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Sexual and Reproductive Health and Rights (SRHR) for ALL.

Many young girls and boys, men and women in Nepal are less informed or not informed about their Sexual and Reproductive Health and Rights(SRHR), which has made them suffer from many problems such as teenage pregnancy, unsafe abortion, unwanted pregnancy, poor menstrual hygiene, gender based violence, Sexually transmitted infections, unhealthy maternity and so on. Those problems has specially affected the females and has deprived them from many opportunities to develop themselves and have made them insecure as well. so this idea is basically empowering and providing security to the women and girls through the effective peer education method and other creative exercises for both males and females regarding the topics related to SRHR.

Photo of Pushpa Joshi
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Provide a short description of your idea

My idea is a peer education based campaign to make the people aware and informed about their Sexual and Reproductive Health and Rights(SRHR). It tackles the problem specially women face due to lack of information regarding sexual and reproductive health and rights such as unsafe abortion, gender based violence, unwanted pregnancy etc. It addresses the problem by educating the young boys and girls, man and women on the topic related to SRHR in a fun way, by the trained peer educators where the participants can share their experiences and problems and solve the problems in the peer group. The implementation outline of the idea is given in the photo as well.

Get a user's perspective on your idea.

On 17th May, 2014 some of the member of Bhaktapur youth information forum went to a carpet industry of bhaktapur and there we had discussion with the women and girls working in the industry regarding the need of sexual and reproductive health and rights classes. From the discussion, we figured it out that they were unknown about the importance of menstrual hygiene and their menstrual hygiene as well as personal hygiene was poor. They still believe in some myths regarding menstruation. and they didn't even had knowledge about their own reproductive organs. you can see the photos of the discussion program that we conducted on 17th May, 2014 .

Show us what implementation might look like.

For the implementation of the idea, first of all the facilitator's guide book should be prepared in which the facilitation process and all the topic of SRHR are included so that it becomes easy for the peer educators to prepare themselves for the peer education classes. Then training of trainers should be given to the young enthusiastic people who are willing to be a peer educator. During the training, the young people will be given training on the different topics of SRHR then training on facilitation skill. After the training, area will be selected where peer education classes will be held. The area selection means, slum and scattered areas of kathmandu valley will be recognized to implement the idea. The areas includes slum areas, scattered areas and other marginalized areas of the valley. After the selection of the areas, the peer educators will be given certain areas to look after where they will be conducting peer education classes, follow up programs and health camps.
Many young boys and girls, men and women living in both rural as well as urban areas like Kathmandu in Nepal are sexually active rather than well informed. So it has become one of the issue which has invited different problems among people's health and life. Many women suffers from different problems such as unwanted pregnancy, unsafe abortion, gender based violence, unhealthy maternity, unhygienic menstruation, etc due to the lack of knowledge regarding SRHR.
The 'Sexual and Reproductive Health and Rights(SRHR) for ALL' project uses the method of play, awareness through radio and television, peer education method in a creative way to both men and women regarding their SRHR. In the peer education Method, the trained peer educators will be going to different communities or groups such as factories, slum areas, villages etc and collect groups of male and female. The collected group of male and female will be taught on the topics related to SRHR in separate rooms i.e only males in one room and only females in another room.the male peer educators will be taking classes to male group and female peer educators to female group so that the participates can actively participates and share their experiences without hesitation. The participants will be taught on the following 8 topics in a very creative peer education method through games, role play etc.

1. Reproductive health and human rights -
In this topic the participants will learn about different human rights and understand how they link to reproductive health.

2.Sex and Gender and Gender based violence-
In this topic the participates will learn the difference between sex and gender, identify different types of violence and identify how gender based violence affects one's life.

3.Healthy Relationships -
In this topic, the participates will identify key aspects of healthy and unhealthy relationships and explore how to change a relationship from unhealthy to healthy, or leave unhealthy relationship.

4.Anatomy-
In this topic, the participants will identify and know the functions of both male and female reproductive organs.

5.Puberty and Menstruation -
In this topic the participants will gain an understanding of the menstruation cycle, including ovulation and menstruation and discuss hygiene during menstruation.

6.Pregnancy -
In this topic the participants will gain an understanding of what is pregnancy and how it happens and identify the symptoms of pregnancy.

7. Contraception -
In this topic the participants will learn how to prevent pregnancy, identify different contraceptive methods and their proper use.

