STRIVING FOR YOUTH RIGHTS MEDIA KIT Total Population of 207.7 million 64 percent of the total population is below the age of 30 years 29 percent of the total population is between the age 15 – 29 years Youth bulge can serve as a dividend for the nation and become the vehicle for change

Sexual Reproductive Health information and services is a fundamental right and essential for health, growth and protection

FPAP Who is the STRIVING FOR YOUTH RIGHTS Kit for?

This kit is for: Ÿ Members of the Print and Electronic Media Ÿ Writers and opinion makers who blog or participate actively on social media websites. Objectives of the Kit: Ÿ To create awareness in the media regarding the youth SRHR issues in Pakistan. Ÿ To bring the commitments that Government of Pakistan made at the international conferences into the public domain Ÿ To enable media to become informed advocates for the following: Ÿ Need for Life Skill Based Education in mainstream curricula. Ÿ Need for Youth Friendly Health Services including SRH. Ÿ Need for illing gaps in policies.

FPAP Rahnuma-FPAP STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS Profile

Family Planning Association of Pakistan was founded in 1953. It afiliated with Youth Programme International Planned Parenthood Federation, London a year later. The status of the organization has changed, from afiliate it has now become the Member of the Federation. It One of the main focus area of Rahnuma-FAPP program is adolescent and youth. It has faced many ups and downs but continued its pioneering work amidst tough resistance. initiated different programs to empowering the youth through information, education and Starting from one room operations it has now emerged as the largest service provider in communication and operates Youth Help Lines and Youth Resource Centers in addition to the ield of SRHR/FP in Pakistan. Organization has recently renamed itself as 'RAHNUMA', the provision of youth friendly services through it's widely spread service delivery which means a guide (for development and prosperity), while positioning itself to respond infrastructure. to the challenges of the new age. The Rahnuma-FPAP adheres to the Federation's standards Rahnuma-FPAP has made a conscious effort to cater to young people and therefore it has of membership responsibilities, normative standards and policies. piloted Youth Friendly Services in nine Family Health Hospitals each in , Lahore, Gilgit-Baltistan, Karachi, Peshawar, Quetta, Kohat, Turbat and Badin. There is a separate Currently R-FPAP is working on Strategic Plan 2016-19. waiting area established for young people and all the staff are trained in provision of youth friendly services. A network of 50 youth resource centers serve as a hub for mobilization of Vision: young people in the communities and also acts as a point of referral to the Family Health Hospitals. Toll free Youth Helpline was initiated that is operated by male and female Rahnuma-FPAP is to ensure that 'all people in Pakistan are empowered to make choices counselors that provide free information, counseling and referral services regarding SRH to about their SH&RH and well-being in a world without discrimination’. young people ensuring their complete privacy and conidentiality. Also Rahnuma-FPAP has developed its own National Youth Network to ensure meaningful participation of young Mission: people in the planning, development and implementation of SRH programs for young people and apply a Youth Lens to the organization. In addition Rahnuma-FPAP has Rahnuma-FPAP is committed to : developed its own National Youth Network, national alliance on comprehensive health and i) to lead a movement for SRHR and FP as a basic human right in Pakistan and rights education and Media Network to support advocacy efforts regarding SRHR. ii) to provide and enable sustainable and quality SH and RH including FP information and services to all particularly vulnerable and underserved in partnership with government and all other stakeholders. The FPAP's Strategic Plan (2016-19) is based on four Outcomes: i) federal, provincial and district governments respect, protect and commit to sexual health and reproductive health and rights; ii) 45.8 million people are aware of and capacitated to exercise their SRHR; iii) 35.17 million quality integrated sexual health and reproductive health services delivered and iv) a high performing, eficient and accountable organization. Social inclusion, diversity, passion, voluntarism and accountability will be the values framework in which R- FPAP will deliver. The organization will generate support of 53,000 volunteers and 75,000 online activists during the strategic plan period of four years.

FPAP FPAP About Young Omang STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS

Young Omang (YO) is an alliance of 10 organizations working Aware Girls is a youth-led organization from the province of (KP) also working on Life Skills Based Education (LSBE). It has recently developed a program to for the sexual reproductive health and rights of young people advocate for Gender Sensitive Education Policies in KP province. in Pakistan. Blue Veins is based in Peshawar and committed to work for the rights and well being of women and the transgender community. It has established TransAction Alliance, which Young Omang members organizations include: represents 4500-5000 of the transgender community of KP and Federally Administered 1. Aahung, Tribal Areas (FATA). 2. Aware Girls, Bargad has a long and unique standing among civil society organizations in Pakistan, 3. Blue Veins, working exclusively on youth development since 1997. It is a grassroots organization that 4. Bargad, holds the distinction of working with youth in their communities and transforming its work 5. Chanan Development Association (CDA), into public policy on youth development. 6. Forum for Dignity Initiatives-(FDI), Chanan Development Association (CDA) is a national youth-led organization, striving for 7. Idara-e-Taleem-o-Aghai (ITA), meaningful participation and empowerment of youth. CDA is also the host organization of platform and particularly brings the component of ensuring youth-adult partnership in the 8. Indus Resource Center (IRC), program. Based in Lahore it has outreach all across Pakistan and building a youth-led civil 9. Rahnuma Family Planning Association of Pakistan, society movement in Pakistan. 10. Youth Advocacy Network (YAN) Forum for Dignity Initiatives (FDI) brings the representation of the province of Balochistan The long term objectives of the YO alliance is to: to the platform. FDI is a human rights based research and advocacy forum working for transgender people, sex workers, girls and young women. 1. Improved access of young people to quality Sexual and Reproductive Health and Rights (SRHR) information through Life Skills Based Education (LSBE) by 2020. Idara-e-Taleem-o-Aagahi (ITA) is a national organization and its strength lies in the education sector, with each initiative being underpinned by gender activism, alliance 2. and Balochistan have youth policies in place that call for provision of youth building and advocacy to inluence public policy. friendly SRH information and services and all four provinces have implementation plans for their respective youth policies in place with progressive language for Indus Resource Centre (IRC) is based in Sindh and works mainly in the rural areas. It has provision of youth friendly SRH information and services by 2020. substantial experience of working in the health sector, developing useful linkages with stakeholders in that sector. 3. Improved access of young people, including SGM to SRHR services without stigma and discrimination by 2020 with a focus on: Rahnuma - Family Planning Association of Pakistan (R-FPAP) is one of the oldest NGOs of Pakistan evolving over the years to emerge as the largest service provider in the ield of Ÿ Inclusion of Youth Friendly Health Services (YFHS) into the provincial Costed Reproductive Health/ Family planning (RH/FP) in Pakistan. Rahnuma-Family Planning Implementation Plans (CIPs) Association is committed to lead a movement for SRHR and FP as a basic human right in Ÿ Inclusion of stigma-free, SGM-sensitive training material into community health Pakistan and to provide and enable sustainable and quality SRH including FP information providers' curricula. and services to all particularly vulnerable and underserved in partnership with government and all other stakeholders. Brief introduction of Young Omang Members in Pakistan Youth Advocacy Network (YAN) as the name implies is a pioneer youth-led organization in Aahung is a Karachi-based NGO that works on improving the sexual and reproductive Pakistan, formed and governed by young people. It works to create a forum for dialogue, health of men, women and young people. Through capacity building and information discussion and advocacy for SRHR of young people in Pakistan and has more than 16,000 dissemination, Aahung focuses on the creation of an enabling environment in Pakistan members across Pakistan. where people have comfort with their body, are practicing healthy behaviors and able to exercise their sexual and reproductive rights

FPAP FPAP IPPF Charter of Sexual and Reproductive STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS Health and Rights-1994

01 The right to information and Education; 07 The right to be free from torture and ill treatment; As they relate to sexual and reproductive health and to ensure Including the rights of adolescents and young people to be the health and well-being of persons and families protected from sexual exploitation and abuse, and the right of all people to protection from rape, sexual assault, sexual abuse and 02 The right to healthcare and health protection; sexual harassment. This includes the frights of health care clients to: information, 08 The right to choose; access, choice, safety, privacy, conidentiality, dignity, comfort, continuity and opinion. Whether or not to marry and to found and plan a family 03 The right to freedom of thought; 09 The right to privacy; This includes freedom from the restrictive interpretation of Meaning that all sexual and reproductive health care services religious texts, beliefs, philosophies, and customs as tools to should be conidential and all women have the right to autonomous curtail freedom of thought on sexual and reproductive health reproductive choices. care and other issues. 10 The right to the beneit of scientiic programmes; The right to decide whether and when to have 04 This includes the recognition that all clients of sexual and children; reproductive health services have the right to access to new Which includes choice of having child or not on behalf of both reproductive technologies which are safe and acceptable. men and women 11 The right to freedom of assembly and political 05 The right to life; participation; This means among other things that no woman's life should be Meaning, among other things, that all persons have the right to put at risk or endangered by reason of pregnancy. seek to inluence governments to place a priority on SRHR. 06 The right to liberty; 12 The right to equality; And security of the person which recognizes that all persons And to be free from all forms of discrimination including in sexual must be free to enjoy and control their sexual and reproductive and reproductive life. life and that no person should be subject to force pregnancy, sterilization or abortion.

