scholarly journals STORY THEATRE AND THE COMMUNICATION OF ADOLESCENT SEXUAL AND REPRODUCTIVE HEALTH: THE RAPE OF WOMANHOOD IN CALABAR, NIGERIA

Author(s):  
Edisua Merab Yta ◽  
Emmy Ikanaba Unuja Idegu

Young people in Calabar have diverse sexual and reproductive health challenges. Many argue that integrating gender into health programming will help reduce some of these issues because gender is central to shaping many sexual and reproductive health issues. This study used story theatre, as a qualitatively, narrative and participatory approach in trying to understand how gender relates to and influences adolescent sexual and reproductive health. Twenty story sessions were held for a hundred young people (aged 10-19) in four selected communities’ Akai Effa, Ikot Ekpo, Efut Uwanse and Nyakassang all situated in Calabar Municipality and Calabar South Local Government Areas of Cross River State, South-South Nigeria. Sessions were recorded and later coded and analyzed for sexual and reproductive health as well as gender themes. Key findings revealed that rape and gender-related sexual assault and violence, teenage pregnancy, intergenerational as well as the objectification of women ranked amongst the highest Adolescent Sexual and Reproductive Health (ASRH) and gender issues in the communities. Young females seem to be getting more of the negative effects than boys because they are seen as pleasurable and economic assets. It is recommended that out of the box approaches which will involve multi-systems and stakeholders be used in finding a solution to this worrisome issue.

Author(s):  
Ingrid Lynch ◽  
Finn Reygan

Both significant progress and profound backlash have occurred in the inclusion of sexual and gender diversity across eastern and southern Africa. This includes the decriminalization of homosexuality in Mozambique in 2015 and the introduction of the Anti-Homosexuality Act (later annulled) in Uganda in the preceding year. Simultaneously there is increased pressure on Ministries of Education to engage more robustly with sexual and reproductive health and rights (SRHR) education in education systems across the region. Emerging regional research points to a narrow, heteronormative focus in comprehensive sexuality education; access barriers to sexual and reproductive health services; and pervasive school-related gender-based violence, including homophobic and transphobic violence. Civil society organizations (CSOs) play a key role in developing best practice in advancing the SRHR of sexual and gender minority youth and are therefore a valuable resource for government SRHR policies and programmatic responses. The regional SRHR education policy landscape is underpinned by two policy narratives: that of young people’s SRHR as a public health concern and a focus on young people’s human rights. These policy narratives not only underpin SRHR policy in the region but also in many instances are drawn on in CSO advocacy when positioning the SRHR of lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) young people as an important policy concern. These two dominant policy narratives, however, have a narrow focus on young people’s risks and vulnerabilities, may inadvertently perpetuate stigma and marginalization of LGBTQI youth, and may limit youth voice and agency. These narratives also do not sufficiently engage local sociocultural and structural conditions that drive negative SRHR outcomes for young people in the region. Research, advocacy, and policy development toward the full realization of the SRHR of sexual and gender minority youth can address some of the limitations of health and rights-based policy narratives by drawing on a sexual and reproductive justice framework. Such a framework expands the policy focus on health risks and individual rights to include engagement with sociocultural and structural constraints on young people’s ability to exercise their rights. A sexual and reproductive justice framework provides a more robust toolkit when working toward full inclusion of sexual and gender diversity in regional school-based SRHR policy and programs.


2019 ◽  
Vol 17 (2) ◽  
pp. 79-99
Author(s):  
R.A Onipede Wusu ◽  
Z.A Soniyi ◽  
R.Y Kazeem ◽  
A,R Abogunloko ◽  
O.M Animashaun ◽  
...  

Previous studies have examined conventional substance use among young people but little is known about unconventional substance use in this population. Hence, this study sought to explore unconventional substance use among young people in urban Lagos and the implications for sexual and reproductive health (SRH). The study employed cluster sampling strategy in administering 1200 copies of a structured questionnaire among in-school and out-of-school young people (10-24 years old) across selected areas in urban Lagos. Results indicated that the social environment of young people influenced their involvement in unconventional substance use (p<0.05) in the study setting. Older young people, those out-of-school, exposure to unconventional substance use through peers, through television and those less religious were more likely to report ever use of any unconventional substance. Tramadol, cough syrup, and rohypnol were the most popular unconventional substances ever used among both male and female respondents. Also, while young females who used various unconventional substances were vulnerable to STIs owing to poor preventive behaviour, multiple sexual partnership was rampant among their male counterparts though rich preventive culture prevailed among them. Thus, unconventional drug use among young people has a strong probability of increasing health burden through risky SRH in the study setting.


2021 ◽  
Vol 18 (S1) ◽  
Author(s):  
Asha S. George ◽  
Tanya Jacobs ◽  
Mary V. Kinney ◽  
Annie Haakenstad ◽  
Neha S. Singh ◽  
...  

Abstract Background The Global Financing Facility (GFF) offers an opportunity to close the financing gap that holds back gains in women, children’s and adolescent health. However, very little work exists examining GFF practice, particularly for adolescent health. As momentum builds for the GFF, we examine initial GFF planning documents to inform future national and multi-lateral efforts to advance adolescent sexual and reproductive health. Methods We undertook a content analysis of the first 11 GFF Investment Cases and Project Appraisal Documents available on the GFF website. The countries involved include Bangladesh, Cameroon, Democratic Republic of Congo, Ethiopia, Guatemala, Kenya, Liberia, Mozambique, Nigeria, Tanzania and Uganda. Results While several country documents signal understanding and investment in adolescents as a strategic area, this is not consistent across all countries, nor between Investment Cases and Project Appraisal Documents. In both types of documents commitments weaken as one moves from programming content to indicators to investment. Important contributions include how teenage pregnancy is a universal concern, how adolescent and youth friendly health services and school-based programs are supported in several country documents, how gender is noted as a key social determinant critical for mainstreaming across the health system, alongside the importance of multi-sectoral collaboration, and the acknowledgement of adolescent rights. Weaknesses include the lack of comprehensive analysis of adolescent health needs, inconsistent investments in adolescent friendly health services and school based programs, missed opportunities in not supporting multi-component and multi-level initiatives to change gender norms involving adolescent boys in addition to adolescent girls, and neglect of governance approaches to broker effective multi-sectoral collaboration, community engagement and adolescent involvement. Conclusion There are important examples of how the GFF supports adolescents and their sexual and reproductive health. However, more can be done. While building on service delivery approaches more consistently, it must also fund initiatives that address the main social and systems drivers of adolescent health. This requires capacity building for the technical aspects of adolescent health, but also engaging politically to ensure that the right actors are convened to prioritize adolescent health in country plans and to ensure accountability in the GFF process itself.


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