Life Planning for Adolescents and Youths (LPAY)
In 2017, an impact analysis was carried out to determine the effect of NURHI’s intervention on adolescents and youth in its implementation cities between (2009 - 2014). The result of that analysis was impressive and showed that NURHI’s first phase interventions did have a positive result and created a slight shift in awareness and use of family planning methods among young people. In NURHI 2, Life Planning for Adolescents and Youth (LPAY) is an add-on to the current projects activities being implemented in Kaduna, Lagos and Oyo, with an intentional focus on adolescents and youth (aged 15-24 years).
LPAY integrates a deliberate and innovative focus on adolescents and youth (aged 15-24) into the NURHI 2 strategic approach in order to respond to the unique needs of that segment of the population and increase their demand for reproductive health information and services. The LPAY Strategy addresses current challenges facing young people’s access to family planning, proactively considering the impact of interventions on young people, and tailoring them to have a deeper impact and wider spread among youth in Kaduna, Lagos and Oyo. These interventions are designed to be scale-able to other states, including those supported by TCI Nigeria hub.
The LPAY implementation framework represents the holistic NURHI 2 approach in meeting the unique Life Planning needs of young people through the interlocking and mutually dependent approaches of Advocacy, Demand Generation and Service Delivery – while also building the agency of young people to make positive life choices through Youth Development.
Meaningful Youth Engagement
This shares the NURHI 2 experience in meaningfully engaging young people throughout the project life cycle (research, project design, implementation, monitoring and evaluation) to layer on their unique life planning needs. These includes engaging young people during formative research and strategy design, providing them with meaningful roles as well as mentorship. This youth led, driven and focused integrated interventions, address current challenges facing young people’s access to family planning by increasing demand for reproductive health knowledge and services among young people ages 15 - 24 years in Kaduna, Lagos, and Oyo States. It is a guide for the government at all levels and other stakeholders to ensure seamless meaningful youth engagement.
Globally, many sexually active youths and adolescents want to avoid or limit pregnancy, while many others would want to wait before getting pregnant. These group of young persons may not know where to get contraceptives or may not be able to afford services, yet even when there is easy access, uptake may be difficult because of the stigma of their status as ‘not married’ and their inability to make decisions about their reproductive health.
Within the context of ensuring a supportive environment for meaningful participation of Adolescents and Youth in their health and well-being and thereby ensuring that their needs and views are fully considered in all Life Planning issues, efforts is made to achieve improved political commitment of government through policy actions, policy reforms and implementation, sustainable funding, leadership and popular support, media support and increased buy-in by relevant stakeholders.
To increase the demand for life planning information and services among young people, NURHI 2 Adolescents and Youth Demand Generation approach uses communication to increase adequate and accurate knowledge of contraceptive use, promote sexual responsibility and life planning among young people and trigger discussions about life planning at both the household and community levels.
In order to ensure that adolescents and youth receive competent and high-quality services that meet context specific needs, are based on evidence without medical and personal providers’ biases regarding use of all available contraceptives, NURHI 2 focuses on fostering an in-clinic environment that facilitates FP; training providers in counseling and contraceptive provision; and developing and disseminating the tools that enhance quality service deliver.
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