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Baseline Action Research . Sexual and Reproductive Health and Economic Status of Adolescent Girls in Sanghar (Sindh) & Gujranwala (Punjab). Baseline Action Research by . Why was the Study done?.
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Baseline Action Research Sexual and Reproductive Health and Economic Status of Adolescent Girls in Sanghar (Sindh) & Gujranwala (Punjab) Baseline Action Research by
Why was the Study done? • To determine a baseline for knowledge, attitude and practice of Sexual and Reproductive Health and Economic indicators in the adolescent girls of two target districts of Gujranwala and Sanghar, and • To assess the demand for reliable Sexual and Reproductive Health (SRH) knowledge and services among school-going and non-school adolescent girls
Methods • Policy and literature review • KAP Survey of school going and non-school going adolescent girls • Focus Group Discussions (FGDs) • Collection of School Data Sheets • In-depth interviews with district education and health authorities • Interviews with School Management • Data analysis and report
District Fact Sheet Source: Population Welfare Department, Government of Sindh, EDO (Health) and EDO (Education) Gujranwala
Stakeholders’ PerspectiveKnowledge in Adolescent Girls About Specific STDs • Adolescent girls are often reluctant to share their adolescent issues even with lady health visitors or workers. • LHVs and LHWs can play important and effective role to raise awareness among adolescent girls about STDs
Stakeholders’ Perspective(Guidance Received by Adolescent Girls over Body Changes) • Mothers and teachers can serve as important sources of guidance on body changes among the adolescent girls. • Discussion on body changes, particularly in rural areas, is considered as in indecent topic of discussion. • By and large, girls are not provided any guidance on how to take care of them upon natural body changes
Stakeholders’ Perspective(Desire Among Adolescent Girls to Learn about STDs) • Besides family planning, there is a dire need to raise awareness among adolescent girls about STDs and its link with their general and reproductive health. • In urban areas, women who experienced STDs wish to guide their daughters, but they have no means of knowing about STDs.
In Girls’ Opinion, Should Men Have a Role in Household Chores
Demand amongst adolescent girls for counseling in marital affairs
Demand amongst adolescent girls for training in budget preparation
Demand Amongst Adolescent Girls for Guidance/Counseling in Family Planning
SUMMARY Stakeholders’ Perspective: Adolescents’ Health and Education
In-Depth Interviews with District Education Officials Policies and Practical Measures—Education: • District Education authorities are engaged in establishing effective monitoring system • District department is trying to increase the stipend amount from Rs. 1,000-1,200 per month • More teachers are involved in campaign aimed at mobilizing community members for maximizing female enrolment and stop drop-out rate • District planning is being done in consultation with the relevant stakeholders. • NGOs and CSOs are being involved in collective effort of improving female literacy rate up to the desired level.
In-Depth Interviews with District Education Officials Major Reasons Female Drop-Out: • Poverty is the major contributing factor, compelling many parents either not to send or pull their daughters out of school. • Girls are often forced into labour to supplement the family income or to arrange for their dowry items. • Early marriages, engagements during studies or migration of families. • Parents concerns regarding security of their daughters while going to school and coming back to home
In-Depth Interviews with District Health Officials • District Health Department in collaboration with population welfare department is working for provision of family planning services. • LHVs are working under direct supervision of health department, and in coordination with like-minded NGOs and organizations. • Doctors are often reluctant to serve the rural communities. • Non-availability of medicines at Basic Health Units and Social Dispensaries