Transitioning to comprehensive ASRH programming in post-earthquake Nepal. Responding to SRH needs of adolescents in fragile environments May 30, 2016

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1 Transitioning to comprehensive ASRH programming in post-earthquake Nepal Responding to SRH needs of adolescents in fragile environments May 30, 2016

2 On April 25, 2015 at 11:56 local time, a 7.8 magnitude earthquake struck Nepal, with the epicenter in Gorkha District, about 50 miles northwest of Kathmandu and just south of the China border. Over 350 aftershocks have hit Nepal over 4.0 magnitude since, including a 7.3 magnitude quake and 6.3 magnitude quake on May 12.

3 Overview of Adolescent SRH in Nepal 24.1% of the total population are adolescents aged years 17 % of adolescent girls have given birth to at least one child 29 % of adolescent girls are married 23.4 % of those married report having faced either emotional, physical or sexual violence 24% of adolescent abuse alcohol 9% (10-14 years) and 14% (15-19 years) have thought of suicide at on point Resource: MoHP, UNFPA

4 Inter-Agency Approach: SRH & GBV Clusters and Adolescent Sub-Working Group Rapid needs assessment on adolescent sexual and reproductive health in earthquakeaffected areas 4Ws Mapping of ASRH emergency programming Integrating adolescent interventions into cluster-approved strategies Development of messages targeting adolescents in SRH and GBV clusters

5 International Medical Corps Emergency Response through Mobile Medical Units Distributed RH Kits Provided SRH services for adolescents in line with the MISP Provided referrals to CEmONC and BEmONC sites

6 Program design in line w ith RH Sub-Cluster Strategy: TWO Mother-Baby Transition Homes embedded in two BEmONC sites in Gorkha MOTHER-BABY TRANSITION HOMES 612 antenatal and post natal consultation provided to women and adolescent girls, 511 newborn kits distributed 183 women and adolescent girls, and their newborns, benefitted from temporary shelter

7 Program design in line with GBV Sub-Cluster Strategy: TEN Female Friendly Spaces in Gorkha and Dhading FEMALE FRIENDLY SPACES Provided services to 76,233 women and adolescent girls 1,339 health referral provided to women and adolescent girls 2,400+ dignity kits and adolescents kits provided to women and adolescent girls

8 Transitioning to Comprehensive Sexual and Reproductive Health Programming Gain support for adolescent health By engaging key stakeholders Engaging vulnerable adolescents subpopulations (very young adolescents, orphans, pregnant girls and young mothers) INTERNATIONAL MEDICAL CORPS 6 PRIORITY ACTIONS FOR PROMOTING ADOLESCENT HEALTH Ensure adolescent access to integrated health services, programs and information Promote delayed marriage and child bearing Promote healthy behaviors and practices Increase adolescent participation in programs and services

9 PROJECT 1 Improve access to and utilization of SRH information and services among adolescents through strengthening adolescent-friendly environments IMPLEMENTING PARTNER SOLID Nepal LOCATION 24 VDCs and 1Municipality, Gorkha INTERVENTIONS Participatory situational assessment: Photo elicitation FGDs, Reproductive Health Lifeline, Situational Drawing Intrapersonal level: Fertility awareness, life-skills, addressing gender norms through group sessions Interpersonal: Peer education and engagement of parents Health facility level:adolescent-friendly service provision Community level: Sensitizing community onasrh needs

10 PROJECT 2 Integrating Menstrual Hygiene Management (MHM) into School Health Program IMPLEMENTING PARTNER NFCC DISTRICT Gorkha + 7 districts for MTOT COORDINATION MoHP, FHD, DEO, DPHO INITIAL PLAN -Train 40 National Master trainers -Train 18 Resource persons -Train 175 School teachers -Train 70 Health care providers -14,568 adolescent girls oriented on MHM

11 LESSONS LEARNED EMERGENCY INTERVENTIONS Greater involvement of adolescents in sub-cluster meetings and in design, implementation and monitoring of emergency interventions. Inter-agency utilization of the Toolkit on ASRH in Emergencies Advocate clusters to prioritize ASRH-interventions from the initial response phase. Efforts to strengthen linkages among clusters to ensure holistic needs of adolescents are being met through multi-sectoral interventions. Need for strategies for improving adolescent participation and encouraging adolescents to become first responders through inclusion of adolescents in DRR

12 EARTHQUAKE RESPONSE Thank you

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