International Public Health Commons^™

Observations Initiales Et Finales De Filles Eveillées : Programme Pilote De Renforcement Des Compétences Des Adolescentes Migrantes Employées De Maison. Cohorte 1 (2011–2012), Bobo-Dioulasso, Sarah Engebretsen

Poverty, Gender, and Youth

Le Burkina Faso abrite la dixième population la plus jeune du monde, avec 45% de la population de moins de 15 ans. Les jeunes au Burkina Faso, en particulier les adolescentes, ont peu d'opportunités économiques, en particulier dans les zones rurales. Cela alimente la migration vers les milieux urbaines à la recherche de travail. Seules, les filles sont physiquement et économiquement vulnérables et beaucoup courent un risque élevé de violence sexiste. Le Population Council a mené une recherche formative en 2010 dans le but de mieux comprendre la situation des adolescentes migrantes employées de maison au Burkina Faso urbain, et …

Évaluation De Processus : Programme Filles Eveillées Pour Adolescentes Migrantes Employées De Maison Au Burkina Faso Urbain 2012, Leah Jarvis, Gisele Kaboré

Poverty, Gender, and Youth

Le programme «Filles Éveillées» a été conçu pour apporter aux adolescentes migrantes employées de maison les compétences, les connaissances et le capital social qui leur permettent de réduire leurs vulnérabilités et de s’ouvrir de nouveaux débouchés. Les observations tirées de la collecte de données quantitatives et qualitatives ont révélé le succès considérable du programme: il est largement apprécié et a été bien reçu par les participantes, les mentors, les membres de la communauté et tous les autres intéressés. En sa qualité de programme pilote, les obstacles à une mise en œuvre sans incidents auraient été inévitables, mais par leur détermination …

De La Recherche À La Conception Programmatique Et À La Mise En Oeuvre : Programmation À L'Intention Des Filles Des Milieux Ruraux D'Éthiopie—Boîte À Outils Du Praticien, Annabel Erulkar

Poverty, Gender, and Youth

Cette boîte à outils décrit comment créer ou améliorer des programmes pour les filles de l’Éthiopie rurale, en vue d'accroître le nombre de programmes organisés à leur intention et de les rendre pertinents et mieux adaptés à leur contexte. La boîte à outils décrit un processus d’élaboration programmatique fermement ancré dans les faits. Les chapitres procèdent dès lors d’un point de départ axé sur la recherche pour identifier et décrire les filles, pour se concentrer ensuite sur le développement programmatique émanant des données, et aboutir enfin sur la mise en œuvre guidée par le suivi et l’évaluation permanents.

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Is Early Childhood Care And Education A Good Investment For Egypt? Estimates Of Educational Impacts, Costs, And Benefits, Caroline Krafft

Poverty, Gender, and Youth

This brief examines Early Childhood Care and Education (ECCE) in Egypt. Findings suggest that expansion of ECCE is a good investment. Providing kindergarten to all Egyptian children, and particularly those from disadvantaged backgrounds, could be an important step toward greater equality, efficiency, and attainment in the education system.

The Power Of Girls' Schooling For Young Women's Empowerment And Reproductive Health, Batool Zaidi, Zeba Sathar, Minhaj Ul Haque, Fareeha Zafar

Poverty, Gender, and Youth

This report comprises evidence that increases our understanding of girls' schooling in Pakistan. It is useful for policymakers, donors, civil society, program/intervention designers, evaluators, and researchers alike. The findings of this report should be used to guide points of influence and policies on girls' education in Pakistan.

The Sexual And Reproductive Health And Rights Of Young People In India: A Review Of The Situation, K.G. Santhya, Shireen J. Jejeebhoy

Poverty, Gender, and Youth

This paper summarizes the sexual and reproductive health situation of young people in India, sheds light on those sub-populations of young people who are most vulnerable to adverse sexual and reproductive outcomes, and assesses the barriers that compromise the sexual and reproductive health and rights of young people at the individual and family levels, as well as at the health system level.

