USAID Impact Photo Credit: USAID and Partners

Archives for Youth

USAID’s Youth in Development Policy: Investing in Young People’s Sexual and Reproductive Rights and Health

Disclaimer: The views expressed are those of the Youth Health and Rights Coalition. They do not necessarily represent the views of the U.S. Agency for International Development nor of the U.S. federal government.

It is often said that young people are our future. But young people aren’t just assets for development tomorrow – they are agents of change today. The first-ever USAID Youth in Development Policy (PDF) clearly recognizes this reality and provides important opportunities to involve global youth in shaping our development agenda and advancing their health and rights.

Young people in Kenya. Photo credit: USAID.

Today’s generation of young people is the largest in history; nearly half of the world’s population—some three billion people—is under the age of 25. Given that this large demographic of young people presents the world with an unprecedented opportunity to accelerate economic development and reduce poverty, the policy is particularly timely and critical. It rightly acknowledges that in order for young people to realize their potential and contribute to the development of countries, they must be able to access information and services that protect their rights and promote their sexual and reproductive health throughout their life span. Advocates, implementers, young people and government partners can help achieve that vision by ensuring that the following important policy provisions are translated into action:

Start early in life

Young people bear a significant burden of poor sexual and reproductive health outcomes, including unmet need for family planning, early marriage and childbearing, maternal death, gender-based violence and HIV. However, when families, communities and nations protect and advance adolescent and youth reproductive rights, young people are empowered to stay healthy and take advantage of education and economic opportunities throughout their lives. We know when these investments happen early in life as well as throughout the life course, they help foster more gender equitable and healthier attitudes and behaviors. So why wait? Let’s embrace the tenets of the policy and invest in young people’s health and rights today.

More money, more tracking

The Youth in Development policy clearly calls for the implementation of evidence-based programs and interventions. The Youth Health and Rights Coalition (PDF) looks forward to supporting this effort with the range of tools and resources developed to effectively implement evidence-based sexual and reproductive health interventions. But we need more than guidance to truly protect and promote the well-being of young people. Advancing youth development will require more funding, better data collection to track investments and outcomes, robust partnerships across sectors, and strong commitment across the agency. It’s a challenge, but one worth taking.

“Nothing about us, without us!”

Many of the young people who are members and partners of the Youth Health and Rights Coalition often call upon this phrase to express the importance of meaningful and ongoing youth engagement, something which is still too often missing in development today. The policy puts the importance of youth participation and engagement front and center of the USAID programming process and emphasizes the need to support more meaningful and equal partnerships with young people while building capacity of local youth-led and youth-serving organizations. USAID’s dedication to civil society consultations to inform the development of the policy was an important first step to put words into action. So let’s keep it up and continue to engage young people as we move forward with the implementation of the policy.

We applaud USAID for recognizing how critical it is to meaningfully engage youth across the diverse countries where the Agency works and look forward to future collaborations. Only together can we succeed in meeting the sexual and reproductive rights and health of all young people and work with them to fulfill their full potential.

The Youth Health and Rights Coalition (PDF) is comprised of advocacy and implementing organizations who, in collaboration with young people and adult allies, are working to advance the sexual and reproductive rights and health of adolescents and youth around the world. The YHRC advocates with key decision makers to prioritize funding and support for comprehensive adolescent and youth sexual and reproductive rights and health policies and practices. Their goal is to ensure young people in the developing world have the sexual and reproductive rights and health information, tools, commodities, and quality services necessary to make healthy and informed choices about their own lives.

Member organizations of the coalition include: Advocates for Youth, American Jewish World Service, Americans for Informed Democracy, CARE, Center for Health and Gender Equity (CHANGE), Family Care International, FHI 360, Georgetown University-Institute for Reproductive Health, Global Youth Coalition on HIV/AIDS, Guttmacher Institute, International Center for Research on Women, International Planned Parenthood Federation/Western Hemisphere Region, International Women’s Health Coalition, Ipas, John Snow, Inc., Marie Stopes International-US, PATH, Pathfinder International, Plan International USA, Planned Parenthood Federation of America, Population Action International, Population Reference Bureau, Population Services International, Public Health Institute, Save the Children, and Women Deliver.

