Social and Behavioral Sciences Commons^™

An Assessment Of Human Resources For Health Hiring, Deployment And Retention, Procedures And Practices In Cross River And Bauchi States, Nigeria, Osasuyi Dirisu, Akinwumi Akinola, Ekechi Okereke, Godwin Unumeri, Ibrahim Suleiman, Aisha Jibril, George I. Eluwa

Reproductive Health

Primary health care (PHC) is the first contact in a healthcare system and, at its core, includes access to basic interventions that address health needs at the community level. These basic interventions are provided by key frontline health workers—nurses, midwives, and community health extension workers—critical for facilitating immediate access to maternal, newborn, and child health services at PHC facilities. Despite the critical roles of these healthworker cadres, their distribution is uneven and skewed—geographic and within levels of care and governments, in addition to poor distribution of skills—compounded by high attrition due to poor human resources for health (HRH) management and …

Assessment Of In-Service Training And Continuing Education (Ist/Ce) For Frontline Health Workers In Bauchi And Cross River States, Nigeria, Ekechi Okereke, Iliyasu Zubairu, Udoh Nsekpong, Godwin Unumeri, Ibrahim Suleiman, Aisha Jibril

Reproductive Health

Training contributes tremendously to the development and sustenance of health workers’ competencies for quality healthcare services. Although Nigeria has a higher stock of human resources for health compared to other African countries, the World Health Organization argues that its distribution is highly skewed toward urban areas. Building and maintaining staff capacities requires continuing professional development through in-service training (IST) and continuing education (CE). This study assesses current IST and CE for health workers in Bauchi and Cross River states to provide evidence to inform policy and planning and improve implementation of capacity-building for health workers in Nigeria.

More Than A Backdrop: Understanding The Role Of Communities In Programming For Adolescent Girls—Action Guide, Sarah Blake, Miriam Temin

Poverty, Gender, and Youth

The structural and social features of a girl’s community play a critical role in determining what effects programs for adolescent girls can achieve. Girls’ communities include both the physical spaces girls must navigate and adults and peers who shape their beliefs about marriage, work, and education. This action guide focuses on key questions to ask when designing programs: How many girls live in a given community? Is the community urban, peri-urban, or rural? Is it formal or informal? How stable or cohesive is a community? Who is considered a “community member”? What resources exist for girls in the community, and …

Program Modalidades Flexibles: Integrated Curriculum Guide—Segundo Semestre, Population Council

Poverty, Gender, and Youth

El Population Council se suma a los esfuerzos de la Dirección General de Educación Extraescolar del Ministerio de Educación de Guatemala para acercar el Nivel de Educación Media a las comunidades más vulnerables. Esto se ha logrado al incorporar el programa Modalidades Flexibles para Ciclo Básico como componente clave en la atención a la población joven y más excluida del sistema escolar. Mediante el diseño y elaboración de esta guía de aprendizaje se ofrece un recurso para estudiantes y docentes que están participando en el segundo semestre de la etapa II del Ciclo Básico del programa Modalidades Flexibles. El abordaje …

Abriendo Oportunidades A La Incidencia Política En Mi Comunidad: Guía Curricular, Population Council

Poverty, Gender, and Youth

La propuesta de Abriendo Oportunidades® a la Incidencia Política en Mi Comunidad enfatiza en la condición ciudadana de las niñas y adolescentes, impulsando su interés por comprometerse con mejoras en su comunidad a través de su participación en el diseño y ejecución de acciones de incidencia política a nivel familiar, escolar, comunitario y municipal. Esta guía es un instrumento para las mentoras comunitarias que apoyan a las niñas y adolescentes participantes en el fortalecimiento de sus habilidades para la vida y en el desarrollo de competencias para realizar incidencia política a nivel comunitario. Siguiendo el modelo educativo de Abriendo Oportunidades, …

Trabajando En Incidencia Política Hacia Una Mejor Vida Para Las Niñas, Jóvenes Y Mujeres En Mi Comunidad, Population Council

