2gether 4 SRHR
Contribution ID : SE-0-SE-6-10596This website displays open data about Swedish aid, which shows when, to whom and for what purpose Swedish aid is paid out, as well as what results it has produced. This page contains information about one of the contributions financed with Swedish aid.
The 2gether4SRHR is a joint initiative from the United Nations Programme on HIV/AIDS (UNAIDS), United Nations Population Fund (UNFPA), United Nations Children’s Fund UNICEF), and World Health Organization (WHO) to implement a regional intervention whose goal is to improve the sexual and reproductive health and rights of all people, but with a particular focus...
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The 2gether4SRHR is a joint initiative from the United Nations Programme on HIV/AIDS (UNAIDS), United Nations Population Fund (UNFPA), United Nations Children’s Fund UNICEF), and World Health Organization (WHO) to implement a regional intervention whose goal is to improve the sexual and reproductive health and rights of all people, but with a particular focus on adolescent girls, young people and key populations in the Eastern and Southern Africa (ESA) region. Specifically, the main collaborating partners are UNFPA Eastern and Southern Africa Regional Office (UNFPA ESARO), UNAIDS Regional Support Team for East and Southern Africa (UNAIDS RST- ESA), UNICEF East and Southern Africa Regional Office (UNICEF ESARO) and WHO Regional Office for Africa (WHO AFRO). The joint intervention has the following specific objectives:1. Support countries in the ESA region to create an enabling legal and policy environment that empowers all people, but particularly adolescent girls, young people and key populations to exercise their SRH rights and access quality integrated SRHR/HIV and SGBV services.2. Support countries in the ESA region to scale up the provision of client- centred quality assured, integrated and sustainable SRHR/HIV and SGBV services, that meet the needs of all people, in particular adolescent girls, young people and key populations.3. Support countries in the ESA region to empower all people, but with a focus on adolescent girls, young people and key populations to exercise their SRH rights, adopt protective behaviours, and access quality integrated services in a timely manner. 4. Amplify the lessons learnt from the implementation of the Joint UN Regional Intervention to strengthen integrated SRHR/HIV and SGBV services for all people in particular adolescent girls, youth and key populations in the ESA Region. In particular, increasing the synergies between SRH and HIV services provides countries with the opportunity to address the multiple, inter-linked health needs of clients.This includes addressing not only the unmet need for family planning among women of reproductive age, preventing unintended pregnancies among women living with HIV, and expanding antenatal care, but also scaling up life-saving ART treatment and preventing new HIV infections. These efforts ultimately translate into improved health outcomes for men, women, and children. In reinforcing the regional effort, five focus countries have been selected, namely: Lesotho, Malawi, Uganda, Zambia and Zimbabwe. An additional four countries i.e. Botswana, Kenya, Namibia and Swaziland, which were focus countries on the Linkages Project that Sweden previously supported through the regional SRHR Team, will continue to receive limited support and serve as model countries for others. The four UN agencies aim to take a collaborative approach in providing catalytic support to regional economic communities (RECs) governments, civil society organisations and communities as part of the regional effort to address various SRHR challenges including unintended pregnancies, SGBV, STIs and HIV and maternal mortality.A regional programme steering committee (RPSC) consisting of participating UN agencies, representatives of participating countries, regional civil society organizations and selected regional economic communities (RECs) is the highest decision-making body for the intervention. Sida will be participating as an observer in the RPSC meetings to be held annually. In addition, there will be a regional coordination mechanism of the participating UN agencies i.e. the Regional Inter-agency Working Group (RIWG) that will be providing joint technical support to the participating countries and will also be involved in developing knowledge products to advance learning on SRHR/HIV and SGBV integration.