FPAP FPAP International Commitments International Documents on Sexual & STRIVING FOR YOUTH RIGHTS SDGs STRIVING FOR YOUTH RIGHTS Reproductive Health and Rights ICPD PoA 1994 Agenda 2030

The 1994 Program of Action (PoA) of the international conferene on population and development (ICPD) was the irst among international development frameworks to address Sustainable development is development that improves the living conditions in the present issues related to sexuality, sexual and reproductive health, and reproductive rights. without compromising the resources of future generations. Development is not sustainable In Paragraph 7.2 of the ICPD PoA deines an individual's sexual and reproductive health as when we spend or use all our resources now, leaving future generations with nothing complete wellbeing related to sexual activity and reproduction. Sustainable development is growing together improving the thinking of other and respecting the environment. Sexual and reproductive health and rights (SRHR) encompass both entitlements and freedoms. This includes the deinition of reproductive rights in paragraph 7.3 of the ICPD After years of intense tracking and lobbying at the national, regional and global level we PoA, which clariies that these are not a new set of rights but human rights in existing have the 2030 Agenda human rights instruments related to sexual and reproductive autonomy and the attainment 193 countries of the UN General Assembly adopted the 2030 Development Agenda titled of sexual and reproductive health. Transforming our world: the 2030 Agenda for Sustainable Development Excerpts from International instruments of SRHR Ÿ 17 goals Youth should be actively involved in the planning, implementation and evaluation of Ÿ 169 targets development activities that have a direct impact on their daily lives. This is especially Ÿ 231 indicators important with respect to information, education and communication activities and services concerning reproductive and sexual health, including the prevention of early These goals are integrated and indivisible pregnancies, sex education and the prevention of HIV/AIDS and other sexually transmitted 1. No Poverty diseases. Access to, as well as conidentiality and privacy of, these services must be ensured 2. No Hunger with the support and guidance of their parents and in line with the convention on the rights 3. Good Health of the child. In addition, there is a need for educational programs in favour of life planning skills, healthy lifestyles and the active discouragement of substance abuse. (ICPD Paragraph 4. Quality Education 6.25) 5. Gender Equality Beijing Platform for Action 1995 6. Clean Water and Sanitation 7. Sustainable Energy Beijing PfA expands this deinition to cover both sexuality and reproduction by afirming in 8. Good jobs and Economic Growth paragraph 96 the right to exercise control over and make decisions about one's sexuality, including sexual and reproductive health, free of coercion, discrimination and violence. The 9. Innovation and Infrastructure above language has since been reiterated in different United Nations documents, including 10. Global Prosperity outcomes of monitoring and review processes of the ICPD PoA and Beijing PfA. 11. Sustainable cities and communities Other Convention that support youth SRHR 12. Responsible consumption Ÿ International convention on the elimination of all forms of racial discrimination (ICERD) 13. Protecting planet Ÿ International Covenant on Civil and political Rights (ICCPR) 14. Life below water Ÿ International Convenant on Economic, Social and Cultural Rights (ICECR) 15. Life above water Ÿ Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) 16. Peace and Justice Ÿ Convention against Torture and other Cruel, Inhuman or Degrading Treatment or 17. Partnerships for the future. Punishment (CAT) However, Goal 3 and Goal 5 are directly related to the subject of this media kit. Ÿ Convention on the Rights of the Child (CRC) Ÿ International Convention on the Protection of the Rights of all Migrant Workers and GOAL 3: ENSURE HEALTHY LIVES AND PROMOTE WELL-BEING FOR ALL AT ALL AGES Members of their Families (ICRMW) Goal 5: ACHIEVE GENDER EQUALITY AND EMPOWER ALL WOMEN AND GIRLS Ÿ Convention on the Rights of Persons with Disabilities (CRPD)

FPAP FPAP PUNJAB PUNJAB Youth SRHR policies PUNJAB Youth SRHR policies PUNJAB Youth SRHR policies STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS Youth SRHR policies Punjab Youth Helpline (080012145) Ÿ The commitments made by the government of Pakistan cover the realm of policy, inance Punjab Education Reforms and service delivery • Punjab Youth Helpline is working on issues related to the emotional, psychological Punjab under education reforms aims to hand over 10,000 public schools in the hands of health and reproductive health of adolescents. Ÿ The federal government has also formed the Country Engagement Working Group entrepreneurs or charities. (CEWG) of the population stakeholders for better implementing FP programme to • The PYHL's mission is 'to work with all people, especially vulnerable groups, to achieve the targets of 2012 London Summit of Family Planning (FP-2020). Quarterly The number of low-cost private schools in Punjab has risen from 32,000 to 60,000 in the What is Sexual Reproductive Health and Rights? collectively strive for a society that is violence free, self-aware and accepting of itself meeting of the CEWG are being held in different cities to evaluate the progress of our last 25 years. and others'. Reproductive Health is the absolute physical, mental and social wellbeing related to the commitments of FP2020. The reforms emphasizes on public-private partnerships to improve quality of education in reproductive system throughout the life cycle. • Vulnerability is deined as historically marginalized and powerless groups with special schools. Reproductive Rights are those of couples and individuals to freely decide the timing, emphasis on women, youth, and children, the poor, and sexual and religious minorities. Punjab Population Policy 2017 number and spacing of their children, and to access information and care in all matters • The PYHL's team consists of clinical psychologists and career counselors. Punjab Youth Family planning is the sole responsibility of the provincial government after transfer of the LSBE Booklet related to reproduction and sexuality Help Line has been oficially working since 3rd December 2012, under the federally controlled Population Welfare Programme to the provinces in the wake of the After the unfortunate incident of rape and murder of Zainab in Kasur Punjab government Sexual Health is a state of physical mental and social wellbeing in relation to sexuality implementation of Punjab Youth Policy since 6th June 2012 18thConstitutional Amendment in 2010. focused its attention on development of life skill based education for schools for children's throughout the life cycle. They include the right to not be subjected to sexual violence. Punjab with a land mass of 25.6% of Pakistan, and housing 53% of the population of the security. Booklets were developed during these efforts. (ICPD PoA) Adolescent Health Centers country is currently estimated to have a population of over 110 million that would double 17 Adolescent Health Centers were established in Family Health Clinic Training Centers in the next 34 years if the recent growth rate of 2.13% continues. What to do? What policies in Punjab touch upon youth SRHR? (FHC TC) located in teaching hospitals in the year 2014-15 as part of the project Poverty conditions are being aggravated and consequently neutralizing the progress made "Upgradation of Family Health Clinics." Each is headed by a Female Clinical Psychologist. Ÿ Revise Youth Policy to strengthen SRHR component. Punjab Youth Policy 2012 in various sectors. Government of the Punjab recognizes the cross-cutting effect and Youth and their reproductive issues are especially addressed, while psychological and RH inluence of population factor on the overall development, hence imperative to adopt a Ÿ Include youth SRH information and services in population policy The Punjab Youth Policy 2012 pledges to adopt policies to address holistic health needs of issues of all segments of the society are catered to in a comprehensive manner. the youth; protection, survival and development of children and youth; establishing a focused Population Policy within the provincial development framework. The aim is to Ÿ Include life skill based education in mainstream curriculum. “Youth Helpline' for counseling of adolescents on their health and reproductive issues; Services provided to adolescents at these centers are: strike a balance between population and resources to be consistent with development goals. Ÿ Gender disaggregated youth SRH data needs to be collected undertake education and communication activities in reproduction rights at the schools Ÿ Provision of guidance, counseling and management of psychosocial, emotional, Sexual level with cultural sensitivities of the regions in view; portrayal of equality of boys and girls Reproductive Health (SRH) problems of adolescents and youth The Punjab Population Policy-2017 takes forward the following Vision, and Goals. Ÿ Strengthen Monitoring and evaluation of existing youth programs. through all public messages and curricula; and initiate life skill programs for children and Ÿ Ÿ Include LSBE in training programs for teachers. youth. Sensitization and orientation sessions with adolescents of colleges, universities and Vision: Promoting prosperous, healthy, educated and knowledge-based society where every medical colleges family is planned, every member nurtured and all citizens are provided with the Ÿ Include youth friendly health services in provincial costed implemented plans. Any Progress Made so Far? opportunity and choice to attain improvement in the quality of their lives. Ÿ Provision of counseling for education and career guidance Ÿ Ensure speciic budgetary allocations for youth SRHR information and services. The Punjab government has implemented following key initiatives of the Punjab Youth Ÿ Policy 2012: Management of psychosocial identity/personality (SRH) problems Goals: Ÿ All public sector health service points must introduce YFHS. Allocation of 4% quota of youth councilors in the local government What other policies address SRHR? a. Stabilize population growth as an essential requirement for promoting sustainable Ÿ Sustain political commitment for youth SRH information and services. development with equitable distribution through vigorous implementation of inter- Allocation of 15% quota for women in employment Ÿ Ensure special focus on girl's education and empowerment FP 2020 sectoral strategies. Punjab internship program (PYIP) Ÿ Ensure special measures are introduced in youth SRH services and information Ÿ Family Planning 2020 (FP2020) is a global partnership that supports the rights of b. Reduce fertility to contain population momentum by improving access to quality of programs for out of school children. E-Rozgar Scheme women to family planning, enable 120 million more women in 69 poorest countries to reproductive health care through integrated service delivery. use contraceptives by 2020. Youth Helpline c. Facilitate and guide relevant sectors to achieve SDG objectives related to universal Ÿ In London Summit on Family Planning, 2012 where more than 20 governments made access to reproductive health care services aimed at promoting general welfare of E-youth initiative (Laptop scheme commitments to address the policy, inancing, delivery and socio-cultural barriers to population. Daanish Schools women accessing contraceptive information, services and supplies, Pakistan speciically Punjab Population Welfare Department is teaching Life Skill Based Education through a committed to achieve universal access to reproductive health and raise contraceptive PEEF scholarships manual developed in partnership with R-FPAP. It is being piloted in 9 districts of Punjab. prevalence rate (CPR) to 55% by the year 2020. In view of the ground realities in Inter provincial youth exchanges provinces the CPR was rationalized and reduced from 55% to 50% by 2020. Mega Punjab Youth Festival. Ÿ Punjab 55%;

FPAP FPAP FPAP FPAP SINDH SINDH Youth SRHR policies SINDH Youth SRHR policies SINDH Youth SRHR policies STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS Youth SRHR policies

