THAILAND’S GOOD PRACTICE:

HEALTH AND EDUCATION PARTNERSHIP : EXPERIENCES FROM THAILAND

•PRINCIPLE •GOOD PRACTICES •LESSONS LEARNED AND CHALLENGES

SITUATION ON TEENAGE PREGNANCY IN THAILAND 2002-2012

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2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Rate per 1,000

PRINCIPLE

• Life Skill focused

• Adolescents need and access

• Adolescents active participation

• Partnership and collaboration

INTRODUCTION:YOUTH INNITIATIVE IN TEENAGE PREGNANCY CAMPAIGN CONTEXT AND SITUATION IN LAMPANG:

Lampang is located at the middle of the northern region with lots of domestic migrants from other provinces and passage way to other provinces. There are more than 20 education settings for young people i.e. vocational schools, commercial schools, secondary schools, and university. Part of young people stay alone or together in private houses or apartments.

In 2007 UNFPA supported survey on Lampang YSRH.

In 2008 UNFPA supported Lampang Provincial Public Health (LP-PPHO) to conduct survey on attitude of 1100 young people (Aged of 11-22 years) on Sexuality Education, Sexual Behavior and Use of Condom during 2008-2011.

PERCENTAGE OF SEX EXPERIENCE AMONG YOUNG PEOPLE IN LAMPANG , THAILAND

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Grade 11 (Male) Grade 11 F(female) Vocational school (male) Vocational school (Female)

CONDOM USE AT THE LAST SEXUAL RELATIONSHIP FEMALE YOUTH IN LAMPANG , THAILAND 2007- 2013

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Grade 11 Female Vocational School Female

CONDOM USE AT THE LAST SEXUAL RELATIONSHIP MALE YOUTH IN LAMPANG , THAILAND 2007- 2013

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2007 2008 2009 2010 2011 2012 2013

Grade 11 Male Vocatonal School Male

PROJECT OBJECTIVES:

Create a supportive environment for young people who engaging in healthy sexuality.

Improve coordination among concerned sectors including health, education, youth, and local organisations

Establish youth friendly health services with the local authorities taking ownership of the process, through a local youth strategic plan

PROJECT TARGET AREAS/ INDICATORS/OUTCOMES

TARGETS:

o In 2 districts: Muang and Thoen

o 14 educational settings: 8 secondary schools and

6 vocational colleges

INDICATORS:

o Raised sexuality knowledge in youth group to prevent unplanned pregnancy

o Increased condom used of the last sexual relation in young people

o Availability of youth friendly services

OUTCOMES:

o Local Authority include YSRH in their regular plan

o Various channels to access youth friendly RH services

PROJECT PHASES AND PROCESS

Year 1

Train Youth Leaders

Survey Youth ‘s Attitudes

Plan strategies and activities

Coordination with teachers, health workers and local authorities.

Year 2

Implementing YSRH campaign through school activities, peer educators, teachers training, friends’ corners, YSRH IEC contest, etc.

Policy advocacy to include YSRH and campaign in regular local plan and policy

Bridging youth networks

Year 3

Establishment of Youth Friendly Services attached with all health settings

Knowledge Sharing among networks

Returning findings and results to local authorities for evidence-based policy development

KEY RESULTS AT THE END OF PROJECT:

• Availability of Youth Friendly Services in all hospitals and health centers in 2 Districts

• Set up referral service: school -health centers-communities

• Health-Education networks on Teenage Pregnancy

• YSRH IEC activities in schools

• Budget allocated for YSRH from local authorities

• YSRH plans included in all districts with budget allocated

• Budget contributed from the province

INVOLVEMENT OF YOUTH LEADERS AND PEER EDUCATORS IN TEENAGE PREGNANCY CAMPAIGN

Orientation by Health Officers of Thoen district Health office and Thoen hospital on YSRH situation and policy

INVOLVEMENT OF YOUTH LEADERS AND PEER EDUCATORS IN TEENAGE PREGNANCY CAMPAIGN: CONT.

Comprehensive youth leaders training & involvement of teenage pregnancy campaign with host teachers

Working with local networks and authorities: Raised funds, built relations with other youth networks, raised awareness, etc.

INVOLVEMENT OF YOUTH LEADERS AND PEER EDUCATORS IN TEENAGE PREGNANCY CAMPAIGN: CONT.

LESSON LEARNED AND CHALLENGES

• Varieties of Practices + Initiations

• Integration into the system

• Involvement of media

• Challenges

VARIETIES OF PRACTICES AND INITIATIONS

• Life skills esp. sexuality education

• Condom machine in vocational schools

• Scouts with life skills focused

• One hospital ,one school

•Media influences

•Local authority involvement

INTEGRATION INTO THE SYSTEM :

Education

• Health Education Curriculum

• School Advisory System

• Co curriculum and Extra curriculum activities

Health

Adolescents clinic

Outreach to school and other adolescents setting

THAILAND’S CHALLENGES ON TEENAGE PREGNANCY

•Data based

• Coordination in central and local level

• Strategic planning