Annual Report 2015
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voicefamily information rights reproductive services aware choice health marriage women planningrefers development educationcare children Table of Contents Acknowledgements 1. About Aahung 10 1.1 Background 10 Aahung would like to acknowledge the valuable support of Oxfam Novib and Packard 1.2 Strategic Plan 2013-16 12 Foundation in developing this publication. 1.3 Programmatic and Organizational Structure 13 2. 20 Years of Life Skills Education 14 2.1 Preventing Child Sexual Abuse 15 2.2 Adolescent Sexual and Reproductive Health (ASRH) 17 2.3 Extracurricular Activities 22 2.4 Integration Forums 24 2.5 Advocacy Efforts 25 2.6 Community Approach to Target Pre-marital Groups of Young People 26 2.7 New Initiatives 28 3. 20 Years of Improving Sexual Health Medical Training and Practices 32 3.1 Capacity Building 33 3.2. Networking and Lobbying for Curriculum Change 34 3.3. New Initiatives 35 3.4 Community Approach to Raising Awareness on SRHR 35 4. Visibility 36 4.1 CSBR – One Day One Struggle 36 4.2 Aahung joins IWHC in Anniversary Celebrations 36 4.3 Youth Champions Initiative 37 4.4 Aahung’s participation in United Nations Girls Education Initiative’s (UNGEI) South Asia Regional Meeting 37 5. Communications 38 6. Monitoring and Evaluation 39 7. Total IEC material disseminated in the last year 42 Financial Statements 43 List of abbreviations Executive Director’s Note AIDS Acquired Immunodeficiency Syndrome Aahung turns 20! APWA All Pakistan Women’s Association ASRH Adolescent Sexual and Reproductive Health BRSP Balochistan Rural Support Program In 1995, Aahung was registered as the first organization working on improving CBO Community Based Organization the sexual and reproductive health landscape of Pakistan. The founding CDC Child Development Center projects for the organization, The Karachi Reproductive Health Project and CDO Child Development Organization AIDS Awareness Program, aimed to improve access to information for adults CHW Community Health Workers on HIV transmission and prevention. Very quickly, the program design team, CSA Child Sexual Abuse which is still actively involved with Aahung today, recognized the extreme dearth of information on DIL Developments in Literacy sexual health in the urban communities in which the projects were running. Moreover, the social silence DUHS Dow University of Health Sciences around the pervasive reproductive health problems revealed the extent to which sexual and reproductive FGD Focus Group Discussions health topics were considered taboo to discuss and address. FHRRDA Fundamental Human Rights and Rural Development Association FP Family Planning Aahung was founded in this silence as a pioneer in sexual health information and training for health care FPAP Family Planning Association of Pakistan providers. Very quickly the lack of inter-generational communication around issues of reproductive health HIV Human Immunodeficiency Virus also started to be addressed through the development of the first adolescent life skills education curriculum IEC Information, Education, Communication which addressed critical areas of health, rights, and development. IRC Indus Resource Center LSBE Life Skills Based Education 20 years on, Aahung is working with leading medical universities to improve sexual and reproductive LSE Life Skills Education healthcare services, working with government departments to improve service protocols for doctors and MRDS Masoom Rights Development Society mid-level service providers, integrating life skills education in over 400 schools across Sindh and advocating PAC Post Abortion Care with provincial governments to integrate life skills into the secondary school curriculum of government PIDS Participatory Integrated Development Society schools. Through the steady growth, Aahung has continued to expand its own learning by interacting PMDC Pakistan Medical and Dental Council with key stakeholders, looking towards mentors locally and internationally, and pushing our own knowledge POEM Prevention of Early Marriage and skills base to become stronger. Through this, the organization has maintained a strong rights-based RLCC Ra’ana Liaquat Craftsmen’s Colony framework and has maintained the original goal of Aahung: to improve the sexual health scenario of SAAF Safe Abortion Action Fund men, women and young people across Pakistan. To achieve this goal, Aahung has worked in every province SCMR Sindh Child Marriage Restraint Act 2013 of the country, and with diverse target groups including: madrassa students, nomads living in remote SDS Sindh Development Society areas of the Thar desert, street children, religious leaders, IV drug users, and sex workers. SEF Sindh Education Foundation SRHM Sexual and Reproductive Health Management