8.Abortion -
In this topic the participants will learn reasons of having abortion, learn about safe abortion methods, Nepalese abortion law and recognize abortion related complications and what to do about them.

There will be altogether 9 classes including revision of all classes at the end of all 8 classes.The classes will be conducted in very simple way using simple and non technical words so that the participants can understand easily. And there will be follow up programs as well, where the participants will be sharing the changes that came in their life, behavior and relationship after receiving the classes of SRHR. The peer educators will be in direct contact with the people of such communities through follow up programs and telecommunication ,In case the participants needs any further information or any help.

Explain your idea in one sentence.

The 'Sexual and Reproductive Health and Rights(SRHR) for ALL' project aims to raise awareness about the information regarding sexual and reproductive health and rights to the both male and female.

What is the need you are trying to solve?

The need to provide information to both men and women regarding their Sexual and Reproductive health and Rights so that they can have a happy and secure life.

Who will benefit from this idea and how would you monitor its success?

Both young boys and girls, men and women will be benefited from this idea. specially women and girls. The effectiveness or success of this idea can be monitored by the follow up programs and interviewing the participants about the effectiveness of the project on their life.

Who would be best equipped to implement this idea in the real world? You? Your organisation? Another organisation or entity?

Me and my group of Bhaktapur Youth Information Forum and other local NGOs working in the same field. I am a youth volunteer of Family planning association of Nepal (FPAN) too and we have separate youth information center in the valley branch of FPAN. Since FPAN has also being doing the similar thing, FPAN can contribute in the implementation of this idea as well. Another organization Ipas Nepal which has been working in the field of women health can also provide technical help eg. preparation of the facilitator's guide book and in the conduction of training of trainers(TOT).

Where should this idea be implemented?

Kathmandu Valley and other places of Nepal.

What might a day in the life of a community member interacting with your idea look like?

After the Implementation of the idea, the women and girls of kathmandu valley and other places of Nepal will be able to stand for their rights and they will be able to raise voice against gender based violence. Also the women will be able to share their knowledge to their peer group and younger Generation. They will become more aware about their reproductive health will will ultimately help them to empower themselves.

Evaluation results

4 evaluations so far

1. Does this idea have the potential to impact the lives of low-income women and girls living in urban areas?

Yes, the idea clearly targets low-income women and girls living in urban areas. - 75%

The idea targets women and girls but isn’t necessarily focused on those living in low-income urban areas. - 25%

The idea targets people living in low-income urban areas but doesn’t seem to benefit women and girls specifically. - 0%

2. Does this idea describe a set of next steps and a timeline to accomplish them?

The idea clearly outlines next steps, the resources and team needed to execute them and a timeline to accomplish this. - 0%

The idea gives a broad explanation of what it hopes to accomplish but there is no clear timeline or activities to reach its desired goal. - 75%

The idea has not clearly articulated what the next steps are. - 25%

3. How feasible would it be to implement a pilot of this idea in the next 12-18 months?

Very feasible – the next steps described in the contribution seem achievable in this time period. - 75%

A pilot appears feasible but more work needs to be done to figure out how it would be executed. - 0%

The idea is not ready to be piloted yet – the concept needs several more months of user feedback and prototyping to be ready for a pilot. - 25%

4. Does this idea bring a new and fresh approach to the city or region in which it’s set?

Yes, this idea appears to be new and innovative! I’m not aware of other ideas in this city or region that address this need using a similar approach. - 0%

There are other initiatives doing similar work in this area – but this idea targets a new group or has an updated approach. - 100%

I can think of many initiatives addressing the same need using a similar approach in the same region. - 0%

5. How scalable is this idea across regions and cultures?

This is an idea that could help women and girls in many different cities. I can see it being implemented across multiple regions and cultures. - 75%

Maybe but I’d imagine it would need very significant changes. - 25%

The idea is really only suited for one specific region / population. - 0%

6. Overall, how do you feel about this concept?

I love this idea! - 75%

I liked it but preferred others. - 25%

It didn't get me so excited. - 0%

32 comments

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Comment
Photo of Anne-Laure Fayard
Team

Pushpa,
great updates.
It's nice to see that you had a meeting (on May 17) with some women regarding the needs of your program. I am sure there was interest and positive feedback, but it'd be great to know more what where the main needs.
As for your implementation plan, I was wondering who will develop the guide book. Is it your club using some of the materials you've been using in the past? I'm also wondering how would you select the areas.
I love that you have thought about the evaluation of the program.