What is Sexual Reproductive Health and Rights? What other policies address SRHR? Increase efforts to reduce unmet need for family planning from 21 to 14 per cent by 2020 What to do? Attain a decrease in fertility level from 3.9 (2013) to 3.0 births per woman by the year 2020 Reproductive Health is the absolute physical, mental and social wellbeing related to the FP 2020 Ÿ Ensure proper implementation of Youth Policy and its SRHR component. reproductive system throughout the life cycle. Ensure contraceptive commodity security up to 80% for all public sector service outlets by Ÿ Family Planning 2020 (FP2020) is a global partnership that supports the rights of Ÿ Include youth SRH information and services in population policy 2018 Reproductive Rights are those of couples and individuals to freely decide the timing, women to family planning, enable 120 million more women in 69 poorest countries to Ÿ Include life skill based education in mainstream curriculum. number and spacing of their children, and to access information and care in all matters use contraceptives by 2020. related to reproduction and sexuality LSBE in Sindh School curriculum Ÿ Gender disaggregated youth SRH data needs to be collected Ÿ In London Summit on Family Planning, 2012 where more than 20 governments made Sexual Health is a state of physical mental and social wellbeing in relation to sexuality commitments to address the policy, inancing, delivery and socio-cultural barriers to PPP co-chairman Bilawal Bhutto Zardari announced the introduction of LSBE as a special Ÿ Strengthen Monitoring and evaluation of existing youth programs. throughout the life cycle. They include the right to not be subjected to sexual violence. women accessing contraceptive information, services and supplies, Pakistan speciically subject for schools in Sindh from Class 6 to Class 9 in a joint press conference in January Ÿ Include LSBE in training programs for teachers. (ICPD PoA) committed to achieve universal access to reproductive health and raise contraceptive 2018. prevalence rate (CPR) to 55% by the year 2020. In view of the ground realities in The current LSBE course, which the Sindh government started developing in 2015 with Ÿ Include youth friendly health services in provincial costed implemented plans. provinces the CPR was rationalized and reduced from 55% to 50% by 2020. What policies in Sindh touch upon youth SRHR? Aahung, is being imparted in government schools in eight districts of Sindh: Karachi, Ÿ Ensure speciic budgetary allocations for youth SRHR information and services. Hyderabad, Mirpurkhas, Umerkot, Khairpur, Nawabshah, Dadu, Shahdadkot. Moreover, the Sindh Youth Policy 2018 Ÿ Sindh 45%; Sindh government is currently working on approving LSBE content for primary grades (e.g. Ÿ All public sector health service points must introduce YFHS. Ÿ The commitments made by the government of Pakistan cover the realm of policy, inance One of Sindh youth policy's strategic objective deals with youth population and health. It identifying good touch and bad touch), which is currently taught at private schools through Ÿ Sustain political commitment for youth SRH information and services. aims to address the signiicance of youth population and need for good health of youth for and service delivery colouring books and lashcards. maximizing their potential for socio-economic growth of the country. It has recommended Ÿ Ensure special focus on girl's education and empowerment Ÿ The federal government has also formed the Country Engagement Working Group Life skills based education content includes 19 modules which teach children to be able to short term and mid-term strategies, such as researches; cross sectoral strategies; inter (CEWG) of the population stakeholders for better implementing FP programme to protect themselves, personal hygiene, nutrition, human rights, protection from disease such Ÿ Ensure special measures are introduced in youth SRH services and information departmental coordination; engaging youth led organizations and groups for creating achieve the targets of 2012 London Summit of Family Planning (FP-2020). Quarterly as hepatitis, and that a boy and girl are equal and have equal rights. This information is programs for out of school children. awareness on youth issues and demographic transitions and social action programs; meeting of the CEWG are being held in different cities to evaluate the progress of our critical if we want to move forward with social development and build a society, which is supportive policy environment for SRHR, advocacy for provision of adolescent and youth commitments of FP2020. safer for children and to prevent further tragedies like Kasur. friendly sexual reproductive health services in primary health care system, and promotion of health and sports among youth through mapping of existing sports facilities and play Sindh Population Policy 2016 Life skills based education is a part of the National Education Policy as well as the Youth grounds, among others. Policy, enabling the students to gain knowledge in order to protect themselves. Vision: Sindh envisages promoting a prosperous, healthy, educated and knowledge-based Sindh youth policy also devises long term strategies and for each set of strategies, potential society where all citizens are provided opportunities to access information and quality targets and partners have also been identiied. Costed Implementation Plan services about Family Planning and reproductive health care The “Costed Implementation Plan” (CIP) 26 Population Annual Plan 2017-18 Phase-II, on Any Progress made so far? Objectives: Family Planning started at the cost of Rs2.2 billion and about Rs 678 million was proposed to be allocated in 2017-18 from the ADP of Sindh. Ÿ The government of Sindh has started E-monitoring system in all the 29 districts of Sindh Enhance CPR from 30 % in 2015 to 45% by 2020. to conduct real time monitoring. Sindh Costed Implementation Plan has exclusive plans and budgets for youth SRH services The policy envisions to achieve thereplacement level fertility i.e. 2.1 births per woman by and information. Ÿ Accelerated Family Planning Services project launched 2035. Ÿ Behavioral Change Communication (BCC) Programme launched Achieve universal access to safe and quality reproductive health/family planning services by 2020 Increase access to family planning and reproductive health services to the most remote and farthest areas of the province by 2017

FPAP FPAP FPAP FPAP KHYBER PAKHTUNKHWA KHYBER PAKHTUNKHWA KHYBER PAKHTUNKHWA Khyber Pakhtunkhwa Youth SRHR policies Youth SRHR policies Youth SRHR policies STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS

Youth SRHR policies Ÿ Reduce unmet need for family planning from existing level of 26% (PDHS 2012-13) to 15 % by 2020. Ÿ In London Summit on Family Planning, 2012 where more than 20 governments made Ÿ 8 percent of these already have children Ÿ commitments to address the policy, inancing, delivery and socio-cultural barriers to Raise contraceptive prevalence rate from 28% in 2012-13 to 55 % by 2032. Ÿ One in 14 children die before they reach their irst birthday. women accessing contraceptive information, services and supplies, Pakistan speciically Ÿ Decrease total fertility rate from 3.9 in 2012-13 to 3.3 births per woman by 2020 and committed to achieve universal access to reproductive health and raise contraceptive Ÿ One in 11 die before they reach ive years of age. attain replacement level fertility (2.1 births per woman) by 2032. prevalence rate (CPR) to 55% by the year 2020. In view of the ground realities in Ÿ For 12 percent of married girls child bearing starts early (mostly belonging to poor) What is Sexual Reproductive Health and Rights? provinces the CPR was rationalized and reduced from 55% to 50% by 2020. Ÿ Reduce Annual Population Growth Rate from 2.2 % in 2013 to 1.3 % by 2032. Ÿ 35 percent of girls are married before the age of 18 Reproductive Health is the absolute physical, mental and social well-being related to the Ÿ KP 42 %; Ÿ Encourage increased investment for acceleration of female education and empowerment reproductive system throughout the life cycle. to facilitate attainment of population sector related objectives. Ÿ 54 percent girls are married before the age of 20. (PDHS 12-13) Ÿ The commitments made by the government of Pakistan cover the realm of policy, inance Reproductive Rights are those of couples and individuals to freely decide the timing, and service delivery number and spacing of their children, and to access information and care in all matters Project addressing youth SRH in Khyber Pakhtunkhwa Khyber Pakhtunkhwa Education Reforms Ÿ The federal government has also formed the Country Engagement Working Group related to reproduction and sexuality (CEWG) of the population stakeholders for better implementing FP programme to PWD KP has initiated a new project titled” innovative scheme for promotion of Population • A number of education reforms were included to KP education related policies that the Sexual Health is a state of physical mental and social well-being in relation to sexuality achieve the targets of 2012 London Summit of Family Planning (FP-2020). Quarterly Welfare Program for achieving SDGs” was developed to address youth reproductive health PTI government will implement to improve the standard and quality of education in KP throughout the life cycle. They include the right to not be subjected to sexual violence. meeting of the CEWG are being held in different cities to evaluate the progress of our needs in KP. The PC 1 for the project has been signed and work will start shortly on its • Availability of safe drinking water (ICPD PoA) commitments of Fp2020. implementation. • Construction of additional classroom The project will initially be piloted in What policies in Khyber Pakhtunkhwa touch upon youth Khyber Pakhtunkhwa Population Policy 2015 • Boundary wall around schools · Kohat, SRHR? VISION: • Solar panels to deal with electricity related issue. · Peshawar, Khyber Pakhtunkhwa Youth Policy 2016 The Policy 2015 envisages to promote a prosperous, healthy, educated, and knowledge- • Electriication of class. · D I Khan based society where every pregnancy is planned, every child nurtured and cared for, and all • Khyber Pakhtunkhwa Youth Policy 2016 envisages the following strategies on • Additional Latrines citizens are provided with an opportunity and choice for improved quality of life as per · Swat adolescence and youth health rights. their aspirations. • Recruitment of teacher The main objectives of the project are to • Adopt policies to address holistic health needs of the youth. GOALS: 1) Develop joint communication strategy with Health department especially focusing on • Ensure protection, survival and development of children and youth; What to do? The Population Policy seeks to:- Health Timing and Spacing Pregnancies and Post Partum Family Planning for Ÿ • Undertake education and communication activities in reproductive rights at the school adolescent and youth. Revise Youth Policy to strengthen SRHR component. Ÿ Attain replacement level fertility through enhanced voluntary family planning. level with cultural sensitivities of the regions in view; Ÿ 2) Establishment of four adolescent sexual and Reproductive Health (ASRH) centres in Include youth SRH information and services in population policy Ÿ Promote family planning as a Reproductive Health Right, based on informed and • Portrayal of equality of boys and girls through all public messages and curricula; RHCs. Ÿ voluntary choice. Include life skill based education in mainstream curriculum. • Initiate life-skill programs for children and youth; 3) Establishment of population welfare training institute Ÿ Ÿ Reduce unmet need of contraception and unwanted pregnancies through universal Gender disaggregated youth SRH data needs to be collected • Other measures would include drug demand reduction projects; access and improved quality of family planning services. The KP government model for Adolescent sexual reproductive health (ASRH) contains an Ÿ Strengthen Monitoring and evaluation of existing youth programs. air conditioned container placed next to RHC. A Psychologist to be hired for each unit along • Entertainment opportunities for youth; Ÿ Adhere to the requisites for 'demographic dividend' for economic growth by making Ÿ with an assistant for ield outreach and mobilization. Include LSBE in training programs for teachers. investment in child survival, reproductive health and prioritizing education especially • Social awareness among youth; Ÿ female education. IEC material and contraceptive will be available in the container. FWCs will be trained for Include youth friendly health services in provincial costed implemented plans. • Establishment of rehabilitation centres for drug addicts. mobilization. Ÿ OBJECTIVES: Ensure speciic budgetary allocations for youth SRHR information and services. • What other policies address SRHR? A strong referral system will be developed with coordination of Health Department. Ÿ Ÿ Achieve universal access to safe and quality reproductive health/family planning All public sector health service points must introduce YFHS. FP 2020 services by 2020. Youth facts: Ÿ Sustain political commitment for youth SRH information and services. Ÿ Family Planning 2020 (FP2020) is a global partnership that supports the rights of Ÿ Increase Contraceptive Prevalence Rate (CPR) from the existing level of 28% to 42% by Ÿ Ensure special focus on girl's education and empowerment women to family planning, enable 120 million more women in 69 poorest countries to 2020. In KP the stats show that Ÿ Ensure special measures are introduced in youth SRH services and information use contraceptives by 2020. Ÿ Ÿ Raise modern CPR from existing level of 20% (PDHS 2012-13) to 28% by 2020. 10-19 years old constitute 21 percent of the total population programs for out of school children. Ÿ 14 percent girls that fall in the age bracket of 15 -19 are already married

