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LINK UP: Improving the quality of Youth Friendly Service Delivery in Nigeria

Using Technology to Improve Adolescent Friendly Sexual and Reproductive Health and Rights Service Delivery in Nigeria

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Tell us about your vision for this project: Share one sentence about the impact you would like to see from this project in five years

By 2021 EVA aims to link 175,000 adolescents and young people to youth friendly sexual and reproductive health services close to their locations across the 36 States and the Federal Capital Territory.

Who will implement this idea? Or what’s your strategy to implement in the next 6-18 months?

The idea will be implemented by the My Question and Answer team at EVA.Two full time staff will work on the project and will be supported by other members of our service delivery team. They will run the project out of the main office in Abuja.To reach our vision we would: Improve the functionality and user experience of the app Increase the number of facilities on the app by partnering with stakeholders and Recruit volunteers to visit more youth friendly facilities and upload them Engage more Peer Marketers to help in dissemination Solicit media sponsors Cover 7states per year for the 5yrs to reach at least 5000 young people per state

How has your idea changed based on feedback?

The original idea was to create a single app that included information on menstrual health, SRH and location of youth friendly centers. The feedback from young people and stakeholders was that the app would be too bulky and young people would find it difficult to find the information they were looking for. We took their advice and created three apps instead.As a result of feedback received,we have also ensured that apps contains all the information needed while being small enough to flash share.

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?

In many cases consultations with beneficiaries and other stakeholders are a continuous part of the decision making process.There are occasions where changes have to be made based on new learnings from implementing our ideas,these changes are discussed among the project team, their suggestions or proposed solutions are discussed with the senior management team for further deliberation and final decision. When there are financial implications,the donor or board committee members are also involved.

How long have you been working on the project?

2

What year was your organization or group started?

2000

How many full time staff are needed to implement your idea?

2

What most attracted you to the UNFPA Young People's Sexual and Reproductive Health Challenge?

Radically improving access of adolescents and young people(AYPs) especially adolescent girls and young women to quality SRH information and services is core to our work at EVA. As the number of youth friendly health facilities increase in Nigeria, ensuring that AYPs are aware and can utilize the improved and accessible services is critical to increasing health seeking behavior for their health and well being. Winning this challenge will make it possible to reach more AYPs in Nigeria.

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Opportunity Areas – Select those that apply

  • mHealth

What specific problem(s) are you trying to address? (300 character limit)

Many barriers prevent the over 60million young people in Nigeria from obtaining the much needed SRH information and services they need to make informed choices. These barriers include among others, non-youth friendliness and poor provider attitudes at health facilities.

What are some of your unanswered questions about the problem(s) you are working to address? (500 character limit)

Some of our challenges include getting the app into the hands of young people in rural and hard to reach communities. Also challenging is being able to get all the Youth Friendly Health Facilities across the country to upload their facilities to the app.Another issue is the fact that the app needs the internet to function due to the google mapping functionalities and internet facilities and services in the country are not optimum, and this poses a challenge especially in the hard to reach areas

Who are your end users? (1000 character limit)

The beneficiaries include adolescents and young people aged 10-24 across different rural and urban slumps in Nigeria.Young people in urban locations will also benefit from this intervention but our target is to get the app in the hands of young people in hard to reach and typically overlooked communities. A typical young person in Nigeria is overwhelmed with SRH issues/concerns but cannot seek information or access services as they are judgemental and non confidential. The use of the app will serve as an accountability tool for health providers to deliver quality SRH services to young people and consequently, young people will be able and confident to access quality SRH services in youth friendly environments. The app ensures young people are not just passive users but active contributors to quality of services rendered at these health facilities. Health workers will also benefit as the ratings can show capacity gaps that will lead to more capacity building for the health providers.

Explain your idea. (500 character limit)

Non youth-friendliness of health facilities is one of the issues young people face in accessing SRH services. From consultations held with young people in different communities, we developed a Youth Friendly Service Finder app that links young people to youth friendly SRH service providers across Nigeria using a Google mapping functionality.It helps young people find and access youth friendly health services from facilities closest to them and rate quality of services rendered at the facilities.