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Result
Through its catalytic support to integrated SRHR/HIV/SGBV services at scale and an enabling environment at both community and national levels, the 2gether 4 SRHR programme has contributed to achieve a number of results. At regional level, the Programme partnered with and provided technical assistance to Regional Economic Communities (RECs) to develop, harmonize and monitor the implementation of regional frameworks using peer review accountability mechanisms to advance SRHR, including the development of EAC guidelines on Reproductive Maternal Newborn Child and Adolescent Health (RMNCAH)/HIV integration and the SADC´s SRHR Strategy (2019-2030) and scorecard. The latter has also been used as a model for ECOWAS/WAHO in the ongoing work on a new scorecard, reflecting important synergies of the Programme at continental level. At country level, Programme results includes the development of national road maps on comprehensive abortion care in 12 countries, integrated SRHR costing and financial model tested and scaled up in 6 countries, more than 5000 health care workers participated in e-learning programme on continuity of SRH services during Covid 19, in-service curricula on SRHR developed in 6 countries, reduced levels of vertical transmission of HIV (Botswana the first country in in the world with a high HIV burden to be certified by WHO for key achievements on the path to eliminate mother to child transmission) and the establishment of a budget line from domestic resources for first time order of contraceptives in Zimbabwe. In 2022, an independent evaluation of the Programme was carried out which main conclusions were; - The programme has significantly contributed to advancing integration of SRHR/HIV and SGBV across the East and Southern African countries and extensive work has been done in enhancing the enabling environment for SRHR/HIV/SGBV integrated services for adolescent girls and young women and Key Populations through regional harmonised standards, advocacy, strategies and accountability mechanisms but sensitive issues remain challenging. - The programme has made considerable progress in providing evidence and conducting advocacy for increased financing for SRHR/HIV/SGBV but engagement of non-state actors (CSOs, private sector, FBOs, community leaders) was limited as was the undertaking of cost efficiency and effectiveness analysis. - Significant progress has been made in scaling up integration of SRHR/HIV/SGBV in the 10 selected countries with clear integration guidelines set up at regional level and various integration models established at country level. However, there is variation among the countries depending on where the pilots took place as well as the extent to which there was a conducive environment for integration in the local context. - The programme invested in various programme related strategies for empowerment of adolescent girls, young people and key populations to generate demand and meaningfully participate in the programming for SRHR/HIV/SGBV integration, however prioritization of these interventions was uneven across countries. - Interventions for amplification of programme lessons on SRHR/HIV/SGBV integration to countries were well designed but the programme started to collect these towards the second half of implementation with variation in uptake. Beyond the progress towards the programme objectives, Sida also considers the strengthened synergies, inter-agency engagement and joint programming among the UN Agencies at regional level as positive outcomes that demonstrate the Delivering as One (DaO) UN approach. Due to the lack of established operational framework for DaO at regional level, the Programme has spearheaded this process developing operational procedures for collaboration at regional level and reducing administrative and bureaucratic barriers.
The 2gether 4 SRHR programme (2018- 2023), is a joint United Nations programme that combines the efforts of UNAIDS, UNFPA UNICEF and WHO, at regional and country level. The programme is implemented directly in Botswana, Eswatini, Kenya, Lesotho, Malawi, Namibia, South Africa, Uganda, Zambia and Zimbabwe, but with a regional focus beyond these 10 focus countries. The programme aims to improve the sexual and reproductive health and rights (SRHR) of all people in East and Southern Africa (ESA) through supporting the efforts of regional economic communities (RECs), governments, and working in partnership with civil society organizations (CSOs), networks of people living with HIV (PLHIV), adolescents and young people, men who have sex with men (MSM) and lesbian, gay, bisexual, transgender, queer and intersex persons (LGBTQI) and women who transact in sex. The objectives of the programme are to: 1. Create an enabling legal and policy environment that empowers people to exercise their SRH rights and access quality integrated SRHR/HIV and sexual and gender-based violence (SGBV) services. 2. Scale up the provision of client centred quality assured integrated and sustainable SRH, HIV and SGBV services 3. Empower all people to exercise their SRH rights, adopt protective and promotive behaviours, and access quality integrated services 4. Amplify the lessons learnt on the integration of SRHR, HIV and GBV services across the region. Through its catalytic support of integrated SRHR/HIV/SGBV services at scale and an enabling environment at both community and national levels, the 2gether 4 SRHR programme aims to support governments to achieve number of health outcomes, including reducing the number of unplanned pregnancies, ensuring SRHR are prioritized and met, reducing the number of new HIV infections, preventing and responding to SGBV and improving access to post-abortion care and to safe abortion services within the legal framework of the countries concerned.
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