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Design and initial implementation of the WHO FP umbrella project - to strengthen contraceptive services in the sub Saharan Africa.
Reproductive Health. 2017 Jun 15; 14(1):1-6.BACKGROUND: Strengthening contraceptive services in sub Saharan Africa is critical to achieve the FP 2020 goal of enabling 120 million more women and girls to access and use contraceptives by 2020 and the Sustainable Development Goals (SDG) targets of universal access to sexual and reproductive health (SRH) services including family planning by 2030. METHOD: The World Health Organization (WHO) and partners have designed a multifaceted project to strengthen health systems to reduce the unmet need of contraceptive and family planning services in sub Saharan Africa. The plan leverages global, regional and national partnerships to facilitate and increase the use of evidence based WHO guidelines with a specific focus on postpartum family planning. The four key approaches undertaken are i) making WHO Guidelines adaptable & appropriate for country use ii) building capacity of WHO regional/country staff iii) providing technical support to countries and iv) strengthening partnerships for introduction and implementation of WHO guidelines. This paper describes the project design and elaborates the multifaceted approaches required in initial implementation to strengthen contraceptive services. CONCLUSION: The initial results from this project reflect that simultaneous application these approaches may strengthen contraceptive services in Sub Saharan Africa and ensure sustainability of the efforts. The lessons learned may be used to scale up and expand services in other countries.
[Unpublished] 2016 Dec 15. 138 p.This is the first draft of the Global Accelerated Action for the Health of Adolescents (AA-HA!): Implementation guidance . This consultation aims to gather input from a wide range of stakeholders to inform the development of the guidance. Key messages include: 1. Adolescents (aged 10-19 years) make up one-sixth of the world’s population and are extremely diverse, but share key developmental experiences, such as rapid physical growth, hormonal changes, sexual development, new and complex emotions, and an increase in intellectual capacities. 2. Adolescent health is affected by positive physical, neurological, and psychosocial development, as well as a diverse array of possible burdens, including unintentional injury, interpersonal violence, sexual and reproductive health (SRH) concerns, communicable diseases, non-communicable diseases, and mental health issues. 3. In addition, numerous important risk factors for health problems start or are consolidated during adolescence and may continue over the life course, such as tobacco use, inadequate nutrition, physical inactivity, and alcohol and drug use. 4. There are strong demographic, public health, economic, and human rights reasons to invest in the health and the development of adolescents. For example, investing in adolescent health will benefit adolescents now, adolescents in their future lives, and also the next generation. 5. Three critical, overarching concepts in adolescent health programming are universal health coverage, quality of care, and positive development. 6. The Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030) takes a life-course approach that aims for the highest attainable standards of health and wellbeing -- physical, mental, and social -- at every age. It identifies 27 evidence-based adolescent health interventions. 7. The Global Accelerated Action for the Health of Adolescents (AA-HA!) implementation guidance document has been developed to support the Global Strategy and to provide countries with a basis for developing a coherent national plan for the health of adolescents. Specifically: Section 2 reviews adolescent positive development and major disease burdens; Section 3 describes the 27 Global Strategy adolescent health interventions in detail; Section 4 outlines how a country can prioritize health interventions for its particular adolescent population; Section 5 describes important aspects of successful national adolescent health programming; and Section 6 reviews adolescent health monitoring, evaluation, and research guidelines and priorities.
Geneva, Switzerland, UNAIDS, Country and Regional Support Department, CRIS Unit, 2003 Mar. 42 p.Improved information and informed analysis are critical for the development of expanded national responses to HIV/AIDS. Some countries have developed HIV/AIDS surveillance systems and countries are increasingly collecting information on resources allocated for HIV/AIDS programmes and projects. Responding to the needs at the national and global levels for improved information and analysis, UNAIDS has embarked on an ambitious plan to establish an information system to support national AIDS responses. This document describes the historical development of the Country Response Information System (CRIS), and the related activities scheduled by UNAIDS in 2002 and 2003. It describes the philosophy of the proposed CRIS development for policy-makers and potential CRIS users. This philosophy stems from ongoing efforts to follow a modular approach to establishing a country-level information system. The system will be housed in National AIDS Councils (or equivalents), will contain national and subnational indicators, as well as programmatic information and key data pertinent to each national response. CRIS will provide partners in the global response to HIV/AIDS with a user-friendly system consisting of an indicator database, a project/resource-tracking database, a research inventory database and other important information. In particular, the indicator database, as the first component of the system to be operational, provides countries with a tool for reporting on national follow-up to the UNGASS Declaration of Commitment on HIV/AIDS. (excerpt)