JHPIEGO COMMITMENT SELF-REPORTING QUESTIONNAIRE 2019
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JHPIEGO COMMITMENT SELF- REPORTING QUESTIONNAIRE 2019 EWEC Secretariat, PMNCH, FP2020 self-reporting questionnaire to assess progress on implementation of commitments to the Global Strategy on Women’s, Children’s and Adolescents’ Health. COMMITMENT PROGRESS SUMMARY NARRATIVE Jhpiego believes that women deserve more than just to survive—they deserve to thrive. To have their family planning (FP) needs met, on their terms – meaning greater method choice, quality, and for their rights to be at the center. Jhpiego is dedicated to meeting women’s and girls’ desire for FP, especially at times when their need is often underestimated-during adolescence, after birth or after loss of pregnancy. Jhpiego has delivered on its promise and internally-funded specific investments in Ghana, Uganda, and West Africa. In Ghana, to better understand adolescents’ unique needs, Jhpiego conducted a co-creation event using human-centered design principles with pregnant adolescents, first-time mothers, health workers and influencers. Using the event's insights , Jhpiego partnered with the Ghana Health Service to build 51 health providers’ capacity to respond to adolescent needs, engaged key influencers to create supportive environments for adolescents, and established mother support groups to provide social support to 85 pregnant adolescents and new adolescent mothers. Jhpiego partnered with the National Board of Small Scale Industries to provide employment training for 73 adolescents, in trades like soap making or jewelry crafting. Jhpiego reached 506 adolescents and increased uptake of FP among adolescent mothers in project-supported facilities from 32% to 56%(2017-2018). In the mothers’ groups, 85% of the cohort received FP counseling, attended at least four antenatal care visits, and delivered in a facility. 93% accepted an FP method after birth to delay their next pregnancy, demonstrating the high effectiveness of the mothers’ group program. From 2016-2018 in Uganda, Jhpiego-capacitated adolescent mother peer guides reached 4504 adolescents through home visits, resulting in 1060 completed referrals for antenatal care, delivery, postnatal care, and FP services. Peer guides held community groups, reaching 3526 adolescents, and dialogue meetings with influencers, reaching 351 community members, to provide information on available health services and confront stigma associated with adolescent pregnancy. Jhpiego built the capacity of providers in postpartum and postabortion FP and prepared staff to deliver adolescent-friendly services through facility-wide orientations. After the intervention, 658 postpartum and postabortion adolescents from these facilities were counseled and initiated a FP method of their choice. Uptake of FP immediately after delivery among adolescents increased from 15% to 51% in maternity, from 26% to 69% at postnatal care, and from 29% to 78% for adolescent postabortion care clients(June 2017-May 2018). To support francophone West Africa, Jhpiego convened key stakeholders from MOHs and partners at the 2018 International Conference on FP to advocate for approaches to improve facility-based team performance in postpartum and postabortion FP and include relevant indicators to inform programming. Jhpiego leverages strategic regional meetings to advocate for best practices and leverages sponsored JHPIEGO COMMITMENT SELF-REPORTING QUESTIONNAIRE 2019
programs, such as the “Accelerating uptake DMPA-SC” project to scale-up life-saving FP services for women in the region. Globally, Jhpiego developed an impact modeling tool for postpartum FP using data on interventions throughout the maternal continuum of care. Once finalized, this tool will be publicly available to support governments and partners in goal-setting and strategic decision-making for their context. Since you made your commitment, how much of your commitment-related budget has been disbursed/spent-to- date (in USD)? US $500,637 Start Date – End Date January 1, 2017 – December 31, 2018 Earned Revenue? $500, 637 USD THEMATIC COMMITMENT PROGRESS Ensure universal access to Sexual and Reproductive Health and Rights (SRHR) Percentage of women of reproductive age (15-49) who have their need for family planning satisfied with modern methods Geographic Coverage. Check all the geographical levels that you implement your commitment- related activities in? Global Regional Country Sub-country Linkage to National Health Strategies. Are commitment-related objectives and/or targets aligned with the national health strategy of the country or countries in which activities take place in? Yes How commitment-related objectives and/or targets were selected? Jhpiego works as a partner with Ministries of Health and other leaders to design and implement program activities. When developing specific objectives for the adolescent programs in Uganda and Ghana, project teams met regularly with Ministry of Health officials at national and subnational level to develop workplan to align with in-country priorities and FP2020 goals. Stakeholders were engaged throughout the process and activity implementation to promote sustainability. Jhpiego works closely with members of the Ouagadougou Partnership to determine gap areas and opportunities to support family planning efforts in West Africa. EVERY WOMAN EVERY CHILD FOCUS AREAS JHPIEGO COMMITMENT SELF-REPORTING QUESTIONNAIRE 2019
Adolescent and Young Adult Health and Well-being
Applicable
Current Status: Ongoing
Activities Implemented:
2017 Activities and Results:
Implemented a life skills training for 85 adolescent girls in Ghana on topics including reproductive systems,
PPFP, challenging stigma against adolescent pregnancy, self-esteem, healthy pregnancy, and care of the
newborn.
