INTEGRATION OF SAA – SRH/FP INTO PCTFI/IMAGE

GHANA

Two Areas of operation:Staff capacity building and organizational learning in

the use of SAAStrategy / Program Development in FP

Team Members

Bright Wireko Brobby

Mercy Kwafoa

Abigail Nketiah

James Owusu-Akyaw

This presentation covers:

Staff capacity building and organizational

learning in the use of SAA

• Objectives

• Activity line-up

• Best practices

• Lessons learnt and challenges

Next steps

Staff capacity building and organizational learning in the use of

SAAObjectives

Transform staff capacity in FP

Build staff capacity in the use of SAA to improve SRH/FP results

Identify the social factors influencing the Sexual Reproductive Health of school

children with emphasis on girls.

Develop strategies to challenge the identified factors with corresponding action

plans.

Monitor implementation of communities action plans developed

Activity line-up

Staff capacity transformation workshop

Initial stakeholders meetings

Staff capacity building in the use of SAA Approach

- Community reflection meetings to identify social factors

- Development of communities’ Plans of Action to challenge factors

- Implementation of Action Plans in Communities

Next steps

Staff capacity building and organizational learning in the use of SAA

Staff Capacity Transformation Workshop

Objectives

To strengthen CARE staff to self-reflect, stimulating personal change in

their thinking about gender and Family Planning (highlight the new ideas

in FP)

To introduce them to the use of SAA approach to improve community

SRH/FP results.

To explain the FP results framework with social change component.

Process

17 Kumasi sub-office staff were taking through:

Kigali workshop overview

overview of FP

Contraceptive Technology update

Social Analysis and Action Approach and

Values clarification exercise. To help participants understand their own

gender attitudes and values with reference to FP

Staff Capacity Transformation Workshop

Value Clarification Exercise

The exercise was full of excitement as staff strongly defended their views

and tried to influence the values of others in vain.

The learning was that individuals are entitled to their own opinions/values.

Force cannot be applied to change values.

Staff Capacity Transformation Workshop

Statements for the value clarification exercise

A man should have a final word about decisions in his home;

It is a woman’s responsibility to avoid getting pregnant;

A woman’s most important role is to take care of her home and cook for

her family

The husband should decide the major household items to buy

Staff Capacity Transformation Workshop

Individuals expressing their views during values clarification/voting

Expression of an individual’s view about a statement

Staff Capacity Transformation Workshop

Staff trying to argue out their views

Staff protecting their values and trying to influence others in vain

Staff explaining issues in their favor

Staff holding on to their values

“you can not convince me

Debriefing staff meeting in the Kumasi sub-office.

Decided with management to implement in the Ejisu-Juaben

Municipality (a district)

Held separate meetings with District Assembly, Health and education

Directorates.

Held the district stakeholders’ meeting to select 4 communities

(Adumasa, Abenase, Nkyerepoaso and Tikrom)

Introductory meetings in the 4 communities.

Initial Meetings

Ejisu-Juaben Municipality Stakeholders’ MeetingCriteria for selecting the communities:

•High dropout rate for girls

•High incidence of adolescent pregnancies and SRH problems

•High level of Community Participation

•The absence of chieftaincy disputes.

•Easy accessibility

Selected Communities

•Abenase

•Adumasa

•Nkyerepoaso

•Tikrom

Mercy explaining the concept to facilitate the selection of communities

Group picture of District stakeholders

Initial Meetings

Communities stakeholders’ meetings

Adumasa

Nkyerepoaso

Tikrom

Abenase

Majority of the

community

stakeholders

who

participated in

the initial

meeting were

males.

Initial Meetings

Community Reflection Meetings - Activities

The Ideal Man / Ideal Woman

-To distinguish between gender and sex

-to explore socially defined gender roles

-to recognize gender stereotypes

Learning

- Further, they identified the characteristics that they wanted their children to have.

- Self assessment leading to behaviour change and a change of mind about what a woman

can do.

-After this activity the females started contributing to discussions.