FPAP FPAP FPAP FPAP BALOCHISTAN BALOCHISTAN Youth SRHR policies STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS Youth SRHR policies women accessing contraceptive information, services and supplies, Pakistan speciically committed to achieve universal access to reproductive health and raise contraceptive prevalence rate (CPR) to 55% by the year 2020. In view of the ground realities in provinces the CPR was rationalized and reduced from 55% to 50% by 2020. What is Sexual Reproductive Health and Rights? Ÿ Balochistan 32%. Reproductive Health is the absolute physical, mental and social well-being related to the Ÿ The commitments made by the government of Pakistan cover the realm of policy, inance reproductive system throughout the life cycle. and service delivery Reproductive Rights are those of couples and individuals to freely decide the timing, Ÿ The federal government has also formed the Country Engagement Working Group number and spacing of their children, and to access information and care in all matters (CEWG) of the population stakeholders for better implementing FP programme to related to reproduction and sexuality achieve the targets of 2012 London Summit of Family Planning (FP-2020). Quarterly meeting of the CEWG are being held in different cities to evaluate the progress of our Sexual Health is a state of physical mental and social wellbeing in relation to sexuality commitments of FP2020. throughout the life cycle. They include the right to not be subjected to sexual violence. (ICPD PoA) Balochistan Population Policy draft What policies in Balochistan touch upon youth SRHR? The draft Population Policy of Balochistan is being processed for the approval of provincial cabinet. Balochistan Youth Policy 2015 Balochistan youth policy uses the frame of Health and well-being for SRHR of young people. LSBE in Balochistan School curriculum In the integrated Health, Population and Gender section, the policy reiterates being a signatory to international commitments such as the ICPD and Convention on the Rights of Government of Balochistan has decided to introduce LSBE in its schools curriculum. the Child and proposes implementable actions: Balochistan formally announced the introduction of the LSBE programme in Balochistan in May 2018. On this occasion, a Memorandum of Understanding (MoU) was signed between Ÿ Availability of facilities to provide health counseling and services to youth. the Balochistan Government's secondary education department and Aahung in order to Ÿ Provision of Life Skills Based Education teach LSBE to students from Class 6 to Class 9 to make them aware of abuse, nutritional needs, diseases and their rights. The course will be piloted in ten selected schools in Ÿ Conducting researches on the youth bulge Balochistan. Ÿ Mass awareness campaigns on family planning. What to do? Ÿ Inclusion of youth groups and organizations in health awareness campaigns. Ÿ Ensure proper implementation of Youth Policy and its SRHR component. Ÿ Nutrition education Ÿ Include youth SRH information and services in population policy Ÿ Prevention of addiction Ÿ Include life skill based education in mainstream curriculum. Ÿ Formulation of women youth groups for spreading awareness about gender equality. Ÿ Gender disaggregated youth SRH data needs to be collected Ÿ Ÿ 15 % quota for women in employment. Strengthen Monitoring and evaluation of existing youth programs. Ÿ Include LSBE in training programs for teachers. What other policies address SRHR? Ÿ Include youth friendly health services in provincial costed implemented plans. Ÿ FP 2020 Ensure speciic budgetary allocations for youth SRHR information and services. Ÿ All public sector health service points must introduce YFHS. Ÿ Family Planning 2020 (FP2020) is a global partnership that supports the rights of Ÿ women to family planning, enable 120 million more women in 69 poorest countries to Sustain political commitment for youth SRH information and services. use contraceptives by 2020. Ÿ Ensure special focus on girl's education and empowerment Ÿ Ÿ In London Summit on Family Planning, 2012 where more than 20 governments made Ensure special measures are introduced in youth SRH services and information commitments to address the policy, inancing, delivery and socio-cultural barriers to programs for out of school children.

FPAP FPAP SINDH SINDH Life Skill Based Education SINDH Life Skill Based Education SINDH Life Skill Based Education STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS Life Skill Based Education Why is LSBE important? Sindh Policies: What to do? Young people have the right to lead healthy, productive lives. Without adequate access to The Sindh Right to Free and compulsory Education Act 2013 guarantees free and Ÿ Ensure that Life Skill Based Education is also included in mainstream primary school information and services, young people lack the knowledge and skills required to make safe compulsory education to all children between the age of 5 to 16 years of age. The law curriculum. decisions. however makes no allowance or reference to the provision of LSBE. Pakistan is currently one of the youngest countries in the world and the second youngest in Ÿ Ensure that Life Skill Based Education is included in teaching training programs the south Asian region after Afghanistan according to the National Human Development LSBE is critical if we want to move forward with social development and build a society, Under Sindh Education Sector Plan (2014-2018) the government of Sindh makes reference Ÿ Ensure measure to reach out to out of school children with life skill based education for Report (NHDR). which is safer for our children and to prevent further tragedies like Kasur. to LSBE under several goals pertaining to secondary and higher education. The plan the sake of their protection. 64 percent of the total population is below the age of 30 outlines the development of a life skill curriculum as an activity under the strategic National Policies: objective of developing a contextually relevant and broad based curriculum under its goal Ÿ Ensure that government allocates adequate budgets for successful implementation of 29 percent of the total population is between the age 15 – 29 years. to improve the provision and quality of secondary education in Sindh. LSBE in all schools. National Education Policy 2009: The National Education policy is a comprehensive policy What is life skills based education? framework that addresses all dimensions of Pakistan's education sector. The NEP 2009 The policy on Sindh Text book and learning material, 2014 deines quality education as Ÿ Ensure there are government policies that requires all private sector schools to include speciically addresses LSBE in curricula by stating that: education which enables all learners to reach their potential in terms of cognitive, LSBE in their curricula. psychomotor, social emotional, critical & creative and problem solving capacities. Life Skills Based Education provide information and skills on Sexual and Reproductive Ÿ Ensure that LSBE is mainstreamed into the education system and not just included as Health and Rights to the young people and empower them to adopt safe health-seeking “Emerging trends and concepts such as school health, prevention Education against HIV/AIDS and other infectious diseases, Life Skills Based Education, Environmental Sindh government, while taking into consideration the present scenario of Pakistani society additional optional subject. behaviors and protect themselves from abuse, exploitation, drugs and disease. and horrible & terrifying incidents like in Kasur and Mardan, has decided to add Life Skills Education, Population and Development Education, Human Rights Education, School Safety Ÿ Ensure LSBE curriculum is based on local evidence to make it effective and relevant. Life skills are abilities for adaptive and positive behavior that enable individuals to deal and Disaster and Risk Management, Peace Education and inter-faith harmony, detection Based Education for the secondary classes. Ÿ Provincial curricula authorities should develop and implement evaluation frameworks effectively with the demands and challenges of everyday life. Such skills pertain to and prevention of child abuse, etc. shall be infused in the curricula and awareness and Initially the life skills based education is approved for classes six to nine and the for existing curricula and syllabi. Such evaluation frameworks should it into curriculum psychological competencies and help people make informed decision, solve problems, think training materials shall be developed for students and teachers in this context, keeping in government is further trying to get the subject approved for primary classes as well i.e. review cycles. critically, communicate effectively, build healthy relationships, empathize with others, cope view cultural values and sensitivities.” (However, the policy contains no deinition of LSBE classes from three to ive. with emotions and stress, and manage their lives in a healthy and productive manner. or which particular skills will be infused in which curricula and/or at which grade) Ÿ Relevant Education and curriculum departments should coordinate efforts with World Health Organization. National Youth Policy (2008): Among the key principles outlined under the National Youth provincial health departments to ensure that services necessary for the provision of Components of LSBE in Pakistan Policy of 2008 were “facilitating the youth (above 18 years) in the formation and planning LSBE are available to students. Such services should be provided directly through life of a health family on a sustainable basis” through the inculcation of life skills. skill programming. Ÿ Human Rights National HIV and AIDS Strategic Framework 2007-2012: The National HIV and AIDS Ÿ Awareness of the importance of LSBE should be extended to parents. Ÿ Gender Strategic Framework acknowledges that “development of life-skills, such as problem Ÿ Parliamentarian should be sensitized to push for LSBE in schools. solving, decision making, and critical thinking and conidence-building will make Ÿ Communication Skills vulnerable youth less susceptible to contracting infections such as HIV” Ÿ Decision Making Vision 2025: The planning Commission's Vision 2025 aims to raise individuals committed Ÿ Interpersonal relationships to democratic and moral values, aware of fundamental human rights, open to new ideas, having a sense of personal responsibility and participation in the productive activities in Ÿ Healthy Growth society for the common good. Ÿ Protection against violence and abuse National Population Policy 2010: The policy does not directly address the provision of Life Ÿ Culture, values and diversity Skills Based Education and/or Comprehensive Education. The focus is on the provision of general education to females in order to contribute to the adoption of contraceptives and a What is the deinition of youth, adolescent and children in reduction in fertility. The policy however talks about building strong linkages between targets of different sectors, tailoring curriculum to rising population concerns, and using Pakistan? teaching staff in promoting birth spacing agenda in the youth. The policy also discusses Youth is deined as 15-29 years old preparing youth in marketable skills in order to make them productive members. Adolescence is deined as 10-19 years old Children are under 18 years old (a legal deinition as per the Convention of the Right of the Child and constitution of Pakistan)

