Teenage Facilitators: barriers to improving adolescent sexual health
Download available
Download available
Download available
The seminar report highlights the major themes that emerged from the presentations and discussions and outlines key principles that need to guide recommendations for service delivery. The report concludes by offering general recommendations to NGOs at national, regional and international levels.
Download available
This article discusses CARE's experiences with involving youth through participatory research on sexual and reproductive health in Zambia. The research findings indicate that adolescents have incomplete, inaccurate and distorted information on sex and reproduction. CARE acted on the findings and implements adolescent and sexual health programmes in shanty towns. The authors opine that adolescent sexual behaviour has serious implications and there is a need for extensive interventions.
Download available
An assessment of the reproductive health education pack called 'Auntie Stella' used in Zimbabwe's secondary schools. The authors measure the impact of 'Auntie Stella' and draw on lessons learnt from its use and the use of PRA in reproductive health education.
Download available
A report of developing a sexual health training pack with low-literacy youth who are attached to religious groups. The authors question the use and efficacy of participatory methods to facilitate information collection and analysis for producing a manual by tracing their experiences which saw the youth group opting for the use of drama instead of PRA tools and setting the agenda for the development of the manual. The article ends with a series of questions for reflection about facilitation in the participatory process.
Download available
The report sets down the participatory methods used to gain insights into what young people in the UK want from different kinds of sexual health services and how and when they would use these services. The authors conclude that the most important lesson they learnt about participatory tools was how flexible the tools were and how they could be used in ways that were not prescriptive and rigid.
Download available
This article recounts the experiences with the three year action-research pilot project called Living for Tomorrow which focuses on HIV prevention from a gender perspective. The Nordic Institute for Women's Studies and Gender Research (NIKK), coordinates the project aimed for people from countries belonging to the former Soviet Union. The author shows how the project works with young people in Estonia to address gender issues in a subtle way through the use of films, theatre, participatory drama and other mixed media.
Download available
This article compares findings deduced from participatory appraisal techniques with those obtained by more conventional assessments, notably household surveys and specifically those drawn from a local, recently revised census. Its particular focus is on measuring wellbeing in an area in Mali, with particular reference to household food security and child under-nutrition. It investigates how the different methods of assessment can reveal discrepancies relative to the method of data collection used which impact in a contradictory way on deductions.
Download available
This article describes the evaluation of a reproductive health project in which the external evaluator's main role was to identify the project's information gaps and to propose an evaluation methodology. The Adolescent Reproductive Health Education Project has been working with secondary school students in Zimbabwe since 1997, and in 1998 produced a reproductive health pack called "Auntie Stella". This evaluation took place a year later. The article describes the methodologies used (which included a logical framework and questionnaires), the positive qualities of the evaluation, to what extent the evaluation was participatory, how the concept of defection worked, and issues around affordability and shortcuts. It finishes with comments from the staff "with hindsight", and conclusions.
Download available
This paper reports on the experience of the Association for Reproductive and Family Health (ARFH) in adopting Participatory Learning and Action (PLA) in understanding the life planning and reproductive health needs of young people in Nigeria. The tools used were focus group discussions, key informant interviews, and in-depth interviews. The lessons learnt were that pre-marital sexual relations are major reproductive health problems amongst adolescents. The problems associated with these were unwanted pregnancies and withdrawal from school by young girls. Also, multiple sexual partners increased the risk of sexually transmitted infection, including HIV/AIDS. It was found that risky behaviour was engaged in due to ignorance about human physiology and physical development. From this basis participatory methodologies were used in designing an acceptable school-based sexuality programme.