Ethiopia Hosts African Leaders to Accelerate Gains in Child Survival

Today it was an honor for me to join African colleagues in health and development at the opening of the African Leadership for Child Survival – A Promise Renewed. Minister of Foreign Affairs Tedros Adhanom, Minister of Health Kesetebirhan Admasu, and the rest of the Ethiopian Government should be congratulated for hosting this meeting to accelerate the reduction of Africa’s child mortality rates.

Ethiopia’s Minister of Foreign Affairs Dr. Tedros Adhanom opens the African Leadership for Child Survival meeting in Addis Ababa, Ethiopia. Photo credit: UNICEF

Ethiopia has made great progress in tackling child survival and strengthening their health sector. Since the development of Ethiopia’s first national health policy in the mid-1990s, Ethiopia and the United States Government have partnered to increase and expand access of quality health services to Ethiopians nationwide. The United States is proud to have a long-standing health program in Ethiopia with many of our agencies working in the health sector: CDC, DOD, Peace Corps and my agency, USAID.

Last June, Ethiopia joined India and the United States in cooperation with UNICEF to host a Child Survival Call to Action in Washington. More than 700 global leaders came together and challenged each other to reduce child mortality to 20 deaths per 1,000 births, or lower, in every country around the world by 2035. Assuming countries already making progress continue at their current trends, achieving this rate will save an additional 5.6 million children’s lives every year.

In the last two decades, Sub-Saharan Africa has experienced a 39 percent decline in the under-five mortality rate, a tremendous achievement that has been called part of the “the best story in development.” But despite this progress, we know that some countries are doing better than others. By joining together to share best practices, we can create a strong coalition to help each other’s children live to see their fifth birthdays.

An investment in Africa’s children is an investment in Africa’s future. I am pleased USAID is supporting the African Leadership on Child Survival meeting – and we are committed to being Africa’s partner in this effort for years to come.

Ethiopia Shares Best Practice for Maternal and Child Survival

In advance of tomorrow’s African Leadership on Child Survival meeting in Addis Ababa, Ethiopia, the Ministry of Health organized a media site-visit to showcase their community health extension program and its impact on the country’s tremendous reductions in child mortality.

I was taken away from the hustle and bustle of Addis to the Aleltu district, which is north in the Oromia region. The visit began at a health center, then a health post and finally I visited households in a kebele (village). I saw firsthand how the health extension workers along with the voluntary community health promoters, called the “women health development army,” are key to Ethiopia’s health infrastructure. Health extension workers have finished secondary school, or grade 10, and have been through one-year of training that covered 16 components under four categories: family health; disease prevention and control; sanitation and hygiene; and health education. This is called the health extension worker package.

Members of the press interview women at a health center in Mikawa, Ethiopia. Photo credit: Nicole Schiegg

At the health center in Mikawa, the capital of Aleltu, I observed kids getting immunized and women accessing prenatal care. Two women with their newborns in the waiting area agreed to be interviewed by the press. Both commented on how they learned about family planning from the center and how birth spacing leads to healthier children. They planned to wait three years before their next child by using family planning methods offered by the center, which is funded by USAID as part of an Integrated Family Health Program through JSI and Pathfinder International.

At the Wogiti Dera health post, where they focus on maternal and child health in collaboration with the Mikawa health center, I met a 25-year old health extension worker named Mandarin. She showed me charts depicting data from the progress in her village. Practicing what she teaches, Mandarin is one of the women in the village who delivered her baby at the health center. When asked if she aspired to be a doctor, Mandarin replied, “Of course, anything is possible.”

Finally, I visited a household in the Wogiti Dera village, designated a “model household” because it successfully completed a checklist of 16 good behaviors consistent with the 16 components in the health extension worker package. Examples of good behaviors in the package include: women delivering their babies with a skilled birth attendant, children being vaccinated, and the household practicing good sanitation and hygiene.

What was consistent throughout the visit was an emphasis on data to measure impact and performance. This information feeds up to the regional and national level to populate a scorecard to measure Ethiopia’s progress in reducing maternal and child mortality in the region. The community health extension program is one of many best practices that will be shared at this week’s African Leadership on Child Survival meeting.

Public, Private, and Civil Society Partnerships in Action

This post originally appeared on the Save the Children Blog.

