EngenderHealth

We deliver our programs by working in collaboration with individuals, communities, local organizations, health systems, and national governments to advance sexual and reproductive health and rights and gender equality. We achieve our program results through training, community engagement, strengthening service delivery, and supporting policy development, and we apply a gender, youth, and social inclusion (gysi) lens across all our activities. In fy22, Engenderhealth continued its tradition of providing high-quality comprehensive sexual and reproductive health (srh) services. We generated an estimated 3,255,700 couple years of protection (cyps), and prevented 2,100 maternal deaths, 29,700 child deaths, and 363,700 unsafe abortions as a result of our work in fy22. Engenderhealth provided contraceptive care to an estimated 1,114,200 clients. Our work resulted in an estimated $132,727,500 of savings in direct health care costs that would have been incurred by families or the healthcare system if contraceptive services and postabortion/abortion care services had not been provided. In addition to contraceptive care, Engenderhealth provided a total of 33,000 comprehensive abortion care (cac) and postabortion care (pac) services and 590 fistula repair surgeries to women and girls. Engenderhealth also supported services for survivors of 91,161 gender-based violence (gbv) incidents.engenderhealth reached over 1.2 million people directly with information on srh and rights (srhr) in fy22, including messaging on contraception, fistula, cac, sgbv, and other elements of srhr.in fy22, Engenderhealth trained more than 29,100 staff (e.g., surgeons, doctors, nurses, and midwives) and community health workers (chws) across 13 projects. Among these groups, more than two-thirds of trainees were women. Training areas for clinical staff included modern contraceptive method service provision, cac, sgbv, and/or provision of male and youth-friendly services. In addition to healthcare personnel, Engenderhealth trained 8,000 influential community members including adolescent champions, young people, religious and community leaders, and police in sgbv prevention; gender, youth, and social inclusion (gysi); srhr advocacy; and disability inclusion.in fy22, Engenderhealth had active programs in benin, burkina faso, burundi, cote d'ivoire, the democratic republic of congo, ethiopia, india, mali, mozambique, niger, nigeria, rwanda, senegal, and tanzania.illustrative program updatesbelow, we provide project examples organized by our core impact areas: srhr (including contraception and cac), sgbv, and maternal health (mh). Srhr: Engenderhealth employs a rights-based approach that emphasizes clients' full, free, and informed choice of contraceptive methods and expands access to high-quality srhr information and services, including comprehensive abortion care. During 2022, in addition to our ongoing support to service provision and systems strengthening work, we expanded the evidence base for srhr best practices. For example, we launched the family planning integration into the primary health care system project in ethiopia and are collaborating with universities to implement a nationally representative assessment to understand the effectiveness of family planning (fp) integration within primary healthcare facilities. We also continued our extensive programming supporting service provision for srhr, including strengthening health systems. For example, after 14 years of implementing project activities to strengthen local capacity to increase adolescent access to srhr information and services, the tarunya project in india transitioned health facility support to government management to promote local ownership and accountability for sustaining delivery of high-quality services for adolescents. During 2022, we continued to support 17 adolescent-friendly health centers (afhcs) in sitamarhi district and began supporting 35 afhcs in gaya and jamui districts to serve as functional and responsive spaces for adolescents. The project conducted a gap assessment of the facilities and advocated with public health center officials to fill the gaps and to start serving adolescent clients at the afhcs. We focused on ensuring the sustainability of the afhcs beyond the life of project by training nurse midwives on adolescent health issues; gender, youth, and social inclusion (gysi); and counseling skills. As a result, 48 facilities (92% of all supported facilities) have started providing adolescent-friendly services through trained health providers and are now primarily supported by government staff instead of project-funded staff.gbv:preventing and addressing gbv and supporting survivors are essential to improving the health of all people. In may 2022, Engenderhealth launched ensemble, an initiative focused on preventing and responding to gbv in west africa. The survivor-centered, multi-sectoral gbv prevention and response initiative aims to raise funds to address gbv in the region and we will be codesigning programming in collaboration with governments, civil society organizations, and other national and regional stakeholders. Engenderhealth also continued to implement gbv and srhr integration activities in multiple projects in 2022. In benin, burkina faso, and cte d'ivoire, we built equitable partnerships with youth-led organizations (ylos) in west and central africa to advance srhr and eliminate gbv. In burundi, we continued to work with local partner swaa-burundi on the gir'iteka project to integrate gbv and fp into hiv programming, including supporting integrated services in 160 sites.mh: in 2022, Engenderhealth continued to expand patient-centered, safe, affordable, and respectful maternal and obstetric care. The momentum safe surgery in family planning and obstetrics project enables facilities and providers to offer high-quality maternal healthcare, including antenatal care, essential and emergency obstetric care, fistula prevention and treatment, safe surgical obstetric care, and postnatal care. With 20 global, regional, and local partners, the project supported 868 health facilities in nine countries and is providing training and technical assistance to community health workers (chws) and community-based organizations. The project conducted a literature review on counseling and consent in cesarean delivery and the landscape of peripartum hysterectomy in low- and middle-income countries and used findings to inform the design of research beginning in the democratic republic of congo (drc), india, and nigeria. The project also initiated agreements with key global partners, such as the who, to enable future collaborative activities. Through the keneya nieta project in mali, which aims to reduce maternal, newborn, and child mortalities, we integrated a gender lens into a communications campaign focused on sharing fp, maternal and child health, and nutrition information to improve knowledge, transform gender norms, and increase demand for services. Through this campaign, we sensitized households across 4,000 villages on gender equity in health decision-making and on the important role that men can play in the care of pregnant and lactating women and in the care and nutrition of children.