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ADOLESCENTS RIGHTS AND HEALTH PROJECT

The Youth Clinic of Centre Marembo aims to implement a Youth Corner for information, education, healthcare to young vulnerable as rights.

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What specific problem(s) are you trying to address?

Currently, our youth faces serious issues of lack of knowledge on sexual reproductive health as well as lack of access to child rights education. Inadequate health care to the young vulnerable, sexual abuse among street children, teen and pre-teen pregnancies, drug abuse among youth. There are a lot of myth and taboos around concerning the use of family planning methods which prevent youth to open up and speak out. Lack of a sense of responsibility among youth to prevent future incidences of unwanted pregnancies, sexual transmitted infections and more related issues. The statistics 2016-2017 have shown that 17,500 of the young girls aged between 16-19 were impregnated. These statics do not include cases of young girls under 16 years old.

What are some of your unanswered questions about the problem(s) you are working to address?

- Sexual education, information and motivation among the children and youth remains a crucial need. - Implementation of educational programs for adolescents'rights remains weak - Provision of sexual and reproductive healthcare services - Provision of family planning contraceptive methods to the young adolescents. - Antenatal care and protection for unwanted pregnancies. - Rehabilitation for the victims of sexual abuse and follow up of the teen mothers and their babies.

Explain Your Idea

Our idea is to provide to the young adolescents information, education and motivation about the sexual reproductive health and their rights. This project will not only educate but also will focus on providing access to full package of reproductive healthcare services to teenagers and rights. Our Youth Clinic has trained 35 youth trainers under the partnership with Aktion Regen (an Austrian NGO) on reproduction health and family planning as solution to address over population, unhappy and unhealthy families whereby children rights are flouted. Within this context, Centre Marembo has developed educational material and tools to easily give message on adolescents sexual reproductive health and family planning. This has brought us to enable the youth have a mindset and behavior change communication. This youth group is expected to work closely with our clinic and will teach their fellows and the community.

Name the three most important ways that your idea will address your identified problem(s).

The three most important ways our idea will address the problem will base on the information, education and motivation in three approaches - Community outreach and media - Clinical programs and services - Ministry of health and partners through its National Steering Committee for Adolescence Sexual Reproductive Health and Family Planning

How is your idea unique?

The uniqueness of Imirasire Youth Clinic will base on specialties in Youth health issues, Centre Marembo has been a shelter for young street girls victims of abuse, pre-teen and teen pregnant and mothers, will be quickly responsive to their health matters by offering quality service within the clinic. Beyond of this the clinic will check up health status of children who are abandoned before they are taken to the foster families and will extend its services to children from the transit centers for street children. Finally, the clinic will provide free health care to helpless children living on the street. To be successful the following verifiable indicators are to be considered: # of Clinical services that are permanently functional; % of street children received in the Clinic and screened; % of Children who received education to drug abuse and committed to abandon their use % Children who return to home after their follow up to Clinic % Patients who need ART and receive it.

What are some outstanding concerns or questions that you have regarding your idea?

The Imirasire Youth Clinic is overwhelmed by the a critical financial situation, medical equipment for the Youth Clinic, human resources and limited infrastructures. The clinic is the only one facility across the City of Kigali this implies that we have a wide catchment area to serve with limited resources. A big number of children and youth increasing continually in the street.

Who are your end users?

Our end users are the children street girls and girls who are victims of sexual abuse and other forms of home violence. Teen mothers and their babies who live in Centre Marembo. The center aims to support around 5000 children and youth. This number includes 70 girls currently residing in the Centre Marembo, the children living in the street and those from other centers and the community. The clinic will give them health care, counseling and education. The babies born from the teen and pre-teen mothers will access to pediatric services and special follow up. The clinic has a youth corner room where whoever will have encountered various issues relating to their sexual reproductive health will come to meet a professional for advice.

Where will your idea be implemented?

  • Rwanda

What is the primary type of emergency setting where your innovation would operate?

  • Other

Tell us more about the emergency setting that you intend to implement in

Our emergency setting being Young Vulnerable Community at risk of sexual abuse, unwanted pregnancies, HIV/AIDS, stigma and deprived with rights to human needs, our project will not only support the youth but will also serve the population of the same catchment area to access to health care including X-ray, physiotherapy, laboratory and dentistry services.

What is your organization's name?

CENTRE MAREMBO ORGANIZATION

Tell us more about you.

Centre Marembo Organisation is legally operating in Rwanda and was granted legal personality no 101/08.11. It has fulfilled all requirements for compliance with law number 04/2012 of 17.02.2012 governing the organisation and the functioning of national Non-Governmental Organisations. Today, Imirasire Youth Clinic Laboratory is registered in the Ministry of Health with authorisation No 20/5895/DGCPHS/PHF/2016. Among the rehabilitation centre for young street children, Centre Marembo through Imirasire Youth Clinic Laboratory is the only centre of its kind to deal specifically with the health of street children in all its components, preventive, promotional, curative and rehabilitative.

