1. Maternal, Neonatal and Child Health2. HIV/AIDS 3. Adolescent and Youth SRH Engagement 4. Strategic Engagement 5. Strategic Information and Knowledge Management6. Service Statistics

    Maternal, Neonatal and Child Health

    Within the past two decades following the launch of the millennium development agenda in line with the National Health sector development plan, the world including our country saw significant progress in maternal, newborn, child and adolescent health. Despite the progress made, developing countries still face numerous socio-economic difficulties and an unfavorable economic environment. Ending extreme poverty, promoting development and resilience and attaining all the sustainable development goals in Africa will depend mainly on the attainment of the aspirations of Agenda 2063 “The Africa We Want” and the well-being and survival of women, newborns, children and adolescents. The Continental Policy Framework on Sexual and Reproductive Health and Rights and the Maputo Plan of Action 2016 -2030, are key instruments for Africa to achieve these. In addition, solidifying the gains made and focusing the continent’s efforts towards ending preventable maternal, newborn and child deaths within a development context will depend on the use of an Accelerated Reduction of Maternal, Newborn and Child Mortality strategies in Africa, which serves as a critical advocacy platform. Based this all needs, the FGAE has contributed towards addressing the national demand of MNCH related program in the country. FGAE program focused related to MNCH are FP, ANC, Institutional Delivery, PNC, CAC, EPI, SRH counseling and PMTCT which is provided in different Service out let modalities. In addition, FGAE focused on provision of specialized SRH service such as cervical cancer screening and treatment, Infertility Care, Gynecological care including Non SRH medical care to the women and children. FGAE is provided an integrated key SRH service through 306 Family Health Network clinics. Based on the vulnerability assessment finding, FGAE is providing SRH service including SRH promotions for more than 80% of the underserved and vulnerable community including youth.

    Key Accomplishments  of FGAE SRH Program Interventions  in 2016

     

    • Expanding the cervical cancer screening and management mechanism and nearly10% percancerious cases has accessed the treatment of Cryotherapy .
    • The contribution of CYP to the national has achieved as719,910. This achievement is due to increase an awarness in the community to improve the continuity care more focused on LTFP.  Moreover FGAE has provided 7, 329,730 Total SRH service.
    • The percentage FP service users to women with safe termination has achieved as 93% in 2016
    • To strengthen partnership, FGAE has supported the Governement strategy related to improve collaboration with private health sectors

     

     

     

    FGAE initiated to expanded the focus SRH services through different level of FHN clinics at rural, small and medium town such as

          162 Primary FHNCs

          108 Medium FHNCs

          21 Higher FHNCs and 15 Plantation and factories

    FHNCs are four such as

    - Family Planning Services

    - Comprehensive Abortion Care

    - HIV and

    - STI Services

    FGAE support to FHNCs

    -          FP commodities, HIV test kits and STI drugs, other supplies and equipment especially to establish Infection prevention mechanism

    -          Renovation

    -          Training

    -          Technical support to ensure QoC service provision

    -          Standardized data capturing and reporting tools

     

     

    • The contribution percentage of the Family Health Network clinics (FHNC)on SRH services  for the total achievement of FGAE is 34%.  The FP and CYP percentage contribution by FHNC was 54% and 30% respectively in 2016
    • The demand generation activities carried out by using different apprachs and methodologies to improve the service volume in the FGAe service outlets.  such as transmited tailor SRH message through public media including distribted lefleats, flayers and posters to the community.  This promotion strategies Emphasized to improve health-seeking behavior and appropriate services to meet women’s health needs throughout their lives.
    • An integrated SRH provision approach gave lesson to reduce mis opportunities in provision of various related MNCH service in one shoping system.

    Projects

    Grant No./Code  Project Title  Funding Agency  Implementing Region Starting Date  End Date   Status
                 
     HIV/AIDS 

      Supported Facilities Map

      Project Title

     Strengthening Family Guidance Association of Ethiopia’s (FGAE’s) Sexual and Reproductive Health Clinics and Youth Centers to Deliver Integrated,  Comprehensive PMTCT, HCT and STI Services in Ethiopia.