We like to think of development as a team sport requiring all players to work together toward the same goal. The game gets particularly exciting when you add new players to the team at half time.

Save the Children has served children and families in Nicaragua for almost 80 years. Three years ago, we began partnering with Green Mountain Coffee Roasters Inc. (GMCR), based in Vermont, on a project to increase the income and food security for families of workers on coffee farms. By helping families to diversify their crops, improve storage techniques, and bring crops to market, they can better withstand periods of food scarcity during the months between coffee harvests.

The United States Agency for International Development (USAID) joined the partnership two years ago, adding an ambitious health component through their regional “4th Sector Health” project. Implemented by Abt Associates, 4thSector Health develops public-private partnerships and supports exchanges between countries to advance development through health in Latin America and the Caribbean. In Nicaragua, 4th Sector Health is working with Save the Children and GMCR, along with local civil society partners, to boost maternal and child health and nutrition for the same coffee-growing communities.

USAID’s 4th Sector Health also recently funded an experience sharing trip for Save the Children staff from five Latin American countries, who were involved in implementing GMCR-funded projects. The participants learned from each other’s experiences and are replicating best practices in their own programs, serving to increase their impact and sustainability.

Save the Children visits neighborhoods in Nicaragua to monitor child health and nutrition, and treat sick children. Photo credit: Gerardo Aráuz

The alliance between USAID, Save the Children, and GMCR is intended to maximize the use of resources and help identify new solutions to challenges affecting these communities. Sometimes the alliance organizations face challenges of their own — coordinating work plans, reporting on technical outcomes, and carrying out their separate missions.

Public-private partnerships, otherwise known as the “Golden Triangle,” are a hot topic in the field of international development. Donors like USAID have invested millions of dollars in partnerships with the private sector, yet some development experts have questioned the development impact of such partnerships in achieving real benefits for the poor and marginalized in developing countries.

As part of its recent reform efforts, USAID has put more attention towards improving its public-private partnership model. For one, USAID is including technical experts in health and nutrition such as Save the Children in some partnerships, recognizing that U.S. civil society groups lend valuable expertise in maternal-child health and other technical areas. Moreover, USAID is steering the private sector towards achievement of concrete development targets through their partnerships, as well as ensuring that companies are held to certain standards, such as respect for workers and environmental stewardship.

From my perspective, this alliance between Save the Children Nicaragua, USAID, and GMCR, is having a transformative impact on the communities in which it operates.

Martha Lorena Diaz is one of many enterprising women working with us,whose partner, Jose Manuel Benavidez, is a coffee farmer on a cooperative that sells to GMCR. Martha was initially given five hens and now keeps 40 in her small business, earning about one dollar a day from selling the eggs and chickens. Save the Children project training sessions have helped Martha to identify nutritious sources of food for her three children, particularly during the lean months when she struggles to provide enough food for them. Martha now makes a corn flour drink to boost her childrens’ daily vitamin intake. Moreover, health promoters, trained by Save the Children, visit her neighborhood and others to monitor child health and nutrition and treat sick children in their communities, which are often far from the closest health center.

Successful partnerships, such as the one between USAID, GMCR, and Save the Children Nicaragua, are critical to achieving lasting results in the communities that we all serve. With an increase in USAID’s partnerships with private sector and NGO players, who are committed to making a real difference in the lives of families in Nicaragua and elsewhere, I believe our team will prevail.

FrontLines Year in Review: Children’s Saviors on the Front Lines

This is part of our FrontLines Year in Review series. This originally appeared in FrontLines May/June 2012 issue as a special section.

Front-line health workers are the first and often the only link to health care for millions of children in the developing world. They are the most immediate and cost-effective way to save lives, and foster a healthier, safer and more prosperous world. The developing world has experienced remarkable declines in maternal, child and infant mortality in recent decades, thanks in large part to the contributions of those who bring the most basic health services and education into the communities of the world’s underserved.

Millions of people are alive today because a midwife was by their side when they gave birth, or they were vaccinated as infants by a nurse, or because their families learned from a community health worker to adopt healthy behaviors like breastfeeding, hand washing, birth spacing and sleeping under a mosquito net.

