Promotion of Sexual and Reproductive Health Rights by German Development Cooperation with special em

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Promotion of Sexual and Reproductive Health
Rights by German Development Cooperation with
special emphasis on GTZs approach

• Claudia Trautvetter, GTZ Technical Officer
• Health Sector Project Population Dynamics, SRHR
• September 25, 2008

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Contents

• Promoting SRHR Where are we now?
• Policy level
• Country level
• Challenges and work to be done?

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What have we achieved so far at policy level in
German Development Cooperation?

• Federal Ministry of Economic Cooperation and
  Development (BMZ)
• Policy Action Plan on Human Rights 2004 - 2007
• Policy Action Plan on Human Rights 2008 - 2010
• Policy Paper SRHR 2008
• German Technical Cooperation (GTZ)
• Sector Initiative SRHR and population dynamics
  since 2006

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What have we achieved at country level?

• First experiences in implementing rights based
  approach in health sector
• Kenya
• Tanzania
• Indonesia

• German DC
• 4-level approach
• Local
• Regional
• National
• International

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Kenya Health Sector Programme

• Best practice example
• Introduction of a voucher system for RH services
  in
• selected communities
• Supported by German implementing agencies
• KfW Banking Group, GTZ
• Main target areas Safe Motherhood, Clinical
  Family Planning and Gender Violence Recovery
  Services
• Results so far 50.000 women used vouchers for
  delivery by skilled birth attendants
• Quality of health care services improved, and is
  made accessible, equitable and affordable by
  Kenyan households

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Tanzanian German Programme to Support Health
(TGPSH)

• Objective population in programme regions,
  particularly young people, have access to
  information on SRH and are increasingly using
  selected good quality RH services
• One approach / peer education
• Trained volunteers to enable them initiate
  discussions on sensitive sexual matters
• Peer education in elementary schools
• Information material developed with and for
• young people
• ? booklet Reproductive Rights and their
  answers 
• Result
• lead to improved knowledge and attitudes
  of adolescents towards SRH and HIV/AIDS-related
  topics

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Indonesia Improving Health Care Services in the
Provinces NTB and NTT

• Objective
• Reduce maternal and neonatal mortality in the
  villages of the two provinces using a gender
  sensitive approach and provision of health
  education
• What did they do implemented a community
  empowerment strategy by using the existing
  tradition of helping each other
• Thereby implemented a community based alert
  system
• Results
• Communities are empowered to respond to maternal
  and neonatal emergencies, and to enlarge their
  access to health centre services including
  information and education on SRHR
• Before having the village birthing post and
  the Alert Systems only 20 of deliveries were
  assisted by health personnel. After having the
  (birthing post) building the number of deliveries
  assisted by health personnel increased to 40.
  After establishment of the Alert System, the
  deliveries became 100 assisted by health
  personnel and all take place in the health
  facilities. (village midwive)

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Challenges / Work to be done

• Need
• Capacity building of professionals at all levels!
• WHO/InWEnt e-learning course on Human Rights and
  Health
• More guidance how to implement HRBA
• Indicators to measure progress
• Outlook for the future
• Identify areas for cooperation with Special
  Rapporteur, e.g. Tanzania

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THANK YOU !

• Sector Initiative
• Population Dynamics, Sexual and Reproductive
• Health and Rights
• www.gtz.de/srh
• Upcoming event
• 7th International Dialogue on Population and
  Development
• Exploring Cultural Diversity and Gender
  Equality towards universal
• access to sexual and reproductive health and
  rights
• Berlin 15 16 October 2008