KEM LEY | Principal investigatorNHIM DALEN |Consultant

EVALUATION OF PILOT YOUTH FRIENDLY SERVICES

DEBRIEFING

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Outline1. Project Overview2. Objectives of evaluation3. Methodologies of evaluation4. Key Findings5. Conclusions and Discussions6. Recommendations

1. Project Overview

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HC Pong RoHC Kg. HaoHC AkpiwatHC Ponley

To promote access to reliable SRH information sources and related basic services, targeting young people and women

living in rural villages, working in garment factories or studying in secondary schools.

Project Period: 27 monthsFeb 2010- Apr

2012

YOUTH COUNSELLING SERVICE | YOUTH FRIENDLY SERVICES

Supporting the public health provider in consolidating SRH‐related skills and

introducing a pilot SRH service for youth.

Project Objective

Interventions

Demand Side Supply SideIntense community demand creation work

Target Populations

Target HCs50,000 of young people women living in rural villages, working in garment factories and in schools.

Outreach, PE & VHV/VHSG

2. Objective of Evaluation Objective of the evaluation is to evaluate

relevance, efficiency, effectiveness, sustainability and impact of the pilot Youth Counseling Services established by the Project in 4 Health Centers, and to identify lesson learned and best practices. Particular focus shall be put on sustainability, with an in‐depth evaluation of the impact of free consultations for youth in improving access to services.

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Staff ConsultationPreliminary Findings

Final Report

FGD

Desk Stud

yKII

3. Methodologies Desk Review Evaluation Tools Development Project Overview meeting Data collection

Key Informants Interview Focus Group Discussion

Secondary Data Analysis (HIS data)

Report writing Feedback on

First draft Second Draft Final draft of evaluation

Final Report

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3. Methodologies FGDs

A group of school youth in Tekphos Commune

A group of female Garment Workers (MV) A group of young people in Koh Krabey

village A group of HCMC at Kampong Hao HC A group of VHSG at Pong Ro HC Cesvi staffs

KII: Interview with service providers in Akphivat,

Kampong Hao, Pong Ro and Ponley HC OD 1 Chief together with MCH representative

Debriefing with Cesvi country Representative and Management team

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3. Methodologies

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Document Collection

Overall agreement

between Cesvi and ART

Evaluation Tools development

and agreement& Desk Study

3-7 April 2012

Contract Sign

Data Collection Tolls Approved

Field workPreparation

Confirmation with KII and

FGD

Preliminary findings

Consultation

Data Collection Final Report submision

Field work KII, FGD and

Staff Meeting

9-12 April 2012 19-20 Apr

2 May26 Apr

Timeline of the Evaluation of YFS

4. Key findings Significant increased access of young population across

youth friendly services Specially trained staff on VCCT, STI, ANC, Delivery, Birth

Spacing and Counseling Great HCMC and Feedback Committee involved in youth

friendly services Appropriate IEC materials and Well recorded book

( Registration Book) Significant increased awareness of targeted youth on sexual

and reproductive health Good coordination between MCMC, HC, OD, PHD, Local

Authority and Cesvi staff

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4. Key findings Increased user fee as evidence of

increased access of youth to youth friendly services

Increased satisfaction Targeted Youth Peer Educators Health Centre Staff Stakeholders Local Authority

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4. Key findings Improved quality of youth friendly services

Increased accessibility of youth and general population

Availability Reduced waiting time Specially trained staff Availability of drugs and equipments Increased satisfaction among interviewed

youth and peers

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Rapid Assessment Findings

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A: Facility

B: Service Providers

C: Management

D: Clients' Satisfaction

E: Other Possible

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2

2

4

1

2

2

2

2

2

2

0

0

0

1

1

0

1

0

0

0

YFS Status

CompletelyMostlyPartlyNot at all

Percentage of responses

4. Findings Access to YFS Services by Type of Service

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2010 2011 Jan-Feb 20120

10002000

30004000

50006000

3138

5240

814

Trend of YFS Clients Distribution by Type of Services

STDANCBSCounselling

# o

f Clie

nt

4. Findings Access to YFS Services by HC

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2010 2011 Jan-Feb 20120

1000

2000

3000

4000

5000

6000

3454

4909

797

Trend of YFS Clients Distribuition by HC

Pong RoKg.HaoAkphiwatPonley

# o

f Clie

nt

5. Key Challenges Lack of meaningful involvement of

youth in particular aspects (eg Youth Peer Counselors

Youth friendly services need more time and resources

Stakeholders' involvement has room for improvement

Lack of exit strategy Users fee can not make cover all

needed activities 14

5. Key Challenges Very limited time for completing

different steps of counseling Lack of innovative health financing

schemes for staff motivation Imbalance benefits among health

Centre Staff especially midwife and NGO supported staff

There is no community resource mobilization

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6. Recommendation1 Meaningful Participation of Youth

Village based youth club (Club Moderators and Club Equipments, Materials, Plan…)

Youth Peer Educators (One Peer Educator per 10 to 15 peer beneficiaries or targeted youth

Youth Peers play critical roles in youth friendly service providers as youth counselor

Youth Saving Group Involvement in Community Coordination Bodies

( CCWC, HCMC, VHSG, EFC, School MC… ) as full membership

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6. Recommendation 2 Youth Friendly Services at HC

Convenient hours for consultation and counseling

Convenient room Respect for young people Privacy and confidentiality honored Adequate space and sufficient privacy Comfortable surroundings Youth Peer Counselors available IEC Materials and Edutainment17

6. Recommendation 3 Stakeholders' involvement

Coordination Bodies (CCWC, HCMC, VHSG, ….)

Advocate for full membership of those coordination bodies

Project Design and Project implementation and Monitoring

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6. Recommendation 4 Exit Strategy

Mainstreaming main activities within Commune Development Plan-CDP, Commune Investment Plan-CIP and Plan of CCWC

Integrate core indicators (STI, ANC, BS and Consoling ) into monitoring checklist of CCWC

Full membership of Youth Peer in Community Coordination Bodies (CCWC, HCMC, VHSG, EFC, School MC…)

Simple Proposal Writing Skills and Planning Technical Skills building for HCMC …)

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6. Recommendation 5 HC Health Financing

All sources of income should be collected and shared based on revised guideline or agreement

Innovative approach for increased income should be happened ▪ Community Resource Mobilization▪ Community Based Health Insurance▪ Commune Budget Plan ▪ Government Budget ▪ General User Fee… 20

6. Recommendation 6 Efficiency and Sustainability

Full package of Health Equity Fund for P1 and partial package for P2-Youth

Initiate community based health insurance for non poor youth

Community Resource Mobilization –Pagoda based Fund Raising and Saving Group among youth

Youth Peer Counseling 21