La Violence Faite Aux Adolescentes : Un Défi Fondamental À La Vraie Égalité, Judith Bruce

Poverty, Gender, and Youth

Les sociétés, riches comme pauvres, articulent chaque jour davantage des engagements qui garantissent aux filles un accès égal aux droits, aux services, à la participation sociale et à l’épanouissement économique, pourtant, bien des menaces de violence sous de nombreuses formes interviennent pour empêcher les filles de revendiquer leurs droits. De nombreux pays stipulent l'égalité entre les hommes et les femmes dans leurs constitutions. Théoriquement, l’accès sûr aux ressources et aux aménagements est assuré à parts égales aux filles et aux garçons, mais une bien plus grande proportion de garçons et un sous-ensemble moindre de filles généralement privilégiées peuvent effectivement se …

Leadership Des Filles Et Mentoring, Karen Austrian

Poverty, Gender, and Youth

GIRLS FIRST! Perspectives de programmation centrée sur les filles est une série de cinq comptes rendus thématiques qui fournissent des instantanés de la base de connaissances sur la programmation des adolescentes. Ils abordent les cinq priorités stratégiques définies dans la Déclaration conjointe des Nations Unies de 2010, «Intensifier l’action menée pour promouvoir les droits des adolescentes» et fournissent des recommandations fondées sur des preuves. Ce bilan politique décrit meilleurs moyens de cultiver les leaders féminines.

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GIRLS FIRST! Perspectives on Girl-Centered Programming is a set of five thematic reviews that provide snapshots of the knowledge base on adolescent girls programming. …

Filles Eveillées : Programme Pilote Pour Adolescentes Migrantes Employées De Maison Au Burkina Faso Urbain, Sarah Engebretsen, Gisele Kaboré, Leah Jarvis

Poverty, Gender, and Youth

Les jeunes Burkinabè n’ont guère de débouchés économiques, en particulier dans les milieux ruraux. En 2010, le Population Council a mené une recherche formative dans le but de mieux comprendre la situation des adolescentes migrantes employées de maison au Burkina Faso urbain. L’étude révèle qu’arrivées à la ville, ces filles vivent généralement chez leurs employeurs et travaillent de longues journées laborieuses. Il leur reste très peu de temps pour aller à l’école, développer des réseaux sociaux et acquérir les compétences nécessaires à la vie adulte. Il s’avère du reste que les programmes destinés à cette population interviennent en majorité après …

Injectable Contraceptives: Perspectives And Experiences Of Women And Health Care Providers In India, Shireen J. Jejeebhoy, A.J. Francis Zavier

Poverty, Gender, and Youth

This report is the result of a study that aimed to shed light on the feasibility and acceptability of making injectable contraceptives more widely available to women in India. The study focused on injectable contraceptive users, new method adopters, and healthcare providers drawn from the facilities of a range of reproductive health. Healthcare providers were, for the most part, in favor of offering injectable contraceptives, however, they argued strongly for certain prerequisites, such as comprehensive and sensitive counseling and effective follow-up. Findings further suggest that there is a demand for injectable contraceptives among women, and that both women and healthcare …

Increasing Opportunities To Delay Marriage And Promote Schooling: Results From A Baseline Survey In Rural Tanzania, Eunice N. Muthengi, Annabel Erulkar

Poverty, Gender, and Youth

This research brief describes girls' experience of early marriage, education, and sexual behavior in the Tabora region of Tanzania. Research shows that a considerable proportion of girls married early, have only limited discussions on health issues with their spouses, experience intimate partner violence, and have high unmet need for family planning. Tabora Development Foundation Trust, in partnership with the Population Council, is implementing strategies—including community awareness, support to get girls back into school and keep them there, and conditional transfers—to increase marriage age in the rural Tabora region. The goal is to identify effective, sustainable, and cost-effective approaches to increase …

Female Disadvantage In The Egyptian Labor Market: A Youth Perspective, Maia Sieverding

Poverty, Gender, and Youth

In this brief, three aspects of female youth’s disadvantage in the labor market are analyzed: low labor force participation, high unemployment, and concentration in the public sector. These issues are closely interrelated and can be addressed through a set of policies that promote family-friendly employment conditions and the formalization of the private sector. The establishment of job search services for female youth is also critical to addressing the gender gap in unemployment.