      Project Goals

     To contribute to the national reduction of the incidence of HIV/AIDS/STIs and opportunistic infections ensuring the rights of PLHIV, affected groups and  MARPs.

      Project Description

    Strengthening Family Guidance Association of Ethiopia’s (FGAE’s) Sexual and Reproductive Health Clinics and Youth Centers to Deliver Integrated,  Comprehensive PMTCT, HCT and STI Services in Ethiopia is a six -year program $ million contract agreement. Supporting   comprehensive STI/HIV/AIDS  services in seven regional states (Tigray, Afar, Amhara, Oromia, SNNPR, Harari, Somali, Gambela)  and two city administrations(Dire Dawa and Addis Ababa)  in Ethiopia. To date, $XX million has been obligated into the award, spanning four program areas.

     The four main objectives of the project are the following:

     I) Reduce socio-cultural, gender and economic related barriers that limit access to, and utilization of HIV/AIDS/STIs information and services through  reaching 925,200 MARPs

     II) Increase access to integrated HIV/AIDS/STIs prevention services (by providing service for 550, 000 HCT, 100,000 STI & 180,600 PMTCT cases) for MARPs  (particularly CSWs and young girls)

     III) Improve care, support and treatment of HIV/AIDS/STIs and opportunistic infections for 10,425 PLHIV (including 2300postive pregnant women), affected  families and MARPs

     IV) Enhance knowledge management in SRH & HIV/AIDS programmatic and service linkages in 8 Area Offices, 45 FGAE facilities and 450 community  outreach sites

     Project activities mainly includes:-Demand creation to access and utilization of STI/HIV/AIDS services, Increase access to integrated STI/HIV/AIDS prevention  services, Improve access to care and treatment for PLWHIV and Enhance monitoring and evaluation of SRH and HIV/AIDS

    Projects

    Grant No./Code  Project Title  Funding Agency  Implementing Region Starting Date  End Date   Status
                 
    Adolescent and Youth SRH Engagement

    FGAE is a volunteer-based Sexual and Reproductive Health (SRH) service providing Association established in 1966 and pioneered Family Planning (FP) services in Ethiopia. It is an accredited member of International Planned Parenthood Federation (IPPF), joining the Federation since 1970.FGAE operates through the HQs and 8 Area Offices coordinating 47 service delivery points (SDPs) in the country. These SDPs include a Gynae & Obs Clinic, 8 higher SRH clinics, 14 medium SRH clinics and 14adolescent &youth SRH clinics, as well as 10 confidential clinics for Most at Risk Populations (MARPs). There are also more than 200 outreach sites and 330 franchised private family health network facilities. The FGAE service outlets are widely spread and strategically located in 8of the 9 national regional states and at the 2 City Administrations in Ethiopia.

    FGAE plays a substantial role in advancing the SRH status and wellbeing of underserved young people [10 to 24 years of age] through nurturing strong partnership with government and other stakeholders and scaling up innovative adolescent &youth-centered SRH programs. Following the repositioning of the AYSRH program in FGAE, all of the facilities and service delivery modalities have integrated AYSRH Program interventions. Hence, the FGAE AYSRH program target constituents mainly represent underserved, most at risk, and vulnerable young people, specifically: young married rural women and men; in and out of school adolescents and youth; young people in rural and pastoralist areas; those with special needs (young people with different forms of physical challenges and intellectual disabilities); young people having transactional sexual relationships; young PLHIV; and youth casual workers at emerging risky industrial corridors as well as those attending Higher Learning Institutions (HLIs).

    FGAE is providing a broad range of SRH information and services for young people, mainly: Comprehensive Sexuality Education (CSE), Life Skills & Family Life Education, Edutainment, Integrated FP Services, Specialized Counseling, MNCH (ANC, PNC, and Immunization), Comprehensive Abortion Care (CAC), Infertility Care, STIs diagnosis & treatment, Gynae Care, Opportunistic Infections (OI) management, Pregnancy and other SRH Lab services, HIV Counseling & Testing (HCT), PMTCT, Early screening of cervical cancer, pap smear test, referrals, medical care and counseling services for rape survivors to be mentioned among others .

