D-ABILITY INITIATIVE SUPPORTS FEDERAL MINISTRY OF HEALTH’S SYSTEM-STRENGTHENING ACTIVITIES IN RIVERS STATE

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Team with the Permanent Secretary, Rivers State Ministry of Health

Workshop in progress

Workshop in progress

The Rivers State Technical Working Group on Adolescents and Young Persons (TWGAYP) held workshops and associated activities with the Federal Ministry of Health, Rivers State Ministry of Health, selected Civil Society Organizations (including D-Ability Initiative), international organizations, and media partners. The aim was to provide technical support to the State TWGAYP and review the implementation of the State’s work plan. The 5-day events included an Advocacy visit, facilities visitation, and workshops which were held at Visa Karena Hotels, Port Harcourt from 28th August to 2nd September 2022.

The events started with an Advocacy Visit by the Federal Ministry of Health (FMoH), State Ministry of Health (SMoH), and some Partners to the State Permanent Secretary, and Policymakers.  Objectives of the week’s activities and Goodwill messages were presented. The representatives of the Federal Ministry of Health were Mrs. Francisca Osibe (Team Lead), Ms. Olabanji Damilola, and Dr. Esther Envuladu.

A welcome address, meeting objectives, and workshop methodology were presented by Mrs. Mbreba Wokoma, the Desk Officer, Adolescent and Young People’s Health, State Ministry of Health.

The following presentations were made:

  • Implementation Status of State Plan (Mrs. Mbreba Wokoma).
  • Presentation of Data for Services Provided for Adolescents and Young People in the state from January to June 2022, using the agreed template (Mrs. Mbreba Wokoma).
  • The Review of International Adolescent Health Week (IAHW 2022) Implementation. (Dr. Uloma Okere, and Mrs. Mbreba Wokoma).
  • Sensitization on U-Test/Self-test (Mr. Stanley Wowo, RIVSACA)
  • Feedback on Facilities visitation

From the presentations, it was evident that the activities in the work plan on the three thematic areas: Teenage Pregnancy and Unsafe Abortion; Alcoholism and Drug Abuse; and Violence/ Cultism in the State were not completed. As a result, groups were created to identify key issues that weren’t captured in the work plan, identify challenges that prevented achievements, and make recommendations.

Editorial Team at workThe House went into group work and plenary sessions according to the outlined thematic areas. D-Ability Initiative led the group works on Violence and Cultism. The outputs of the group work were presented by Dr. Nwanyanwu Kingdom, the Founder and President, D-Ability Initiative.

After due deliberations, participants agreed on the following observations and recommendations.

OBSERVATIONS

  1. At present, the few Adolescent and Young Persons-friendly facilities available are not up to the required standards.
  2. A high rate of sexual assault cases was recorded.
  3. We observed a lack of Water Sanitation Hygiene (WASH) facilities in schools.
  4. Lack of Life Planning/HIV/STIs services for in and out-of-school adolescents in the State was observed.
  5. There was some adolescents’ ante-natal care recorded but zero delivery.
  6. Lack of adolescents’ Information, Education, and Communication (IEC) materials in all the visited facilities.
  7. Inadequate training, poor knowledge, and skills of adolescent health care providers were evident.
  8. Most facilities concentrated mainly on Maternal Neo-natal and Child Health issues.
  9. A lack of database entry for the adolescents was observed.
  10. Available Life Planning commodities were inadequate.
  11. Cultural and religious beliefs were also found to be militating factors against the Life Planning Education/ Programming for adolescents in the State.

RECOMMENDATIONS:

  • 1 There should be awareness creation, education, and implementation of Life Planning/HIV/STIs services for in and out-of-school adolescents in the State.
  • 2    More research should be done on the repackaging of adolescents’ information for easy acceptability by partners and Faith-Based Organizations.
  • 3 IEC materials, Life Planning commodities, and catalog (hotlines) should be provided adolescent friendly centers.
  • 4 There should be training and retraining of adolescent healthcare providers followed by supportive supervision to make them adolescent friendly.
  • 5 There should be provisions of database and open data kits, especially concerning adolescents’ issues of Gender-Based Violence (GBV), sexual assaults, and other forms of violence.
    • Media houses in the State should endeavor to bring adolescent-related issues to the forefront.
    • 6 The State Ministry of Health (SMoH) should reach out to CSOs and other interested local partners to mainstream some of the adolescents’ health care activities into their programme with the TWGAYP and SMoH as partners.
    • 7 Government should create and upgrade adolescent spaces in all the facilities across 23 LGAs to reflect adolescent-friendliness so that they can serve the intended purpose.
    • 8 Perpetrators of GBV, sexual assaults, and other forms of violence against adolescents must be punished and rehabilitated.
    • 9 There should be public awareness and training of adolescents on self-defense against GBV and other forms of violence.
    • 10 Provision of Life Management Education and skills for families, schools, and Faith-based Organizations is necessary.
    • 11 There needs be registers, training guides, checklists, and baseline survey tools (starting with manuals) in the facilities for monitoring of all adolescents-friendly services and processes.
  • The FMoH Team expressed deep gratitude to the Rivers State Technical Working Group for their hard work and dedication to the well-being of the adolescents and young people in the State. Mrs. Mbreba Wokoma and Dr. Uloma Okere were greatly commended for their selfless service and relentless efforts. A Communique was drafted by the Communique Team and presented to the general house by the Communique Team Lead, Dr. Nwanyanwu, Kingdom President of D-Ability Initiative.

