Youth

  • Award-winning publication helps students with asthma keep active

    Regular physical activity is important for health and well-being. But for the estimated one in 10 students in the United States who have asthma, their condition may be viewed as a barrier to physical activity, particularly if their asthma is not well controlled.

    Thankfully, teachers, coaches, and school administrators now have an award-winning tool to guide them in supporting students who have asthma, so those students can participate fully and safely in physical activity — whether in the gym, on the playground or during a class field trip.

    The tool, Asthma & Physical Activity in the School: Making a Difference, was developed by FHI 360 and the National Heart, Lung, and Blood Institute (NHLBI). The publication received a 2013 ClearMark Award from the Center for Plain Language, a Washington, DC-based nonprofit that advocates for and supports the use of plain language in government, business and academic institutions. Its annual ClearMark Awards celebrate the best in plain language among public- and private-sector print and online communications.

    An update of the 1995 publication of the same name, this 32-page booklet provides school personnel with essential information in an easy-to-digest format that they can use to help students with asthma remain healthy and active. It explains technical asthma terms in simple language, calls out actions for school staff and includes helpful reproducible tools, such as asthma action plans and instructions on using asthma inhalers and other devices. The update reflects changes in asthma care guidelines, issued in 2007 by the NHLBI, and clarifies key points about asthma control.

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  • Getting to zero: National Youth HIV and AIDS Awareness Day

    More than half of the world’s population is under the age of 30 and has never lived in a time without AIDS. Despite the steady progress of our collective scientific and community efforts to end the HIV epidemic, the lives of young people continue to be especially vulnerable. To bring attention to this ongoing crisis and to commit ourselves to achieving an AIDS-free generation, today marks the first National Youth HIV and AIDS Awareness Day.

    According to the U.S. Centers for Disease Control and Prevention (CDC), 50,000 people in the United States are infected with HIV each year. Of those, one in four is between 13 and 24 years old. Further, CDC reports that nearly 60 percent of new infections in youth occur in African Americans, 20 percent in Latinos and about 20 percent in whites. In 2010, CDC estimates that 87 percent of the 12,000 annual infections in youth occurred among gay and bisexual young men. Nearly half of all new infections among American youth occur in African American males.

    In a CDC Vital Signs report released for World AIDS Day 2012, the agency noted that “about 60 percent of youth do not know they are infected and so don’t receive treatment, putting them at risk for sickness and early death. These youth can also unknowingly pass HIV to others.”

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  • Every child has the right to be safe from harm. Still, millions of children around the world are abused, neglected and exploited every year. Because children who experience violence and abuse can become adults who are less able to contribute to their societies, protecting children from harm is a vital aspect of development programs. To that end, FHI 360 developed a three-part child protection toolkit to help our programs and local implementing partners protect the children they serve.

    The first manual, Child Protection Basics, presents the fundamental aspects of child protection. It describes different types of maltreatment and factors that contribute to child maltreatment. It also describes how to create a protective environment using a systems approach. The systems approach examines and addresses all the circumstances that challenge children’s well-being as a whole, rather than addressing each of them individually or in a fragmented way.

    The second manual, Guidelines and Programming Options for Protecting Vulnerable Children in Community-Based Care and Support Programs, can be used as a reference document for integrating child protection into the design of programs, strengthening existing programs and tailoring training. The manual shows the importance of conducting a child-protection analysis, which looks at risk factors, and outlines strategies and interventions that can be implemented at the child, family, community and government levels to protect children in accordance with global principles and best practices. The authors also discuss the importance of protecting children in emergencies and the need and challenges of ongoing monitoring and evaluation activities.

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  • Partner reduction to avoid HIV risk is the focus for a new publication

    Promoting Partner Reduction title page

    Having multiple sexual partners, particularly when relationships overlap in time, is a major driver of the HIV epidemic. Overlapping, or concurrent, relationships increase the number of people who are connected in a “sexual network,” and HIV spreads more quickly the larger the sexual network. Although young people report having multiple sexual partners, few HIV prevention programs for youth tackle this topic.

    FHI 360, on behalf of USAID’s Interagency Youth Working Group, recently helped address this gap with a new publication, Promoting Partner Reduction: Helping Young People Understand and Avoid HIV Risks from Multiple Partnerships. The late Dr. Doug Kirby of ETR Associates was a major contributor.

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  • New USAID Policy and FHI 360’s Community YouthMapping Approach Let Young People Drive Development

    The recently released Youth in Development policy from the U.S. Agency for International Development (USAID) puts youth squarely on the map in international development. As a supporter of positive youth development, I was particularly happy to see support for the engagement of youth, “elevating their voices and ensuring meaningful opportunities to contribute to resolving issues and promoting positive change in their communities and nations.”

