5-Step Review of National ASRH Programme
Project Progress :
Started Date:September 01 2015 Completed Date:December 31 2015
5-Step Review of National ASRH Programme
Categories :Policy Development
CompletedProject Background
The 5-step review of ASRH aimed to review what sub-populations are missed by the national ASRH program to strengthen the ability of the ASRH program to increasingly contribute in reduction of avoidable and unjust differences in exposure to risk factors, access to health services and improvement in health status of adolescents. Recommendations were made on how ASRH program to a greater extent can reach sub populations that are currently being missed. Our role was for overall coordination and providing technical expertise for the overall review process.
Evidence of Technical and Professional Capacity in Undertaking the Project
Initially, coordination was done with FHD and WCO Nepal to organize 2 day sensitization meeting on 17-18 Sept 2016. Initial scoping on the barriers and equity gaps of the ASRH program was conducted during the meeting. A team comprised of UNFPA, WHO, Unicef, GIZ, Maiti Nepal, AYON, Save the Children, HMIS section, Dhading DPHO, and Naubise HP, HERD and chaired by the FHD was formed for the overall review process. HERD coordinated the review team on behalf of the FHD and provided technical facilitation during various meetings. Two staff from HERD with Masters Degree on Public Health were involved in the review process.
A compendium on the gender equity, human rights, and social determinants of health in the ASRH was prepared through extensive literature review of the national program and policy documents, human rights reports, and research and survey reports. Likewise, the ASRH situation in relations to equity was also reviewed. Series of meetings with review members and other national experts were done to understand the extent of the equity gaps.
During the whole review process, Nepal was facing fuel shortage due to supplies disruption, which affected mobility. However, HERD maintained effective communication and coordination mechanism with the review team members which helped in timely meeting of the project milestones. HERD team worked closely with the FHD throughout the review process and coordinated and communicated extensively with all the review members which helped completing the project outputs efficiently. We also communicated with the experts at WHO SEARO, CO and Headquarters to discuss more on various steps of the review process that kept us on track. In November 2015, a 5-day review workshop was organized where the ASRH programme was reviewed following 5 step review methodology using the compendium that was prepared by HERD team. A report of the 5 step review of ASRH was prepared which was shared among the review members and gathered feedback and then finalized. The final report was submitted to WHO CO and WHO SEARO. Set of recommendations were made for making the national ASRH program more equity based and to address the needs of all the sub-populations.
