The world has seen substantial success in poverty reduction. However, 1.2 billion people remain in extreme poverty. There is a growing recognition that global problems facing the poorest and most excluded people are complex and interconnected and that no single development actor has all the answers.
Consortia and collaboration can bring new and creative ideas, innovation, better results and opportunities through pooled ideas, skills and resources. Southern Africa Youth Project. SRHR is a specific mechanism to bring those qualities together in tailored coalitions to address key development challenges in priority thematic areas for Southern Africa Youth Project
Southern Africa Youth Project answers the complex policy and practice problems of today and tomorrow. In matching the response to the problem will require consortia representing a broad range of organizations, such as think tanks, research institutions, foundations, and philanthropic organizations, the private sector, large and small civil society organizations, social movements and organizations based in Southern Africa.
Southern Africa Youth Project promotes innovation, learning, and adaption throughout the programme design and implementation. Southern Africa Youth Project together with its coalition or country partners develops ideas or approaches. This may include, for example, strengthening integration or consistency of themes across SRHR programmes on important issues including closing civil society space, gender equality and women’s rights or promoting the meaningful engagement of Southern Africa civil society organizations.
Southern Africa Youth Project with the consortia will further develop the programme design from six months to 5 years
Working in Consortia or Collaboration with other organizations.
co-creation phase – again this could include proposals to adopt programmes or constituencies, from all partners. Southern Africa Youth Project may serve as a lead organization who will be the grant- holder to Grantmakers and accountable to Grantmakers for programme performance, risk, and financial management. We are responsible for the grant award arrangements with other consortium members and the overall governance of the consortium, including how the consortium manage and mitigate risk, financial management capacity, and fiduciary risk. The consortium Lead Southern Africa Youth Project is a registered non-governmental and not-for-profit organization which supports the delivery of poverty reduction. All consortium members will be listed in proposals and are involved in front proposal writing to the closing of the funded project.
B. The Development Challenge: Developing a sustainable, scalable approach to reaching the hardest to reach with comprehensive, evidence-based Sexual and Reproductive Health and Rights (SRHR) including family planning.
1. There are a number of complex problems that are a barrier to delivering universal access to sexual and reproductive health and rights by 2030, as laid out in the Sustainable Development Goal 5: “Ensure universal access to sexual and reproductive health and reproductive rights as agreed in accordance with the Programme of Action of the International Conference on Population and Development and the Beijing Platform for Action and the outcome documents of their review conferences.”
2. It also links to Sustainable Development Goal 3 in terms of reducing maternal death and ending the AIDS Epidemic.
3. Over 225 million women and girls in developing countries who want to avoid pregnancy are (for a range of reasons) not using modern contraception; every year there are an estimated 74 million unintended pregnancies; 36 million end in abortion – 20 million of which are unsafe; 280,000 girls and women die in pregnancy or childbirth each year and , in 2011, 2.9 million newborns died; 15 million girls in Africa alone are at risk of female genital mutilation (FGM) over the next decade; AIDS is the leading cause of death among adolescents (aged 10–19) in Africa; 1.1m AIDS-related deaths in 2015.
4. Developing a sustainable approach to reaching the hardest to reach must be firmly rooted in human rights to ensure that policy actions must be taken to ensure SRHR programming is based on full, free and informed choice. A rights-based approach to SRHR is critical in ensuring women and girls are empowered to access the services they need and have agency to decide whether and when to become pregnant and how many children to have, and that all men, women, girls, and boys are empowered and able to make their own sexual and reproductive choices.
5. However, programmes are most effective when they are designed, around people, to address comprehensive sexual and reproductive needs. Our programmes include a comprehensive package of SRHR. For illustration, this typically includes the following:
Reduce recourse to unsafe abortion, management of the consequences of abortion and provide access to safe abortion where permitted by national law.
Supporting the prevention, care, and treatment of Sexually Transmitted Infections (STIs) and HIV/AIDS, and addressing stigma and discrimination.
Information, education, and counseling on sex, relationships, and reproductive health.
Tackling the social taboos, norms and provider biases that can prevent the most vulnerable from accessing the SRH information, services and commodities they need.
Prevention and response to violence against women, care for survivors of violence and other actions to eliminate harmful practices, such as FGM and child, early and forced marriage.
Treatment of reproductive tract infections.
Prevention and appropriate treatment of infertility.
7. In order to deliver universal access to SRHR, we need to understand and address complex reasons for unmet need including those which reduce women’s and girls’ ability to make informed choices about their SRH. These include views of the place of women in society; high-desired fertility and family size, opposition to family planning, taboos around non-marital sex, menstruation, knowledge of available methods of contraception, financial barriers, stigma, discrimination and human rights-related barriers to accessing services, and reasons for non-use and discontinuation. To ensure no one is left behind, we also need to reach those hardest to reach, including:
How to reach and track progress for adolescents (married and unmarried)? – Meeting all need for modern Family Planning among adolescents would prevent 7.4m unintended pregnancies each year, yet this group is amongst the most neglected and stigmatized when it comes to family planning and SRHR.