While progress is being made thanks to the training and deployment of health workers in many countries, there are still too few health workers to reach the millions of families who urgently need care. Millions of children still die every year from preventable causes. The World Health Organization estimates a shortage of at least 1 million front-line health workers, particularly in Africa and parts of Asia.

Community health worker Rosalina Casimiro meets with children in Nampula province, Mozambique, to demonstrate how to purify water prior to drinking. Photo credit: Luisa Chadreque, Pathfinder Nampula

A million more health workers could save many millions more if they had proper training and support.

Many of the interventions that have proven most effective in saving lives require health workers with some kind of training to deliver them. Front-line health workers do not need to be highly educated to be successful. Experience in many countries has shown that health workers with basic schooling plus several weeks of well-designed training, followed by on-the-job supervision, can master the skills needed to diagnose and treat common illnesses, promote lifesaving health practices, and counsel families about family planning, nutrition and hygiene.

Some front-line health workers are midwives, nurses or private providers such as drug-shop dispensers. Many are community health workers who are selected by—and working in—their own communities. To ensure acceptance of these health workers by their communities, they must respond to local norms and customs. Some front-line workers are compensated for their work, either through the formal health system or by the communities they serve; others are volunteers motivated by non-monetary incentives, including flashlights and bicycles, as well as a sense of pride in their work, and increased status in their communities. Many female front-line health workers, in particular, note that their role has helped increase the respect they get from their families, friends and neighbors.

Major killers of children such as diarrhea, pneumonia, malaria and newborn complications can often be prevented or treated close to home by a well-trained health worker who is armed with basic tools and skills, and is part of a functioning health system.

How many die each year?

  • 7.6 million children under 5 die every year, 3.1 million of them during their first month of life.
  • Major causes of death among children are pneumonia, which causes 1.6 million 1.4 million deaths each year, and diarrhea, which causes 1.3 million 800,000 deaths each year. Malnutrition is estimated to contribute to more than one-third of deaths among children.

“For more than 40 years, USAID has helped children throughout the world grow into healthy, productive adults. Progress in child survival has long been, and remains among the Agency’s major accomplishments,” said USAID’s Deputy Assistant Administrator for Global Health Robert Clay.

USAID-funded initiatives save the lives of approximately 6 million children under 5 each year. The stories from Madagascar, Kenya, Zambia, Mozambique, Bangladesh and Timor-Leste highlight some of the health workers who are saving lives in their communities, and individuals whose lives have been touched—through USAID support—by these saviors on the front lines.

Members of the Frontline Health Workers Coalition contributed to this article.

If you want an e-mail reminder in your inbox when the latest issue of FrontLines has been posted online, please subscribe.

FrontLines Feature: How to Get All Children Reading

This originally appeared in FrontLines, November/December 2012 issue.

Since literacy has been shown to lead to better health, higher incomes and more vibrant democracies, USAID and partners are seeking new solutions to an age-old problem.

Whether you’re digesting a work of literary genius, checking a text on your cellphone or scoping out the ingredients on the back of a cereal box, you’re reading. More times a day than you can even venture to count, you’re doing what 793 million adults worldwide cannot. These individuals aren’t missing out on a luxury. They’re being deprived of a necessity.

People who can read enjoy better health and make more money. By developing skills in literacy, they contribute to creating safer, more stable democracies, and are able to more effectively serve their families and communities.

If all students in low-income countries left primary school with basic reading skills, 171 million people could be lifted out of poverty. That’s equivalent to a 12 percent drop in world poverty, a statistic too big to ignore.

USAID, World Vision, AusAID, and the U.S. Department of Education are leading the charge in finding early grade reading solutions. Photo Credit: Derek Brown.

That’s why USAID has partnered with AusAID, its Australia development counterpart, and the international NGO World Vision to launch a multi-year initiative designed to improve early-grade reading outcomes in low-resource settings.

All Children Reading: A Grand Challenge for Development is leveraging the power of research, capitalizing on innovation, pursuing partnerships, and borrowing from cutting-edge science, technology and 21st century infrastructure to achieve substantial impact in increasing child literacy around the globe,” says Alexis Bonnell, chief of education engagement for USAID. One component of this initiative was the global competition to advance quality approaches to early-grade reading, whose winners were announced in September.