Organizational Characteristics

  • Locally/community-led organization

What is the current scale of your proposed innovation?

  • National - expansive reach within 1 country

Experience in Implementation Country(ies)

  • Yes, for more than one year.

Expertise in Sector

  • Yes, for more than a year.

Organization Location

We are located in the Kigali City, District of Gasabo, Ndera Sector, Kibenga Cell.

What is your organizational status?

  • Registered non-profit, charity, NGO, or community-based organization.

What is the maturity of your innovation?

  • Roll-out/Ready to Scale: Completed a pilot and am ready / in process of expanding.

Website

www.centremarembo.org

How has your idea changed based on feedback?

We improved our context by creation of story boards to clearly explain and develop the process of how Centre Marembo reaches out the street children (girls and boys) through campaigns and site visits with an aim tidentify victims and rescue them. Your feedback led us to understand that we had not enough enhanced the value and the fact that our work is a community based one and has to show sustainable solution with multiplier effects as well as its future autofinance. Your feedback allowed us rebuild our presentation in broader way creating a new communication pattern through the story boards in the purpose of illustrating the stages of our interventions to street girls and show the overall project activities and services are provided to them. Being a unique alternative care for the victims of GBV, sexual abuse Centre Marembo mission is to impulse sexual and reproductive health education and promotion of their rights. Our original idea remains relevant looking at the current situation.

Who will implement this idea?

The staff of Centre Marembo and Imirasire Youth Clinic team will be holding the responsibility and have full time employees, however, the clinic has trained 22 community health workers (who are youth) will also bring in potential inputs through peer to peer education. However, we cannot leave behind the partnership of the comcmunity due to citizens help a lot in mobilization of the political powers, calls up them to face their responsibility so as to find a long term solution to this societal problem. Beside the existing partnerships with AKTION REGEN (Austria), AMIE (Canada), Global Fund for Children (USA), Global Giving ( USA) with active support of local governmental entities, we prospect further partnerships in the future and this will much more build sustainability of our project.

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?

Centre Marembo has a board team that is run by a chairman; this report to the National Rehabilitation Services based in the Ministry of Local Government. Under the board comes the Executive Director of Centre Marembo who reports to the Board. Under comes the Assistant Director this reports to the Director. Then comes the Manager of Imirasire Youth Clinic who reports to the Centre Marembo Executive Director. The Clinic staff which scatered into departments that are headed by chief of Departments. Then Farming project is headed by In charge of Monitoring and Evaluation who reports to the Executive Director. The Finance and administrative Officer who has an assistant accountant at the clinic. This reports to the E.D. In case of big purchase it requires at least 4 people to check in.

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?

Our end-users face a great challenge of common and individual exclusion from their community, that bring them to misery of the street life whereby they don't have any access to all facilities. The biggest challenge is that they loose the citizens status from which their rights are resulting. At the system -level we identfy the greatest challenge of inadequate grant relationship that inhibit and compromises Centre Marembo plans to reach the objectives and expectations of giving quality services to our end-users

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?

Our vision is that by 2022 Centre Marembo be recognized by street children and youth, the community, local and national authorities as a place of quality medical and social support. We prospect to be famous activist of youth health promotion specially in sexual reproductive health. In a long term, we would like to raise awareness of the society on the situation of street children and their rights. We believe that the current project will allowed us to reach our upcoming ambitions.

What is it that most attracted you to Amplify instead of a more traditional funding model?

We're mostly attracted by this model as it's not only focussed on funding but more importantly to undergo a self assessment (SWOT) of our organization. This dynamic process bring us to develop and learn more, get inovative and creative, new models of communication, acquire new strategies interest partners and donors, create emulation and interactions between the staff members.

How long have you and your colleagues been working on this idea together?

  • Less than 6 months

How many of your organizations’s paid, full-time staff are currently based in the location where the beneficiaries of your proposed idea live?

  • Between 10-20 paid, full-time staff

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?

  • Business Development / Partnerships Support

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Hi IMIRASIRE and team!

An important reminder, Refinement Phase closes this Thursday, October 26 at 11:30pm PST.

We can only consider complete submissions, so please make sure that you have reviewed the Feedback and Refinement Phase Checklists and answered all of the questions on the platform. Note that we added one more multiple choice question to the end of the form.

If you're having trouble figuring out how to edit your idea, please refer to this guidance: https://docs.google.com/document/u/1/d/e/2PACX-1vQUuV2N-wO8Oy8MysMAza3CbKUA1ZcMenollZjPh4FA0fGgIDcVXwWtEe6CLh36_Wik5AypEHixreFH/pub

Best of luck!

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