Empowered 67 adolescent mothers to serve as peer guides in Uganda to provide adolescent health
messages. Peer guides reached 1,161 adolescents through home visits, resulting in 461 completed
referrals to health facilities.
Conducted 131 community health meetings where peer guides led discussions on adolescent health in
Uganda reaching 1,392 adolescents.
Sensitized 126 community influencers to support adolescent health access to reproductive health services
in Uganda
134 postpartum adolescents were counseled and initiated a modern FP method at Jhpiego-supported
facilities in Uganda.
2018 Activities and Results:
Through mothers’ group meetings in Ghana, supported 85 first time adolescent mothers by addressing
stigma, providing social support and motivation, and establishing a platform for adolescents and facilitators
(service providers) to address their concerns and discuss their well-being. Of the cohort of 85 first time
pregnant mothers in the mothers’ group meeting cohort, 89% of pregnant adolescents attended 4 or more
ANC visits, 89% received FP counseling at home visits, 93% accepted a FP method immediately after
delivery.
Provided specific employment skills training for 73 adolescents in Ghana, including soap making and
jewelry crafting and provided start-up kit materials to initiate businesses.
55 pregnant adolescents received counseling through home visits (21% of home visits) in Ghana
137 postpartum adolescents were counseled and initiated a modern FP method at Jhpiego-supported
facilities in Ghana (24% increase from baseline evaluation)
Conducted 9 community socialization meetings reaching 97 influencers in Ghana
In Uganda, 67 peer guides conducted:
326 group sessions, reaching 3526 adolescent girls and boys, including 2979 pregnant
adolescents or adolescent mothers within 1 year postpartum (cumulative). Group sessions focused
on sharing information around FP and healthy spacing of pregnancies, addressing myths and
misconceptions, and spreading awareness about available services at project- supported health
facilities.
3925 home visits, reaching 4505 adolescent girls and boys, including 3388 pregnant adolescents
and adolescent mothers within 1 year postpartum (cumulative). Home visits reinforced messages
shared during group sessions and provided more individualized conversations around antenatal
care, postnatal care and postpartum FP, gender-based violence, and other topics of interest.
Referred 2049 adolescents to health facilities, and of these 1060 (52%) successfully reached the 6
project-supported health facilities for services.
Reached 351 community members through 10 community dialogue meetings in Uganda to
encourage community support for pregnant adolescents and adolescent health services.
479 postpartum and 45 postabortion adolescents were counseled and initiated a modern FP
method at Jhpiego-supported facilities in Uganda.
Country Leadership: Yes
JHPIEGO COMMITMENT SELF-REPORTING QUESTIONNAIRE 2019Community Engagement: Yes
Individual Potential: Yes
Health System Resilience: Yes
Research and Innovation: Yes
Multisectoral Action: Yes
Service Delivery Included: Yes
Geographical Coverage: Both Urban and Rural
Adolescent girls and young women (aged 15-24)
2018: Ghana: 422 through mothers’ group meetings, employment training, home visits and
services at Jhpiego-supported health facilities
Uganda: 6001* adolescents (3343 adolescents through home visits, 2134 adolescents through
community group sessions, 524 adolescents at health facilities) *May have been reached through
multiple channels
Data source: Routine- Project/Prohram specific information system (non-govt)
Men (aged 25-49): Yes
Sexual and Reproductive Health and Rights
Applicable
Current Status: Ongoing
Activities Implemented:
2017 Activities and Results:
134 postpartum and postabortion adolescents were counseled and initiated a FP method at Jhpiego-
supported facilities in Uganda (Also reported under the “Adolescent and Young Adult Health and Well-being”
section).