As the second of USAID’s multi-donor grant-making Grand Challenges, All Children Reading is engaging new actors to improve the design, production, distribution and accessibility of teaching and learning materials and education data. After putting out a call for proposals to improve early-grade literacy in poor countries, the competition received over 450 applications from foundations, corporations and individuals to work in over 75 countries.

“It was a huge early success, receiving so many proposals for the competition,” noted Anthony Bloome, campaign director of the All Children Reading Grand Challenge and senior education technology specialist at USAID. “This was a clear indication of how many motivated individuals and organizations are out there interested in doing extremely valuable work to advance early-grade reading around the world.”

Ultimately, 32 innovators were selected to help scale up or implement their projects. Over half of the submissions came from—and half of the awards were ultimately given to—local organizations in recipient countries, many of whom had never received funding from USAID.

“With all the Grand Challenges, and All Children Reading specifically, USAID is engaging new actors in the development world and supporting some of the most innovative solutions to a problem that has not been solved through traditional means,” explains Natasha de Marcken, director of USAID’s Office of Education.

On Sept. 7, as part of USAID’s International Literacy Day celebration, the innovators came together to share their approaches to improving early-grade reading outcomes. The DevelopmentXChange, held in Washington, D.C., showcased and traded ideas on cost-effective, scalable innovations grounded in science and technology that, with the support of USAID and its partners, will have a significant impact on the world.

Improving worldwide literacy rates won’t happen overnight, but with approaches like those of the Grand Challenge winners, PlanetRead, Drakkar Ltd. and Pratham, this latest international campaign appears to be headed in the right direction.

Related Content:

If you want an e-mail reminder in your inbox when the latest issue of FrontLines has been posted online, please subscribe.

A Roadmap to Protecting the World’s Most Vulnerable Children

Ambassador Luis CdeBaca directs the State Department’s Office to Monitor and Combat Trafficking in Persons. Photo Credit: Dept. of State

Commemorating the 150th Anniversary of Emancipation in September 2012, President Obama reaffirmed America’s commitment to promoting “a sense of justice that says no child should ever be exploited.” Yet around the world, we know that modern slavery victimizes so many children, whether it is a girl sold by her parents as a domestic servant, a boy forced to beg on the streets, or children prostituted in brothels. As Ambassador-at-Large to Combat Trafficking in Persons, I echo the President’s call and I urge governments to ramp up action and enhance accountability to protect children around the world from this sort of abuse.

The first U.S. Government Action Plan (PDF) on Children in Adversity provides an important framework through which to guide and galvanize U.S. government agencies to protect the world’s most vulnerable children. The Action Plan underscores the plight of children in the most dire straits: those living on the streets, participating in armed groups, and displaced by natural disasters or political unrest. We recognize that children in these situations are particularly vulnerable to one of the most far-reaching crimes against children: human trafficking.

I am enthusiastic about this Action Plan because it provides a critical roadmap to address collectively the global needs of trafficked and other vulnerable children. It is a powerful example of American leadership and commitment to protect and to ensure a brighter future for all our children.

In May 2009, Ambassador Luis CdeBaca was appointed by President Obama to coordinate U.S. government activities in the global fight against contemporary forms of slavery. He serves as Senior Advisor to the Secretary and directs the State Department’s Office to Monitor and Combat Trafficking in Persons, which assesses global trends, provides training and technical assistance, and advocates for an end to modern slavery.

 

Strong Families Equal Strong Nations

Kathleen Strottman is the Executive Director at the Congressional Coalition on Adoption Institute. Photo Credit: CCAI.

Business giant, Lee Lacocca once said, “The only rock that stays steady, the only institution that works is the family.” This simple, yet profound, principle is one that has not only withstood the test of time but is also the foundation of emerging brain science.

Here is what we know: We know that strong families are the building blocks of strong communities, and strong communities are the building blocks of strong nations. Thanks to leaders like Dr. Jack Shonkoff, we know that relationships with other human beings are not a luxury for children, but an absolute necessity.  But you do not need to be a Nobel Prize-winning economist or a world-renowned neurologist at Harvard to be able to recognize that children do best when raised by loving and protective parents.  For many of us, we need only to reflect on our own life experience to understand the impact that a loving embrace or encouraging words have in times of stress.