FPAP FPAP FPAP FPAP KHYBER PAKHTUNKHWA KHYBER PAKHTUNKHWA KHYBER PAKHTUNKHWA Life Skill Based Education Life Skill Based Education Life Skill Based Education Khyber Pakhtunkhwa STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS Life Skill Based Education

Pakistan is currently one of the youngest countries in the world and the second youngest in What is the deinition of youth, adolescent and children in National Population Policy 2010: The policy does not directly address the provision of What to do? the south Asian region after Afghanistan according to the National Human Development Life Skills Based Education and/or Comprehensive Education. The focus is on the provision Report (NHDR). Pakistan? of general education to females in order to contribute to the adoption of contraceptives and Ÿ Ensure that Life Skill Based Education is included in mainstream education curriculum a reduction in fertility. The policy however talks about building strong linkages between for schools. Ÿ 64 percent of the total population is below the age of 30 Ÿ Youth is deined as 15-29 years old targets of different sectors, tailoring curriculum to rising population concerns, and using Ÿ Ensure that Life Skill Based Education is included in teaching training programs Ÿ 29 percent of the total population is between the age 15 – 29 years. Ÿ Adolescence is deined as 10-19 years old teaching staff in promoting birth spacing agenda in the youth. The policy also discusses preparing youth in marketable skills in order to make them productive members. Ÿ Ensure measure to reach out to out of school children with life skill based education for Ÿ Children are under 18 years old (a legal deinition as per the Convention of the Right of What is life skills based education? the sake of their protection. the Child and constitution of Pakistan) Life Skills Based Education provide information and skills on Sexual and Reproductive Provincial Policies: Ÿ Ensure that government allocates adequate budgets for successful implementation of Health and Rights to the young people and empower them to adopt safe health-seeking National policies The KP schools Sector Plan (2015-2020) has as amongst its goals ensuring “all learners LSBE in all schools. behaviors and protect themselves from abuse, exploitation, drugs and disease. acquire knowledge and skills needed to promote sustainable development, including National Education Policy 2009: The National Education policy is a comprehensive policy Ÿ Ensure there are government policies that requires all private sector schools to include among other through education for sustainable development and sustainable lifestyles, Life skills are abilities for adaptive and positive behavior that enable individuals to deal framework that addresses all dimensions of Pakistan's education sector. The NEP 2009 LSBE in their curricula. effectively with the demands and challenges of everyday life. Such skills pertain to human rights, gender equality, promotion of a culture of peace and non-violence, global speciically addresses LSBE in curricula by stating that: Ÿ Ensure that LSBE is mainstreamed into the education system and not just included as psychological competencies and help people make informed decision, solve problems, think citizenship and appreciation of cultural diversity and of culture's contribution to additional optional subject. critically, communicate effectively, build healthy relationships, empathize with others, cope “Emerging trends and concepts such as school health, prevention Education against sustainable development”. HIV/AIDS and other infectious diseases, Life Skills Based Education, Environmental with emotions and stress, and manage their lives in a healthy and productive manner. The KP Education Sector Plan (2010-2015) outlines “ensuring that the learning needs of all Ÿ Ensure LSBE curriculum is based on local evidence to make it effective and relevant. Education, Population and Development Education, Human Rights Education, School Safety World Health Organization. young people and adults are met through equitable access to appropriate learning, life skills and Disaster and Risk Management, Peace Education and inter-faith harmony, detection Ÿ Provincial curricula authorities should develop and implement evaluation frameworks and citizenship programs” as one of its policy objective. However, the plan makes no and prevention of child abuse, etc. shall be infused in the curricula and awareness and for existing curricula and syllabi. Such evaluation frameworks should it into curriculum Components of LSBE in Pakistan: reference to the inclusion of LSBE in primary, secondary, or higher school curricula. training materials shall be developed for students and teachers in this context, keeping in review cycles. · Human Rights view cultural values and sensitivities.” (However, the policy contains no deinition of LSBE Ÿ Relevant Education and curriculum departments should coordinate efforts with or which particular skills will be infused in which curricula and/or at which grade) · Gender provincial health departments to ensure that services necessary for the provision of National Youth Policy (2008): Among the key principles outlined under the National LSBE are available to students. Such services should be provided directly through life · Communication skills Youth Policy of 2008 were “facilitating the youth (above 18 years) in the formation and skill programming. · Decision Making planning of a health family on a sustainable basis” through the inculcation of life skills. Ÿ Awareness of the importance of LSBE should be extended to parents. · Interpersonal relationships National HIV and AIDS Strategic Framework 2007-2012: The National HIV and AIDS Ÿ Parliamentarian should be sensitized to push for LSBE in schools. Strategic Framework acknowledges that “development of life-skills, such as problem · Healthy growth solving, decision making, and critical thinking and conidence-building will make · Protection against violence and abuse vulnerable youth less susceptible to contracting infections such as HIV” · Culture, values ad diversity Vision 2025: Why is LSBE important? The planning Commission's Vision 2025 aims to raise individuals committed to democratic and moral values, aware of fundamental human rights, open to new ideas, having a sense of Young people have the right to lead healthy, productive lives. Without adequate access to personal responsibility and participation in the productive activities in society for the information and services, young people lack the knowledge and skills required to make safe common good. decisions. LSBE is critical if we want to move forward with social development and build a society, which is safer for our children and to prevent further tragedies like Kasur.

FPAP FPAP FPAP FPAP BALOCHISTAN BALOCHISTAN BALOCHISTAN Life Skill Based Education Life Skill Based Education Life Skill Based Education BALOCHISTAN STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS Life Skill Based Education What is the deinition of youth, adolescent and children in curriculum to rising population concerns, and using teaching staff in promoting birth What to do? spacing agenda in the youth. The policy also discusses preparing youth in marketable skills Pakistan? in order to make them productive members. Ÿ Ensure that Life Skill Based Education is included in mainstream education curriculum for schools. Pakistan is currently one of the youngest countries in the world and the second youngest in Ÿ Youth is deined as 15-29 years old the south Asian region after Afghanistan according to the National Human Development Provincial Policies: Ÿ Ensure that Life Skill Based Education is included in teaching training programs Report (NHDR). Ÿ Adolescence is deined as 10-19 years old The Balochistan Education Sector plan (2013-2017) makes little reference to development Ÿ Ensure measure to reach out to out of school children with life skill based education for Ÿ Ÿ Children are under 18 years old (a legal deinition as per the Convention of the Right of 64 percent of the total population is below the age of 30 and provision of LSBE. There is however reference to development of relevant soft skills the sake of their protection. the Child and constitution of Pakistan) Ÿ including communication 29 percent of the total population is between the age 15 – 29 years. Ÿ Ensure that government allocates adequate budgets for successful implementation of National Policies: The Balochistan Education For All Plan (2011-2025) covers LSBE in all schools. What is life skills based education? 1 Early childhood education National Education Policy 2009: The National Education policy is a comprehensive policy Ÿ Ensure there are government policies that requires all private sector schools to include Life Skills Based Education provide information and skills on Sexual and Reproductive framework that addresses all dimensions of Pakistan's education sector. The NEP 2009 2 Primary Education, and LSBE in their curricula. Health and Rights to the young people and empower them to adopt safe health-seeking speciically addresses LSBE in curricula by stating that: Ÿ behaviors and protect themselves from abuse, exploitation, drugs and disease. 3 Adult literacy Ensure that LSBE is mainstreamed into the education system and not just included as “Emerging trends and concepts such as school health, prevention Education against additional optional subject. In its implementation strategy the program talks about awareness strategy on highlighting Life skills are abilities for adaptive and positive behavior that enable individuals to deal HIV/AIDS and other infectious diseases, Life Skills Based Education, Environmental how learning life skills may help people to resolve common daily issue. However, the plan Ÿ Ensure LSBE curriculum is based on local evidence to make it effective and relevant. effectively with the demands and challenges of everyday life. Such skills pertain to Education, Population and Development Education, Human Rights Education, School Safety does not deine these life skills or discuss their inclusion in curricula and /or interventions psychological competencies and help people make informed decision, solve problems, think and Disaster and Risk Management, Peace Education and inter-faith harmony, detection Ÿ Provincial curricula authorities should develop and implement evaluation frameworks targeted towards education and literacy. critically, communicate effectively, build healthy relationships, empathize with others, cope and prevention of child abuse, etc. shall be infused in the curricula and awareness and for existing curricula and syllabi. Such evaluation frameworks should it into curriculum with emotions and stress, and manage their lives in a healthy and productive manner. training materials shall be developed for students and teachers in this context, keeping in review cycles. World Health Organization. view cultural values and sensitivities.” (However, the policy contains no deinition of LSBE Ÿ Relevant Education and curriculum departments should coordinate efforts with or which particular skills will be infused in which curricula and/or at which grade) Components of LSBE in Pakistan: provincial health departments to ensure that services necessary for the provision of National Youth Policy (2008): Among the key principles outlined under the National Youth LSBE are available to students. Such services should be provided directly through life 1. Human Rights Policy of 2008 were “facilitating the youth (above 18 years) in the formation and planning skill programming. 2. Gender of a health family on a sustainable basis” through the inculcation of life skills. Ÿ Awareness of the importance of LSBE should be extended to parents. 3. Communication Skills National HIV and AIDS Strategic Framework 2007-2012: The National HIV and AIDS Ÿ Parliamentarian should be sensitized to push for LSBE in schools. Strategic Framework acknowledges that “development of life-skills, such as problem 4. Decision Making solving, decision making, and critical thinking and conidence-building will make 5. Interpersonal Relationships vulnerable youth less susceptible to contracting infections such as HIV” 6. Healthy Growth Vision 2025 7. Protection against Violence and Abuse The planning Commission's Vision 2025 aims to raise individuals committed to democratic 8. Culture, Values and Diversity and moral values, aware of fundamental human rights, open to new ideas, having a sense of personal responsibility and participation in the productive activities in society for the Why is LSBE important? common good. Young people have the right to lead healthy, productive lives. Without adequate access to National Population Policy 2010: The policy does not directly address the provision of Life information and services, young people lack the knowledge and skills required to make safe Skills Based Education. The focus is on the provision of general education to females in decisions. order to contribute to the adoption of contraceptives and a reduction in fertility. The policy however talks about building strong linkages between targets of different sectors, tailoring LSBE is critical if we want to move forward with social development and build a society, which is safer for our children and to prevent further tragedies like Kasur.