How to increase access to services in fragile states and humanitarian settings developing sustainability? In 2016, an estimated 96 million people required humanitarian assistance, including more than 25 million women and adolescent girls. Yet family planning and SRHR is usually ignored or inadequate in humanitarian responses.
How to reach the marginalized – who are still left behind; including disabled people, people living in very remote areas or mobile populations, prison populations and sex workers, people who inject drug and LGBT populations and integrating services to prevent and treat HIV/STI infection.
How to reach the poorest – including both rural and urban poor.
How to reach people with disability – people with a disability often face barriers to accessing information and services and that there is a need to promote and protect the reproductive and sexual health and rights of
people with disability.
At the scale and for the long term:
8. We need to ensure we are building the foundations for sustainable, long-term delivery as we scale-up and mainstream SRHR. To do so, we will need to consider the following questions:
How to strengthen health delivery and information systems for SRHR, and build sustainable domestic financing, including for commodities to put countries on the path towards sustainability with governments and service providers are held accountable.
How to use best practice (including from the private sector) to improve delivery methods such as supply chains including challenging “the last mile” delivery. Availability is critical to the reproductive rights of women and girls and stock-outs remain a pervasive problem with a profound impact on contraceptive prevalence and method choice.
How to deliver policy change and, over the long term, change harmful gender and other social practices including particularly in these areas: safe abortion, comprehensive sexuality education, SRHR services including contraception for young and unmarried people, ending FGM and the stigmatization of key populations affected by HIV.
How to make global SRHR civil society more sustainable more independent of government and donors, less vulnerable to the vicissitudes of politics and funding.
C. What are the expected results?
9. We recognize that much has been done already to address these challenges through existing projects and programmes.
10. The specific results delivered by each consortium will in part be determined by the nature of the issues to be addressed in that particular policy and thematic areas. However, we envisage the consortia will produce rigorous and influential practical evidence, knowledge and learning. The rigorous evidence and learning produced by the consortia will be used to implement and scale up these innovative solutions to deliver real change to poor people’s lives in low and middle-income countries2.
D. Impact and Outcome
11. SRHR Connect will deliver the foundations for a step change in the delivery of comprehensive SRHR at scale. Proposals will need to demonstrate what will be delivered in terms of improved SRHR results and the scalability and sustainability of the approach. The overall high-level impact and outcome will be to:
Develop a scalable and sustainable approach to delivering comprehensive, rights-based SRHR to the hardest to reach populations.
13. Populations in fragile states and humanitarian situations. Marginalized populations.
People with a disability.
adolescents and rural and/or urban poor. In addition, you may wish to focus programming for one or more of the following groups:
14. All outputs that demonstrate programming in reaching the hardest to reach, and that it is sustainable and scalable, can be used to evidence the success of the approach. Potential examples for consortia to consider could include:
Changing attitudes, greater social acceptability of women and girls making their own reproductive decisions using standardized metrics e.g. via responses to DHS surveys.
Expansion of services to hard-to-reach, marginalized, and underserved populations.
Changes in the way policies and laws are designed and implemented.
Implementation and monitoring of rights-based approaches (e.g. as set
out in the FP2020 rights and empowerment principles).
Strengthened health systems for SRHR including financing, data collection, health worker training, quality of care, non-discrimination
and last-mile delivery.
Increase in a number of additional users of modern methods of
contraception, reduction in adolescent birth rate, reduction in unintended pregnancies, reduction in HIV prevalence, or a reduction in newborn mortality rates.
Identify the proportion of additional users that are under 19 years old, married and unmarried and other appropriate indicators for this group (to be proposed by consortia).
The decrease in HIV incidence, in particular among women and adolescents, people who inject drugs, men who have sex with men, prisoners and sex workers.
Expansion of approaches outside of traditional delivery mechanisms.
15. Interventions could include:
Identifying innovative ideas
Trialing new approaches and interventions
Testing the viability of scaling up effective approaches
Identifying ways to routinely capture, analysis and report (for all groups) key data through Health Management Information Systems Producing rigorous and influential evidence and learning
Disseminating evidence and learning.
Potential consortia may suggest additional work streams that will help
the programme fulfills its outcome.
G. The Requirements
17. Why a consortia-led approach: clear ideas and approaches demonstrating why this specific consortium is the most effective way to address this/these specific development challenge/s at this time and in the future. This must be supported by a clearly articulated Theory of Change.
18. Capability and capacity: the potential consortium must demonstrate the consortium’s skills and capacity to deliver the impact and outcomes as set out in the Theory of Change.
19. Structure and governance: it will be the responsibility of the consortium-lead to establish a governance structure and arrangements that meet the need of the programme, including a clear risk strategy and a demonstration of financial management capacity and fiduciary risk.
20. Quality of evidence, learning, and adaptation: the consortium must demonstrate their ability to produce rigorous and influential practical evidence, knowledge and learning to progress the programme at scale. It must set out clear mechanisms for systematically listening and responding to beneficiaries, and ensuring this feedback informs programme design and adaptation