Despite these certainties, millions of children in the world are growing up without the care of a protective and permanent family. These children live in institutions or on the streets; they have been torn from their families because of war or disaster; or they have been bought and sold for sex or labor. And worst yet, the number of children who suffer such fates is rising. For this to change, governments of the world need to not only recognize that children have a basic human right to a family; they must also establish and enforce laws and systems to protect this right. It is for this reason that the Congressional Coalition on Adoption Institute (CCAI) is proud to support the U.S. Government’s Action Plan on Children in Adversity.

Under the plan’s tenets, the millions of children outside of family care will have the opportunity to benefit from programs that prevent them from being separated from their families and quickly reunify them when separation proves inevitable. The Plan also makes the commitment to pursue adoption, foster care, kinship and guardianship for children whose biological families are unable or unwilling to care for them. This is a major step forward and holds promise not only for the futures of children, but the future of nations.

Kathleen Strottman is the Executive Director of the Congressional Coalition on Adoption Institute (CCAI). Prior to working at CCAI, Kathleen served for nearly eight years as a trusted advisor to Senator Mary Landrieu and then as an associate at Patton Boggs, LLC. As the Senator’s Legislative Director, Kathleen worked to pass legislation such as the No Child Left Behind Act, The Medicare Modernization Act, The Inter-Country Adoption Act, The Child Citizenship Act of 2000, The Adoption Tax Credit and the Family Court Act. Throughout her career, Kathleen has worked to increase the opportunity for positive dialogue and the exchange of best practices between the United States and countries such as China, Romania, Russia, Guatemala, Honduras, El Salvador, Ethiopia and India. Kathleen regularly presents at national and international child welfare conferences and has appeared on CNN, FOX News, CBS, NBC, C-SPAN, PBS and numerous other media outlets. She is also a regular contributor to Adoption Today magazine.

Changing the World for Children

My life changed on that cold January day. It was the day my husband and I walked away from the orphanage, hand-in-hand with the first two – of our ten total – adopted children, having stepped into a realm where it is often winter and seldom Christmas.

Susan Hillis and her family. Dr. Hillis is a senior advisor for Global Health at the Centers for Disease Control and Prevention. Photo Credit: Susan Hillis.

That, though, is not what caused “The Change” to which I refer. What changed me is this: I turned around and looked back, to see a sea of faces peering through the chain-linked fence capped by barbed wire.  And this is what their hands were holding: that cold wire fence. That day I decided to do my part to change the world for children – not just my children, but all vulnerable children.

A dream this monumental would only become real if leaders around the world could see it, too. Today, this historic launch of the U.S. Government Action Plan on Children in Adversity makes me believe that my dream has become yours, and that, together, we will see our dream become real.

We will see nurture replacing violence; light replacing darkness; hope replacing despair. United with global leaders in governments, civil society and business, we will walk hand-in-hand – devoted to changing the world for children.

Dr. Susan Hillis has served in many roles, including mother, nurse, university professor, government official and scientist. Personally, she and her husband have 10 children, eight of whom were adopted from orphanages at older ages. Her experience suggests that hope transforms the storms of life. Currently she works as a Senior Advisor for Global Health at the Centers for Disease Control and Prevention. Her research over two decades has led to 100 publications addressing topics such as adverse childhood experiences, violence, vulnerability and HIV, in the United States and around the world. 

Photo of the Week: Reaching out to Youth in Latin America

USAID Deputy Administrator Don Steinberg visits with Honduran youth from Movimiento Jovenes Contra la Violencia at a USAID outreach center. Photo Credit: USAID

Last week, Deputy Administrator Donald Steinberg traveled with Assistant Administrator Mark Feierstein to Honduras, Guatemala, and Mexico to visit USAID projects, announce new initiatives, and meet with government officials, civil society, and USAID partners. During December 12th-13th Deputy Administrator Steinberg met with President Porfirio Lobo to discuss USAID’s ongoing work in Honduras, including crime prevention and food security. He also announced a new public-private partnership with TIGO, a regional cell phone company, which will provide internet access, cable TV, and free fixed telephone lines to each of USAID outreach centers for at-risk youth. By 2013, there will be 40 centers in Honduras and 100 throughout Central America as part of the Central America Regional Security Initiative.

Page 12 of 22:« First« 9 10 11 12 13 14 15 »Last »