Report On Inter-Sectoral Meeting On Youth's SRHR
Report On Inter-Sectoral Meeting On Youth's SRHR
Report On Inter-Sectoral Meeting On Youth's SRHR
Table of content
Introduction
Session 1: Importance of youth Sexual and Reproductive Health and Rights
(SRHR) to meet 2030 Global Goals for Sustainable Development (SDGs)
Session 2: Progress and challenges in youth Sexual and Reproductive Health
(SRH) related programmes in Uttar Pradesh
Session 3: How has FPA India contributed to youth Sexual and Reproductive
Health in Uttar Pradesh?
Session 4: Brief overview of CNS young correspondents reporting on youth SRHR
issues in the state
Session 5: Panel discussion on achieving SDGs 2030 in terms of youth SRH, and
need for inter-sectoral responses
Participants say
Few learnings
Annexure 1: Agenda
Annexure 2: Participants list
Annexure 3: Press release (English)
Annexure 5: News clippings
4
5
6
8
9
10
14
15
16
17
19
20
Introduction
The Government of India has committed to achieve 2030 Global Goals for Sustainable
Development (SDGs) which strive to bring health and gender justice for all. But the
implementation remains a big challenge at the state level. So, it is a high time to reflect upon
the importance of integrated approach to realise these transformative goals for development
justice on the ground. Effective inter-sectoral coordination and inclusion of all constituencies,
in programme design and implementation, is vital for overall growth on social, economic and
environmental fronts.
Hence, CNS, along with its partner Family Planning Association of India (FPA India) Lucknow
Branch, with support from Youth Champion Initiative, organized a day long Inter-sectoral
coordination meet on youth sexual and reproductive health and rights (SRHR) issues in Lucknow,
Uttar Pradesh, on Thursday, 22nd December 2016. The meet focussed on discussing the
opportunities and challenges for youth in exercising their autonomy on sexual and reproductive
health (SRH) in Uttar Pradesh, and how a holistic and integrated approach can help improve
health outcomes related to youths SRHR. Around 50 representatives from different government
departments, civil society organisations, and peoples' constituencies (men, women, youth,
PLHIV and media) attended the meet. The meet highlighted the urgency of breaking the silos
and working together to ensure youths accessibility to SRH information, education, services
and commodities. Even though a large proportion of the states population consists of young
people, SRHR of the young people are rarely recognized on the ground. Besides, cultural
silence, social barriers and inaccessibility to health services, not only make the youth
vulnerable to sexually transmitted diseases, but also hinder their productive contribution in the
social and economic development process.
Dr Swapna Das, General Manager, Rashtriya Kishor Swasthya Karyakram (National Adolescent
Health Programme), said - SRH programmes and services have traditionally focussed on married
couples, and overlooked the needs of unmarried adolescents and young people. Young people
must be empowered enough with the knowledge and services to be able to make informed
decisions regarding their reproductive health. They need a safe and supportive environment in
which to get correct information, health services, and counselling. Age, gender norms and
marital status are three important factors that affect the SRH needs of young adults. In the
absence of proper information, adolescents do not know the role and benefits of contraceptives
in managing their SRH needs. Teenage girls become pregnant but have no clue on how to
breastfeed and look after a child. Many girls drop out
of school when they start menstruating for want of
Addressing the needs of
separate toilet facilities for girls in schools, and also
adolescents is a challenge that
because it is a subject of shame, stigma and fear.
goes well beyond the role of
Gender discrimination is deeply rooted in Indian society
health services alone. The legal
and starts with the birth of the girl child. This
discrimination exists in not only poor and less educated
frame-work, social policies, the
households but also in the so called elite families,
safety of communities, and
where people yearn to have a boy child.
opportunities for education are
some of the factors that are key
Keeping all this in mind, the government has started
to adolescents development
Rashtriya Kishor Swasthya Karyakram (RKSK) to address
the health needs of adolescents who face many SRH
related problems, like unwanted pregnancy, unsafe abortion, sexually transmitted diseases,
sexual violence and abuse, and early marriage etc. Anaemia and infant mortality rates are also
high in young mothers. Adolescent Friendly Health Clinics (AFHC) provide all the information,
Panel discussion:
Where are we in achieving SDGs 2030 in terms of youth
SRH and need for inter-sectoral responses?
Chair and Moderator:
Panel members:
10
11
12
13
Participants say
Priti Gupta from SIFPSA, said that addressing the attitude of
adolescents toward sexual and reproductive health alone
will not work. We should address the attitude of parents as
well. The national educational body NCERT made a
revolutionary change in 2003 by including sex education in
academic curriculum. But parents opposed it so strongly that
the subject was withdrawn. When we try to work with
adolescents alone, the bridge between the parents and
adolescents cracks. So, we should fill this gap by involving
them
equally.
The
Information,
Education
and
Communication projects of SIFPSA include behaviour change
programmes. The focus is to empower adolescents to take
their own decisions pertaining to their health, so that they
Priti Gupta, SIFPSA
can say no and take a call about the right age of marriage.
Behavioural changes take a long time to happen. We must do field research by involving
community, NGOs, marketing executives etc, to identify structural barriers, and find solutions
to overcome them, for the programmes to be successful.
Sangeeta, a youth member of SAHAYOG expressed her
views that we must also focus on the needs of youth
from minority communities such as LGBT and PLHIV,
while addressing the SRHR of young. Uttar Pradesh has
a large youth force, so youth policy must emphasise
upon comprehensive sexuality education for the young.
We need to talk about this with public representatives,
especially during elections. Young people should be
involved at all levels. We do talk about community
based monitoring, but it does not get implemented in
NHM. Boys too should be sensitized about menstruation
and they should become the part of the programme. There should be equal participation of
men in all family planning related programmes. We need to work more at policy level as well.
