Organising adolescent and youth friendly RH services

In order to organise AYFRH services it is important to start with a needs assessment of the adolescent and youth reproductive services at the health post. In Box 13.2 you see the five steps that you can follow to organise AYFRH services at your level.

We will now show you how you go about each of the above five steps.

Step 1: Conducting a needs assessment of existing services at the health post

You use it to collect the required information on the services already provided. It will help you identify existing problems and the people and materials available to provide RH services for young people. In addition, a needs assessment tool will help you collect information on how the health post keeps track of data on AYRH services provided. Overall, the tool will help you determine whether the facility has youth-friendly characteristics.

There are about 11 questions related to AYFRH service categorised under the following main headings:

• Materials/supplies and services
• Training of health workers
• Involvement of the young people and the community
• Convenience of the location and service hours

Step 2: Assess whether the health workers are trained to provide AYFRH services and find out what materials are available in the health facility

Step 3: Identifying problems related to AYFRH

Steps 4: Developing a proposal

Now you should develop a proposal to show how you are going to solve the problems you identified in your assessment. You may not be able to respond to all of the problems you have identified. Therefore you should prioritise the problems based on the importance of the problem and the resources you have or you could acquire. If you can't address the problems at your level, the proposal would help you request support from the health centre or woreda health office. The proposal should have the problems identified (it is good if you have prioritised the problems and put only two or three priority problems in your proposal). You need to include in your proposal what you want to achieve by addressing the identified problem-we usually call this the objective. You may have different ways of achieving your objectives -- we call these ways strategies -- and it is good also to indicate your strategies in your proposal.

You may need to do one or more activities for each of your prioritised problems. You should put the major activity for each problem in your proposal. Addressing some of your identified problems may require resources; if you think you need resources for your priority problems, indicate in your proposal what resources you need. Finally, you should include the time within which you would like to accomplish your proposed activities. Table 3.3 is a form that is suitable for developing a proposal. It has been completed to show you how you can use it. For example, let us say that when you conducted your needs assessment you saw that the health post had no health education materials on contraceptives. You decided to prioritise this as a major problem and used a form (see Table 13.3) to develop your proposal.

Table 13.3 Form for developing a proposal

Step 5: Developing an action plan

With the proposal it is useful to develop an action plan for each problem that you have identified. The action plan is a very simple tool which will help you organise yourself to respond to the problems to AYFRH service provision at your health post. In the action plan you put very specific actions. The activities you have put in the proposal may be more general activities. Table 13.4 shows a form that you can use to help you develop an action plan. You need to indicate in your action plan by whom and when the specific action will be carried out. Just as for the proposal Table 13.4 has been completed for the problem identified in the needs assessment.

Table 13.4 Action plan