The proposed Girl’s Health Life Effect (GHLE) project is planned for one (1) year beginning when money is secured and MoU signed, has a total budget of $93,251.4. GHLE is a gender sensitive initiative aimed at enhancing the choices of youth and young women towards accessing services as well as enjoying healthy life styles through social and behavioural change strategies embraced by communities. Project intends to ensure; increased access to Sexual Reproductive Health Rights information and service delivery among youth, young women, learning institutions and media.
Teens Uganda will work with the community to reduce on Teenage / unwanted pregnancy and abortion stigma which contributes to unsafe abortion that leads to the death of girls/women. The project will target over 50,400 youth in and out school, 208 peer educators, 200 families, 8 media houses as well as leadership at local and district
levels especially influencers. The project will implement peers skills trainings and consultative meetings/ programmes to support (complement) the advocacy activities of the project through selected trainees and mass/public awareness programmes. Using the SRH rights based approach; the project team will offer peers and capacity skills among different audiences, for effective implementation as well as influence decisions making processes for social justice among young women by bringing on board their male counterparts in making better health choices for lives.
Background of the Project
Statement of the Problem
According to findings by the United National Population Fund (UNFPA) 2013 on teenage pregnancy, of the 1.2 million pregnancies registered annually in Uganda, more than 300,000 of them are of girls below 19 years. This also forms the bulk of the nearly 700,000 pregnancies which are unwanted. The picture gets grimmer when you learn that these teenage girls also end up as the majority who procure abortions largely because most of these pregnancies are a product of sexual abuse, revealing that over 5% of Ugandan women aged 15 to 49 performs unsafe abortions every year. More findings reveal that almost 4 out of 10 (38%) of the unintended pregnancies in Uganda result in abortion, and an estimated 362,000 induced abortion occurred in 2009 compared to 297,000 in 2003 suggesting an upward trend. The health data system reveals that most of these pregnancies are a product of early marriages, ignorance, and lack of access to reproductive health information, poverty and including cultural practices. Of these, poverty seems to stand out. Statistics from Uganda Bureau of Statistics show that adolescents from poor families are more likely to get pregnant than their colleagues from wealthier families but abortion is common among both. Even when the girls have been abused, the poorer families are most likely to let the abuser get away with their crime than the well-to-do families. The question of access to information is critical too. Using the fear approach, the silence on reproductive health tackling prevention of unwanted pregnancies and abortion stigma must be broken through regular and sustained information dissemination strategies that ensure continuous information flow, change of behavior and as well influence policy structures for flexible life-choices and promotion social cohesion.
What has already been done?
Due to the growing health demands and need to save human lives, there has a been an improvement in the general health care system since the 1980 to 1990s leading to the reduction of child mortality rate due to the adaption of immunization, blood screening and treatment. However, the rate of mortality and mobility among young women bearing unwanted children and procuring all forms of abortion is till high. Teens Uganda with support from Ipas Africa alliance and Uganda Private Mid-wife Association (UPMA) have been implementing a project on reducing on SRH stigma including abortion stigma at the community level by taking interest in the need to save the lives of un-intending mothers who choose to procure abortion to conduct the process professionally through holding continuous dialogues, sharing preventative practices such as use of contraceptives, but also redress actions for complex cases of un-safe abortion among many girls and young women.
To enhance the ability of girls and young women between 12 to 24 years to obtain comprehensive abortion care and prevent teenage pregnancy in Wakiso district.
1. To increase on the information dissemination on SRH/R among girls and young women between (12-24 years).
2. To reduce on intersecting stigma girls and women face while seeking comprehensive Abortion Care.
3. To strengthen collaborations with 10 partner organisations i.e. Health facilities (public and private), CBOs/NGO that provide SRH services) that engage in the SRH/R activities with in Rubaga Division, Kampala District
Key Outputs (Results)
The program outputs aligned under specific objectives will include;
SPECIFIC OBJECTIVE 1. To increase on the information dissemination on SRH/R among girls and young women between (12-24 years).
1.1. A total of 60 outreaches in schools and community on reducing teenage pregnancy and abortion stigma held using public address system.
1.2. Have SRH/R promotion messages developed and aired 3 times daily for the first three months and 36 times every month for the next nine months. Distribution of IEC materials (1000 booklets, 200 posters, 50 banners, 2000 T-shirts, 200 post cards 2000, brochures and 400 badges/tags) developed by TEENS Uganda and its partners to schools, health facilities and households. SPECIFIC OBJECTIVE 2. To reduce on intersecting stigma girls and women face while seeking comprehensive Abortion Care Outputs
2.1 Have 4000 community members engaged in dialogue on SRH stigma
2.2 A total number of 80 girls and young women referred for safe abortion
SPECIFIC OBJECTIVE 3. To strengthen collaborations with 10 partner organisations i.e. Health facilities (public and private), CBOs/NGO that provide SRH services) that engage in the SRH/R activities in Wakiso and Kampala ( Rubaga Division) District
2.1. A total of 10 partners joining hands with Teens Uganda to advocate for safe abortion care.
SPECIFIC OBJECTIVE 4. To monitor and evaluate (M&E) Girl’s Health Life Effect programme activities in the district.
A total of 12 monthly progress reports, 4 quarterly reports, 2 MSC reports and 1 annual report shared with stakeholders.
Have 4 financial reports submitted;
It is assumed that there will be;
1. Collaboration and acceptance of Girl’s Health Life Effect programme by the district and community leaders.
2. Acceptance and support of Girl’s Health Life Effect programme by the community.
3. Adequate funds for implementation of activities and timely delivery of Girl’s Health Life Effect for the programme period.
4. Through continuous dialoguing with different players in the community the behaviour of young people can be changed hence bring about social behavioural change.
The Girl’s Health Life Effect programme will target all youth between the age of 12 to 24 years in Wakiso and Kampala ( Rubaga Division) District, both in school and out of school.