FPAP FPAP FPAP FPAP PUNJAB PUNJAB PUNJAB Life Skill Based Education Life Skill Based Education Life Skill Based Education PUNJAB STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS Life Skill Based Education

Pakistan is currently one of the youngest countries in the world and the second youngest in Why is LSBE important? National Population Policy 2010: The policy does not directly address the provision of Life What to do? the south Asian region after Afghanistan according to the National Human Development Skills Based Education and/or Comprehensive Education. The focus is on the provision of Report (NHDR). Young people have the right to lead healthy, productive lives. Without adequate access to general education to females in order to contribute to the adoption of contraceptives and a Ÿ Ensure that Life Skill Based Education is included in mainstream education curriculum information and services, young people lack the knowledge and skills required to make safe reduction in fertility. The policy however talks about building strong linkages between for schools. Ÿ 64 percent of the total population is below the age of 30 decisions. targets of different sectors, tailoring curriculum to rising population concerns, and using Ÿ Ensure that Life Skill Based Education is included in teaching training programs Ÿ 29 percent of the total population is between the age 15 – 29 years. teaching staff in promoting birth spacing agenda in the youth. The policy also discusses LSBE is critical if we want to move forward with social development and build a society, preparing youth in marketable skills in order to make them productive members. Ÿ Ensure measure to reach out to out of school children with life skill based education for which is safer for our children and to prevent further tragedies like Kasur. What is life skills based education? the sake of their protection. Provincial Policies: Life Skills Based Education provide information and skills on Sexual and Reproductive National Policies: Ÿ Ensure that government allocates adequate budgets for successful implementation of Health and Rights to the young people and empower them to adopt safe health-seeking The Punjab Education Sector Plan (2013-2017 makes no provision for the inclusion of LSBE LSBE in all schools. National Education Policy 2009: The National Education policy is a comprehensive policy behaviors and protect themselves from abuse, exploitation, drugs and disease. interventions. However, certain objectives and strategies outlined under the plan make framework that addresses all dimensions of Pakistan's education sector. The NEP 2009 Ÿ Ensure there are government policies that requires all private sector schools to include such interventions necessary for effective implementation. Life skills are abilities for adaptive and positive behavior that enable individuals to deal speciically addresses LSBE in curricula by stating that: LSBE in their curricula. effectively with the demands and challenges of everyday life. Such skills pertain to The Punjab youth policy 2012 explicitly allows for the promotion of the culture of peer “Emerging trends and concepts such as school health, prevention Education against Ÿ Ensure that LSBE is mainstreamed into the education system and not just included as psychological competencies and help people make informed decision, solve problems, think education on life skills, interactive and leadership skills etc. to equally beneit the literate HIV/AIDS and other infectious diseases, Life Skills Based Education, Environmental additional optional subject. critically, communicate effectively, build healthy relationships, empathize with others, cope and illiterate youth. Education, Population and Development Education, Human Rights Education, School Safety with emotions and stress, and manage their lives in a healthy and productive manner. Ÿ Ensure LSBE curriculum is based on local evidence to make it effective and relevant. and Disaster and Risk Management, Peace Education and inter-faith harmony, detection World Health Organization. and prevention of child abuse, etc. shall be infused in the curricula and awareness and Ÿ Provincial curricula authorities should develop and implement evaluation frameworks training materials shall be developed for students and teachers in this context, keeping in for existing curricula and syllabi. Such evaluation frameworks should it into curriculum Components of LSBE in Pakistan: view cultural values and sensitivities.” (However, the policy contains no deinition of LSBE review cycles. Ÿ Human Rights or which particular skills will be infused in which curricula and/or at which grade) Ÿ Relevant Education and curriculum departments should coordinate efforts with provincial health departments to ensure that services necessary for the provision of Ÿ Gender National Youth Policy (2008): LSBE are available to students. Such services should be provided directly through life Ÿ Communication skills skill programming. Among the key principles outlined under the National Youth Policy of 2008 were Ÿ Decision Making “facilitating the youth (above 18 years) in the formation and planning of a health family on Ÿ Awareness of the importance of LSBE should be extended to parents. a sustainable basis” through the inculcation of life skills. Ÿ Interpersonal relationships Ÿ Parliamentarian should be sensitized to push for LSBE in schools. National HIV and AIDS Strategic Framework 2007-2012: The National HIV and AIDS Ÿ Healthy Growth Strategic Framework acknowledges that “development of life-skills, such as problem Ÿ Protection against violence and abuse solving, decision making, and critical thinking and conidence-building will make vulnerable youth less susceptible to contracting infections such as HIV” Ÿ Culture, values and diversity What is the deinition of youth, adolescent and children in Vision 2025: Pakistan? The planning Commission's Vision 2025 aims to raise individuals committed to democratic and moral values, aware of fundamental human rights, open to new ideas, having a sense of Ÿ Youth is deined as 15-29 years old personal responsibility and participation in the productive activities in society for the common good. Ÿ Adolescence is deined as 10-19 years old Ÿ Children are under 18 years old (a legal deinition as per the Convention of the Right of the Child and constitution of Pakistan)

FPAP FPAP FPAP FPAP PUNJAB PUNJAB PUNJAB PUNJAB Youth Friendly Health Services Youth Friendly Health Services Youth Friendly Health Services STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS Youth Friendly Health Services

Ÿ Clear and visible information about youth clinic hours and locations Ÿ 3rd Universal Periodic Review (UPR) recommendation accepted by GoP. What we need to do? Ÿ Display of information and health education material on issues related to adolescent Ÿ International Covenant on Economic, Social and Cultural Rights (ICESCR) Ÿ It's time to recognize and invest in young people's sexual and reproductive health to and health SRH. Ÿ the International Covenant on Civil and Political Rights (ICCPR), ensure their well-being and protection. Ÿ Teen focused information posters displayed. Population Facts: Ÿ the Convention on the Elimination of All Forms of Discrimination Against Women Ÿ Costed Implementation Plan must budget separately for youth friendly health services (CEDAW), and the Convention on the Rights of the Child (CRC) Ÿ Total population: 110 million Why invest in youth friendly health services? Ÿ Youth, Transgender people are vulnerable groups in Pakistan and its time to protect them from being further marginalize due to stigma and discrimination associated with Ÿ Average annual growth rate: 2.13 % Ÿ Sexual and reproductive health is a fundamental human right. National policies: provision of SRH to youth. Ÿ TFR: 3.4 Ÿ It has a direct relationship with country's development indicators. National Youth Policy 2008: Ÿ Review the Early age marriage law because it is detrimental to the health of young girls Ÿ Unmet need for FP: 15.8 % Ÿ It plays an important role in reducing poverty and ensuring health. Youth friendly conidential counseling help line would be established with the help of and infants Ministry of Health. Ÿ IMR: 75/1000 live births Ÿ It is linked to basic human rights including right to life, freedom, choice, health, Ÿ Young people face different challenges related to SRHR. Programs must address their education and impacts different forms of discriminations prevalent in society. Programmes for guidance of youth in adolescence age group would be undertaken. unique needs to ensure their health, well-being and opportunities later in life. This What is youth friendly health services? means providing access to life skills-based education and services to prevent, diagnose Ÿ Denying these rights can lead to greater vulnerabilities to gender-related ill health, National Youth Policy-2009: and treat STIs and unintended pregnancies. Youth friendly health services are able to effectively attract young people, meet their needs unintended pregnancies, maternal death, harmful cultural practices and sexual and 'Youth Marriage, Family and Life Skills' address to facilitate the youth (above 18 years) in Ÿ Include stigma-free, gender sensitive training material into community health providers' comfortably and responsively, and succeed in retaining young clients for continuing care. gender based violence. the formation and planning of a healthy family. curricula. WHO What are the challenges? National Health Vision Pakistan 2016-2025: Ÿ Ensure quality of care in youth friendly health services. The vision aims to improve the health of all Pakistanis, particularly women and children, WHO identiies ive key dimensions of YFHS Young people often have no knowledge about their sexuality and consequences of their sexual Ÿ Include YFHS in minimum service package of public health care system. behaviors; have high risks of pregnancy and abortion and sexually transmitted diseases through universal access to affordable quality essential health services, to attain Ÿ Acknowledge youth as diverse group with SRH different needs eg Urban/rural, age, Ÿ Equitable including HIV and AIDS; are victims of sexual violence, exploitation, prostitution and Sustainable Development Goals and fulill its other global health responsibilities. gender, education, marital status etc. Ÿ Accessible discrimination. Provincial policies: Ÿ YFHS to be made part of essential health service package. Ÿ Acceptable A major factor contributing to the poor SRHR status of young people in Pakistan is the traditional and socio-cultural set of beliefs that frown upon any discussion of sexual Punjab Youth Policy- 2012: Ÿ Gender and sex disaggregated data collection. Ÿ Appropriate reproductive health issues with young people. Create awareness on high risk behaviors such as HIV/AIDS and STIs and increase Ÿ Effective Early marriages and low contraceptive prevalence give rise to high fertility rates and also availability of integrated sexual and reproductive health information and services for contribute to the maternal mortality ration. adolescents and youth, especially the most marginalized and help prevent HIV/AIDS and What are the characteristics of Youth Friendly Health STIs. The overall contraceptive prevalence rate among women of reproductive age is 30% which Facility? is even lower than this among ever-married females ages 15-24 years (17.6%). Data Help decrease gender discrimination in the youth behavior and conceptions and to indicates that 96% of 20-24 year old females married by age 15, had either had a child or improve gender equity. Ÿ Convenient location were pregnant. Ÿ Adequate space Punjab Health Sector Strategy Plan 2012-2020: International commitments: Ÿ Counseling areas that provide privacy Youth represents around 60% of Pakistan's population and yet no strategy addresses Ÿ Examination areas that provide privacy Pakistan is signatory to many international conventions that support YFHS provision and Reproductive Health issues. There are no provisions for facilitating youth, addressing their prioritize issues of adolescence sexual and reproductive health. Reproductive Health concerns, or increasing their awareness about Reproductive Health Ÿ Comfortable surroundings and health rights. The strategy also makes no mention of health awareness in general or Ÿ International Conference on Population and Development (ICPD) 1994, Ÿ Private approach Reproductive Health education in particular. Ÿ Beijing Conference 1995 Ÿ High quality adolescent health material available. Ÿ SDGs - Agenda 2030: Goal 3 and 11 which calls for universal access to health and elimination of inequalities respectively