Staff capacity building in the use of SAA Approach

Community reflection meetings to identify social factors

Men and women brainstorming on who an idea man/woman is

Staff capacity building in the use of SAA Approach

Ideal Woman – Community thinking

God-fearing

Faithful /truthful / Humble

Helpful /Loving / Obedient / Respectful

Hardworking

Good home manager / good cook

Tolerant / Hospitable

Resourceful / gainfully employed

Ideal Man – Community thinking

Democratic/Not Autocratic / Brave

Good planner/Responsible/Resourceful

Wealthy / Knowledgeable

Good Adviser

Provider of basic needs of family

Trustworthy/hardworking

Control the affairs of the family

Problem Tree

• to identify social, cultural and economic factors influencing the SRH of the school

children esp. girls

The community members were serious about this exercise and really

brought out realistic factors because they were serious about supporting

the children to improve their current sexual behaviors. They did not hide

their own weaknesses. In all four communities poor parental care

emerged as a strong factor.

This tool was used to identify the social, cultural and economic factors

influencing sexual and reproductive health of school children.

Staff capacity building in the use of SAA Approach

Staff capacity building in the use of SAA Approach

Community members deliberating on factors social, cultural and economic factors influencing sexual and reproductive health of school children

Presentations of Problem tree

Problem tree exercise

Lack of Parental care – neglect/

inability to provide basic needs for

children.

Poor child care support from fathers.

Negative parental influence.

Wake-keeping during funerals with

the involvement of children.

Some identified social, cultural and economic factors influencing sexual and reproductive health of school children

Neglect of some good cultural

practices

Children giving birth and large

family sizes.

Poverty

Divorce

Proliferation of video centers in

the communities

Staff capacity building in the use of SAA Approach

Key emerging factors indicated by all four (4) communities

Poor parental care

Poor time management (children)

poverty

Suggested Solutions to Challenge the Factors

Sensitization of parents and

capacity building in:

Good parental care

Family Planning and

Resource Management

Intensifying life skills education for

children

Psycho-social life skills education

with emphasis on SRH

Staff capacity building in the use of SAA Approach

Development of communities’ Plans of Action to challenge factors

TARGET ACTIVITY RESOURCES NEEDED TIMEFRAME MONITORING INDICATORS

Increasing the knowledge and skills of parents in Good parental careFamily Planning andResource management

Workshop to train for seven (7) persons each from all four (4) communities in -Good parental care-Family Planning-Resource management

Workshop materials (handouts)Stationery VenueAccommodationResource personsMeals T&T where necessary

April 15 – 17, 2009Attendance listWorkshop report Number of trained community representatives

Durbar/forum in all the four (4) communities

Resource/technical personsPlanning committeePublic address systemVideo camera recordVenue

Nkyerepoaso: April 30 Abenase: April 22Tikrom: April 23Adumasa: April 28

Video coverage PhotographsReportsProgramme outline

Improving the use of children’s leisure time and intensifying life skills education for children

Set up a library or a venue for evening studies/classes/leisure Training of community facilitators for the library/facilityVenue

Desktop computerbooks/ educational materials including SRH materialsIndoor games and puzzlesGas lamps

After community durbarRecords from register A furnished library/venue for studies and leisureNumber of trained community facilitatorsProgress reports

Role model day Psycho-social life skills education with emphasis on SRH

Resource personsVenueEducation (SRH) materialsPlanning committee

First week in May, 2009

Merged Action Plan for All Four (4) Communities

Best Practices

Initial involvement of the district stakeholders. DA linked us to the

Assemblymen of the selected communities; created an enabling

environment for community interactions.

Participatory planning with the communities- Meeting days and time.

No wrong or right answers during.

Provision of materials needed for the activities

Group work involving discussions and presentations.

Sharing of experiences.

Adopting a participatory

approach helps community

members to understand issues,

and take ownership of the

process.

Communities have the most

realistic and workable solutions

to their problems

High illiteracy rate especially

females

Short span of concentration on

the part of community

participants.

Lessons Learnt Challenges

Next Steps

Implementation of action plans by communities

Regular monitoring visits to the communities by CARE

CARE to work on objective 2; developing a strategy to address socio-

cultural barriers to FP; produce a concept paper to fundraise for a 24

months program.

Me d’ase