Reduce Incidence of Teenage Pregnancy in Ghana Project: June Accelerator 2017 Proposal
Reduce Incidence of Teenage Pregnancy in Ghana Project: June Accelerator 2017 Proposal
PREGNANCY
IN GHANA PROJECT
Email gosanet63@yahoo.com
Phone 0023 336 202 5093
Mobile +233 208 221 964
URL https://gosanetghana.jimdo.com
Mission statement: To provide opportunities for people who live in circumstances of social and economic deprivation to
eradicate poverty and provide for, Malaria, Tuberculosis, HIV/AIDS, vocational training, community development and
other health related issues.
Objectives
To help increase the number of people at risk of acquiring HIV/AIDS to receive HIV counseling, Testing and other
preventions, treatment and care service
To provide care and support for people living with HIV/AIDS (PLHIV) and also bring them together in fund
raising, income generating activities and companionship.
To strengthen the collective socio-economic capacity of the family to meet the challenges of caring for children and
pupils/students who had become HIV/AIDS positive, or disabled and orphaned.
To help individuals develop effective communication skills, this will assist them in education of others about
HIV/AIDS prevention and other related disease.
To help reduce the widespread illiteracy in the communities and promote child education and community
development programmes.
To assist women, teenage school dropouts and street children,(neglected/vulnerable children) in the region to
acquire skill as to enable them set up small business to earn income.
Collaborative Partners: Adaklu District Health Directorate of Ghana Health Service and Ghana Education Service,
Adaklu.
PROBLEM STATEMENT
National Situation: Adolescent Sexual and Reproductive Health (ASRH) is of great concern for many governments
worldwide including Ghana. Adolescents (aged 10-19 years) account for 22% of Ghana’s population of 24,966 million
(United Nations Children’s Fund [UNICEF] 2011).
In spite of the fact that Ghana currently, has policy on Adolescent Sexual Reproductive Health Rights, its enforcement and
implementation to address the sexual and reproductive needs of this population in Basic and Senior High Schools is weak
(Kudolo, Kavi & Abdul-Rahman, 2008).
According to the United Nations Children Fund [UNICEF] statistical report, the adolescent birth rates in Ghana is 70
births/1000 women (UNICEF, 2006-2010) as compared to the average birth rate of Ghana at 31.54 per 1000 women (World
Bank 2012). The high birth rate among adolescent girls is a manifestation of the high level of their sexual activity and lack
knowledge on sexual matters including birth control and sexually transmitted infections (STI). A study conducted
(Awusabo-Asare et al., 2006) shows that among adolescents (aged 15-19 years), only 28% of females and 21% of males had
a detailed knowledge about pregnancy prevention; were aware of a woman's fertile period, were able to reject several
popular misconceptions about pregnancy and were at least familiar with one modern method of contraception. For
adolescents (aged 12-14 years) only 12% of females and 6% of males had this same level of knowledge.
Many organizations including some religious bodies emphasize abstinence until marriage. As a result, young people who
want to use family planning do not because they cannot easily access friendly contraceptive services.
Young people in Ghana especially in the Volta Region where this project will be implemented have problems of early
sexual debut, unwanted pregnancies, unsafe abortion, pregnancy-related complications, Sexually Transmitted Infections
(STIs) and HIV/AIDS. Youth especially the young girls in the target communities are vulnerable to these problems because
due to poverty they are more likely to engage in unplanned and unprotected sex, they lack the skills necessary to negotiate
for safer sex, they engage in sexual activity with multiple partners, and they have limited awareness of STI prevention.
Based on the 2010 Population and Houses Census, Adaklu district has a total projected population of 42,323 with an
estimated growth rate of 2.5% per annum. The adolescent component of the population is 11,318 representing 26.8% in the
district. The district has 13 electoral areas with about 107 communities excluding numerous farming communities and
Fulani villages.
It appears nobody is talking about this problem and no sustained programme is this area. It is time we launched a crusade
against teenage pregnancy in the Adaklu district of Volta Region in Ghana. This crusade involved parents, teachers,
students, community leaders as well as heads of religious groups.
It is in line with this that we are soliciting for funding to reduce this incidence of teenage pregnancy in the district of Volta
Region in Ghana; and expand the program to cover additional communities.