For example, the abortion policy is quite complex for an unmarried girl or woman- she is asked
to bring her parents along if she seeks abortion services. Similarly, very often women working
in the unorganised sector do not get maternity leave.
Dr Aruna Narain said that government is making all out efforts to make reproductive health
commodities (emergency pills, condoms) available to all in need of them. She also clarified
that parents consent is not mandatory for seeking abortion, but someone must accompany the
woman, as this is necessary for any surgical procedure as per the law.
14
Few learnings
Convergence across different government ministries, departments, policies and programmes
have happened in past years, but a lot more needs to be done specifically on youth and SRHR.
We need to engage different government sectors, as well as other non-governmental sectors,
especially youth constituencies, to identify possible policy and programmatic linkages in statecontext.
Comprehensive guidelines identifying challenges and providing workable solutions on how to
provide evidence based, age sensitive and culturally appropriate SRH information, education
and services to young people, including those from minority groups such as transgender and
PLHIV, need to be developed in consultation with all relevant government departments (health,
education, Panchayati Raj, etc) and representatives from different constituencies (youth, men,
women, PLHIV, transgenders, etc) at district/state level in rural and urban areas. Also a
consultative process must identify opportunities for synergies across existing programmes and
schemes to enhance programme outcomes.
Adolescent Friendly Health Clinic (AFHC) is a good step for ensuring youth access to quality
SRH services. The programme needs to be scaled up rapidly as there are many districts in UP
which do not have any AFHS clinic. Of the total 444 existing clinics in the state only 225 clinics
are submitting their monthly report to Health and Family Welfare Department. Besides, low
level of awareness in targeted populations about the existence of AFHCs reflects upon the
urgency to have greater level of outreach and IEC activities by the counsellors in adjoining areas
of the clinics.
More young people-both female and male- from all sections of society should to be part of
Rashtriya Kishor Swasthya Karyakram to maintain gender parity within the programme.
Distribution of sanitary napkins under the Kishori Suraksha Yojana is a welcome initiative to
prevent girls from not attending school due to menstrual hygiene related problems. But
government departments other than that of Health (such as Education and Panchayati Raj) need
to take cognizance of this programme and work in tandem. Functional toilets along with proper
management of disposal facilities should be in place in all schools to ensure greater benefit of
this initiative in target population.
SRH rights of young transgender are neglected. There should be separate sections/wards
within existing health facilities for them to access services in an enabling environment at all
levels.
Social research and monitoring is a must for any programme to achieve the expected
outcomes.
15
Agenda
Topic
Onsite registration
Resource person
Geeta Shukla, CNS
16
List of participants
Name
Subhashini
Chaurasiya
Shrikrishna
Kamal Rizavi
Garima
Eshita Soni
Sangeeta
Mitashri Ghosh
Priti Gupta
Jitendra
Kaushal Singh
Vishvapati
Verma
Vivek Shukla
Raaj Kumar
Sharad Kumar
Dr P K Khattri
Manoj Kumar
Chaurasia
Prashant Mishra
Dr Anil Saxena
Dr Swapna Das
Sehba Hussain
Dr Anand
Agrawal
Madhumita
Verma
Sumit Gupta
Abhinav Pandey
Dr Anil Mishra
Indrajeet Singh
Prof (Dr) Rama
Kant
Amrit Lal Dixit
Organisation
CNS
Correspondent
UPNP Plus
FPA India
FPA India
FPA India
SAHAYOG
FPAI
SIFPSA
CNS
correspondent
CNS
correspondent
FPHI India
Sarita Pravah
Bureau
DSMNRU, Social
Work Department
National PG
College
Youth volunteer
E-mail
[email protected]
Mobile number
9793592475
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
7499361503
9935773307
8960516406
8176081676
7388440234
9415402137
9236002463
9452660108
9415092208
[email protected]
[email protected]
9935427914
9867009966
9506533722
9415004020
9454054206
Lucknow
University
Srijan Foundation
National Health
Mission
BETI Foundation
DGM, RKSK, NHM
9451001023
7351292123
9415104633
[email protected]
[email protected]
9839211887
9415172633
CNS
Correspondent
IISD, Barabanki
PISRD
GM, Training,
NHM
RKSK Consultant,
NHM
GCRG Institute of
Medical Sciences
A.C.S.S Hardoi
7703076212
[email protected]
[email protected]
[email protected]
9450113306
8754416302
8005192532
9450359410
9415007299
17
9453408743
Ragini
Dr Aruna Narain
Sarita Chauhan
Maya Upreti
Ritesh Kumar
Awadhesh
Dwivedi
Pranjul
Srivastava
Vinod Prajapati
Feroz Alam
Mirja Ahmad
Raja
Anuj Singh
Arjun Sahu
Susheel Sahai
Ikhtiyarul Haq
S K Shukla
Rafiya Naz
Dr O P Verma
Rahul Dwivedi
Ritesh Arya
Geeta Shukla
BPHSBRNGP
Ashram, Hardoi
SIFPSA
SIFPSA
GM, RKSK, SIFPSA
DSMNRU
DSMNRU
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
9839070824
9455766617
9415795634
9628960050
9454940946
8604422297
Swatantra Chetna
UP-TSU
Mamta
[email protected]
[email protected]
[email protected]
9839387497
7892409992
8006126161
Hindustan Akhbar
Amar Ujala
Dainik Prabhat
Swatantra Bharat
Public Power Daily
Dainik Jagran
8799261342
8954886127
9839080292
941525705978
9369705978
9795075821
Joint director,
H&FW
CNS
CNS
CNS
9792825427
[email protected]
[email protected]
[email protected];
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
18
9415467282
9807939282
19
News clippings
20
21
22