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Final Report on Adolescent Sexual & Reproductive Health (Asrh)

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Final Report on Adolescent Sexual & Reproductive Health (Asrh) FINAL REPORT ON ADOLESCENT SEXUAL & Submitted to: Health for Life, Oasis Complex, Patao Dhoka, Lalitpur,Nepal REPRODUCTIVE HEALTH Submitted by: Nirman Sanchar Sewa, (ASRH) TELE SERIAL New Baneshwore-34, Kathmandu, Nepal PRODUCTION 16th May 2016 Background: Nepal’s 2011 census reports about 13 percent of the population is composed of early adolescents, 11 percent is late adolescents and nine percent is 20-24 years old. Hence young people aged 10- 24 years comprise about 33 percent of the total population of Nepal. Ministry of Health and Population with support from departments, centers and supporting partners are planning and executing number of ASRH programs in the country. NDHS 2011 and other survey data indicate that still there are many gaps on Adolescent Sexual & reproductive Health and needs lots innovative and program continuation to address those gaps on ASRH. Existing Behavior of Adolescents: Adolescents have incomplete knowledge about pubertal changes and they are too shy to ask or seek reproductive health information from available sources. Adolescents have challenges in life skills such as decision making, communication, etc. Adolescents are hesitant to go to Adolescent Friendly Services Centers. Adolescents have incomplete knowledge about HIV, AIDS and STI. Many sexually adolescents have an unmet need for contraception. Many adolescents practice harmful behaviors such as drinking, smoking and abusing drugs. Adolescent girls especially from remote area practice unhygienic ways and means during menstrual periods. Adolescent girls do live with poor nutrition food habits. Many adolescent girls when pregnant do not seek ANC and visit HFs for delivery Adolescent Sexual Reproductive Health (ASRH) is not considered a priority in the community especially among parents. Teachers are hesitant to teach existing ASRH curriculum. Health workers are hesitant to provide ASRH services to unmarried adolescent. Many parents make decisions to marry daughters at an early age. In-laws and parents pressure newly married couple to have children quickly. National Health Education, Information and Communication Center (NHEICC) is doing some specific IEC/BCC interventions on Adolescent Sexual & Reproductive Health (ASRH) issues to raise awareness and behavior change of the adolescents and youth. H4L and other partners are providing technical support in ASRH IEC/BCC activities but it is not enough and only certain specific intervention might not be sufficient to aware and change their behavior enormously. In this context, Television drama /film /serial can be one of the additional effective interventions to raise awareness and behavior change of the adolescent and youth. Tele vision channel is one of the most popular mass media in Nepal. It is one of the adolescent friendly media. So H4L has produced and aired Tele Serial (12 episodes) on ASRH with the leadership of NHEICC. Nirman Sanchar Sewa had been assigned with this task to produce and air the tele-drama.. This Serial has focused on the gaps and hopefully has developed story and tele- drama in enter-educational format encouraging adolescent and youth groups to watch, learn and practice healthy behaviors. Final report of the tele-film production & broadcasting on ASRH-(Nirman Sanchar Sewa)-2015 1 Objectives: After watching ASRH Tele Serial we are quite optimistic that the adolescents and youth have been made aware about Adolescent Sexual & Reproductive Health and they have learnt and practiced following behavior: Adolescents will know about puberty before it happens and consider puberty a natural process and they will seek information from a trusted source like a teacher, health worker, parents or trusted adult. Adolescents will learn about legal age of marriage, demonstrate life skills such as decision making leading to delayed marriage, delaying first pregnancy and healthy timing and spacing. Adolescents seek Adolescent Friendly Services (AFS ). Adolescents have comprehensive knowledge about HIV, AIDS and STI. Sexually active adolescents who want to space or delay fertility are able to access contraception. Adolescents avoid drinking alcohol, smoking and taking drugs. Adolescents maintain sanitary hygiene practices. Adolescents have healthy food habits. All pregnant adolescent girls will have at least 4 ANC visits. All pregnant adolescent girls will deliver in a health facility or birthing centers. ASRH considered a priority for discussion and action among parents and community members. Teachers facilitate ASRH curriculum within the school and college setting. Health workers provide friendly services in a non-judgmental way maintaining privacy and confidentiality. Parents will delay marriage until the girl is at least 20 years old or support their daughter in her decision to marry later. In-laws and parents support young couple to have children when the couple is ready. Audiences: Primary Audience: Adolescent boys and girls age 10-19 & Youth 15-24 year Secondary Audience: Friends, Parents, teachers, health service