Poverty, Gender, and Youth

Las guías de trabajo para la incidencia política comunitaria se hacen con el objetivo de enfatizar la condición ciudadana de las niñas y adolescentes e impulsar su interés por comprometerse a mejoras en su comunidad a través de su participación política. El Population Council ha desarrollado estas herramientas para apoyar el trabajo de jóvenes lideresas en el diseño y ejecución de acciones de incidencia a nivel familiar, escolar, comunitario y municipal. El contenido abordado en este material se enfoca especialmente en temas relativos a la prevención de la violencia y garantía de derechos a mujeres, niñez y juventud, y pueblos …

Abriendo Oportunidades: Material Didáctico Para Sesiones De Trabajo, Population Council

Poverty, Gender, and Youth

Este documento es parte de los materiales de enseñanza para mentores en el programa Abriendo Oportunidades. La hoja informativa presenta los derechos de las niñas, adolescentes y mujeres indígenas. Incluye un mapa de los 22 departamentos administrativos de Guatemala.

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This document is part of the teaching materials for mentors in the Abriendo Oportunidades program. The fact sheet outlines the rights of indigenous girls, adolescents, and women. It includes a map of Guatemala's 22 administrative departments.

Program Modalidades Flexibles: Integrated Curriculum Guide—Primer Semestre, Population Council

Poverty, Gender, and Youth

Guatemala ha enfrentado grandes desafíos para garantizar a sus habitantes el acceso a la educación secundaria, especialmente a las mujeres jóvenes que enfrentan mayores retos para continuar su vida escolar. Ante esta realidad, el Population Council se suma a los esfuerzos de la Dirección General de Educación Extraescolar del Ministerio de Educación de Guatemala para acercar el Nivel de Educación Media a las comunidades más vulnerables. Esto se ha logrado al incorporar el programa Modalidades Flexibles para Ciclo Básico como componente clave en la atención a la población joven y más excluida del sistema escolar. Mediante el diseño y elaboración …

Guía De Participación Política Adolescente Para La Movilización E Incidencia Política A Nivel Municipal, Population Council

Poverty, Gender, and Youth

El programa Abriendo Oportunidades motiva a las jóvenes a tener iniciativas y desarrollar sus capacidades personales, así como a explorar las posibilidades de liderazgo a nivel comunitario y municipal. Para que sean lideresas capaces de incidir a nivel municipal, es necesario trabajar temas y habilidades enfocados en política, administración estatal, legislación nacional y derechos humanos. Esta guía se ofrece para apoyar el trabajo con jóvenes mujeres que buscan tener incidencia, especialmente en temas relativos a la prevención de la violencia y garantía de derechos a mujeres, niñez y juventud, y pueblos indígenas. Cada sesión está diseñada usando metodología participativa y …

Assessing The Feasibility And Acceptability Of Community Health Extension Workers To Treat Hypertension Associated With Pregnancy: An Analysis Of Post-Intervention Findings, Salisu Mohammed Ishaku

Reproductive Health

This brief reports on a study that tested the feasibility of tasking community health extension workers (CHEWs) with detecting and managing hypertension, and prescribing an oral antihypertensive drug at primary health care (PHC) facilities in Nigeria as part of a package of care for women with pre-eclampsia and eclampsia (PE/E). This evaluation measured improvements in knowledge retention and increases in early detection, prevention, and management of PE/E. Findings indicate that trained CHEWs working at intervention PHCs can correctly identify, differentiate, and manage normal, mild, moderate, and severe hypertension. These findings are important contributions to implementing Nigeria’s national task-shifting policy at …

Baseline Evaluation Of Project Mesha In Bihar: Factsheet Results 2017-2018, Population Council