The Impact Of Water Supply And Sanitation On Child Health: Evidence From Egypt, Rania Roushdy, Maia Sieverding, Hanan Radwan

Poverty, Gender, and Youth

Using a combination of qualitative and quantitative data, this working paper investigates whether access to improved sources of water and sanitation is an effective “treatment” for the incidence of diarrhea among children under five years of age in Egypt. Both components of the study indicate that widespread access to improved sources of drinking water and toilet facilities exists across Egypt; however, service quality remains a significant problem in many areas. In particular, cuts in water supply—and the resulting practice of storing water—are quite common; a sizable percentage of flush toilet facilities are not connected to the public sewer system; and …

Violence Against Adolescent Girls: A Fundamental Challenge To Meaningful Equality, Judith Bruce

Poverty, Gender, and Youth

Societies, rich and poor alike, are increasingly articulating commitments that guarantee girls safe and equal access to entitlements, services, social participation, and economic opportunities. yet threats of violence in many forms intervene to prevent girls from claiming their rights. Many countries stipulate equality between males and females in their constitutions. Theoretically, safe access to resources and facilities is equally afforded to girls and boys, however a far higher proportion of boys and a smaller subset of usually more privileged girls may actually claim their rights and opportunities. The experience of violence is devastating at the individual emotional and physical level. …

Using Data To See And Select The Most Vulnerable Adolescent Girls, Sarah Engebretsen

Poverty, Gender, and Youth

Investment in adolescent girls is crucial in the developing world where a large proportion of the population is under the age of 24. It is critical to protecting rights to schooling, bodily integrity, and legal and chosen marriage, and to reducing fertility while increasing productive capacity. Making adolescent girls visible is essential so that investments can be targeted toward those at the highest risk of the poorest outcomes. This guide seeks to find and target vulnerable adolescent girls and shape policy context. It provides guidance on resources and tools that can reveal the internal diversity of adolescents, identify the onset …

La Santé Des Adolescentes Vulnérables : Un Investissement Stratégique Doublement Rentable, Jennifer Catino

Poverty, Gender, and Youth

Le monde compte aujourd’hui 1,2 milliard d’adolescents âgés de 10 à 19 ans. Près de 90% d’entre eux vivent dans les pays en développement et environ 600 millions sont de sexe féminin. L’adolescence représente normalement une période de santé florissante bien que sujette à de nombreux changements socio-développementaux dont les implications affectent, tout particulièrement, la santé des filles. La plupart des centaines de millions de filles et jeunes femmes du monde en développement vivent dans des conditions et des circonstances qui les rendent vulnérables aux risques de santé et sociaux. Ces adolescentes sont souvent pauvres, déscolarisées, mariées, migrantes, membres de …

Réseaux Sociaux Et Les Capacités Financières Des Filles Employées De Maison À Bobo-Dioulasso, Gisele Kaboré

Poverty, Gender, and Youth

Depuis plus d’une année, le Population Council assure la mise en œuvre du projet «Filles Éveillées» ciblant les travailleuses domestiques dans les zones urbaines au Burkina Faso. L’objectif de cette étude est d’avoir une meilleure connaissance des réseaux sociaux des filles—soit avec les personnes dans sa nouvelle communauté soit avec des personnes dans son village à travers la technologie—depuis leurs zones d’origine, sachant que la phase de transit n’est pas bien comprise mais que ça peut influencer le séjour de la fille en ville. Cette étude a pour objectif de cerner les capacités et les modes de gestion financières des …

Providing Maternal And Newborn Health Services: Experiences Of Auxiliary Nurse Midwives In Rajasthan, K.G. Santhya, Shireen J. Jejeebhoy

Poverty, Gender, and Youth

To better understand the experiences of auxiliary nurse-midwives (ANMs) in providing maternal and newborn health services and to obtain their perspectives on Janani Suraksha Yojana (JSY), the Population Council undertook an exploratory study of ANMs in two districts of the north-western state of Rajasthan, India. Findings show that the vast majority of the ANMs were aware of best practices related to the immediate care of the newborn. Nevertheless, the findings also suggested a number of priority areas for action, including increased investment in training, encouraging provision of services on a more regular basis, making special efforts to enable ANMs to …

Is Early Childhood Care And Education A Good Investment For Egypt? Estimates Of Educational Impacts, Costs, And Benefits [Arabic], Caroline Krafft