I also really enjoyed reading your interview on Melchior's blog: http://theirproblemisours.blogspot.com/2014/05/interview-with-pushpa-joshi-from.html
I hope you can continue sharing your work and thoughts on the blog. I was wondering if there could be a more long-term collaboration.

Photo of Melchior Tamisier-Fayard
Team

Dear Pushpa,

I just wanted to let you know that I added you as a contributor to the blog: http://theirproblemisours.blogspot.com/p/contributors.html

Thanks again for your collaboration and support!

Photo of Luisa Fernanda
Team

Hi Pushpa,
Great to see that you got out and run a workshop already. It's also great to learn the feedback you got and see that there is a need for this program. The implementation timeline gives us a broad idea of the next steps, however, it might be helpful to outline a bit more clearly. It would be good if you specified the time that different tasks will take and what will success look like after 14 months of carrying out these workshops. Also what do you envision to be your involvement while implementing this idea? What type of recourses and support do you need to set up a one year pilot?

Photo of Pushpa Joshi
Team

dear Anne,
In the meeting, we didn't directly asked the women about their need. we just discussed with them about different topics of SRHR and from that discussion, we got to know about their situation and level of their knowledge on a particular topic.
Actually, when i received the training of trainers (TOT), which was conducted by Ipas Nepal, they has given us the facilitator's guide book which was really helpful. So for the facilitator's guide book, Ipas Nepal can help.
Talking about the selection of area, we don't need a big process to select the idea. we will be just visiting the slum and scattered areas of kathmandu valley and recognize the place for the implementation of the idea.
And yes i'll be contributing on Melchior's blog. :)

Photo of Pushpa Joshi
Team

Dear Melchior,
thank you so much. :)

Photo of Pushpa Joshi
Team

hello Luisa,
Thanks for your suggestion.
I wanted to ask you that do i need to include the budget part as well?
and if this idea get selected in shortlist, from When it should to be implemented?

Photo of Anne-Laure Fayard
Team

Thanks Pushpa for the response. I did not mean necessarily asking specifically what they needed (we don't always know what we need, do we?) but getting a sense of what they knew and did not know. I guess you will use this to decide what specific aspect to focus on during the training.
Great to know that you have already all the materials from your own training.
Once you know where will be the workshops, let me know. With a group of students at New York University, we are collaborating on an idea with Women for Human Rights in Kathmandu: https://openideo.com/challenge/creative-confidence/winners-announced/openideo-2014-where-young-people-create-confidently-together
I will definitely inform WHR of the workshop so that the women trained as sahayogi saathi can spread the information in their community.

Looking forward to reading your posts and comments on the "Their problem is ours" blog.

Photo of Karolle Rabarison
Team

Pushpa, I'm curious to know more about the guidebook for Ipas Nepal and how it will contribute to your project. Great to know that you won't be starting from scratch on this resource. Will it be used as-is or adapted, and if so how? As someone who went through their TOT, what about their approach did you find most meaningful/useful? — sexual health education is so important and I look forward to seeing the fruits of your work!

PS: Hello from Kathmandu itself! Unfortunately, I'm here only briefly and didn't manage any meet-ups around the women's safety challenge, though it would have been cool to meet up with you. Best of luck with this project!

Photo of Karolle Rabarison
Team

PS (part 2, I guess!): The second installment of Badal ja!'s "Just the Tip" column is a quick-and-dirty guide to emergency contraception. Since you're the sexual health expert, we would love your input on other key points we missed! http://badalja.com/just-tip-2-condom-broke-pharmacy-jao/

Photo of Pushpa Joshi
Team

Hello Karolle,
Great to see your comment.
You asked about the Guidebook. yes it is really helpful for the peer educator to refresh the things they learned during the TOT. and there is guidance for the peer educator to conduct the classes effectively.
I saw the post from Badal ja!. Its really amazing that how the young people of India are getting platform to put their question regarding SRH. Keep continuing the work and looking forward to see more posts from Badal Ja.
Thank you so much for your question and best wishes. :)

PS: I am not a sexual health expert only i am capable enough to facilitate and educate the women and my peers regarding SRHR.

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