Postabortion Care Services in Bolivia
|The CATALYST Consortium: Country Activities
CATALYST is working with the Ministry of Health in Bolivia to expand existing postabortion care services throughout the country. Ultimately, 30 public hospitals will become part of the Bolivian PAC services network, and other private institutions may also participate. At each site, CATALYST conducts an assessment to identify needs and then carries out intensive one-week trainings in theory and practice, followed two months later with refresher courses. To ensure the sustainability of the program, a model service center will be established in each hospital for health personnel to receive additional training on a rotating basis. CATALYST particularly integrates the topics of gender and community mobilization into the trainings.
Regional Postabortion Care Workshop in Bolivia
In June 2002, CATALYST will host a regional workshop on postabortion care in Bolivia . Two of the three days of the workshop will focus on sharing lessons learned from around Latin America about providing postabortion care in service delivery settings, and about current PAC research in the region. During the third day of the workshop, special attention will be given to the current situation in Bolivia , with discussions about how to implement a multi-sectoral scale-up.
Adolescent Family Planning / Reproductive Health Services in Bolivia
Three years ago, the government of Bolivia instituted the National Inter-Institutional Plan for the Adolescent. CATALYST provides technical support to municipalities to implement the plan by developing advocacy and IEC strategies for adolescents. CATALYST also works with each Departments local Youth Assembly and Youth Committee in designing interventions with the participation of young people. CATALYST supports two local NGOs, in developing youth friendly services and PAC strategies, and will work to leverage private sector collaboration to help fund the youth initiative.
Behavior Survey to Improve HIV/AIDS Services for Adolescents in Brazil
CATALYST is working with DST/COAS/CTA in Salvador and CEADOL in Salvador to conduct a study to improve HIV/AIDS services for adolescents. The Behavior Surveillance Survey (BSS) consists of three tools: an observation guide for provider/client interaction; exit interviews for adolescent clients; and a questionnaire for in-school adolescents. The study will take place in two health facilities in Salvador and three in Fortaleza . CATALYST plans to carry out this survey between the end of February and the beginning of March 2002. The State Secretariats of Education in Bahia and Ceará, as well as the Municipal Secretariats of Health in Salvador and Fortaleza provided valuable support for this exercise.
Improving HIV Treatment Adherence Among Drug Addicts in Brazil
In partnership with the Center for Studies and Therapy for Drug Addicts (Centro de Estudos e Terapia do Abuso de Drogas CETAD) at the University of Bahia, CATALYST is developing methods for improving adherence to HIV medications among drug addicts. Of particular interest are: assessing health agent knowledge and practices about anti-retroviral drug regimens, developing tools to better their knowledge and practices, measurement of current levels of adherence in a pilot group of addicts, practical training for the health agents aimed at improving client adherence, and measurement of results.
Commercial Sex Workers in Brazil : Strengthening HIV/AIDS Transmission Prevention
CATALYST is working with the Association of Prostitutes of Bahia, a recently formed NGO that provides legal and paramedical information for commercial sex workers. The association was formed exclusively by commercial sex workers. CATALYST is working to improve their capacity to design activities that will help slow the infection rate among other CSWs and their clients.
Notification for Partners of Infected HIV Patients
Although it is well known that partners must be notified and treated, most health systems fail in contacting these individuals. In partnership with an NGO that affiliated with the Ceará State Health Secretariat, CATALYST will develop strategies to reach and treat partners of patients who go to selected health units. This model will be scaled up for the entire state depending upon its viability.
CATALYST is cross-training public sector health service providers in Bahia and Ceará to improve the integration of reproductive health and STD/HIV/AIDS services for clients. This institutional strengthening project was piloted in 20 health posts and being expanded and transferred to public sector counterparts.
Quality Conference in Peru : Project 2000
In November 2001, CATALYST hosted a conference to share lessons learned from Proyecto 2000, a project designed to improve the quality of family planning and reproductive health service provision in public sector sites in Peru . Over 200 participants from Lima and other parts of Peru attended the conference, which included presentations of lessons learned not only from Proyecto 2000 but also from other countries in Latin America and the Caribbean .
Sustainable Family Planning Services and Contraceptives in Peru : Partnering with the Commercial Sector
In Peru , approximately 80% of family planning services are currently provided free of charge by the Ministry of Health, a situation that is vulnerable to politics and not sustainable in the long run. CATALYST/Peru invited INPPARES (the local IPPF affiliate), Scherring, Pharmacia & Upjohn, APROPO, GTZ and USAID/Peru to established an in-country contraceptive security working group to address the need to involve the private and commercial sectors in health care delivery. An initial investment of the working group is a midwives social marketing pilot program for community-based contraceptive distribution in five Lima districts. INPPARES and CATALYST are coordinating the start of the pilot with clinics that have been identified as distribution points, the pharmaceutical companies are providing the contraceptives and contributing funding to the midwives network, and Schering has hired consultants who conducted focus groups with nurse-midwives of Lima to determine their interest in the activity. The launch date is March 2002.
INPPARES Centers for Adolescent Reproductive Health and Sex Education in Peru
CATALYST is working with INPPARES to develop sustainability strategies for its Yo Estoy Seguro (YES) centers in Lima . This set of four mobile counseling and orientation kiosks for youth in Lima will also receive technical assistance in creating more holistic programs and may participate in a study to determine the efficacy of the kiosks in educating youth, informing them about reproductive health, and achieving behavior responses.
Building Local Capacity in Health Communication in Peru
CATALYST and the CHANGE Project are hosting a conference in Summer 2002 to build local capacity in health communication and community mobilization in Peru . This conference will begin a process of institutionalizing the training of health educators in both the private sector and in universities.
Television Mini-Series in Peru
CATALYST is providing technical assistance to Peru s Ministry of Womens Promotion and Human Development (PROMUDEH) in disseminating a mini-series on local and national television on topics including domestic violence, reproductive health, adolescent reproductive health, community organization, couple relations and unemployment. The goal of the mini-series is to raise awareness of sensitive issues and to initiate public debate. PROMUDEH will provide services to individuals who need help in any of these topics.
South-to-South Technical Collaboration: A Unique Strategy for Improving Sexual and Reproductive Health
South-to-South Technical Collaboration fosters the exchange of knowledge, experience and processes among developing countries to ensure sustainable institutional development and, ultimately, improved sexual and reproductive health of all women, men and young people. The CATALYST/PROFAMILIA South-to-South Technical Collaboration framework focuses on achieving long-term solutions through continuous collaboration between organizations. Click here for our brochure. (pdf and html)