Reproductive Health

This fact sheet presents baseline results for an evaluation survey among women who were the primary decisionmakers in the rearing of goats in Bihar, India. The study underpins the Aga Khan Foundation’s implementation of “Project Mesha,” a community-based program to develop the potential of goat farming among women goat rearers in four blocks of Muzaffarpur district. The aim of the project is to increase the income and empowerment of women goat rearers through the implementation of Project Mesha in JEEViKA-run self-help groups. The fact sheet includes data on demographic and household profiles; goat ownership, rearing, income, and productive resources; access …

Training Locally Elected Representatives To Act As Change Agents To Promote Egalitarian Gender Norms: Lessons Learned From The Do Kadam Barabari Ki Ore Programme—Policy Brief, K.G. Santhya, Shireen J. Jejeebhoy

Poverty, Gender, and Youth

This policy brief describes an intervention, the Do Kadam Barabari Ki Ore (Two Steps Towards Equality) project in Patna district, India that sought to train locally elected representatives to act as change agents to promote egalitarian gender norms among men and women in their communities, and the effects of exposure to the project among members of the Panchayati Raj Institutions (PRIs, local self-governance bodies) and men and women from the community. The project was undertaken by the Population Council, together with partners, the Centre for Catalysing Change and the London School of Hygiene and Tropical Medicine, and with support from …

Guía Curricular De Abriendo Oportunidades: Para Niños De 8 A 12 Años, Population Council

Poverty, Gender, and Youth

El programa Abriendo Oportunidades® en Guatemala tiene diez años de experiencia en el proceso de educación no formal enfocado en niñas y jóvenes indígenas en el área rural del país, especialmente en comunidades que viven en condiciones de exclusión económica y social. La guía curricular se ha enriquecido con las observaciones e insumos obtenidos durante este proceso, para incluir temas relevantes, objetivos centrales, ejercicios y actividades, así como materiales de referencia y apoyo. Por su estructura, es posible adaptar esta guía a diferentes entornos y contextos, manteniendo siempre como esencial el desarrollo de habilidades de liderazgo comunitario, relacionamiento social, de …

Abriendo Oportunidades: Sesión—Mi Plan De Vida, Population Council

Poverty, Gender, and Youth

El programa Abriendo Oportunidades nació en 2004 como un proyecto de programación centrada en niñas adolescentes, con el propósito de fortalecer una transición segura hacia la adolescencia e incrementar su promoción y retención escolar. Con base en evidencia, el Population Council diseñó guías curriculares que contienen herramientas y ejercicios para las sesiones con niñas y mentoras basados en tres ejes transversales: derechos humanos, perspectiva de género, e interculturalidad y pertinencia. Este documento es la guía de los mentores para la sesión sobre el Fortalecimiento de capacidades para mujeres adolescentes, orientado al desarrollo de Plan de Vida y Habilidades para la …

Abriendo Oportunidades: Guía Curricular Plan De Vida 2016—Cuadernillo Q’Eqchi, Population Council

Poverty, Gender, and Youth

El programa Abriendo Oportunidades nació en 2004 como un proyecto de programación centrada en niñas adolescentes, con el propósito de fortalecer una transición segura hacia la adolescencia e incrementar su promoción y retención escolar. Con base en evidencia, el Population Council diseñó guías curriculares que contienen herramientas y ejercicios para las sesiones con niñas y mentoras basados en tres ejes transversales: derechos humanos, perspectiva de género, e interculturalidad y pertinencia. Este documento contiene la hoja de trabajo del Plan de Vida para los participantes en el taller. Más de una década de trabajo demuestra que las niñas adolescentes participantes de …

Does Shifting Gender Norms On The Community Level Lead To Increased Hiv Services Uptake?, Project Soar

HIV and AIDS

Project SOAR and partners are building on an ongoing National Institute of Mental Health–funded randomized controlled trial being conducted in South Africa—Community Mobilization for Treatment as Prevention. Specifically, the study aims to strengthen and expand the gender content of the intervention to engage both women and men in critically examining gender norms and power inequalities. This brief presents the particularly timely study that will address a key question in the field as to how gender norms may operate to affect HIV service utilization. Building the evidence base in this area is vital for improving care outcomes as well as creating …