This programme seeks to empower adolescents in the Volta Region of Ghana ,specifically Adaklu district by training them
as Peer Educators (PEs) to disseminate quality SRH information among their peers and also carry out other behaviour
change communication (BCC)strategies that will vigorously provide education on sexual and reproductive health and rights
to help reduce misinformation and provide correct information, clarify values and reinforce positive attitudes, and
strengthen decision-making and communication skills among adolescents. Adolescents and young people will be targeted in
schools and out of school with information and skills to live positive lifestyles.
GOSANET and its collaborative partner Adaklu District Health Directorate (ADHD) of Ghana Health Services, have
working relationship with PEs in the implementation of TB, HIV and Malaria prevention interventions in the Volta Region.
We have also collaborated effectively with the School Health Education Program (SHEP) Coordinators of the Ghana
Education Service (GES). GOSANET and ADHD will partner the GES and involved various stakeholders to undertake the
project. We will provide teachers and health workers with training to help them enhance their knowledge about SRH and
HIV matters and improve their communication skills so that they are confident managing a classroom discussion and
answering questions. Currently GOSANE and ADHD are undertaking the pilot ASRH programme among the adolescents
and youth in the district. We will use experience gained over time to implement this project.
1.0: To reduce teenagers pregnancy rate among adolescents in Adaklu district from 17% to 10% by the end of June
2018.
2.0: To help teenage increase teenagers Family Planning acceptor rate from 3% to 13% in 15 communities by the
end of June 2018.
3.0: To support 50 teenage mothers to acquire vocational skill/ go back to school in the Adaklu District within one
academic year.
4.0: To monitor activities of Adolescent Clubs and Health workers in the project communities.
STRATEGIES:
Organize capacity building workshops.
Organize advocacy activities and community durbars.
Improve adolescent clubs in Schools and Communities.
Provide free Family Planning (FP) outreach services.
Provide skill training programme for school dropouts and teenage mothers.
Care and support services (School kits, school bills/fees etc.).
Get Male involved in Reproductive Health Rights issues.
ACTIVITIES:
The following activities that will be carried out to achieve the project objectives;
The oriented health workers and teachers have direct supervision over all peer educators in the communities and schools; to
coordinate the organization of activities in the communities and schools. Students who are club members that trained as peer
educators using interactive training methodologies on school based violence, communication, advocacy and negotiation
skills, sex, STIs, HIV and AIDS, pregnancy and abortion, contraceptives, interactive theatre among others. This will ensure
that trained peer educators are well equipped with the knowledge and skills on behaviour change to educate themselves and
their peers.
To ensure effective monitoring of the PEs and better understanding of the issues, the selected 8 teachers from the various
schools will also participate in the training.
Organise SRHR Quiz competitions among Adolescents health clubs – Health Quiz
The quiz would be held at the school and district levels to select the best among them. Attractive prizes would be awarded.
GOSANET and Ghana Health Service are would partner with some organizations who would be lobbied to provide items
for prizes.
Discuss ASRHR issues at Parent Teacher Association (PTA) Meetings in selected schools
GOSANET and ADHD lobby through the head master/mistress of the school and the SHC Champions to have some time
during at least one PTA meeting a term to discuss issues relating to ASRHR. This would inform, educate and enlighten
parents on the sexual and reproductive health needs of their children and discuss ways of addressing these.
Promotion and Recruitment of Adolescence Club members onto SHC Educational Platforms
GOSANET and ADHD will create educational platforms for members and youth such as Change Call centre, WhatSapp,
face book and twitter. Students would be encouraged to visit the various plat form especially during vacation to access
information and to ask questions relating to their SRHR.
SUSTAINABILITY PLAN
This is to ensure continuation of the project activities after this support. The project will ensure that its benefits will be
maintained after the donor funding is completed. Through a set of interrelated strategies as outlined below:
A network of Teenage Pregnancy Prevention Advocates (TRPA) would form a permanent human resource base in the 15
who will continue to reduce the teenage pregnancy mothers and ensure their empowerment in the project areas.
Gosanet Foundation will continue with the education and awareness drive and always collaborate with Adaklu District
Health Directorate (Ghana Health Service); and Ghana Education Service (GES) authority for continuation of the advocacy
at school and community level.
