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Meningkatkan Program AYSRH: Meningkatkan Kesan Tanpa Menjejaskan Kualiti

Rekap Tema Perbualan Menghubungkan 5, Sesi 3

Pada bulan November 11, Knowledge SUCCESS dan FP2030 menganjurkan sesi ketiga dalam set perbualan terakhir kami dalam siri Connecting Conversations. Dalam sesi ini, 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.

Terlepas sesi ini? Baca ringkasan di bawah atau akses rakaman (dalam Inggeris atau Perancis).

Featured Speakers:

  • Adenike Esiet, pengarah eksekutif, 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, president, Partners in Expanding Health Quality and Access (moderator).
Clockwise from left: Laura Ghiron (moderator), Dr. Galina Lesco, Brendan Hayes, Adenike Esiet.
Mengikut arah jam dari kiri: Laura Ghiron (moderator), Dr. Galina Lesco, Brendan Hayes, Adenike Esiet.

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

Menonton sekarang: 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. Encik. 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?

Menonton sekarang: 29:17

Cik. 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. Namun begitu, 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

Encik. 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?

Menonton sekarang: 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, pelaksanaan (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

Cik. 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. Cik. 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?

Menonton sekarang: 51:47

Encik. 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. Tambahan pula, 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. Akhirnya, 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

Mengenai "Menyambung Perbualan"

Menghubungkan Perbualan” ialah siri yang disesuaikan khusus untuk pemimpin belia dan anak muda, dianjurkan oleh FP2030 dan Ilmu KEJAYAAN. Menampilkan lima tema, dengan empat hingga lima perbualan setiap modul, siri ini memaparkan pandangan menyeluruh tentang Kesihatan Reproduktif Remaja dan Belia (AYRH) topik termasuk Pembangunan Remaja dan Belia; Pengukuran dan Penilaian Program AYRH; Penglibatan Belia Bermakna; Memajukan Penjagaan Bersepadu untuk Belia; dan juga 4 P pemain berpengaruh dalam AYRH. Jika anda telah menghadiri mana-mana sesi, maka anda tahu ini bukan webinar biasa anda. Perbualan interaktif ini menampilkan pembesar suara utama dan menggalakkan dialog terbuka. Peserta digalakkan untuk mengemukakan soalan sebelum dan semasa perbualan.

Siri kelima dan terakhir kami, “Aliran Muncul dan Pendekatan Transformasi dalam AYSRH,” bermula pada Oktober 14, 2021, dan selesai pada bulan November 18, 2021.

Ingin Terjebak dengan Siri Perbualan Sebelumnya?

Siri pertama kami, yang berlangsung dari Julai 2020 sehingga September 2020, memberi tumpuan kepada pemahaman asas tentang perkembangan dan kesihatan remaja. Siri kedua kami, yang berlangsung dari November 2020 sehingga Disember 2020, menumpukan kepada pengaruh kritikal untuk meningkatkan kesihatan reproduktif golongan muda. Siri ketiga kami bermula dari Mac 2021 hingga April 2021 dan memberi tumpuan kepada pendekatan responsif remaja terhadap perkhidmatan SRH. Siri keempat kami bermula pada bulan Jun 2021 dan berakhir pada bulan Ogos 2021 dan memberi tumpuan untuk mencapai populasi belia utama di AYSRH. Anda boleh menonton rakaman (tersedia dalam bahasa Inggeris dan Perancis) dan membaca ringkasan perbualan untuk mengejar.

Menghubungkan Perbualan
Jill Litman

Perkongsian Global Intern, FP2030

Jill Litman ialah seorang senior di Universiti California, Berkeley belajar Kesihatan Awam. Dalam bidang ini, dia amat mementingkan kesihatan ibu dan keadilan reproduktif. Beliau ialah Pelatih Perkongsian Global FP2030 untuk kejatuhan 2021, membantu pasukan Inisiatif Global dalam kerja mereka dengan Titik Tumpuan Belia dan tugas lain untuk 2030 peralihan.

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