Conducted and presented results of a situational assessment to assess readiness to provide postpartum
and postabortion FP in Ouagadougou Partnership countries
2018 Activities and Results:
137 postpartum and postabortion adolescents were counseled and initiated a FP method at Jhpiego-
supported facilities in Ghana (Also reported under the “Adolescent and Young Adult Health and Well-
being” section).
479 postpartum and 45 postabortion adolescents were counseled and initiated a FP method at Jhpiego-
supported facilities in Uganda (Also reported under the “Adolescent and Young Adult Health and Well-
being” section).
Hosted satellite meeting at the International Conference on Family Planning to advocate for and
encourage implementation and collaboration on postpartum and postabortion FP among francophone
countries, especially including relevant indicators in national health management information systems to
inform programming. Country representatives from Benin, Burkina Faso, Guinea, Mali, Chad, Democratic
Republic of Congo, Senegal, Rwanda and key stakeholders such as the World Health Organization, Bill &
Melinda Gates Foundation, and other implementing partners attended.
Presented a poster presentation at the International Conference on Family Planning disseminating results
from the situational assessment of postpartum and postabortion FP in Ouagadougou Partnership
countries.
Hosted side event meeting at the Société de Gynécologie et d’Obstétrique (SAGO) Meeting in Guinea
focusing on postpartum FP which included evidence presentations, demonstrations, and dissemination of
resources.
Hosted a session in the Economic Community of West African States (ECOWAS) Forum Knowledge Cafe
focused on postpartum FP, highlighting the modular Long Acting Reversible Contraception Learning
Resource Package.
Developed impact modeling tool focused on postpartum FP to support goal-setting and decision-making
Country Leadership: Yes
Individual Potential: Yes
JHPIEGO COMMITMENT SELF-REPORTING QUESTIONNAIRE 2019Health System Resilience: Yes
Service Delivery Included: Yes
Geographical Coverage: Rural
Adolescent girls and young women (aged 15-24): Yes
2018: Ghana: 137 adolescents in 2018 (also reported under the “Adolescent and Young Adult
Health and Well-being” section
Uganda: 658 adolescents (Also reported under the “Adolescent and Young Adult Health and Well-
being” section
Data Source: Routine- National health information system (MoH)
Quality, Equity and Dignity in Services
Applicable
Ongoing
Activities Implemented:
2017 Activities and Results:
Built capacity of 51 health care providers from 15 facilities to provide respectful, adolescent-friendly
services in Ghana. Trained health care providers increased their knowledge of adolescent friendly
standards by 32%.
Built capacity of 6 district trainers in Torero and Bukedea, Uganda who in turn trained 54 service providers.
These district trainers will continue to offer supportive supervision to trainees and provide clinical trainings
and mentorship for adolescent friendly health service delivery. Facilities were also equipped with critical
equipment to deliver high-quality FP services.
As of December 2017, built capacity of 22 health care providers in 6 facilities to provide adolescent-
friendly services in Uganda. Jhpiego continues provider trainings in 2018 and collaborating with district
trainers to provide on the job mentorship to strengthen provider capacity in their own facilities.
2018 Activities and Results:
140 health care providers and staff from 6 facilities reached through whole site orientations in Uganda to
create a supportive facility environment for FP and adolescent friendly services.
Conducted supportive supervision visits to facilities, peer guides, and district health management units in
Uganda to provide mentorship and quality assurance support
Country Leadership: Yes
Individual Potential: Yes
Health System Resilience: Yes
Service Delivery Included: Yes
Geographical Coverage: Both Urban and Rural
Other or key population: Health care providers
2018: Ghana: 51 health care providers
Data Source: Routine- Project/ Program specific information system (non-govt)
If you prefer to share links to your high-quality photos and/or videos, please share it here:
JHPIEGO COMMITMENT SELF-REPORTING QUESTIONNAIRE 20191 Photo: Jhpiego http://www.everywomaneverychild.org/wp-content/uploads/formidable/22/Peer-guide-in-Uganda-engages-adolescents-
on-benefits-on-FP-during-community-group-sessions.jpg
2 Photo: Jhpiego http://www.everywomaneverychild.org/wp-content/uploads/formidable/22/Young-mothers-in-Ghana-presenting-their-
prototype-of-solution-to-barriers-that-pregnant-ado
lescents-face.png
Please provide the following information on the point of contact for this update:
❑ Name: Linda Breithaupt
❑ Title: Program Officer
❑ E-mail: linda.breithaupt@jhpiego.org
❑ Phone: 443-447-2802
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