Abriendo Oportunidades: Guía Curricular Plan De Vida 2016—Cuadernillo Español, Population Council

Poverty, Gender, and Youth

El programa Abriendo Oportunidades nació en 2004 como un proyecto de programación centrada en niñas adolescentes, con el propósito de fortalecer una transición segura hacia la adolescencia e incrementar su promoción y retención escolar. Con base en evidencia, el Population Council diseñó guías curriculares que contienen herramientas y ejercicios para las sesiones con niñas y mentoras basados en tres ejes transversales: derechos humanos, perspectiva de género, e interculturalidad y pertinencia. Este documento contiene la hoja de trabajo del Plan de Vida para los participantes en el taller. Más de una década de trabajo demuestra que las niñas adolescentes participantes de …

Impact Of A Community-Based, Hiv Intervention On Antiretroviral Treatment Retention And Adherence In Tanzania, Project Soar

HIV and AIDS

Project SOAR is contributing to the evidence base on community-based care models by conducting implementation research in Tanzania, a country where 1.5 million people are in need of HIV care services, and where clients eligible for antiretroviral therapy (ART) often drop out or are lost to follow up. While the country has a cadre of community-based HIV service (CBHS) providers, they remain largely informal. Project SOAR and its partners are evaluating a coordinated, integrated model in which CBHS providers deliver an enhanced service package to HIV-positive clients. The evaluation will advance understanding of the value of CBHS providers in improving …

Social Accountability For Family Planning: A Case Study Of The Healthy Action Project In Uganda, The Evidence Project

Reproductive Health

In July 2014, the Evidence Project gathered 26 experts for a two-day meeting on Strengthening the Evidence Base on Social Accountability for Improving Family Planning and Reproductive Health Programs. Participants included social accountability experts from diverse fields (governance, maternal health, family planning) as well as researchers, implementers, and activists. The meeting was one of the first public discussions that addressed social accountability in the context of family planning and reproductive health (FP/RH). Meeting participants agreed on the need for case studies of FP/RH initiatives to identify “good practices” in order to advance the application of social accountability to the FP/RH …

Abriendo Oportunidades: Guía Curricular Integrada 2015, Cecilia Garcés, Paola Broll

Poverty, Gender, and Youth

El programa Abriendo Oportunidades tiene como objetivo apoyar a las niñas indígenas en Guatemala para alcanzar su máximo potencial y superar el ciclo de la pobreza. Esta es la tercera versión de la guía curricular basada en activos, diseñada para ser implementado por mentores de la comunidad. Su objetivo es fomentar la reflexión y el diálogo, la hermandad y el pensamiento crítico entre las adolescentes. La guía curricular se basa en el enfoque de respetar y promover los derechos humanos y la equidad de género. Esta guía es una herramienta valiosa para los programas que buscan integrar la educación integral …

Strengthening The Evidence Base On Social Accountability For Improving Family Planning And Reproductive Health Programs, Victoria Boydell, Jill Keesbury, Kelsey Wright

Reproductive Health

The concept of accountability is important in the family planning (FP) and reproductive health (RH) sector, building on a rich history of community involvement and civil society participation. There are three categories of FP/RH accountability initiatives: tracking donor and government financial commitments, tracking national-level program implementation, and tracking service-delivery outcomes. The third category, often referred to as “social accountability,” includes the efforts of citizens and civil society to scrutinize and hold duty bearers to account for providing promised services, most often at the subnational or community levels. Social accountability is premised on the assumption that increased and targeted citizen and …

Youth Participation In Civil Society And Political Life In India, International Institute For Population Sciences (Iips), Population Council

