of resources behind evidence-based, high-impact interventions.

“The more that we can build consensus for context-specific high-impact interventions, the further we can stretch our resources.”

Brendan Hayes

Acerca de "Conversaciones de conexión"

Conectando Conversaciones” es una serie diseñada específicamente para líderes juveniles y jóvenes, alojado por FP2030 y Conocimiento ÉXITO. Con cinco temas, con cuatro a cinco conversaciones por módulo, esta serie presenta una mirada integral a la salud reproductiva de los adolescentes y jóvenes (AYRH) temas que incluyen el desarrollo de adolescentes y jóvenes; Medición y Evaluación de Programas AYRH; Participación significativa de los jóvenes; Promoción de la atención integrada para jóvenes; y el 4 P de jugadores influyentes en AYRH. Si has asistido a alguna de las sesiones, entonces sabes que estos no son los seminarios web típicos. Estas conversaciones interactivas cuentan con oradores clave y fomentan el diálogo abierto.. Se alienta a los participantes a enviar preguntas antes y durante las conversaciones..

Nuestra quinta y última serie, “Tendencias emergentes y enfoques transformadores en AySRH,” comenzó en octubre 14, 2021, y termino en noviembre 18, 2021.

Quiere ponerse al día con la serie de conversación anterior?

Nuestra primera serie, que se extendió desde julio 2020 hasta septiembre 2020, centrado en una comprensión fundamental del desarrollo y la salud de los adolescentes. Nuestra segunda serie, que se extendió desde noviembre 2020 hasta diciembre 2020, centrado en personas influyentes críticas para mejorar la salud reproductiva de los jóvenes. Nuestra tercera serie comenzó en marzo 2021 a abril 2021 y se centró en un enfoque de los servicios de SSR que responda a los adolescentes. Nuestra cuarta serie comenzó en junio. 2021 y concluyó en agosto 2021 y se centró en llegar a las poblaciones clave de jóvenes en AySRH. Tú puedes ver grabaciones (disponible en inglés y francés) y leer resúmenes de conversaciones ponerse al día.

Ampliación de los programas de AySRH: Aumento del impacto sin afectar la calidad
Jill litman

Pasante de Alianzas Globales, FP2030

Jill Litman es estudiante de último año en la Universidad de California, Berkeley estudiando Salud Pública. Dentro de este campo, ella es especialmente apasionada por la salud materna y la justicia reproductiva. Ella es la pasante de Alianzas Globales de FP2030 para el otoño de 2021, ayudar al equipo de Iniciativas Globales en su trabajo con los Puntos Focales de Jóvenes y otras tareas para el 2030 transición.

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