FPAP FPAP FPAP FPAP KHYBER PAKHTUNKHWA KHYBER PAKHTUNKHWA KHYBER PAKHTUNKHWA Khyber Pakhtunkhwa Youth Friendly Health Services Youth Friendly Health Services Youth Friendly Health Services STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS Youth Friendly Health Services

Ÿ High quality adolescent health material available. Ÿ SDGs - Agenda 2030: Goal 3 and 11 which calls for universal access to health and What we need to do elimination of inequalities respectively Ÿ Clear and visible information about youth clinic hours and locations Ÿ It's time to recognize and invest in young people's sexual and reproductive health to Ÿ 3rd Universal Periodic Review (UPR) recommendation accepted by GoP. Ÿ Display of information and health education material on issues related to adolescent and ensure their well-being and protection. health SRH. Ÿ International Covenant on Economic, Social and Cultural Rights (ICESCR) Population facts Ÿ Costed Implementation Plan must budget separately for youth friendly health services Ÿ Teen focused information posters displayed. Ÿ the International Covenant on Civil and Political Rights (ICCPR), Ÿ Total population: 30.5 million Ÿ Youth, Transgender people are vulnerable groups in Pakistan and its time to protect Ÿ the Convention on the Elimination of All Forms of Discrimination Against Women them from being further marginalize due to stigma and discrimination associated with Ÿ Youth (15-29) 35 % Why invest in youth friendly health services? (CEDAW), and the Convention on the Rights of the Child (CRC) provision of SRH to youth. Ÿ Average annual growth rate: 2.89 % Ÿ Sexual and reproductive health is a fundamental human right. National policies: Ÿ Review the Early age marriage law because it is detrimental to the health of young girls Ÿ TFR: 4.0 Ÿ It has a direct relationship with country's development indicators. and infants National Youth Policy 2016: Ÿ Unmet need for FP: 20.5 % Ÿ It plays an important role in reducing poverty and ensuring health. Ÿ Young people face different challenges related to SRHR. Programs must address their Youth friendly conidential counseling help line would be established with the help of unique needs to ensure their health, well-being and opportunities later in life. This Ÿ IMR: 60/1000 live births Ÿ It is linked to basic human rights including right to life, freedom, choice, health, Ministry of Health. means providing access to life skills-based education and services to prevent, diagnose education and impacts different forms of discriminations prevalent in society. and treat STIs and unintended pregnancies. What is youth friendly health services? Programmes for guidance of youth in adolescence age group would be undertaken. Ÿ Denying these rights can lead to greater vulnerabilities to gender-related ill health, Ÿ Include stigma-free, gender sensitive training material into community health providers' Youth friendly health services are able to effectively attract young people, meet their needs unintended pregnancies, maternal death, harmful cultural practices and sexual and National Youth Policy-2009 curricula. comfortably and responsively, and succeed in retaining young clients for continuing care. gender based violence. 'Youth Marriage, Family and Life Skills' address to facilitate the youth (above 18 years) in Ÿ Ensure quality of care in youth friendly health services. the formation and planning of a healthy family. WHO What are the challenges? Ÿ Include YFHS in minimum service package of public health care system. WHO identiies ive key dimensions of YFHS Young people often have no knowledge about their sexuality and consequences of their National Health Vision Pakistan 2016-2025: Ÿ Acknowledge youth as diverse group with SRH different needs eg Urban/rural, age, sexual behaviors; have high risks of pregnancy and abortion and sexually transmitted gender, education, marital status etc. The vision aims to improve the health of all Pakistanis, particularly women and children, Ÿ Equitable diseases including HIV and AIDS; are victims of sexual violence, exploitation, prostitution through universal access to affordable quality essential health services, to attain Ÿ Gender and sex disaggregated data collection and discrimination. Ÿ Accessible Sustainable Development Goals and fulill its other global health responsibilities. Ÿ YFHS to be included in health sector strategies and essential health packages. Ÿ Acceptable A major factor contributing to the poor SRHR status of young people in Pakistan is the traditional and socio-cultural set of beliefs that frown upon any discussion of sexual Provincial policies: Ÿ Appropriate reproductive health issues with young people. KP Youth Policy- 2012 Ÿ Effective Early marriages and low contraceptive prevalence give rise to high fertility rates and also contribute to the maternal mortality ration. The policy is based on three pillars i.e. youth development through economic, social and What are the characteristics of Youth Friendly Health political empowerment. The overall contraceptive prevalence rate among women of reproductive age is 30% which Facility? is even lower than this among ever-married females ages 15-24 years (17.6%). Data The main purposes of this policy are to attract youths to formal education, provide them indicates that 96% of 20-24 year old females married by age 15, had either had a child or with right and respective education of their choice on professional ground. The focus has Ÿ Convenient location were pregnant. been given to develop the youth professionally besides developing their technical, Ÿ Adequate space vocational, general and psychological skills. It also talks about sexual reproductive health and rights of young people. Ÿ Counseling areas that provide privacy International commitments Ÿ Examination areas that provide privacy Pakistan is signatory to many international conventions that support YFHS provision and prioritize issues of adolescence sexual and reproductive health. Ÿ Comfortable surroundings Ÿ International Conference on Population and Development (ICPD) 1994, Ÿ Private approach Ÿ Beijing Conference 1995

FPAP FPAP FPAP FPAP BALOCHISTAN BALOCHISTAN BALOCHISTAN Balochistan Youth Friendly Health Services Youth Friendly Health Services Youth Friendly Health Services STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS Youth Friendly Health Services

