Increasing access to sexual and reproductive to adolescents at Mishamo refugee camp using Mhealth innovation
We will empower adolescents to make their own decisions by changing norms related to gender, sexuality, early marriage and child bearing
Adolescent group participatory learning session
What specific problem(s) are you trying to address?
The camp experience high population growth ( 3.8% per annual) . Majority of girls are married at age between 15-18 years and 30% of adolescent get pregnant before 19 years (DHIS2015). Less than 8.6 % are using contraceptive methods and about 1 out of 3 adolescents have experience sexual violence.
Mishamo camp is located at Mpanda DC , Katavi Region in Tanzania.
The leading cause death among adolescent are pregnancy and child bearing complication. They lack awareness sexual reproductive heath and their rights, where to access services and how to prevent and response to sexual abuse.
The government have established group to support income generation for youth groups but lacks capacity to integrating life skills and sexual reproductive health education in the existing groups
Explain Your Idea
Pathfinder will engage with community leaders and influential people to increase awareness and support adolescent to access SRH services. We will use different approaches like adolescent peer groups, community dialogues for awareness creation and engagement of facilities and social welfare office to ensure adolescent can access wide range of SRH services.
The project will different approaches to provide comprehensive SRH services to youth. We will use individual session, peer group meetings and community sensitization to reach youth The adolescents will be referred to facilities for health services
Mobile health approach will be used to provide services and real time documentation. The mhealth application will include standard operating procedures for offering SRH and interactive dashboards for data use and decision making
Community participatory theater will be use to address community norms which prevents adolescents to access sexual reproductive health and their rights to choice their path. The drama sessions will be used to recruit more adolescent in the small peer group. Health facility providers will offer integrated services including contraceptives, HIV, and GBV to individuals on spot
Participatory drama will be to sensitize adolescences in the villages to participate in the groups and disseminating SRH messages, promote use of FP and HIV testing and prevention. We will engage the community influential people to discourage early marriage and tean pregnancies.
Peer leaders will receive comprehensive training on provision of contraceptives, gender-equitable, abortion, HIV prevention, GBV, safe abortion, relationships, conservation, human rights and how to facilitate group sessions. They will form groups of 10-15 adolescent and facilitate healthy SRH life skill discussion. These groups will meet monthly. Peer leaders will organize individual session with the member and use mobile App to counsel and offer referral to adolescent to facility or relevant spot for SRH services and link them with existing income generation initiatives by government The mobile application with standard protocol for FP/SRH services and interactive dashboards will be adopted for this idea.
This Peer leaders will be supervised by facility providers for strong linkages with facilities.
Name the three most important ways that your idea will address your identified problem(s).
• Increase uptake of contraceptive services among adolescent groups. This will results in health timing spacing pregnancies and allow adolescent engage in income generation activities for better future prospects
• Implementing this idea will increase awareness to adolescent to various sexual reproductive health issues and their rights. They will be able to recognize any SRH problems they are facing and seek appropriate services and treatments without fear.
• The idea will strengthen linkages and collaboration between district councils, health facilities and communities to support address the need of adolescences. This idea will provide a forum for adolescences to voice their concern with one voice to the government structure
How is your idea unique?
The idea is unique because it has introduce a mobile application innovations protocol to harmonize quality of SRH services offered by different peer leaders providers. Data is collected in real time manner and includes powerful interactive dashboards for displaying results and facilitating data use for decision making. Even the adolescent peer group leaders will be able to use data for session planning.
Peer to Peer education is a common approach but a uniqueness of our approach is the groups will be directly linked to facilities for services through organized community outreach activities. The groups will be linked with income generation activities implemented by the government in the camp area.
Peer leaders will be trained to offer contraceptive services to their peer and will be supervised by health facility staff. We will increase awareness on links of family planning to natural resource management and contribute to sustainable management of forest.
What are some outstanding concerns or questions that you have regarding your idea?
The major concern about the idea is on how we will be able to sustain and scale up the idea
We will use Beginning with end in mind approach to cooperate sustainability component from design. The community and district and region leaders will be engaged from ideation , pilot testing and implementation. We will do regular review meeting to share lessons learned and best practices and advocate for government to scale up of best practices in other refugee camps within the region.
Who are your end users?
About 2500 adolescents age 15-19 years old. They are refugees from Burundi and live at Mashimo camp in Mpanda DC at Katavi region in Tanzania will benefit from this intervention.
Adolescent group participating in sexual reproductive education session. The peer group leader is facilitating session on reproductive health services using a customized curriculum adopted from Great curriculum.
