German HIV Practice Collection Aiming for results in Burkina Faso Aiming forresultsinBurkinaFaso forhumanrights and sexualhealth Going all-out Acknowledgements German Development Cooperation (GDC) would like to thank Burkina Faso’s Ministry of Economics and Finance for providing national leadership during development and implementation of the German-Burkinabe Programme on Sexual Health and Human Rights (PROSAD). It would like to thank the following ministries and government agencies for leadership within their areas of responsibility: Ministry of Health, Ministry of Social Action and National Solidarity, Ministry for the Promotion of Women, Ministry for the Promotion of Human Rights, Ministry of Primary Education and Literacy, Ministry of Secondary and Advanced Education and Scientific Research, Ministry of Work and Social Security, National Committee against Female Genital Mutilation, and National Council against AIDS and Sexually Transmitted Infections. It would also like to give special thanks to the many nurses, social workers, teachers and other public employees and to the many staff and volunteers of NGOs whose time, dedication and creative energy have been so essential to the programme’s achievements. For their contributions to the preparation of this publication, GDC would like to thank: • Members of the PROSAD team at headquarters including Eva Neuhaus, Principal Technical Advisor; Pascaline Sebgo, Head of Component for Women’s Rights and against Female Genital Mutilation and Violence against Women; Alain Somé, Head of Component against Child Trafficking and the Worst Forms of Child Labour; and Dr Guy Evariste Zoungrana, Head of Component on Family Planning, Sexual Health of Young People and Mainstreaming HIV for providing the writer with briefings, documentation and comments on drafts. • Members of the PROSAD team at the Sud-Ouest regional office and, also, staff and volunteers of local government authorities and NGOs for showing PROSAD in action at various sites and events. • Werner Heuler-Neuhaus for providing reports on a number of studies he has done for GTZ-Burkina Faso and PROSAD and for reviewing drafts. • Susan Leather, former Head of Training, Materials Development and Publications, ILO Programme on HIV/AIDS and the World of Work, and Luise Lehmann, consultant on reproductive health and social development, for their external peer reviews. • Anna von Roenne, Managing Editor of the German HIV Practice Collection, for coordinating production of this publication and reviewing drafts. • Stuart Adams for researching and writing this publication. The approach described in this publication was developed by the former Gesellschaft für Technische Zusammenarbeit (GTZ; German Technical Cooperation), which in 2011 merged into the Gesell schaft für Internationale Zusammenarbeit (GIZ; German International Coop- eration). Since then, the German HIV Practice Collection is published by GIZ. 2 Contents Acknowledgements 2 Acronyms 3 The German HIV Practice Collection 4 Executive Summary 5 A week in Burkina Faso, seeing PROSAD in action 6 A more comprehensive look at PROSAD 21 Action Area 1: Family planning and sexual health of youth 22 Action Area 3: Promoting women's rights and girls education 25 Action Area 4: Eliminating female genital mutilation 28 Action Area 5: Combating child trafficking and child labour 30 Monitoring and evaluation 34 Lessons learned 35 Peer Review 36 References 38 Acronyms BCC Behaviour change communications BMZ Germany’s Federal Ministry for Economic Cooperation and Development CERFODES Centre d’Etudes, de Recherches et de Formation pour le Développement Economique et Social CESAO Centres d’Etudes Economiques et Sociales d’Afrique Occidentale CFA African Financial Community franc CNLPE Comité National de Lutte contre la Pratique de l’Excision CVS Committee of Vigilance and Surveillance DAC Development Assistance Committee DED German Development Service (now GIZ) DHS Demographic and Health Survey FGM Female Genital Mutilation FNTF Fédération Nationale Théâtre Forum GDC German Development Cooperation GDI Gender-related Development Index GIZ German International Cooperation (Gesellschaft für Internationale Zusammnarbeit) GNI Gross National Income GRAAP Groupe de Recherche et d’Appui pour l’Autopromotion Paysanne GTZ German Technical Cooperation (now GIZ) HDI Human Development Index HIV Human Immunodeficiency Virus IEC Information, Education and Communications ILO International Labour Organization InWEnt Capacity Building International, Germany (now GIZ) KfW KfW Entwicklungsbank (German Development Bank) NGO Non-governmental organization OECD Organisation for Economic Cooperation and Development PROMACO Projet de Marketing Social de Condoms PROSAD Programme Santé Sexuelle et Droits Humains/Programme