Adolescents push for an end to period poverty, child marriage
and other issues affecting young people in Tanzania.
Two students, 18-year-old Nchama and 15-year-old Theresia, travelled more
than 900 kilometres from their homes in Geita and Kigoma, respectively, to the city of Dar es Salaam.
Why make the long trip? Because they had the chance to shape their country’s plan to deal with the
biggest issues that affect them and their peers.
The opportunity was to be part of Plan International’s Youth Advocacy and Leadership project. The
youth were invited to serve as representatives in conversations that brought together government staff,
civil-society actors, non-governmental organizations and other international organizations. Together,
they would agree on what was needed to improve the well-being of young people throughout the country and
put their recommendations forward to the Tanzanian government.
Nchama and Theresia arrived with thoughtful perspectives and clear solutions on issues such as period
poverty, gender-based violence, child marriage, menstrual health and nutrition in schools and how more
qualified teachers would help reduce school dropout rates.
“They had examples from their schools and communities of services that are lacking or issues that
are persistent,” says Wema Moyo, Plan’s head of health and nutrition in Tanzania.
“When they shared experiences from their communities, it was very powerful to hear.”
The participation of international organizations such as UNICEF and the United Nations Population Fund (UNFPA) also helped
bring deep experience with which to respond to and integrate the youth perspective. Plus, their
participation helped the government see the validity of the solutions put forward by youth. “Their
[the international organizations’] presence and their meaningful contributions made a strong
impression in the eyes of the government,” says Moyo.
Read on to hear what Nchama said on behalf of the girls in her village.
Youth advocates shared their views with policy makers in Dar es Salaam.
Menstrual-health champion Nchama, 18, shares the experience of girls from her community.
From the Highlands to the National Stage
Teen advocate from Geita calls for government action.
Most teens would be nervous speaking in front of a room full of adult
strangers. But when 18-year-old Nchama picked up the microphone to address an audience of government
representatives and global health experts, she found that the words came easily.
“I wanted to speak on behalf of other girls, especially those who are out of school and those who
have disabilities,” she says. “It’s very rare for youth to be included in government
processes. Most of the time, we are forgotten.”
Nchama travelled from her home in Tanzania’s northwest highlands to attend the Youth Advocacy and
Leadership project’s two-day conference in Dar es Salaam. It was her chance to represent her peers
in a conversation that could change their realities for the better.
It’s very rare for youth to be included in government processes. Most of the time, we
are forgotten.”
–Nchama, youth advocate
Visit a menstrual-health lab
Nchama lives in Geita, where comprehensive information on girls’ health and rights is hard to come by. As a result, unintended pregnancies are common and lead to dropout from schools. Period poverty and a lack of information about menstrual health and hygiene also keep girls out of class. Nchama often used to miss school when she got her period because she didn’t have supplies like menstrual pads. Each month, she would impatiently wait at home for her period to end so she could go back to class.
Menstrual health lab challenges period stigma
When she was in Standard 6 of primary school, Nchama attended a menstrual-health lab supported by Plan International’s Keeping Adolescent Girls in School (KAGIS) project, an initiative aimed at eliminating obstacles to girls’ education. The lab was stocked with soap and menstrual products that students could use and was staffed by workers trained in adolescents' specific health needs. The workers gave students the information they needed to protect their health and held discussions to encourage more supportive attitudes about periods, removing the stigma that kept girls at home. (You can take a tour of one of the KAGIS menstrual-health labs in the video on the left. )
“The labs really opened my mind about menstruation and the myths that are common in the
village,” says Nchama. Soon, she started volunteering to lead education sessions for other
students and youth outside the school, sharing what she had learned and combatting misinformation.
This made Nchama a natural candidate to participate in the national consultations in Dar es Salaam. She
was knowledgeable on why this information is so important and experienced in understanding what it takes
to change minds and behaviours among youth.
In a speech at the two-day forum, she said that if comprehensive health education were provided properly, many girls would be able to protect themselves from early pregnancies and sexually transmitted diseases. Nchama called on the ministry representatives in the room to take action: “I am asking the government to invest in reproductive health education, in order to assist girls in reaching their goals.”
Project highlights
Partners:
Tanzania’s government ministries, including the Ministries of Health and Education and
the Prime Minister’s Office
We engaged a consultant to conduct a review of Tanzania’s global and national
commitments, policies and programs around adolescent health and well-being. The
consultant assessed gaps, progress and opportunities.
The review considered financing, collaboration, service delivery, monitoring and
evaluation, and how information is shared. It looked at the challenges that
prevent policies and programs from being effectively carried out, including:
Insufficient funding for adolescent health and well-being activities
Limited health insurance coverage, which makes it more difficult for
youth to access adolescent-friendly health services
Poor coordination among ministries, agencies and donor partners
Limited availability of adolescent-friendly health information,
infrastructure and service providers
2
Action: Ask young people about their needs,
challenges and aspirations
What we did
We held consultations with in-school and out-of-school youth to gather feedback on all
aspects of adolescent well-being. We then included their responses in the
recommendations for government action.
We engaged a consultant to conduct a series of focus groups with adolescents to
hear their views and experiences related to their health and well-being.
Participants in the focus groups were largely youth who took part in Plan
International’s Keeping Adolescent Girls in School (KAGIS) project in the
Geita region.
We held focus-group discussions in both urban and rural areas of Geita.
Participants included girls and boys ages 10–18, in primary and secondary
school and those who were not in school. There were six focus group in total,
with seven to nine participants each.
3
Action: Explore the government’s perspective
What we did
We held consultations with national government ministries to document their views and
opinions on carrying out existing commitments to adolescent well-being.
Specific departments consulted include:
Ministry of Education: Monitoring and Evaluation, Policy and Planning, Basic
Education
Ministry of Health: Reproductive and Child Health, National AIDS Control
Program, Tanzania Commission for AIDS
4
Action: Bring diverse stakeholders together to
create an agenda for adolescent well-being
What we did
We convened a two-day dialogue in partnership with the Ministry of Health and a range of
other stakeholders who could provide varied perspectives on national commitments,
policies and programs for adolescent well-being. Together we assessed progress,
identified challenges and prepared an advocacy statement asking the government to
strengthen its commitment to adolescent health.
Participants included adolescents at the primary- and secondary-school levels,
adolescents with disabilities and representatives from government ministries, UN
agencies, development agencies and youth-led organizations.
Discussions with the full group as well as smaller groups unearthed valuable
insights that helped guide the recommendations for new financial, policy and
program investments. These recommendations were compiled into a commitment
statement and shared with the government for approval.
We consulted technical working groups, such as Family Planning working groups,
to allow wider engagement with others working on improving adolescent health.
Learn more about project actions and hear from project partners in this four-minute video.
Tanzania’s Ministry of Health is reviewing the recommendations, which
include:
Allocating a dedicated budget for adolescent health and well-being in the national health budget
Ensuring that comprehensive, adolescent-friendly health services are included in national universal health coverage packages by 2025
Improving data collection and monitoring systems to track progress and identify areas for
improvement in adolescent health and well-being
What’s next? The commitment statement has to make its way through internal government channels
before it can be formalized and made public. Though the project team is keen to see the commitment
published, Moyo explains that the process requires patience and follow-up.
“I see it as an opportunity for us to keep drawing attention to the gaps that we have
identified,” she says. “We will continue to raise the issues at every forum that touches
on adolescents' rights, to let the government know we have not forgotten about this.”
This project was delivered with funding from Fondation Botnar and in partnership with PMNCH.