    Putting young people in the driver’s seat of the development of their communities and countries actually works. Several years ago, on the hot, dusty streets of N’Djamena in Chad, I walked alongside pairs of energetic young people sporting white shirts, blue backpacks and baseball caps. The young women and men were interviewing community members in an outdoor market using a process we taught them called Community YouthMapping (CYM). Their goal was to collect data about gaps in services and opportunities for young people in the neighborhood. The same exercise was taking place throughout N’Djamena in diverse neighborhoods, northern and southern, Christian and Muslim, rich and poor. An analysis of the complete data set would be reported back to the communities and used by the youth and youth-led organizations to develop and implement social, cultural and economic activities for urban youth.

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  • International Day of the Girl

    Today, October 11, 2012, marks the first UN International Day of the Girl.  This day has been set aside to recognize girls’ rights and the challenges they face. The theme for this year is ending child marriage.  On the UN International Day of the Girl, we are launching a series highlighting our work with girls around the world.  We invite you to participate in the conversation on twitter with #IDG and #DayoftheGirl.


  • To Get a Jump on Bullying, Start with Young Children and the School Culture

    October is National Bullying Prevention Month. How should we address bullying in schools?

    Our research, which included in-class observations and focus groups with teachers and parents, found that bullying and teasing were prevalent in early childhood and early elementary grades. It’s important to look at behavior in the early grades because bullying progresses as children get older.

    We also address the issue school-wide, not just in the classroom. Our philosophy is to create a proactive climate where bullying is not an acceptable part of the culture. It’s very important to create a school-wide approach where differences are appreciated so that they don’t become triggers for bullying and teasing.

    How does this approach empower adults and children?

    We reach out to all adults who are involved with children at school, including parents and non-teaching staff such as paraprofessionals and bus drivers. We found that when bullying or teasing occurred when an adult was present, the adult did not intervene 75 percent of the time. To the children, it appeared that the incident was ignored. But often, adults don’t deal with bullying and teasing because they don’t know how. We offer adults strategies that help them intervene appropriately.

    We also help children understand that they shouldn’t just stand by when someone is being bullied. Our approach teaches them that while they shouldn’t put themselves in harm’s way, they should “do the right thing” — say something or get an adult to help.

    How has this approach worked?

    We found that after working with everyone — teachers, parents and children — adults did a complete turnaround and now intervened appropriately 75 percent of the time. Bullying and teasing incidents were down by a third. The results were the same in various school settings. So it works.

    If there’s a lot of bullying and teasing, teachers cannot teach and students cannot learn. Many teachers tell us that addressing bullying and teasing proactively creates more time for learning because of the change in the classroom environment.

    What’s the next step?

    Cyberbullying has taken the problem to a completely different level. If you’re a target, you can’t even be safe at home because the bullying is on the Web. Children have access to technology at younger ages, such as the third-grader with a cell phone or the young child playing games on an iPad. We’re beginning to talk with teachers, parents and children to develop age-appropriate strategies to address cyberbullying. Technology is part of their world, and they need to be able to navigate it safely.

  • Many of us who spend our time in the youth sexual and reproductive health (YSRH) world don’t often cross paths with those in the business of economic empowerment and livelihoods programs for young people. Although both worlds are aware of the converging paths, funding streams generally keep us operating on parallel roads. Therefore, I was pleased to facilitate a panel session this morning at the conference: “Exploring the Intersection of Adolescent Girls’ Reproductive Health and Economic Empowerment.” During a lively session, panelists shared their experiences with both issues for girls. Some of the themes were:

    • Even though we are aware of the problem, the data on SRH and economic empowerment for girls, taken together for developing countries, is shocking. The rates of HIV, maternal mortality and morbidity, poverty and isolation paint a dismal picture for girls.
    • Programs that target girls and adults in the community, with messages on both SRH and economic empowerment, are showing some successes. There’s more to learn, but results are encouraging.
    • Models that incorporate peer education and work with girls on SRH and economic empowerment show positive results: the Tesfa program led by the International Center for Research on Women, the Siyakha Nentsha program in South Africa led by Population Council, and a program by Restless Development in Northern Uganda all included a peer education component.
    • Reducing social isolation seems key for increasing both SRH and economic outcomes for girls. Girls need access to other girls for many reasons, but importantly, to give them an outlet to talk about themselves: their ideas, dreams and goals.
    • It’s important to work with the adults, not just the girls. Teachers, parents and faith leaders all play roles in girls’ lives, and we need to get them on board with difficult topics. Sex and money are not easy to discuss with young people, and the adults need to build their skills to do it.

    Today’s session initiated some vital discussion about next steps. It’s my hope that the two worlds of SRH and economic empowerment for young people will start to cross more often and begin to operate more closely together. This year’s conference is an encouraging step toward that. Look for more information on this topic, including a research brief and e-forum, by visiting the Interagency Youth Working Group website.