Adolescent club members and leaders will forge active partnership with nurses health workers and community stakeholders
especially; local associations, Assembly members, traditional and religious leaders, local NGOs and CSO s, women groups
to continue to disseminate the messages of Reproductive Health and Rights.
Trained community stakeholders, health workers, peer educator, educational institutions will be used to maintain the project
and build strong linkages and collaboration with our civil society organization for different referral services to continue
serving the communities.
The proposed M&E plan for the project (which will be prepared later with indicator output and outcome) is designed to
systematically collect and analyze data as the project progresses. This is to ensure that activities undertaken in the
implementation phase of the project conform to targets set. Monthly field monitoring visits will be undertaken by partners’
M&E Officers to independently review progress, identify problems in implementation and make any necessary adjustments
so that the project can meet its set goals and objectives. Outcome evaluation exercise will be conducted in the twelfth month
to track measures related to desired programs. This will entail beneficiary surveys, key informant interviews and focus
group discussions.
In the course of implementation, GOSANET will submit quarterly progress reports to donors that summarize among other
things, implementation progress, achievements towards expected outcomes, major success stories, key constraints and the
way forward. A final report will be submitted at the end of the project implementation period.
1,500.00
1.0 1.1: Hold Pre-Implementation Meeting With Key Stakeholders
1.2: Hold Consultative Meetings With School Authorities And Various Clubs 1,520.00
1.3: Undertake Community Entry Consultative Meetings With Traditional Leadership 1,513.00
1.4: Hold fifteen (15) Community Durbars In Project Communities
3,778.00
1.5: Organize three (3) days Capacity Building (TOT) Workshop For Twenty (20)
Health Workers On Adolescent Reproductive Health And Services. 7,556.00
1.6: Three (3) days Capacity Building Workshop For Thirty (30) Adolescent Club 9,445.00 3,7780.00
Patrons
1.7: Advocacy activities to organize Video /Film Shows In Twenty (20) Sampled
3,023.00
Sites/Project Communities.
1.9: Support Adolescent Sexual Reproductive Health and Right (ASRHR) club 7,556.00
activities.
4,536.00
2.0 2.1: Organize twenty (20) free family planning outreach services.
7,560.00
2.2: Installation of condom vending machines. 2,268.00
756.00
2:3: Condom distributions.
7,560.00
3.0 3.1: Skill training workshop for 20 teenage mothers / teenage mothers empowered to
7,560.00
go back to school.
6,010.00
4.0 4.1: Hold Quarterly Refresher/Review Meetings.
1,701.00
4.3: End of project assessment meeting.
Administrative cost
6,812.00
TOTAL Seventy-Five Thousand Five Hundred And Ninety Four Dollars 75,594.00
Amount of donation being requested
OBJECTIVE ACTIVITY PLANNED OUTPUT DURATION/TIME FRAME EXPECTED OUTCOME VERIFIABLE INDICATOR
1.0 To reduce teenage 1.1: Hold pre-implementation Number of key allies accepted the 1st month Key allies gave unflinching support Reports and pictures interview
pregnancy rate among meeting with key stakeholders project and work plan. and participated in the project participants list receipts.
adolescents in Adaklu District (Reg. & District Education and implementation and direction.
from 17% to 10% by the end Health Directorates and school
of June, 2018. heads)
1.2: Hold consultative meetings *Number of meetings held 1st month 30 Adolescents clubs patrons made Reports and pictures interviews
with school authorities and club *number of club members ready for training. participants list.
members in various communities accepted
and schools *teachers consulted and accepted
to be advocates.
1.3: Undertake community entry Number of meetings held 1st month Numbers traditional leaders and
and consultative meetings with Community members option leaders ready for activities Reports pictures
traditional leadership to sensitize consulted and accepted Teenage pregnancy Prevention interviews
and create awareness on Adolescent clubs. Network established in the participant list
Adolescent Number of traditional project area. receipt.
Reproductive health to canvas leaders accepted the project. Correct and consistent
support from the community. reproductive Health mess reaches
15, 00 people.