    Key Accomplishments of FGAE AYSRH Program Interventions in 2016 

    • Comprehensive Sexuality Education (CSE):

    FGAE has been actively engaging at the national level with pertinent stakeholders for the CSE integration into the Ethiopian school curriculum. The Association developed a contextualized CSE guides for Teachers and Learners that has been piloted since 2012. Indispensable lessons drawn from grassroots on implementation of CSE evidenced the fertile possibilities to scale up both in & out of School CSE. In 2016, more than 63,000 young people have completed the CSE sessions, where minimum of two months required completing the basic lessons for a single group.

     

    • Integrated, Friendly & Youth Led AYSRH Information & Service Delivery:

    During the program year of 2016: 209,079 young people were addressed with SRH promotion through media using young champions; 521,018 service contacts of young people accessed with library & ICT services; 676,375 young people addressed through edutainment and thereby accessed SRH information. Youth change agents linked58,176 young clients to SRH services at FGAE facilities. Overall, FGAE provided 3,565,396 SRH services (including FP) to young people [10-24 years] in 2016.

    Projects

    Grant No./Code  Project Title  Funding Agency  Implementing Region Starting Date  End Date   Status
                 
     Strategic Engagement

    The SE team initiates and coordinates the overall strategic engagement interventions and IE-BCC activities where gender mainstreaming is ensured.  After seeking and finding evidences related to SRH gaps in information, attitude and knowledge, the team identifies issues and prioritize them and set forth agenda for forums, panel discussion, and discourse. Apart from coordinating the design and popularization of FGAE strategic priorities, the team also represent FGAE in national networks and consortia involved in nurturing enabling environment for sexual and reproductive health programs; we do so in collaborate with relevant departments and units, especially strategic information and knowledge management to develop, produce packages including fact sheets and human angle stories. The team often tries to design, produce and air gender responsive SRH prevention and impact mitigation messages including creation of awareness on available services and where available using multi-media approaches.  Likewise, the SE unit works on mainstreaming of gender into FGAE programs, service delivery and organizational operations at all levels.  Communication has two purposes: behavior change and advocacy. In this regard, the SE team leads and coordinates the design and implementation of an effective SRH Prevention strategy and Social & Behavioral Communications. Nonetheless, the SE unit continuous to make intellectual contributions to the Association’s strategic and operational planning process including budgeting, development and implementation of corporate work plans, organizational development and overall performance improvement plans. 

     Strategic Information and Knowledge Management

    Since early days of the Association, a unit (in various names) has been performing activities related to monitoring, evaluation, research and management information systems. Starting from 2015, FGAE restructured the unit as Strategic Information and Knowledge Management (SI&KM) to undertake M&E, IT, operation research and knowledge management related activities both at the head office and eight Area Offices M&E structure.

    The core institutional strategies contain all information through routine service and administrative standardized data capturing tools.  Using evidence based information help to improve SRH performance in line with the effective implementation of SI/KM principles, guidelines, standards, and procedures in the association. Furthermore, adhering to the three overarching guided principles of M&E technical standards (Standardization, Integration and Simplification) sustain effective and efficient program implementation.

    Moreover, the SI/KM unit is in position to coordinate the effective implementation of M&E framework, tools (recording and reporting) and data quality assurance. The unit also plays a leading role in institutionalization of DDU and progress performance monitoring through implementation of integrated supportive supervision (ISS), Performance review meeting, mentoring and Branch performance tools. The unit has been making an effort to ensure the production of quality data to improve informed decision making.  These efforts include system capacity building and provision of trainings for M&E staff, service providers and others who are involved in the production of data.   The unit also availed an improved data capturing and reporting tools, and provided trainings to use the tools properly; introduced automated database system (eCMIS and SMART CARE); introduced and implemented mechanisms to improve data quality and use such as DDU and DQA.

    Knowledge management is about understanding what goes well and what didn’t, and based on that finding it follows documenting the factors that have led to a tangible result. Then, we retrieve our new ways to solve a problem as well as lessons regarding what would have been done differently to achieve a better result.

    Lessons retrieved will be documented in certain formats, could be textual case history, digital storytelling, or video clip format to share to stakeholders.  These stakeholders could be internal or external, yet at any rate they are selected audiences to potential scale up our success and facilitate bi-directional learning.

    Service Statistics

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