Ÿ High quality adolescent health material available. Ÿ SDGs - Agenda 2030: Goal 3 and 11 which calls for universal access to health and What we need to do elimination of inequalities respectively Ÿ Clear and visible information about youth clinic hours and locations Ÿ It's time to recognize and invest in young people's sexual and reproductive health to Ÿ 3rd Universal Periodic Review (UPR) recommendation accepted by GoP. Ÿ Display of information and health education material on issues related to adolescent and ensure their well-being and protection. health SRH. Ÿ International Covenant on Economic, Social and Cultural Rights (ICESCR) Population Facts: Ÿ Ensure timely delivery of Costed Implementation Plan Ÿ Teen focused information posters displayed. Ÿ The International Covenant on Civil and Political Rights (ICCPR), Ÿ Total population: 12.3 million Ÿ Youth, Transgender people are vulnerable groups in Pakistan and its time to protect Ÿ The Convention on the Elimination of All Forms of Discrimination Against Women them from being further marginalize due to stigma and discrimination associated with Ÿ Youth (15-29) 26.8 % Why invest in youth friendly health services? (CEDAW), and the Convention on the Rights of the Child (CRC) provision of SRH to youth. Ÿ Average annual growth rate: 3.37% Ÿ Sexual and reproductive health is a fundamental human right. National policies Ÿ Review the Early age marriage law because it is detrimental to the health of young girls Ÿ TFR: 4.0 Ÿ It has a direct relationship with country's development indicators. and infants National Youth Policy 2008: Ÿ Unmet need for FP: 21.6% Ÿ It plays an important role in reducing poverty and ensuring health. Ÿ Young people face different challenges related to SRHR. Programs must address their Youth friendly conidential counseling help line would be established with the help of unique needs to ensure their health, well-being and opportunities later in life. This Ÿ IMR: 97/1000 live births Ÿ It is linked to basic human rights including right to life, freedom, choice, health, Ministry of Health. means providing access to life skills-based education and services to prevent, diagnose education and impacts different forms of discriminations prevalent in society. and treat STIs and unintended pregnancies. What is youth friendly health services? Programmes for guidance of youth in adolescence age group would be undertaken. Ÿ Denying these rights can lead to greater vulnerabilities to gender-related ill health, Ÿ Include stigma-free, gender sensitive training material into community health providers' Youth friendly health services are able to effectively attract young people, meet their needs unintended pregnancies, maternal death, harmful cultural practices and sexual and National Youth Policy-2009: curricula. comfortably and responsively, and succeed in retaining young clients for continuing care. gender based violence. 'Youth Marriage, Family and Life Skills' address to facilitate the youth (above 18 years) in Ÿ Ensure quality of care in youth friendly health services. the formation and planning of a healthy family. WHO What are the challenges? Ÿ Include YFHS in minimum service package of public health care system. WHO identiies ive key dimensions of YFHS Young people often have no knowledge about their sexuality and consequences of their National Health Vision Pakistan 2016-2025 Ÿ Acknowledge youth as diverse group with SRH different needs eg Urban/rural, age, sexual behaviors; have high risks of pregnancy and abortion and sexually transmitted gender, education, marital status etc. The vision aims to improve the health of all Pakistanis, particularly women and children, Ÿ Equitable diseases including HIV and AIDS; are victims of sexual violence, exploitation, prostitution through universal access to affordable quality essential health services, to attain Ÿ Gender and sex disaggregated data collection and discrimination. Ÿ Accessible Sustainable Development Goals and fulill its other global health responsibilities. Ÿ YFHS to be made part of Health sector strategies and essential health services package. Ÿ Acceptable A major factor contributing to the poor SRHR status of young people in Pakistan is the traditional and socio-cultural set of beliefs that frown upon any discussion of sexual Provincial policies: Ÿ Appropriate reproductive health issues with young people. Balochistan youth policy 2015: Ÿ Effective Early marriages and low contraceptive prevalence give rise to high fertility rates and also contribute to the maternal mortality ration. The basic function of the Policy is to prepare grounds in economic, social and political/civic What are the characteristics of Youth Friendly Health ields to engage rising expectations of the Balochistani youth for actual mobilization of their The overall contraceptive prevalence rate among women of reproductive age is 30% which potential in operation; so that they are active, hopeful, enlightened and be part of their own Facility? is even lower than this among ever-married females ages 15-24 years (17.6%). Data making in personal and socio-economic development and the gap between youth indicates that 96% of 20-24 year old females married by age 15, had either had a child or Ÿ Convenient location aspirations and actual youth efforts is gradually decreased. were pregnant. Ÿ Adequate space One of the objective of the policy is to facilitate integrated healthcare ensuring reproductive health programming and services. Ÿ Counseling areas that provide privacy International commitments Ÿ Examination areas that provide privacy Pakistan is signatory to many international conventions that support YFHS provision and prioritize issues of adolescence sexual and reproductive health. Ÿ Comfortable surroundings Ÿ International Conference on Population and Development (ICPD) 1994, Ÿ Private approach Ÿ Beijing Conference 1995

FPAP FPAP FPAP FPAP Sindh SINDH SINDH Sindh Youth Friendly Health Services Youth Friendly Health Services Youth Friendly Health Services STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS STRIVING FOR YOUTH RIGHTS Youth Friendly Health Services

Ÿ Clear and visible information about youth clinic hours and locations Ÿ 3rd Universal Periodic Review (UPR) recommendation accepted by GoP. What we need to do Ÿ Display of information and health education material on issues related to adolescent and Ÿ International Covenant on Economic, Social and Cultural Rights (ICESCR) Ÿ It’s time to recognize and invest in young people’s sexual and reproductive health to health SRH. Ÿ The International Covenant on Civil and Political Rights (ICCPR), ensure their well- being and protection. Ÿ Teen focused information posters displayed. Population Facts: Ÿ The Convention on the Elimination of All Forms of Discrimination Against Women Ÿ Ensure timely delivery of Costed Implementation Plan (CEDAW), and the Convention on the Rights of the Child (CRC) Ÿ Total population: 48 million Why invest in youth friendly health services? Ÿ Youth, Transgender people are vulnerable groups in Pakistan and its time to protect them from being further marginalize due to stigma and discrimination associated with Ÿ Average annual growth rate: 2.41 % Ÿ Sexual and reproductive health is a fundamental human right. National policies: provision of SRH to youth. Ÿ TFR: 3.6 Ÿ It has a direct relationship with country’s development indicators. National Youth Policy 2008: Ÿ Review the Early age marriage law because it is detrimental to the health of young girls Ÿ Unmet need for FP: 17.7 % Ÿ It plays an important role in reducing poverty and ensuring health. Youth friendly conidential counseling help line would be established with the help of and infants Ministry of Health. Ÿ IMR: 82 /1000 live births Ÿ It is linked to basic human rights including right to life, freedom, choice, health, Ÿ Young people face different challenges related to SRHR. Programs must address their education and impacts different forms of discriminations prevalent in society. Programmes for guidance of youth in adolescence age group would be undertaken. unique needs to ensure their health, well-being and opportunities later in life. This What is youth friendly health services? means providing access to life skills-based education and services to prevent, diagnose Ÿ Denying these rights can lead to greater vulnerabilities to gender-related ill health, National Youth Policy-2009: and treat STIs and unintended pregnancies. Youth friendly health services are able to effectively attract young people, meet their needs unintended pregnancies, maternal death, harmful cultural practices and sexual and ‘Youth Marriage, Family and Life Skills’ address to facilitate the youth (above 18 years) in Ÿ Include stigma-free, gender sensitive training material into community health providers’ comfortably and responsively, and succeed in retaining young clients for continuing care. gender based violence. the formation and planning of a healthy family. curricula. WHO What are the challenges? National Health Vision Pakistan 2016-2025: Ÿ Ensure quality of care in youth friendly health services. Young people often have no knowledge about their sexuality and consequences of their Ÿ Include YFHS in minimum service package of public health care system. WHO identiies ive key dimensions of YFHS The vision aims to improve the health of all Pakistanis, particularly women and children, sexual behaviors; have high risks of pregnancy and abortion and sexually transmitted through universal access to affordable quality essential health services, to attain Ÿ Acknowledge youth as diverse group with SRH different needs eg Urban/rural, age, Ÿ Equitable diseases including HIV and AIDS; are victims of sexual violence, exploitation, prostitution Sustainable Development Goals and fulill its other global health responsibilities. gender, education, marital status etc. Ÿ Accessible and discrimination. Ÿ Gender and sex disaggregated data collection Ÿ Acceptable A major factor contributing to the poor SRHR status of young people in Pakistan is the Provincial policies: traditional and socio-cultural set of beliefs that frown upon any discussion of sexual Ÿ Youth Friendly Health services must be included in health sector strategies. Ÿ Appropriate reproductive health issues with young people. Sindh youth policy 2018: Ÿ Effective Early marriages and low contraceptive prevalence give rise to high fertility rates and also The highlights of the youth policy include the establishment of the development contribute to the maternal mortality ration. commission, a district structure for the youth affairs department and a centralised What are the characteristics of Youth Friendly Health information system on youth development. Other aspects include a job database and the The overall contraceptive prevalence rate among women of reproductive age is 30% which establishment of a youth venture capital fund and youth sexual reproductive health and Facility? is even lower than this among ever-married females ages 15-24 years (17.6%). Data rights. indicates that 96% of 20-24 year old females married by age 15, had either had a child or Ÿ Convenient location were pregnant. Costed Implementation Plan: Ÿ Adequate space Sindh costed implemented plan is being implemented and has a special focus on youth Ÿ Counseling areas that provide privacy International commitments: friendly health services. Ÿ Examination areas that provide privacy Pakistan is signatory to many international conventions that support YFHS provision and prioritize issues of adolescence sexual and reproductive health. Sindh Sector Health Strategy plan 2012-2020: Ÿ Comfortable surroundings Ÿ International Conference on Population and Development (ICPD) 1994, Sindh Sector Health Strategy aims to strengthen the systems through improvements in Ÿ Private approach institutional arrangements and integration of various Programs especially at the district Ÿ Beijing Conference 1995 level by implementing an integrated essential health services package. Ÿ High quality adolescent health material available. Ÿ SDGs - Agenda 2030: Goal 3 and 11 which calls for universal access to health and elimination of inequalities respectively

FPAP FPAP FPAP FPAP Pakistan Population STRIVING FOR YOUTH RIGHTS Important STRIVING FOR YOUTH RIGHTS Facts Websites:

Pakistan Population Facts 6th most populous country in the world Ÿ Ministry of Health – http://www.health.gov.pk Ÿ Total Populations: 207.7 million Ÿ Ministry of Human Rights – http://www.mohr.gov.pk Ÿ Population Growth Rate: 2.40 % Ÿ Ministry of women Development – http://www.mowd.gov.pk Ÿ Total Fertility Rate: 3.6% Ÿ IPPF charter on sexual and reproductive rights – Ÿ Unmet Need for FP: 17.3% http://www.ippf.org/en/Resources/Statements/IPPF+Charter+on+Sexual+and+ Reproductive+Rights.htm Ÿ Maternal Mortality Rate: 178/100000 Ÿ Rahnuma FPAP – http://www.fpapak.org Ÿ Infant Mortality Rate: 62/1000 Ÿ UNFPA – http://www.unfpa.org/public/ Ÿ Mal Nutrition Ÿ Population Reference Bureau- http://www.prb.org Ÿ Stunded: 23% Ÿ Pakistan Demographic and Health Survey - Ÿ Anemic: 61% http://www.healthsystemspak.com/documents Ÿ Under weight: 23% Ÿ ICPD - http://www.un.org/popin/icpd2.htm Ÿ CPR: 35% Ÿ SDGs - https://sustainabledevelopment.un.org/sdgs Ÿ If CPR is raised to 55% Ÿ Mothers saved: 4884 mothers out of 12000 will be saved on annual basis Ÿ Infants saved : 140357 infants will be saved Ÿ 2% population growth is retained By 2040 Ÿ 120 million more jobs will be needed Ÿ 19 m houses will be needed Ÿ 85000 schools will be needed Ÿ 1/3 out of school (age 5-16) Ÿ Boys 27 % Ÿ Girls 40 % Pakistan will be among the top three water stressed country Ÿ 1951 5300m3 / capita Ÿ 2017 860 m3 / capita

PDHS 2016-17

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