tailieunhanh - Mainstreaming and Scaling Up the Kenya Adolescent Reproductive Health Project

Only human females and some other higher primates have a regular monthly menstrual cycle. Humans, however, are able to mate at any time. Females of almost all other mammal species will mate only at specific times during a year. These times are known as estrus or “heat.” It is only during estrus that egg cells are released for fertilization. Estrus occurs in wolves and deer once a year, in dogs usually twice a year, in cows and horses once a month, and in rats and mice every few days. Ovulation, mating, and fertilization occur on a specific timetable. In many animals, such as deer or sheep, estrus occurs. | USAID FROM THE AMERICAN PEOPLE Population Council FRONTIERS IN REPRODUCTIVE HEALTH Mainstreaming and Scaling Up the Kenya Adolescent Reproductive Health Project Youth outside district health center Busia Kenya Ian Askew and Humphres Evelia Population Council. Frontiers in Reproductive Health Program March 2007 This publication is made possible by the generous support of the American people through the United States Agency for International Development USAID under the terms of Cooperative Agreement No. HRN-A-00-98-00012-00. The contents are the responsibility of the FRONTIERS Program and do not necessarily reflect the views of USAID or the United States Government Background From 1999-2003 FRONTIERS implemented a Global Agenda program of operations research OR projects to address the reproductive health RH needs of adolescents in four countries Bangladesh Kenya Mexico and Senegal. The project was implemented in two districts of Western Province in Kenya and was known as the Kenya Adolescent Reproductive Health Project KARHP 1. The project supported a public sector multisectoral intervention to enhance young people s knowledge and behaviour regarding reproductive health and HIV prevention and systematically tested its feasibility acceptability effectiveness and cost. This OR project implemented jointly with PATH demonstrated that such a multisectoral intervention could be implemented by the public sector was acceptable to communities its effect in influencing reproductive health and HIV AIDS knowledge attitudes and behaviour was understood and the type and amount of financial and other resources needed to implement each of the component activities was calculated. The pilot project showed that it was possible to reach 50 of the adult population over 7 200 and over two-thirds of all 10-19 year olds in and out of school over 30 000 living in the project area through supporting three Government of Kenya ministries Ministry of Education Science and Technology MOEST .