scholarly journals Aspirations versus Reality: Exploring Factors Affecting Meaningful Youth Participation in Sexual and Reproductive Health and Rights Programme in Rural Kenya

2021 ◽  
Vol 3 (1) ◽  
pp. 31-44
Author(s):  
Humphres Evelia ◽  
Phoebe Ndayala ◽  
Anna Page ◽  
Charles O Wafula ◽  
Judith Westeneng ◽  
...  

This paper presents the results of an implementation research of a pilot intervention, mainstreaming meaningful youth participation in a health care management system in Western Kenya with the aim to address adolescent sexual and reproductive health and rights (SRHR). This qualitative case study included 29 key informant interviews and 13 focus group discussions conducted in five community health units across four counties. The results demonstrate positive attitudes towards the principle of youth participation, yet, also a mismatch between the aspirations of young people to be active decision-making agents and the actual roles and responsibilities assigned to them. This paper further identifies factors that inhibit and enable effective youth participation at multiple levels; individual (such as education, discipline, migration, gender); organisational (such as guidelines and structures, financial support, and political interference) and societal (norms seeing SRHR as taboo and young people as unequal to adults), and formulates recommendations to address these.

Author(s):  
Miranda Van Reeuwijk

Youth participation is a key component in many youth sexual and reproductive health and rights (SRHR) programs. We analyze the results of Operational Research on Meaningful Youth Participation in a youth SRHR program in Ethiopia, Indonesia, Kenya, and Pakistan. Meaningful youth participation was found to have positive effects on empowerment and civic engagement of young people; on adult staff and organizations’ capacity to institutionalize meaningful involvement of young people, and provide youth-sensitive SRHR interventions; and achieve program objectives. Conditions enabling meaningful and structural youth participation are needed for positive effects, including mandates and policies on structural and fair youth representation at all decision making levels; opportunities for young people to have decision-making responsibilities, and to share power with adults; building young people’s capacities and understanding; welcoming and safe social environments where both young people and adults feel valued, respected, encouraged and supported.


2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Maria Wickström ◽  
Margareta Larsson ◽  
Berit Höglund

Abstract Background Different types of staff support individuals with intellectual disability (ID) in their daily life, in schools, leisure activities and in special accommodations. This study aimed to gain a deeper understanding of experiences and perceptions regarding sexual and reproductive health and rights (SRHR) among staff. Methods Data were collected in mid-Sweden in four focus groups with altogether 20 participants, 18 women and 2 men aged between 18 and 65 years. They had different professions and worked among youth and adults with ID aged 18–40 years in schools, accommodations and with leisure activities. Their working experience varied from 3 years to more than 20 years. Interviews were audio recorded, transcribed and analysed with content analysis. Results The participants generally described positive attitudes towards sexuality for people with ID, both among themselves and in society. However, many situations such as ensuring privacy, balancing between waiting and acting, issues around contraception and reproduction were difficult to address and participants had hesitations about childbearing. They described different strategies such as showing respect, enhancing self-esteem and decision making ability and using interprofessional support to cope with frustrating situations. They lacked a clear mandate from managers as well as written guidelines and policies. They requested education and support from peers, supervisors and other professionals. Conclusion Participants in the study were generally open-minded and accepting towards sexuality among young people with ID. They thought it was difficult to deal with reproduction/parenthood and felt unprepared and frustrated in certain situations. The participants requested a clear mandate from managers, organizational guidelines, more education and inter-professional support. We believe these findings can inform the development of policy and support the implementation of SRHR related guidelines to support staff working with young people with ID.


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.


Author(s):  
Juliana Widyastuti Wahyuningsih Juliana Widyastuti Wahyuningsih

Pernikahan dini adalah pernikahan yang dilakukan seorang wanita pada usia 13 – 16 tahun atau pria berusia 17 – 18 tahun (BKKBN,2016). Menurut Laporan Badan Pusat Statistik, 2015 menunjukkan bahwa prevalensi perkawinan usia anak di Indonesia tidak hanya tetap tinggi (dengan lebih dari seperenam anak perempuan menikah sebelum mencapai usia dewasa (usia 18 tahun) atau sekitar 340.000 anak perempuan setiap tahunnya) tetapi prevalensi tersebut juga telah kembali meningkat. Tujuan dari penelitian ini adalah Mengetahui gambaran faktor – Faktor yang mempengaruhi Pernikahan dini Remaja Putri di Desa Semeteh Kecamatan Muara Lakitan Kabupaten Musi Rawas. Penelitian ini dilakukan secara kualitatif di Wilayah Desa Semeteh Muara Lakitan Kabupaten Musi Rawas.dengan jumlah responden 5 orang dari jumlah sampel 11 orang. Hasil penelitian menggambarkan bahwa pernikahan dini dilakukan oleh mereka yang berpendidikan SD atau SLTP, dan berpengetahuan cukup. Pernikahan dini dianggap sesuatu hal yang lazim dan menurunkan tanggung jawab ekonomi orang tua. Selain itu media punya andil terjadinya pernikahan dini. Penelitian ini diharapkan dapat bermanfaat bagi pasangan remaja calon pengantin, mahasiswa dan institusi profesi kebidanan khususnya dalam memberikan pendidikan kesehatan reproduksi remaja terkait dengan masalah pernikahan dini.     ABSTRACK   Early marriage is a marriage made by a woman at the age of 13-16 years or a man aged 17-18 years (BKKBN, 2016). According to the Central Bureau of Statistics Report, 2015 shows that the prevalence of marriage in Indonesian age is not only high (with more than one-sixth married girls before reaching adulthood (age 18) or about 340,000 girls annually) but the prevalence has also returned increased. The purpose of this study is to know the description of factors - Factors affecting early marriage of Young Women in the Semeteh Village Muara Lakitan Musi Rawas District. This study was conducted qualitatively in Semeteh Village, Muara Lakitan, Musi Rawas District with 5 people as the respondents of the 11 samples. The results of the study indicated that the early marriage was conducted by people who had educated in elementary or junior high schools, and had  sufficient knowledge. Early marriage was considered as a usual something and could  decrease economic responsibility of their parents. In addition, the media had contributed to the incidence of early marriages. This study is expected to be useful for couples of young people who will get to be married, students and midwifery profession institutions  particularly in providing reproductive health education for the adolescences in accordance with the early marriage.  


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