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Assessing and Responding to adolescents’ SRH needs in Emergency Settings:

Assessing and Responding to adolescents’ SRH needs in Emergency Settings: Lessons from Haiti and Pakistan. Introduction. Interact Worldwide: SRHR organisation focusing on marginalised groups including adolescents Plan International – UK:

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Assessing and Responding to adolescents’ SRH needs in Emergency Settings:

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  1. Assessing and Responding to adolescents’ SRH needs in Emergency Settings: Lessons from Haiti and Pakistan

  2. Introduction • Interact Worldwide: • SRHR organisation focusing on marginalised groups including adolescents • Plan International – UK: • child-focused organisation with a particular growing focus on adolescent girls

  3. Methodology • MISP • Adolescent SRH in humanitarian settings toolkit 2010 (UNFPA/Save US) • FGDs • Key informant interviews: • Local NGOs • International NGOs and UN Agencies • MoH • Cluster / Sub-cluster meetings

  4. HAITI Immediate onset earthquake resulting in large-scale destruction within a large but defined geographical space involving a generally homogeneous population and resulting in: 220,000 instant deaths 300,000 injured 2.3 million affected / displaced. PAKISTAN Slow yet rapidly increasing gradual disaster affecting a massive geographical area including regions with vastly different traditional cultural practices and ultimately resulting in: Less than 2,000 deaths Nearly 2 mill homes destroyed Over 20 mill people affected / displaced Differences due to nature of emergency within existing country context:

  5. Key Findings / Recommendations - HAITI • GBV – rape, “a response to a girl” • GBV – broader sexual exploitation • MNH – particularly adolescent MNH • Male involvement - lacking

  6. Key Findings / Recommendations - PAKISTAN • Adolescent SRH in general doesn’t exist • GBV – Child Marriage • MNH – particularly adolescent SRH • FP – increased • Male involvement - lacking

  7. Similarities • In general any existing social problem affecting most vulnerable populations (including women and children) will be exacerbated by an emergency – • In Haiti, GBV - rape • In Pakistan, GBV – child marriage • Some unintended positive outcomes • Increase in MNH services in both Haiti and Pakistan • Increase in access to FP information in Pakistan • Male engagement lacking in both situations

  8. Programme Conclusions • ASRH response in emergencies is more dependant on existing cultural and religious context than other sector responses: need for strong disaster preparedness in this area as cannot apply a “one-size fits all” • Always the potential for “re-building better”

  9. Policy Recommendations • Prepare now…..in order to…. • Respond immediately and appropriately • Rebuild ambitiously

  10. THANK YOU

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