Poverty, Gender, and Youth

This policy brief documents the participation of youth in India in civil society, the extent to which they uphold secular attitudes, and their perceptions about and participation in political processes. Findings from six states call for actions to promote youth participation, particularly the participation of young women, in civil society and political life. Programs are needed at the school, college, and community levels—through national service programs, sports, and other nonformal mechanisms—that encourage civic participation, incorporate value-building components, and reinforce secular attitudes and values that espouse responsible citizenship. Findings that many youth are disillusioned with the commitment of political parties to …

Youth Participation In Civil Society And Political Life In Andhra Pradesh, International Institute For Population Sciences (Iips), Population Council

Poverty, Gender, and Youth

This policy brief documents the participation of youth in Andhra Pradesh, India in civil society, the extent to which they uphold secular attitudes, and their perceptions about and participation in political processes. Data drawn from the Youth in India: Situation and Needs study call for actions to promote youth participation, particularly the participation of young women, in civil society and political life. Special attention must be paid to developing community-level programs for young women, large proportions of whom had not participated in civil society. Findings that many youth are disillusioned with the commitment of political parties to work for change …

Women's Participation In Disaster Relief And Recovery, Ayse Yonder, Sengul Akcar, Prema Gopalan

Poverty, Gender, and Youth

Too little attention has been given to the gender-differentiated effects of natural disasters, that is, women’s losses relative to men’s, how women’s work time and conditions change (both in terms of care-giving and income-generating work), or how disaster-related aid and entitlement programs include or marginalize affected women. The detailed case studies from three earthquake-stricken areas in India and Turkey that are contained in this issue of SEEDS help fill this information gap. They provide examples of how low-income women who have lost everything can form groups and become active participants in the relief and recovery process. Readers learn how women …

Linking Reproductive Health To Social Power: Community Health Workers In Belize And Pakistan, Susana Galdos, Lucella Campbell, Patricia Mohammed, Debbie Rogow, Saumya Ramarao, Ali M. Mir, Nicole Haberland

Poverty, Gender, and Youth

This issue of Quality/Calidad/Qualité focuses on two traditional family planning programs that undertook projects to help women enlarge their zone of influence in both the private and public spheres. The first case study focuses on the Belize Family Life Association (BFLA), a nongovernmental organization in a small Caribbean country. The second case study recounts the experience of the Pakistani government, which has an enormous, but entrenched, target-oriented family planning program. Both programs began by recognizing that women’s lack of social power is a major obstacle to their being able to protect their own health. Both trained village workers to regard …

Zambia: Peer Educators Can Promote Safer Sex Behaviors, Frontiers In Reproductive Health

Reproductive Health

Zambian adolescents are at high risk of unwanted pregnancy, sexually transmitted infections (STIs), and HIV infection due to early sexual initiation, low use of contraceptives and condoms, and other high-risk sexual behaviors. During 1996–1998, CARE Zambia and the Population Council conducted a study to test community-based approaches to improve adolescent sexual and reproductive health. CARE Zambia talked to adolescents in four communities outside Lusaka. Using participatory learning and action techniques, researchers identified factors leading to high-risk sexual behaviors, including lack of economic, recreational, and educational opportunities for youth. This information helped to design the study. Two interventions—condom distribution by peer …

Zambia: Los Educadores Juveniles Pueden Promover Comportamientos Sexuales Más Seguros, Frontiers In Reproductive Health

Reproductive Health

Los adolescentes de Zambia corren un alto riesgo de embarazos no deseados, infecciones de transmisión sexual (ITS) e infección por el VIH debido a la iniciación sexual temprana, el bajo uso de anticonceptivos y condones, y otros comportamientos sexuales de alto riesgo. Durante 1996–98, CARE Zambia, con el apoyo del Population Council, realizó un estudio para probar estrategias comunitarias para mejorar la salud sexual y reproductiva de los adolescentes. CARE Zambia habló con los adolescentes de cuatro comunidades ubicadas fuera de Lusaka. Los investigadores identificaron, mediante técnicas de aprendizaje y acción participativos, un gran número de factores que producen comportamientos …