92577 Health Project and Program Management and Evaluation

Task: This assessment involves building on the evaluation plans developed for assessment 2 by providing appropriate standard (national or international) performance indicators, a detailed account of possible data collection methods (including partnerships for participatory approaches), and further information on how the assumptions and challenges described in assessment 2 may be overcome. Students will organise this according to process, outcome and impact evaluation.

Scenario 1: Northern Sydney Youth Health Promotion (NSYHP)

Program description:

Northern Sydney Youth Health Promotion (NSYHP) promotes the health and well-being of young people in the Northern Sydney area, with a focus on addressing youth health issues related to tobacco, alcohol, emotional and social health, and obesity. A team of young people, who live locally (representing all local government areas in Northern Sydney) are employed by Health Promotion on a casual basis. Aged between 15 and 20 years of age, Youth Consultants are trained, mentored and provided with resources so that they may contribute a unique perspective on young people and healthcare providers, youth services, schools, local councils, planners and policy makers. The program places a strong emphasis on young people as equal partners in providing a meaningful voice for change. Northern Sydney Youth Health Promotion (NSYHP) conducts formal consultations with local service providers and develops recommendations to assist these services in improving youth friendliness and the accessibility of services for young people aged 12 to 24 years. The program also focuses on strengthening the youth-oriented health promotion tools and strategies used by local service providers. The program runs workshops at local high schools and consults with young people at other relevant venues to:

1. Collaboratively develop youth appropriate health communication strategies, resources and tools; and

2. Increase awareness of available prevention, early intervention, primary health care and specialist service options.

NSYHP, the Department of Education and Communities, and North Sydney Council has developed the YouthSource website and smartphone application. YouthSource provides an easy to use access point for health information, links to youth-friendly health services and a schedule of upcoming health and well-being events throughout the Northern Sydney Region. It also offers quick links to health promotion tools and resources. YouthSource was designed to create a central location for young people, parents, teachers, health professionals, youth workers, and the community at large to access appropriate youth friendly information and services in their area. YouthSource apps are also
available for download from Google Play and the App Store.

The NSYHP program advocates for young people through participation at conferences, committees, inter-agencies, and through a variety of media and events. The aims of this advocacy include:
• Raising community awareness about youth health issues;
• Promoting smoke-free environments through the dissemination of ‘You just DON’T smoke around your mates’ signs;

Scenario 2: Responding to Sexual and Reproductive Health Needs of

Displaced Persons after the Zamboanga City Crisis, the Philippines Family Planning Organisation of the Philippines (FPOP), International Planned Parenthood Federation (IPPF) & the SPRINT Initiative (The following description was adapted from Implementing the Minimum Initial Service Package for Reproductive Health in the Aftermath of the Zamboanga City Crisis (WCDRR) and In Case of Emergency: FPOP’s Implementation of the Minimum Initial Service Package for Sexual and Reproductive Health in Crisis).

Program description:

On 9 September 2013, fighting broke out in coastal villages of Zamboanga city between a faction of the Moro National Liberation Front and the Armed Forces of the Philippines, which spread to the nearby island province of Basilan. The response acknowledged that Sexual and Reproductive Health (SRH) needs continue and increase during crises; the risk of sexual violence may increase during social instability; STI/HIV transmission may increase in areas of high population density; the lack of family planning services increases risks associated with unwanted pregnancies; childbirths also incur higher risks in conflict crises; lack of access to emergency obstetric care increases the risk of maternal deaths; and additionally, adolescent SRH needs are of particular concern in crises. In order to minimise sexual and reproductive health related death, disease, and disability among crisis affected populations in Zamboanga City, the SPRINT Initiative, a program of the International Planned Parenthood Federation, provided an emergency response grant in the amount of $50,000 USD to Family Planning Organisation of the Philippines (FPOP). This funding was used by FPOP to implement aspects of the Minimum Initial Service Package (MISP) for Reproductive Health (RH) among the displaced population in Zamboanga City for a duration of three months – October to December 2013.
The MISP is a set of priority activities that form a minimum standard to be implemented at the onset of every humanitarian crisis. There are five objectives of the MISP, together with a number of activities and accompanying supplies (Reproductive Health Kits and Dignity or Hygiene Kits). The five objectives of the MISP are to:

1. Ensure an organization is identified to lead the implementation of the MISP;
2. Prevent and manage the consequences of sexual violence;
3. Reduce HIV transmission;
4. Prevent maternal and newborn death and illness;
5. Plan for comprehensive sexual and reproductive health care, integrated into primary health care, as the situation permits.

Additional Priorities of the MISP include continuing availability and accessibility of family planning services, managing the symptoms of sexually transmitted infections, continuing HIV care and treatment, and distributing hygiene kits and menstrual protection materials. Details of the activities which meet each of these objectives are available by following the links provided at the end of this program description.

Following an on-the-ground assessment by FPOP in the weeks following the outbreak of violence, FPOP began work to implement aspects of the MISP for people sheltering in the “Grandstand” (Joaquin F. Enriquez, Jr. Sports Complex), the largest evacuation centre (EC), on Cawa-Cawa Boulevard, and other designated centres. The populations of Grandstand, Cawa-Cawa, and some of the other Evacuation Centres are predominately Muslim, with many from the Badjao and Tausug tribes.

MISP implementation activities conducted by FPOP included:

• Coordinating the SRH response to the Zamboanga City crisis;
• Forming a Reproductive Health Working Group with the United Nations Population Fund, Department of Health, Department of Social Welfare and Development, and the Mindanao Emergency Response Network;

• Providing maternal and neonatal health services;
• Providing family planning services to displaced people;
• Distributing supplies including male condoms, clean delivery kits and dignity kits;
• Conducting health information sessions to provide information to affected populations on a range of SRH topics and services; and
• Gathering and documenting baseline data in the area. Upon SPRINT’s funding of the response, FPOP assembled a team of staff in Zamboanga City. In addition to these staff, at least 30 youth volunteers were recruited and trained to assist with project activities. These youths were oriented to using the MISP and project implementation and formed a strategic part of the program implementation.