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Youth-friendly Services: Tanzania End of Program Evaluation Report

Program for Appropriate Technology in Health (PATH), and the United Nations Fund for Population Activities (UNFPA) in the fall of 2000. AYA was funded with a grant from the Bill and Melinda Gates Foundation and administered through the U.S. Committee for the UNFPA. AYA sought to improve overall Adolescent Sexual and Reproductive Health (ASRH) and reduce the spread of HIV/AIDS and other Sexually Transmitted Infections (STIs) in four African countries – Botswana, Ghana, Tanzania, and Uganda. Pathfinder International was responsible for the implementation of two of the six component areas of AYA, namely Youth-Friendly Services (YFS) and institutional capacity building in each of these countries.

The AYA/Pathfinder approach to YFS focused on the following:

  • Building on existing resources, using available facilities and service providers;
  • Reaching young people through a variety of channels such as: static clinics, outreach including peer education, and the private and commercial sectors;
  • Establishing linkages with effective referral sites;
  • Creating partnerships with other institutions for future scaling-up; and
  • Instituting a minimum package of youth-friendly Sexual and Reproductive Health (SRH) services, including:
    • Information and counseling on sexuality, safe sex and reproductive health;
    • Contraceptive method provision (with an emphasis on dual protection);
    • STI diagnosis and management;
    • HIV counseling (and referral for testing and care);
    • Pregnancy testing and antenatal and postnatal care;
    • Counseling on sexual violence and abuse (and referral for needed services); and
    • Postabortion care counseling and contraception

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