Download available
This is a set of locally adaptable resources for communities working with orphans and vulnerable children in Africa. They are based on the experience of the International HIV/AIDS Alliance, its partners and other organisations. The briefing notes for working with children are organised into an overview and five sections: Education; Health and nutrition; Psychosocial support; Social inclusion; and Economic strengthening. Each briefing note provides issues and principles for guiding strategy, while drawing on best practice from programme experience. Each can be used alongside a Participatory Adaptation Guide, which will help organisations and community members, including children, to adapt these principles and strategies to their own local situation. These briefing notes have been developed through a highly participatory process, guided by an international advisory board (in collaboration with participants from Uganda, Malawi, Zambia, Zimbabwe, Kenya, Burkina Faso, Senegal, Mali, Mozambique, Angola etc.). These briefing notes are divided into four sections: Introduction, with an overview that explains why programmes need to strengthen the skills and resources of families and communities to cope with the impacts of HIV/AIDS; Issues, with an outline of the impact of HIV/AIDS on children; Principles, with guidelines for programmes aimed at strengthening the coping capacity of vulnerable children, families and communities; and Strategies, with possible ways of taking action to strengthen support for orphans and vulnerable children. The full text document can be found on http://www.aidsalliance.org/building_blocks.htm or http://www.eldis.org/ and is available in English, French and Portuguese children, Africa, HIV, AIDS, training manual, orphans, health, sexual health, child care, coping strategies
Download available
GROW is an indigenous NGO operating in the Mokhotlong district of Lesotho. The focus of their programmes have shifted in recent years to address the issue surrounding HIV/AIDS. This article presents a participatory, community-based approach to possible strategies of alleviating the burdens faced by orphaned children. Members of the GROW health and nutrition team initially met with 27 people identified as caregivers of orphaned children to discuss needs and possible solutions. The article looks at how a support network was developed and how this empowered both the children and the communities in the challenges they faced.
Download available
As part of the 50th issue of PLA Notes, this article provides an introductory overview of both critical reflections as well as future directions of participatory learning and action. The articles compiled in the 50th edition speak from personal analyses and experiences. This article describes the process and products of a writeshop, held at IDS, where the participants came up with a timeline of participatory development based on their experiences. The main themes identified then formed the basis for the articles in this special issue of PLA Notes, including literacy, adult education and empowerment; participatory communications; sexual and reproductive health and well-being; gender and development; children's participation; agriculture, livestock and fisheries; people-centred approaches for natural resource management; urban participatory development; participation and well-being; monitoring and evaluation; advocacy, citizenship and rights; participatory processes in the North; governance and democracy; and critical reflections from practice. Several crosscutting themes also emerged, such as the evolution or participatory discourse; sharing learning and best practice between the South and the North; recognizing the political significance of participation, democratization and issues of power; scaling-up and institutionalizing participatory approaches; the continuing importance of critical reflection and participatory monitoring and evaluation; and the links between working at the local, national and international levels. After identifying these themes, the article goes on to briefly introduce and summarise each of the articles in this special issue. The article concludes with a hope that readers of PLA Notes continue to send in critical reflections and examples of innovations and best practices.
Download available
The article looks at the challenges and strategies of a partnership for health that was formed in 1998 in Saidpur and Parbatipur municipalities in Northern Bangladesh. Under the Child Survival Programme (CSP), a partnership was formed between Concern, 2 municipal authorities and 24 ward health committees. The overall goal of the CSP is to reduce maternal and child mortality and morbidity, and increase child survival by developing a sustainable municipal health service. The article looks at issues of partnership, and how a meaningful partnership was a difficult achievement in this case and had to be reconstructed after initial failures. The authors describe processes used to assess the capacities of the partners, to design the programme, and the overall achievements of the CSP. The article concludes by outlining future challenges, lessons learnt and implications for building sustainable health-promoting partnerships in development.
Download available
In a detailed report about the Partnership for Adolescent Sexual and Reproductive Health (PALS) in Zambia, implemented by CARE International, the authors look at applying participatory learning and action techniques in working with young people. In the context of the global HIV/AIDS epidemic, the report looks at how the PALS program is a creative response to address the reproductive health needs of young people. The report is structured into 6 main areas: introducing the Zambian experience; the key principles and challenges of participatory learning and action (PLA); preparing for PLA and practical tips for the field; PLA methods and describing the tools; documentation and reporting; and finally tying the report together by describing how to use PLA to create an adolescent reproductive health intervention.