Youn Adult Re Roductive Health State of the SOIA I Rainin Course
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Youn Adult Re roductive Health State of the SOIA Irainin Course IA· FOCUS on Young Adults Febuary 18-23. 2001 Abuja Nigeria @ 2001 FOCUS on Young Adults Any part of this pu blication may be copied, reproduced, distributed or adapted without permission from the author or publisher, provided the recipient of the materials does not copy, distribute Or adapt materials for commercial gain and provided that the authors, and FOCUS on Young Adults, are credited as the source of such information on all copies, reproductions, distributions and adaptations of the material, The FOCUS on Young Adults program promotes the well-being and reproductive health of young people. FOCUS is a program of Pathfinder International in partnership with The Futures Group International and Tulane University School of Public Health and Tropical Medicine. FOCUS is funded by USAID, Cooperative Agreement # CCP-A-00-96-90002-00. The opinions expressed therein are those of the authors and do not necessarily reflect the views of the U.s. Agency for International Development. Publications addressing adolescent reproductive health can be downloaded from the FOCUS web site: http://pathfind.org/focus.htm iii TABLE OF CONfENTS Acknowledgements ..................................................................................................................................... vi SOTA Course Facilitators in Alphabetical Order ............................................................................ viii Monitoring and Evaluation Course Facilitators ........................................................................ ix Youth-Friendly Services Course Facilitators ............................................................................. ix Mvocacy Course Facilitators ......................................................................................................... ix List of Acronyms .......................................................................................................................................... x Executive Summary ................................................................................................................................... xii Introduction .................................................................................................................................................... 1 A. Statement of Purpose of the SOTA .......................................................................................... 1 B. Goal and Objectives ....................................................................................................................... 2 Purpcse of this Report .............................................................................................................................. 3 A. Course Design ..................................................................................................................................4 B. Excerpts of Key Speeches at the Opening Ceremony ......................................................... 7 Country Background ................................................................................................................................... 8 A. Current Situation in Nigeria ....................................................................................................... 8 B. Health of Nigeria ............................................................................................................................. 9 SOTA Course Thematic Areas ................................................................................................................. 11 A. Understanding Adolescence ....................................................................................................... 11 Our Perceptions ................................................................................................................................ 11 Current State of Affairs .............................................................................................................. 12 Fertility Regulation ........................................................................................................................ 14 High-Risk Fertility Behavior ......................................................................................................... 14 Making the Transition .................................................................................................................. 16 Summary .......................................................................................................................................... 16 B. Risk and Protective Factors ...................................................................................................... 17 Socioeconomic Factors ................................................................................................................ 17 Environmental Factors ................................................................................................................. 17 Cultural Factors .............................................................................................................................. 18 The Media ..........................................................................................................................................18 Religion ...............................................................................................................................................18 Summary ...........................................................................................................................................18 -----------._----------------- iv C. Creating an Enabling Environment ........................................................................................... 19 Current Policies Affecting Young People in Nigeria ............................................................. 19 From Policy to Practice ................................................................................................................ 21 The Ghanaian Experience ........................................................................................................... 22 Summary ......................................................................................................................................... 22 D. Services ........................................................................................................................................... 23 Youth-Friendly Services .............................................................................................................. 23 Meeting the Needs of Specific Young Adults in Nigeria .................................................. 24 Summary ........................................................................................................................................ 28 E. Communication .............................................................................................................................. 29 Role of the Media in Reproductive Health Communication ............................................ 29 Developing Effective Communication Strategies .............................................................. 30 Social Marketing and Behavior-Change Communication ............................................... 30 Summary ......................................................................................................................................... 30 F. YARH Strategies and Approaches ........................................................................................... 31 Program Approaches and Lessons Learned in Nigeria .................... " ............................... 31 Summary ........................................................................................................................................ 34 G. Monitoring and Evaluation (M&E) ......................................................................................... 35 H. Next Steps .................................................................................................................................... 35 Commitment and Summary ............................................................... ~ ..................................... 39 Conclusion ................................................................................................................................................ 40 A. Evaluation ...................................................................................................................................... 40 B. Partner Assessment .................................................................................................................... 41 C. SOTA Course Evaluation ............................................................................................................. 42 Monitoring and Evaluation Training Course Report ...................................................................... 43 A. Course Description ..................................................................................................................... 43 B. Goals and Objectives .................................................................................................................. 44 C. Description of Participants and Organizations .................................................................. 45 D. Highlights and Emerging Issues ............................................................................................. 46 E. Recommendations and Course Evaluation .........................................................................