Most of the adolescent have little or no knowledge on sexual and reproductive health services and their rights to forge prospect future. They are vulnerable and live in areas with high HIV prevalence. These societies are male dominant and girls have no voice in their society.
We will also organize outreach services these groups were facility providers will offer contraceptives, HIV, GBV services. We will also use interactive drama events to address community norms that prevent adolescent from accessing SRH and their rights.
Where will your idea be implemented?
What is the primary type of emergency setting where your innovation would operate?
Tell us more about the emergency setting that you intend to implement in
The specific risk are highly populated areas at very remote location. Lack of basic infrastructure, health services and high prevalence of HIV.
This camp is located at Tongwe national forest reserve areas. The area is highly populated and communities relies on forest resources for food security. Regular conflicts exist between the government and community members over village boundaries and sexual and reproductive health and right issues are not discussed openly in these communities.
What is your organization's name?
Tell us more about you.
With a mission to champion sexual and reproductive health and rights worldwide, Pathfinder International has placed reproductive health at the center of all that we do since establishment in 1957—Pathfinder has been operating in Tanzania since 1957, with a full-time office established in 1984, focusing on strengthening government and local organizational capacity to improve provision and uptake of sexual and reproductive health and rights services.
We believe sexual and reproductive health care is essential for young people to realize their full potential. Their lives depend on it. Wherever the need is most urgent, our programs ensure young people can make their own decisions about their bodies and choose their own path forward.
What is the current scale of your proposed innovation?
Community - 1+ communities within 1 country
Experience in Implementation Country(ies)
Yes, for more than one year.
Expertise in Sector
Yes, for more than a year.
Pathfinder headquarters is in Dar es salaam Tanzania. We have an office in Mpanda district were the Mashamo refugee camp is located, where we are implementing health and conservation programs.
What is your organizational status?
Registered non-profit, charity, NGO, or community-based organization.
What is the maturity of your innovation?
Early Stage Innovation: exploring my innovation, refining, researching, and gathering inspiration.
How has your idea changed based on feedback?
The feedback have helped in refining the idea and making the idea very specific and focus. Feed back from users was very helpful to understand the youth have more worries about future plans and than getting SRH services. They need holistic solution that address also their future prospect to get their buy in for seeking SRH services. The government and community leaders have huge concern on early marriage and lack of use of family planning among adolescent and are very supportive with the idea and offer all their support to make the intervention successful. This is a good sign for future sustainability
Who will implement this idea?
The idea will be implemented by Pathfinder staff in collaboration with district staff. Pathfinder have 3 staff at Mpanda district and will provide full time support in implementation. If the idea will be successful we will levarage resources from other pathfinder donors to scale up the idea in all project areas in Mpanda and Kigoma region.
Using a human-centered design approach, you may uncover insights that lead to small or foundational changes to your organization’s existing strategy or processes in order to unlock the potential of your idea. How would your organization go about making such changes?
Pathfinder use HCD design process in developing intervention about youth. we are collaborating with YLab to use develop ideas for addressing provider biases toward serving youth. So the HCD approach is highly recommended by Pathfinder as an organization. The design of this idea involve all senior management team at Pathfinder and they all support the idea.
What challenges do your end-users face? (1) What is the biggest challenge that your end-users face on a day-to-day, individual level? (2) What is the biggest systems-level challenge that affects your end-users?
The biggest challenges end users face is poverty and low knowlege about sexual reproductive health services.
The biggest systems level challenges is lack of youth friendly services in health facilities and staff shortage making it very difficult to access SRH services
Tell us about your vision for this project: (1) share one sentence about the impact you would like to see from this project in five years and (2) what is the biggest question you need to answer to get there?
By end of this project, we expect to reach 80 percent of youth in camp setting with SRH services.
What is it that most attracted you to Amplify instead of a more traditional funding model?
What attracted me to Amplify is the use of HCD approach in designing the ideas and a thorough open feedback process from colleagues and team of experts. This approach bring end user perspectives in the design and provide opportunity to refine the idea and test before implementation.
Do you intend to implement your Amplify idea in refugee camps / temporary settlements?
We aim to implement our Amplify idea in a refugee camp / temporary settlement.
How long have you and your colleagues been working on this idea together?
How many of your organizations’s paid, full-time staff are currently based in the location where the beneficiaries of your proposed idea live?
Under 5 paid, full-time staff
Is your organization registered in the country you intend to implement your idea in?
We are registered in all countries where we plan to implement.
My organization's operational budget for 2016 was:
Between $50,000 and $100,000 USD
What do you need the most support with for your innovation?