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.
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 information about sexual and reproductive 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 the students could use and was staffed by health workers trained in adolescent sexual and reproductive health and rights. The health 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 also 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.
“I strongly believe that if education on reproductive health is provided properly, many girls will be able to protect themselves from early pregnancies and sexually transmitted diseases,” she explained in her speech at the two-day forum. 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
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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.
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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
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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 adolescent-friendly sexual and reproductive health and rights 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.