1. Adolescent FP/RH Programs (IR 2)
Technical assistance is being provided in several areas: to help design an accreditation system for youth-friendly services; to train service providers in counseling, norms and protocols for working with youth, with an emphasis on reproductive health and STI/HIV prevention; for the supervision of service providers; and to improve the Ministry of Health's (MOH) adolescent information system. To support the youth services program, CATALYST will identify and establish linkages with non-clinical organizations to gather information, education and communication materials, and to provide Internet access for organizations seeking program information on youth services. Technical assistance will continue in eight municipalities to help activate their Youth Committees and carry out National Adolescent Plan activities at the local level, promoting adolescent reproductive health. A keystone in these activities is the training of young leaders and peer educators who will make educational presentations in schools, fairs and festivals. Technical support will continue to be provided to two NGOs-SERVIR and CAIA-that are currently serving the FP/RH needs of young people. These NGOs provide functioning models of programs operating in high- schools and in collaboration with other MOH community programs. Assistance includes TOT, training of young adult leaders and counselors and provision of informational and counseling materials.
2. Responsible Decision-Making among Young Pre-Enlisted Army Recruits in Bolivia
This part of our work is directed towards carrying out a study among young pre-enlisted military recruits and regular enlisted men to identify attitudes and practices regarding gender equality, sexuality and violence against women. The information collected will provide guidelines for the creation of gender training curricula for this population group. The ultimate goal is to revise the Bolivian armed forces' pre-military and regular enlistment training program curricula to include gender sensitivity, sexuality education and responsible decision-making as these facets impact on their life and the lives of others related to them. Additional training will also be provided to 54 trainers from the three forces in La Paz City to qualify them as master trainers in the subject matter. Supervision will be provided during their initial training. This cadre will then be equipped to provide 20 hours of training to around 5,000 pre-enlisted military recruits in La Paz, El Alto and Viacha on gender relations, sexuality responsible choices and decision-making.
Phase I Training (Six Months): CATALYST office staff in Bolivia will develop the 20-hour training module, identify military and non-military instructors and carry out three courses to get them ready for their jobs. These instructors will provide their first training in December to regular enlisted army men. CATALYST will follow up with three focus groups to determine knowledge, attitudes and beliefs of Bolivian young men 17 to 18 years old, and two additional focus groups with the regular enlisted men. Information garnered from the focus groups will enable CATALYST to tailor new generations of training curricula to the needs identified.
Phase II Training (Six Months): Each team of ten trainers will be responsible for instructing units comprised of approximately 800-900 pre-enlisted young men. Training of all units will occur simultaneously, following the administration of a pre-test.
Phase III Evaluation and Dissemination (Two Months): Post-training tests will be administered at the end of Phase II for comparison of knowledge and attitudes with pre-training data. The results will be disseminated among the military officials, their stakeholders, USAID and other CAs.
3. Postabortion Care, Training and Supervision
CATALYST will continue to provide the MOH with technical and financial support to implement and expand postabortion care services in fifteen national- and regional-level MOH hospitals located throughout the country. The assistance includes on-site clinical mentoring for the trained providers in hospitals that are implementing PAC services, to ensure that services are being provided according to national PAC norms and protocols. Mentoring is provided in all program elements having to do with emergency treatment, counseling and support, contraception and referral to other health services. The newest element of the PAC model, community participation, will be introduced this year in communities surrounding participating hospitals. Action research will be carried out to identify barriers to implementing PAC services in participating hospitals and to identify possible solutions. Initial results of the study will be presented at the regional PAC Workshop, scheduled for September 2002. Based upon the research results and previous implementation experience, CATALYST will make recommendations on the training approach to ensure quality knowledge and skills transfer.
Bolivia Field Office
CATALYST Consortium Bolivia Country Office
Calle Fernando Guachalla No. 342
Edificio Victor 3er Piso
Country Representative of the CATALYST/Pathfinder Bolivia Office:
Gladys Pozo, MD
Tel: To be posted at a later date
Fax: To be posted at a later date
Contact in Washington, D.C.:
Reynaldo Pareja, Senior Advisor
The CATALYST Consortium
1201 Connecticut Avenue, N.W., Suite 500
Tel: (202) 775-1977
Fax: (202) 775-1988