Aahung’s 20 years have been full of many challenges and a number of risks in continuing to push forward SRHR Sexual and Reproductive Health and Rights an agenda which was often met with resistance, indifference and negativity. However, many of our worst STI Sexually Transmitted Infection critics are today our greatest champions, which is a testament to the organization’s perseverance, the ToT Training of Trainers tireless work of the staff, the assistance of our Board and advisors, and the consistent support of Aahung’s UNGEI United Nations Girls Education Initiative donors - in particular The International Women’s Health Coalition, The David and Lucille Packard VAW Violence Against Women Foundation, and Oxfam NOVIB, which have all consistently provided Aahung with mentorship and VCAT Value Clarification Attitudinal Transformation financial support for over a decade of the organization’s growth. It is with this support that Aahung has PNC Pakistan Nursing Council continued to grow and establish itself as a leading technical organization in sexual and reproductive health WEDO Women Empowerment and Development Organization and today stands at the forefront of dialogue and policy change on sexual health. WHO World Health Organization Here’s to 20 more years of breaking the silence! 4 4 Aahung’s Board of Governors Dr. Laila Shah Dr. Laila has been working in the reproductive health sector as an OBGYN for over 20 years. She was with Marie Stopes Society for over ten years as their training lead and through that has had experience working with clinical practitioners as well as traditional birth attendants. Dr. Laila is well known in the RH sector and has contributed to the development of RH manuals and tools that are being Kamyla Marvi used in training service providers. Kamyla is one of the founding members of Aahung and has more than 20 years experience in the reproductive health, gender and development sector. She has Kausar S.Khan an interest in organisation effectiveness and governance and facilitated the initial organisational development process of Aahung. Kamyla is currently the Director Kausar is a professor at Community Health Sciences. She brings with her years of the Karachi Health Initiative working with Aman Health Care Services. of experience in health with a specific focus on social determinants, justice and equity. Kausar is also a women’s activist and member of Women’s Action Forum and Shirkatgah. Dr. Naila Baig-Ansari Naila Baig-Ansari has a PhD in Epidemiology from the University of California, Davis. Along with her rigorous training, she has vast experience in the area of Maliha Zia health research. Naila would be a strong asset to Aahung because as an epidemiologist, she can provide mentorship to strengthen Aahung’s research Maliha has been activating for women and human rights law for several years. programs. She is currently part-time research faculty at The Indus Hospital as She has been in the forefront of drafting the new domestic violence law as well well as the Director of a local Institutional Review Board (IRD-IRB) that reviews as making amendments to the Pakistan Penal Code (PPC) and Criminal Procedure human subject research. Code (CrPC) so that they can be better used to try cases of Honor crimes. She is well versed in sexuality, sexual and bodily rights in addition to her strong legal Fatima Haider background. Fatima is currently working as a consultant in the development sector. She has vast experience in monitoring, research and evaluation. Prior to consulting, Al-Malik Khoja Fatima worked with Aahung for over 9 years leading the organization’s programs as well as its monitoring and evaluation department. Fatima has performed as Mr. Khoja has worked in senior management positions in Operational and Strategic Acting Director for Aahung in the past coordinating with donors and managing Planning, Business Development, Project Management, Budgeting and Forecasting, the overall finances and program targets of the organization. She has extensive Accounting and Finance. His current responsibilities include operational oversight knowledge of Aahung’s model of work and is also well connected with many of of existing projects, strategic planning, business development including product Aahung’s partners. development, marketing and channel development, and monitoring and evaluation of operational flows. Bina Yousef Bina is practicing as a clinical psychologist and psychotherapist. Along with her Aneeta Pasha private practice she also provides specialized tutoring to children with learning difficulty and has been affiliated with Readyslexics Pvt. Ltd. since 2003. She has Aneeta is a Manager of Programs at Interactive Research and Development (IRD) completed an MSc in Psychology from Bahria University, Karachi. Bina also holds and