Participant Organizations include:

Federal Ministry of Health (FMoH)

Rivers State Ministry of Health (RSMoH)

Rivers State Ministry of Youth Development (RSMoH)

Rivers State Ministry of Education (MoE)

Rivers State Primary Health Care Management Board (RSPHCMB)

Adolescents and Young Persons’ Technical Working Group (AYTWG)

UNICEF

World Health Organization (WHO)

D-Ability Initiative (Dehat Ability Support Initiative)

National Association of Women Journalists (NAWOJ)

National Orientation Agency (NOA)

Rivers State University Teaching Hospital (RSUTH)

University of Port Harcourt Teaching Hospital (UPTH)

Centre for Gender Development Studies

Healthy Life Development Initiative (HELDi)

Rivers Media

Society for Family Health

Clinton Health Access Initiative (CHAI)

CWHAD

LACA

CISHAN

YOHAD

MBEP

The Tide newspaper

FIDA, Rivers State

RIVSACA

Adok

Rhema Care

SBCC

SASCP

Sunbeam Life Reformation Initiative

Centre for Creative Development Strategies

 

 

 

 

D-ABILITY INITIATIVE PARTICIPATES IN THE FEDERAL MINISTRY OF HEALTH WORKSHOP ON THE IMPLEMENTATION PHASE OF THE ADOLESCENT RESPONSIVE HEALTH SYSTEM STRENGTHENING IN RIVERS STATE.

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IMPLEMENTATION SESSION IN PROGRESS

IMPLEMENTATION SESSION IN PROGRESS

This project, a five-day programme started with an advocacy visit to the honourable commissioner of health. The Programme was moderated by Mr. Nwankwo Steven (Chief Health Assistant/FGM Focal Person, Gender Branch/GASHE Division, Family Health Department, F.M.O.H). He was very instrumental in ensuring that the event runs smoothly all through the five days.

Welcome, Address by the Permanent Secretary, Rivers State Ministry of Health, ably represented by Dr. Iroro Smith. She said: “We are charting on a cause into making history for the Health of the Adolescent during and after the meeting/capacity training; as we make a quality contribution to the end of the Programme”. Mrs. Mbrema Wokoma (Desk Officer, For the Adolescent (SMOH); shared an action plan on way forward for the Adolescent. Partners present, promise to support as much as they can for the growth and betterment of the Adolescent group. Dr. Anslem Audu (Health Specialist/Officer in charge of UNICEF Port Harcourt, emphasized that they will continue to sponsor the activities of the Technical Working Group for Adolescents.

The objectives included 

To conduct State-level needs assessment, landscape analysis, and prioritization of Adolescent Health problems in Rivers State.

To develop State level of Political support and commitment.

To provide five days of capacity building for health care providers at State and Local government levels for Accelerated Action for the Health of Adolescents (AA-HA!).

To secure the engagement of key Adolescent Health and development Stakeholders on AHD programmes.

The outline for the introduction is as follows:

Who are Adolescents?

What is their relevance in National Development?

What challenges do adolescents face?

How global, regional, and national targets the adolescents.

Introduction:

Adolescents belong to the period of transition from Childhood to Adulthood. This period offers the opportunity for consolidation of the earlier health investment in the childhood years and for laying the critical foundation. Who are Adolescents? 2007 National Policy on the Health and Development of Adolescent and young people adopted by UN definition of “Adolescents”; as individuals between the ages of 10 –19 years. “Youth” as a person aged 15 – 24 years. Looking at the Statistics of the Population of Nigeria; 22% are the Adolescent Population and 78% as the rest of the population. We have 64 million people as young people. Adolescents and young people are a major demographic force as they constitute more than a fifth of the world’s population. Ensuring quality health care services for Adolescents and other young people is also critical to the Universal Health Coverage Agenda.

Efforts at National Level

Policy formulation and Dialogues.

Resource Mobilization

Capacity Building

Monitoring of Adolescents Programmes

Sharing Experience at Global Commitment

Adolescent Health Programmes

Adolescent Technical Working Group (TWG)

Monitoring and Evaluation Framework (M&E).

Expectations from Rivers State Government (RSG):

Provide support at the State level and help secure L.G.A level political support.

Enhance the process of revamping State level Multi-Sectoral Working Group.

Facilitation of Participation of Partners.

Expected Outputs:

SMTWG revamped.

Built competencies of the SMTWG

State priorities were identified and State Level Implementation Plan was Developed.

Necessary Capacity built.

Proposing For Adolescent Friendly Clinic:

We want the Government to understand what Adolescent friendly Clinic is. Also, for people to understand Adolescents.

Development Partners

They assist the Government to achieve results.

Status of AHD Programming in the State and L.G.A’s:

Why a focus on Adolescent Statistics shows that 10-19years constitute 22.1% of the population.

Global Accelerated Action for the Health of Adolescents (AA-HA):

It helps countries to plan, implement and evaluate the Adolescents health programmes’ interventions in each country.

D-Ability Initiative’s Executive Director, Dr. Kingdom Nwanyanwu made four presentations on the landscape analysis of responsive health system strengthening in Rivers State. 

On day 4, Dr. Kingdom Nwanyanwu presented the recap. and at the end of the presentation, he was applauded. The Group session resumed immediately on Work Plan.