Poverty, Gender, and Youth

This summary details the impact of early childhood education in Egypt. The results show that early childhood care and education has an impact on educational attainment that is both statistically significant and sizeable. Such interventions increase overall educational attainment by approximately one year, primarily due to decreased primary and preparatory drop out. The impact on educational attainment is reflected in improved school performance, such as higher test scores, decreased grade repetition, and improvements in school tracking, during the early years. Investments in early childhood education can be a powerful approach to improving educational outcomes, and the research suggests that increases …

Challenges Facing The Egyptian Education System: Access, Quality, And Inequality, Caroline Krafft

Poverty, Gender, and Youth

This brief analyzes and summarizes young people's responses to the 2009 Survey of Young People in Egypt (SYPE) to identify the greatest challenges facing the Egyptian educational system, focusing specifically on primary through secondary schooling. Results show that access to school has improved, but some youth, especially females in rural Upper Egypt, remain outside the school system and are increasingly marginalized. The Egyptian school system is delivering low-quality education that is irrelevant to the labor market and has problems with repetition, absenteeism, and drop out which reduce the efficiency of the education system. Unequal distribution of resources in the education …

Berhane Hewan ('Light For Eve'): Increasing Opportunities To Delay Marriage And Promote Schooling, Annabel Erulkar, Eunice N. Muthengi

Poverty, Gender, and Youth

This policy brief describes the findings of a pilot study on girls’ experience of early marriage, education, and sexual behavior in rural Amhara Region, Ethiopia. The brief also discusses efforts in the region to delay marriage and promote girls’ schooling. The Amhara Bureau of Women, Children and Youth Affairs and the Population Council pilot-tested a program to delay marriage and support schooling in rural Amhara Region. The program, entitled Berhane Hewan (Amharic for “Light for Eve”), included community conversations, support for remaining in school, and conditional cash transfers if girls remained unmarried and in school for the duration of the …

Training Manual On The Use Of Magnesium Sulphate In The Management Of Severe Pre-Eclampsia And Eclampsia [Trainee Version], Federal Ministry Of Health, Population Council

Reproductive Health

This training manual provides detailed, descriptive, and practical instructions and tips necessary to respond to obstetric emergencies (severe pre-eclampsia and eclampsia). The manual is an integral part of the collaborative efforts between the Federal Ministry of Health and the MacArthur Foundation to scale up the use of magnesium sulphate in the management of severe pre-eclampsia and eclampsia in Nigerian health facilities. Magnesium sulphate has been established as the gold standard in the management of severe pre-eclampsia and eclampsia, but lack of knowledge and necessary skill have been identified as some of the factors responsible for its limited use in Nigeria. …

Testing The Feasibility Of Police Provision Of Emergency Contraception In Malawi, Malawi Human Rights Resource Centre, Malawi Police Service, Ministry Of Health

Reproductive Health

Violence against women and children remains a major public health and human rights challenge in the world. This report provides information on a project evaluating the feasibility of having trained police officers safely and effectively provide emergency contraception (EC) to survivors of sexual assault as a means of broadening access to comprehensive care in Malawi. The effort capitalized on findings that the majority of survivors of sexual assault in Malawi report to the police first. Results from the project, implemented by the Malawi Human Rights Centre and Malawi Police Service, demonstrate that it is feasible to implement police provision of …

Family Planning Programs For The 21st Century: Rationale And Design, John Bongaarts, John C. Cleland, John Townsend, Jane T. Bertrand, Monica Das Gupta

Reproductive Health

Family planning improves health, reduces poverty, and empowers women. Yet, today, more than 200 million women in the developing world want to avoid pregnancy but are not using a modern method of contraception. They face many obstacles, including lack of access to information and health-care services, opposition from their husbands and communities, misperceptions about side effects, and cost. Family planning programs are among the most successful development interventions of the past 50 years. They are unique in their range of potential benefits, encompassing economic development, maternal and child health, educational advances, and women’s empowerment. Research shows that with high-quality voluntary …

Executive Summary—Family Planning Programs For The 21st Century: Rationale And Design, John Bongaarts, John C. Cleland, John Townsend, Jane T. Bertrand, Monica Das Gupta