1.4: Hold community durbars in - Number of durbars organized 10 community durbars organized. Picture
10 project communities - community members gained 1st h month -8th month Males get involved and Technical Reports
knowledge patronized Attendance list
- males get involved about 10,000 community financial report
Social groups accepted the members gained knowledge Interviews
crusade.
Number of floats organized
in project communities
1.5: Organizer special capacity Number of health workers Clubs activities strengthened.
2nd
training for 20 health workers on trained month Current knowledge on Picture
Adolescent Reproductive Health Number of schools reached reproductive health and rights Technical Reports
and services. Number of communities increased by 10% above baseline Attendance list
reached and correct disseminated. financial report
Number of schools reached Each of the beneficiary Interviews
Number of club activities adolescent sexual reproductive
improved health & right (SRHR) advocate
20 nurses equipped with as permanent human promoting
adolescent reproductive active SRHR.
health rights, mobilization 80% of trained health instructors able
and behaviour change (BCC) to use the BCC/IEC and vital data
skills collection tools accurately for
80% of the health workers efficiency family planning (FP)
gain knowledge and skills in
using vital data collection
tolls for sexual reproductive
health and rights services.
1.6: Organizing capacity building Number of patrons trained 2nd month 30 club patrons avail and ready
workshop for 30 Club patrons. Number of club leaders for training workshop. Picture
1.7: Organize one each of video One video/film show 2nd month-9th month Education/referrals system Picture
film shows in 20 sampled sites conducted in each of the 10 strengthened Reports
project communities on project communities after the 30% observe basic sexual financial report
reproductive health/family durbars reproductive health and right
planning documentary in the An estimated number of improved on family planning and
project area. 15,000 people sensitized on reproductive health issues.
reproductive health
Video/film show during
adolescent club weekly
activities/meetings.
1.8: Hold six (6) series of bi- 6 number of bi-monthly 1sth month- 12th month General population in the project Reports
monthly Media campaign in the radio advocacy held on local area take informed decision and Photograph
project areas. FM stations action to reduce teenage Copies of
Listening public phoned in pregnancy incidence in the technical/advocacy script
and made contributions and Adaklu District of Ghana. prepared for the radio
asked related questions At least 10% population check for presentation
An estimated number of sexual transmission infection Number of cases referred
30,000 general public (STI) screening and HIV testing. Pictures
reached and sensitized on Number of STI and HIV cases
teenage pregnancy incidence referred and number tested
in the Adaklu District of positive.
Volta Region in Ghana
issues.
1.9: Organize activity for Identify, develop and 1st month- 12th month Club members distributed Picture
Adolescent sexual reproductive distribute ASRHS IEC/BCC ASRHR IEC/BCC materials Reports
health and rights (ASRHR) IEC/BCC materials reached IEC/BCC massages reached Number of cases referred
Clubs. peers and youth. adolescents. * financial report.
IEC/BCC materials reached Club members distributed
community members. IEC/BCC material
Number of club members Number of club members were
health educational recruited onto education
Number of referrals was platforms
made. Number of people were referred
2.0 To help increase teenagers 2.1: Organize 20 free family Organize free FP outreaches 2ndmonth – 12th month 80% of the community leaders, Picture
family planning (FP) acceptor planning outreach services Number of communities health workers and club members Reports
rate from 3% to 10% in reached mobilized their subjects and Number of cases referred
Adaklu District by the end of 2.2: Installation of condom Number of schools reached rescue teenagers in the project *financial report
June, 2018 vending machines in selected Number of youth involved area.
project communities. On-going discussion among 98% of patrons/health workers
adolescents, individuals, become SRHR advocates in the
2.3: Condom distributions families/household on family project area
planning issues Free condoms distributed
To strengthen the capacity of Hold Quarterly Give Top-up training in Quarterly GOSANET Project Data available in review
50 ASRHR refresher/Review Advocacy IE&C and coordinator, M&E meeting reports, list of
advocates/champions on BCC, meetings with club documentation skills. Officers and participants, sample Every
IEC and advocacy skills and patrons/advocates and Compile data gathered from 5,330.00 DHMT. handouts three (3)
collected vital primary data on District Health the field by the advocates and months
the project. Management Team health workers.
(DHMT) Free family planning services
and distribution of condoms.
Care and support service and
bimonthly debriefing meeting
with beneficiaries