Process evaluation of adolescent and Youth Sexual Reproductive Health (AYSRH) programme on utilization of sexual and reproductive health services: A case study of Kinondoni Municipality.
No Thumbnail Available
Date
2019
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Mzumbe University
Abstract
Different stakeholders have been investing in the adolescent and youth programme to help them by providing sexual reproductive health services including the challenge initiative (TCI) on Tupange Pamoja under Jhpiego in Dar es Salaam. It was believed that Adolescent and Youth Sexual Reproductive Health (AYSRH) services would contribute to the rise of Contraceptive Prevalence Rate (CPR). Study conducted in Kinondoni Municipality which showed significant rise of CPR from 11% in 2017 to 13.5% in 2018 after implementation of Tupange Pamoja and AYSRH programs. The objectives of this study were to examine how AYSRH program was implemented, what were the factors facilitated and impinging attainment of outcomes and what were the best practices on attainment of program outcomes. The study adopted a case study design. Health managers were purposively selected based on involvement in designing, planning and implementing programme. Convenient sampling selected on duty trained health care providers (HCP), and young people attended services, made total of 19 respondents. Data were collected through documentary review (Reports and guidelines), in-depth interviews to health managers, HCPs and young people, observations in health facilities. Analyses of interviews were conducted by importing transcriptions in ATLAS ti. 7 by coding themes as per objectives, thus, output report generated for report writing. Content analysis conducted for documentary review. Results indicated that, process involved municipal council on designing, planning and implementing programme with technical support from jhpiego organization. Commitment of budgeting for services and supplies of AYSRH and capacity building were major factors for the improving utilization of young people services. Major factors impinge the attainment of outcomes were bureaucracy, late report submission and unavailability of condoms. Best practices were program design at council level, community dialogues, data management and services sign boards. Major conclusion was that, implementation of demand generation, advocacy, services and supplies increased number of young people using SRH services. Municipal medical officer’s office should train more providers, to make sure health facilities budget for audio and visual materials, recognize peer educators’ role and manage to have enough stock of supplies and commodities especially condoms. MoHCDEC should provide guidelines addressing both adolescent and youth issues.
Description
A dissertation submitted to School of Public Administration and Management in partial fulfillment of the required award of Master of Science in Health
Monitoring and Evaluation (MSc. HME) of Mzumbe University.
Keywords
Sexual Reproductive Health, Human Immunodeficiency Virus, Reproductive Health Services, Youth and reproductive health, Contraceptive Prevalence Rate, Tupange Pamoja program, Health service budget
Citation
APA