Reproductive Health

This document contains the executive summary of “Family Planning Programs for the 21st Century: Rationale and Design.” The first half of the book makes the case for why increased funding and support for voluntary family planning programs are needed. The second half explains how reinvigorated voluntary family planning programs can be structured to operate more effectively. Family planning is one of the most successful development interventions of the past 50 years. It is unique in its range of potential benefits, encompassing economic development, maternal and child health, educational advances, and women’s empowerment. Research shows that with high-quality voluntary …

Policy Brief: Designing And Implementing High-Quality Voluntary Family Planning Programs, Population Council

Reproductive Health

Voluntary high-quality family planning programs reduce poverty and improve women’s and children’s health by speeding fertility declines. They are one of the most cost-effective health and development investments available to governments. But, today, more than 200 million women worldwide lack access to modern contraception. If this unmet need for family planning could be met, 54 million unintended pregnancies, 26 million abortions, more than 79,000 maternal deaths, and 1.1 million infant deaths could be prevented each year. This policy brief states that global interest in family planning is growing as the benefits of family planning programs are becoming increasingly evident. However, …

Policy Brief: Designing And Implementing High-Quality Voluntary Family Planning Programs [Arabic], Population Council

Reproductive Health

Voluntary high-quality family planning programs reduce poverty and improve women’s and children’s health by speeding fertility declines. They are one of the most cost-effective health and development investments available to governments. But, today, more than 200 million women worldwide lack access to modern contraception. If this unmet need for family planning could be met, 54 million unintended pregnancies, 26 million abortions, more than 79,000 maternal deaths, and 1.1 million infant deaths could be prevented each year. This policy brief states that global interest in family planning is growing as the benefits of family planning programs are becoming increasingly evident. However, …

Résumé Exécutif—Les Programmes De Planification Familiale Du Xxie Siècle: Fondement Et Conception, John Bongaarts, John C. Cleland, John Townsend, Jane T. Bertrand, Monica Das Gupta

Reproductive Health

Ce document contient le résumé exécutif de «Les programmes de planification familiale pour le XXIe siècle: Fondement et conception». La première moitié de l'ouvrage explique pourquoi un financement et un soutien accrus en faveur des programmes de planification familiale volontaire sont nécessaires. La seconde moitié explique comment les programmes renforcés de planification familiale volontaire peuvent être structurés de manière à fonctionner avec plus d’efficacité. La planification familiale est l'une des interventions les plus réussies de développement de ces 50 dernières années. Elle est unique en termes d’avantages potentiels, et englobe le développement économique, la santé maternelle et infantile, …

Incentivizing Providers To Improve Maternal, Newborn And Child Health Services In Bangladesh: Pay-For-Performance Model Refinement And Advocacy (P4p Mra) Final Report, Md. Noorunnabi Talukder, Ubaidur Rob, Laila Rahman, A.K.M. Zafar Ullah Khan, Riad Mahmud, Azizul Alim, Ismat Ara Hena, Farhana Akter, Anup Kumar Dey

Reproductive Health

An operations research project by the Directorate General of Health Services (DGHS) of the Ministry of Health and Family Welfare, Government of Bangladesh tested the feasibility of a pay-for-performance (P4P) approach, which offered financial incentives to reward service providers for meeting and exceeding specified performance targets for maternal, newborn, and child health services. In response to the encouraging findings, the DGHS implemented a follow-up project, with technical assistance from Population Council and UNICEF, to utilize the experiences and findings of the P4P OR project. Despite it short duration, implementation of the revised P4P scheme induced improvements in service volume and …

Introduction Of Emergency Contraceptive Pills (Ecps) Through Lady Health Workers (Lhws) Program In Pakistan: Findings Of An Evaluation Study, Arshad Mahmood, Yasir Bin Nisar

Reproductive Health

This report documents the findings from a five-day study tour of Pakistani officials to Bangladesh, organized by the Population Council, to afford an opportunity for representatives of both the Ministry of Health and Population Welfare to learn from the experience of Bangladesh in introducing emergency contraceptive pills (ECPs) through their National Public Health System. One of the recommendations was to enhance the availability of emergency contraception in Pakistan by making it available through outlets of the health system, especially through the network of the community-based Lady Health Workers (LHWs). There is a high unmet need for ECP in LHW areas, …