  • How do you target young people effectively? Start by knowing how they spend their time.

    A version of this post originally appeared on Making Cents’ Blog. Reposted with permission.

    Understanding how children and youth spend their time is crucial for designing effective development interventions that improve their well-being. Child time-use studies provide a tested way of shedding light on this essential topic. Perception of time varies by culture, gender, and age; youth perceive time differently than adults. The value attributed to how youth spend their time often differs among cultures. For example, in many societies girls tend to engage in home-based, non-economic chores, while boys engage in economic labor away from home. Economic labor is often more highly valued than the home-based labor, profoundly affecting how girls and boys perceive themselves and their value and place within the household. The interdependence of people within the household and the value placed on their work (at home, away from home, economic or not) influences well-being. Young people often value work in the same way they perceive that their parents do.

    Knowing where youth are and when

    When designing youth-focused programming, one key step is to understand where the target beneficiaries are throughout the day, so as to know when and where to engage them. Some labor youth engage in is designed to limit their autonomy (“keep them busy and out of trouble”).Other activities, despite being labeled as labor, provide outlets for young people to interact with people their own age with limited or no supervision. Fetching water or going to the market are two common examples. How the target beneficiaries value their time and perceive their freedom to make choices (personal agency) will affect their interest, willingness and ability to partake of project activities designed to benefit them.

    The best source of information about time-use is the youth themselves. Children as young as eight can work together in groups to describe how they spend their time. With youth groups, a facilitator can provide a framework and instructions before stepping away to provide the youth space for private discussion.

    Tools for measuring time-use

    While there are several time-use tools, a quick, efficient tool for measuring how youth spend their time is through participatory rapid appraisals, which use mapping and day/time grids and photos or drawings of places and activities. The STRIVE program has employed this tool successfully in the Philippines with children from households engaged in seaweed farming and weaving. In about one hour, you can understand:

    • Where youth are and when
    • The routes and means of transportation between locations/activities
    • Where and when you might locate your intervention
    • Where safety might be an issue
    • How your target beneficiaries perceive time and value their current activities

    For more information on the importance of child time-use studies, see Ben-Arieh, A. & A. Ofir (2002) Time for (More) Time-Use Studies: Studying the Daily Activities of Children. Childhood, 9(2), 225-248.

  • Increasing transparency and participation in the 2012 Senegalese Presidential Election

    International media coverage paints a bleak picture of how fair, open and representative many recent presidential elections have been. Thanks to Programme Gouvernance et Paix (PGP), an FHI 360-led program funded by USAID, the 2012 presidential election in Senegal saw increased transparency and also increased participation from women and youth.

    Senegal is an island of stability in a tumultuous region. Peace and democracy in Senegal have helped it become a hub for regional and international organizations that work in West Africa. And though the country has a long democratic history, there had been a regression in democratic indicators over the last ten years. FHI 360 teamed with the International Foundation for Electoral Systems (IFES) to support the electoral process in Senegal.

    Before the election occurred, PGP launched a civic awareness campaign that increased voter registration by 120% in Grand Yoff, a working-class suburb of 200,000 in Dakar. This initiative worked with women’s groups and youth organizations to boost voter registration in two underrepresented demographics. The project’s daily dialogue radio campaign was so successful that AFIA FM, one of the 17 implementing stations, incorporated it as a permanent fixture.

    Beyond simply helping the public monitor the election, PGP took proactive steps to increase transparency in the pre-election period. PGP experts worked with leaders of both opposition and ruling parties to amend the election code. Negotiations reached consensus on more than 85% of issues. As a result of these negotiations, a single ballot was approved and a gender parity article was inserted. The next legislative election will, for the first time, provide gender and religious parity in the country’s General Assembly.

    Working closely with print media, PGP trained journalists to monitor elections and provide objective coverage. As a result, those reporters published more than 30 election-related articles in prominent newspapers. Youth and female journalists trained through PGP interviewed presidential candidates about issues important to their respective demographics. Subsequent monitoring by journalists and interested constituencies has confirmed that Macky Sall, the current president, is adhering to the promises he made during these interviews.

    PGP also coordinated a “situation room,” which connected election observers to a centralized technical center. This initiative, funded by USAID and implemented by local CSOs, deployed more than 1,500 election observers for each round of elections. Utilizing the mapping technology of partner OneWorldUK, the program facilitated the first real-time monitoring of a Senegalese election.

    This program exemplifies the FHI 360 tagline, The Science of Improving Lives. We know the context in which we operate — the key actors, stakeholders and issues. We used an evidence-based approach to deliver an integrated solution with measurable impacts.