What is your value proposition? (500 character limit)

The use of Link Up will create great value for young people across the country.The use of the app will save young people the cost of travelling far distances in search of facilities that provide youth friendly services, the google function of the app will locate a facility closest to them that specifically provide the service they need.Their sense of ownership will increase through participation and contribution to the change in a process that affect their lives as their feedback is implemented

What's different about your idea compared to current solutions? (500 character limit)

The approach of current solutions is to train health providers on youth friendliness and provide items that make health centers youth friendly.However, our idea goes beyond the training by leveraging technology to hold the providers accountable to providing youth friendly services, and letting young people who are the beneficiaries be the ones to evaluate the performance of the providers and the facility through the health facility rating feature on the app and it can be used across the country.

What are the key reasons why end users would turn to your organization over another?

  • Performance: Improving performance

What would success look like for your end users? (500 character limit)

Implementing this idea will lead to: 1. Improved quality of SRH services young people receive at facilities as feedback by young people is implemented 2. Increased access to SRH information and services for young people as the use of the app is expanded to to reach young people in many more communities and states across the country 3. Increased number of young people utilizing much needed SRH services at facilities due to improved quality of service and increased confidence among young people

How would you measure the impact your idea has on your end user(s) ? How will you measure the success of your program? (500 character limit)

The indicators of success will include: Number of young people who visit the facilities and use the app to rate the services Number of service delivery points implementing feedback and Evidence of service delivery points implementing feedback. An increase in these numbers from baseline will indicate success of the program. Since young people will rate the services by themselves we can also measure from the app, their satisfaction rate and this will also help us measure impact.

What strategies will/are you testing to acquire end users? (300 character limit)

We are employing and will continue to use capacity building, social marketing strategies both online and offline, and strategic behavior change communication. We will also conduct outreaches and support young people to conduct outreaches where the app can be downloaded, shared and tested.

Key partnerships - Who will you partner with to make your idea work? (500 character limit)

Our key partnerships will include young people, the health service providers at the primary healthcare facilities, the family planning coordinators, monitoring and evaluation coordinators and health coordinators at the local government level, focal persons at the adolescent health department in the State ministries of health, other NGOs and community based organizations.

What is your organization’s name? (150 character limit)

Education as a Vaccine.

Tell us more about you: (750 character limit)

Education as a Vaccine is a non-profit organization founded in 2000, registered in Nigeria to improve the health and development of children, adolescents and young people through integrated programming. EVA envisions a Nigeria where children and young people reach their full potentials. We believe we are best suited to implement this idea because one of EVA's strengths is in using innovative technology to deliver programs that reach vulnerable and marginalized children, adolescents and young people. Our team has over 10 years experience creating and delivering such programs for young people and continues to explore opportunities to leverage technology to reach young people with the much needed quality SRH information and services.

Organizational Characteristics

  • Women-led organization
  • Youth-led organization

Where will your idea be implemented? (200 character limit)

Our idea will be implemented in Nigeria.

What do you need to get started? (500 character limit)

We will need both human and financial resources. We would also need intellectual resources to provide support on how to scale to other communities.

What is the current scale of your proposed innovation?

  • Community - one or a few communities within one country

Experience in Implementation Country(ies)

  • Yes, for more than one year.

Expertise in Sector

  • I've worked in a sector related to my idea for more than a year.

Organization Location (200 character limit)

Our organization is based in Nigeria with offices in 5 States including the headquarters in Abuja, Federal Capital Territory.

What is your organizational status?

  • We are a registered non-profit, charity, NGO, or community-based organization.

What is the maturity of your innovation?

  • Roll-out/Ready to Scale: I have completed a pilot and am ready or in the process of expanding.

Website

www.evanigeria.org

Inspired by (1)

SmartYouth

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