providers, community leaders Tertiary Audience: FCHVs, health mother's group members, religious leaders, faith healers etc. Pre-Production Phase: To address access to and use of health services, H4L seeks to improve health seeking behaviors of adolescents, youth and married women of reproductive age. H4L, under its media mix program strategy, is providing technical assistance. Final report of the tele-film production & broadcasting on ASRH-(Nirman Sanchar Sewa)-2015 2 In this regards, H4L has given the opportunity for producing and broadcasting 12 episodes telefilm to our organization Nirman Sanchar Sewa. Without any delay we started working immediately after an agreement made between H4L & Nirman Sanchar Sewa. According to the predefined task on SOW of TOR we have completed following task to till date: 1) Audition (9th July 2015) As per the TOR, we have completed audition for selection of the artistes on 9th & 10th July 2015. We auditioned and observed artistic talent and their experience of more than 50 participants who were interested to work in the tele-serial. Health Education Administrator on behalf of NHEICC, BCC Technical Advisor on behalf of H4L and Production Chief on behalf of Nirman Sanchar Sewa were involved in the artiste's selection committee. The audition committee throughly observed and evaluated the participant's artistic capacity based on the criteria(passed experience, theaterical experience, enthusiasm, character suitable for the story line etc.. After very thorough review and discussion the committee selected following artistes for the tele-drama.: List of selected artiste (tentative) S.N. Name of Artistes Age Role based on story Main characters 1. 25 Ujjwal Sir 2 18 Sneha 3. 19 Awaran 4. 18 Simant 5. 17 Swechha Final report of the tele-film production & broadcasting on ASRH-(Nirman Sanchar Sewa)-2015 3 S.N. Name of Artistes Age Role based on story 6. 17 Pasang 7. 20 Karuna Father & mother (characters artiste) 1. 48 Awaran’s Father 2. 45 Awaran's Mother 3. 46 Swechha's Father 4. 40 Swechha's Mother Main sub-characters 1. 21 Pinky 2. 16 Bibek 3. 20 Girish 4. 15 Puja 5. 13 Upasana (Sani) Other and characters 2) Focus Group Discussion (16th July to 18 July 2015) Objectives of the FGD To understand the views of targeted audiences on the proposed storyline. To know whether the storyline is within their level of understanding or not. To find out whether the targeted audiences are able to understand the content included in the storyline or not? To gather views and suggestions of the audiences. To study what steps should be taken to make the proposed telefilm more effective. Final report of the tele-film production & broadcasting on ASRH-(Nirman Sanchar Sewa)-2015 4 As per the proposal submitted by Nirman Sanchar Sewa for producing and broadcasting the telefilm on ASRH, focus group discussion was conducted by Narrating storyline to five groups in different places of Lalitpur & Kathmandu district. FGD was conducted with the objectives of collecting views and insight for making the storyline and telefilm interesting and message orientated entertaining product. Each groups comprised of 10 to 18 participants aged between 12 to 19 years. After narrating the storyline of telefilm to the participating groups and the facilitator and note taker gathered their inputs, comments and feedback using the FGD tools. Language did not create problems understanding the story to the participants. They felt the story line was realistic and were enthusiastic. Issues such as name of the telefilm, contents, style, ending were also widely discussed. The main objective of the FGD was to discuss as how the content in telefilm could be rendered most effective and to some extent, success was achieved in collecting views from the target groups. Participants liked main plot of the story and expressed satisfaction on the selection of names of the main characters of the telefilm. The FGD of the telefilm on ASRH was facilitated by member representative from NHEICC, H4L and Nirman Sanchar Sewa. Final report of the tele-film production & broadcasting on ASRH-(Nirman Sanchar Sewa)-2015 5 Adolescent Adolescent Group/School Total Male Female Moonlight Academy, 8 8 16 Satdobato, Lalitpur Little Star English School, 5 5 10 Thencho, Lalitpur Little Star English School, 5 5 10 Thencho, Lalitpur Nexus International Academy, 9 9 18 Pepsi Cola, Kathmandu Godawari VDC, Godawari 5 6 10 Nahar (Slum Group) Grand Total 32 32 64 Some of the comments, input and feedbacks were; 1. Messages seems effective for awareness 2. Entertaining and Educational 3. Encouraging and motivating for positive adolescent life. 4. All have to meliorate those people who are involved in bad habit. 5. If any problem occurred in the life must ask to the wise friend, elders and family members for help. 6. Parents must take responsibility of the children. 7. Karuna should have married Ujjwol sir 8. Gives lesson from characters moving in the wrong habits and feels positive when they changed their behavior 9. Adolescents should know what is right and what is wrong? 10. Awaran's father should not have mistreated Awaran and his brother instead he should have looked after them with love and care.
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