on Sexual Health and Human Rights STI Sexually Transmitted Infection UNAIDS Joint United Nations Programme against HIV/AIDS UNDP United Nations Development Programme VCT Voluntary Counselling and Testing 3 German HIV Practice Collection The German HIV Practice Collection was launched All reports direct readers to useful tools and appear in 2004 by HIV experts from various disciplines in full-length, short and electronic versions – facili- to highlight lessons learnt and effective approaches tating discussion and replication or adaptation of from HIV programmes supported by the German practices. government worldwide. To download the short version of this report and Proposals for publication are made by managers of other publications in this collection, go to German-backed programmes and chosen by an www.german-practice-collection.org. advisory board of HIV experts representing four implementing agencies and the German Federal Ministry of Economic Cooperation and Develop- The Collection is managed by German Technical ment. Authors work closely with relevant organiza- Cooperation (Deutsche Gesellschaft für Technische tions in the partner countries and the German Zusammenarbeit (GTZ) GmbH), under the project experts supporting them. “Strengthening the German contribution to the global AIDS response”. External peer-reviewers with relevant expertise then determine whether the documented approach For more information, please contact the Managing represents “good or promising practice”, based on Editor at [email protected] or eight criteria (see text box). Only reports about go to www.german-practice-collection.org. practices that meet this standard are approved for publication. Through this rigorous process, the Collection strives to encourage collaborative knowledge management: getting the right people, at the right moment, to discuss the right topic. Selection Criteria • Effectiveness • Transferability • Participatory and empowering approach • Gender awareness • Quality of monitoring and evaluation • Innovation • Comparative cost-effectiveness • Sustainability 4 Executive Summary One of the poorest of all the world’s poor countries, responsibility for raising people’s awareness and Burkina Faso is held back in part by the low status intervening when, for example, a woman’s rights are given to its women, youth and children by tradi- violated or a child is trafficked. tion, local custom and widespread social attitudes and practices. Second, PROSAD places heavy emphasis on developing and supporting the use of a range of Officially launched in January 2004, the German- highly interactive behaviour changes communica- Burkinabe Sexual Health and Human Rights tions (BCC) approaches and tools. Some (e.g., peer Programme (PROSAD) builds on the work begun education, lay and professional counselling) will by a German-Burkinabe family planning pro- be familiar to most readers. Others (e.g., forum gramme launched in 1995. It was chosen for theatre presentations and animations using the write-up in the German HIV Practice Collection GRAAP method) will be familiar to readers in because, over the years, it has become a uniquely Burkina Faso, where they were pioneered and have sustained, comprehensive and results-driven effort been used by many other programmes besides to protect and empower women, youth and PROSAD. Two (primary and secondary school children. It has helped raise their own and public courses on FGM and the Approche Famille method awareness of their human rights, including their of family counselling) will be familiar mainly to sexual and reproductive rights, and has provided readers already familiar with PROSAD. them with a range of services and mechanisms that allow them to take advantage of those rights. Third, PROSAD provides strategic information on which to base effective planning, implementation PROSAD focuses on two of the country’s thirteen and monitoring and evaluation. It places particular regions, Est and Sud-Ouest, and has three compo- emphasis on qualitative information, which is nents. The first focuses on youth and their needs greatly enriched by PROSAD’s strong commitment for information and services in the areas of family to action at the local level, where a range of people planning, sexual and reproductive health, and contribute their own knowledge and experience of prevention, care and treatment for HIV infection. community traditions, customs, attitudes and The second focuses on women and girls and their practices. needs for information about their basic rights and mechanisms they can turn to when their rights Scheduled to last until December 2015, PROSAD are violated, with special attention to stopping has set ambitious targets for achievement. The results, female genital mutilation (FGM) and