*Y.C.*Reduction of the maternal death and the under 5 mortality by reducing from 4.5% to 3% of the teenage pregnancies in Rwanda
Location
Short description of Project:
According to the mini-DHS 2007-2008, maternal health has been proven as a sector that still necessitates too much attention. According to the 2007-2008 DHS data, our country still has 22% of births that occur less than 24 months after the preceding birth. Our country also has only 24% of women having 4 antenatal consultations (ANC) visits as recommended. Whereas the national average of deliveries by a skilled provided counts for 52%. In addition to that, we also noted that the average of children for a Rwandan woman in her lifetime is still high with 5.5 children. Adding to all those issues, the public health sector is also facing with a serious maternal health issue in terms of teenage pregnancies (15-19 years old) that is dramatically increasing with the average of 4.5% according to the mini DHS 2007-2008.
Given that, giving birth under 18 years old is one among the risk factors towards maternal death and neonatal mortality, this project aims at contributing towards the reduction of the increasing rate of teenage pregnancies in Rwanda and thus contributing to the reduction of the high risk of maternal death and neonatal mortality that is closely associated with it.
About You
Section 1: About You
First Name
Massudi
Last Name
HAKIZAMUNGU
Website
Organization
Country
Rwanda
Are you an individual between the ages of 18 and 35 who would like to apply for a nine month Young Champions Program mentored by an Ashoka Fellow?
Yes
Section 2: About Your Organization
Organization Name
Organization Website
Organization Phone
Organization Address
Organization Country
Rwanda
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Your idea
Name Your Project
*Y.C.*Reduction of the maternal death and the under 5 mortality by reducing from 4.5% to 3% of the teenage pregnancies in Rwanda
Country your work focuses on
Rwanda, KG
Describe Your Idea
Short description of Project:
According to the mini-DHS 2007-2008, maternal health has been proven as a sector that still necessitates too much attention. According to the 2007-2008 DHS data, our country still has 22% of births that occur less than 24 months after the preceding birth. Our country also has only 24% of women having 4 antenatal consultations (ANC) visits as recommended. Whereas the national average of deliveries by a skilled provided counts for 52%. In addition to that, we also noted that the average of children for a Rwandan woman in her lifetime is still high with 5.5 children. Adding to all those issues, the public health sector is also facing with a serious maternal health issue in terms of teenage pregnancies (15-19 years old) that is dramatically increasing with the average of 4.5% according to the mini DHS 2007-2008.
Given that, giving birth under 18 years old is one among the risk factors towards maternal death and neonatal mortality, this project aims at contributing towards the reduction of the increasing rate of teenage pregnancies in Rwanda and thus contributing to the reduction of the high risk of maternal death and neonatal mortality that is closely associated with it.
Website URL
Innovation
What makes your idea unique?
My intervention (project) will aim strengthening the sensitization of family planning among the under 18 years girls.So far, not so much efforts are likely being invested towards this issue. This age-range is becoming more exposed and a population at risk. In addition to that, my project will reduce behavior barriers between female teenagers themselves but also in the adults (their parents). Thus, it will contribute to remove the cultural constraints around sexuality talk in Rwanda, what results into leading to risk sex behaviors on the side of the teenagers. This will lead to safe sex and thus reduce non-desirable pregnancies among the under 18 girls.(increase of condom use among the under 18). Given that, the rate of under 18 pregnancies is overwhelmingly increasing (according to the Rwanda Interim DHS 2007-2008), so far, and apparently, with no so many interventions being directed towards this issue, given that, delivery under 18 is risk factor in terms of increasing the maternal death without leaving behind the Under 5 mortality that is also still high in Rwanda (103 per 1000 live births, according to the Interim Rwandan DHS 2007-2008, as well), the success of this project will significantly contribute to the reduction of this issue in Rwanda and can serve as an evidence-based intervention for possible intervention of this kind and lead to the possibility of its scale-up nationwide. All these above-mentioned arguments make my ideas unique, at least in the current Rwandan context, where we still have very limited interventions towards this issue.
-This project will promote teenage family planning through sensitization among the youth under 18 for both educated and non-educated. It will target secondary schools (for educated youth) and target community (for non-educated youth under 18 youth)
-This project will reduce the teenage pregnancies through the increase of awareness of this issues among parents through sensitization.
Do you have a patent for this idea?
Impact
This Entry is about (Issues)
What impact have you had?
Given that, this project has not been implemented yet, it has not yet produced impact so far.
Problem
This project will contribute to :
-The reduction of teenage pregnancies in the intervention catchment area (the baseline data will be the 2010 DHS data, and the impact evaluation data will be the DHS 2015).
-Reduction of maternal deaths in the intervention catchment area (the baseline data will be the 2010 DHS data, and the impact evaluation data will be the DHS 2015).
-Reduction the neonatal mortality in the intervention catchment area (the baseline data will be the 2010 DHS data, and the impact evaluation data will be the DHS 2015).
-Change of parents and teenagers' behavior, attitude and personality towards sex among teenage that lead teenagers to be a population at risk (Baseline questionnaire and end of intervention questions for both teenagers and parents)
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Actions
How am I going attend my target population (the risk population : female teenage mainly) and parents) ?
Teenagers :
The intervention's activities will focus on the education of girls, sensitizing them and motivating them towards safe sex by using condoms in case they cannot abstain. In the intervention area, this intervention will target educated teenagers within secondary schools and non-educated teenagers within the communities. The education session will focus on, safe sex by using a condom when they cannot abstain, or any other family planning methods for female teenagers.
In the current cultural and beliefs context in Rwanda, the rate of family planning utilization among the adolescent girls is still very low. While on the other hand, the pregnancies among adolescents is increasing (4, 5%). The family planning utilization is current oriented towards mostly adults and even only adults who come to seek health care in the health facilities. Not so many efforts are currently being invested in educating and sensitizing the increase of family planning utilization among the youth. Mostly the preventive measures remain scarce.
Results
The objectives of this projects will be achieved if the intervention leads to the following :
-The reduction of teenage pregnancies in the intervention catchment area (the baseline data will be the 2010 DHS data, and the impact evaluation data will be the DHS 2015).
-Reduction of maternal deaths in the intervention catchment area (the baseline data will be the 2010 DHS data, and the impact evaluation data will be the DHS 2015).
-Reduction the neonatal mortality in the intervention catchment area (the baseline data will be the 2010 DHS data, and the impact evaluation data will be the DHS 2015).
-Change of parents and teenagers' behavior, attitude and personality towards sex among teenage that lead teenagers to be a population at risk (Baseline questionnaire and end of intervention questions for both teenagers and parents)
What will it take for your project to be successful over the next three years? Please address each year separately, if possible.
At the beginning, a baseline study will be done to have the baseline data for the following :
-The teenage pregnancies situation at the beginning of the intervention in the catchment area. (Another possibility is have a look at 2010 DHS data).
-The maternal deaths situation at the beginning of the the intervention in the intervention catchment area. Another possibility is to see the 2010 DHS data)
-The assessment of behavior, attitude and personalities of both teenagers and parents towards teenage sexuality and other cultural behaviors that can threaten and lead female teenagers to be a population at risk towards the maternal death.
-Reduction the neonatal mortality in the intervention catchment area (the baseline data will be the 2010 DHS data, and the impact evaluation data will be the DHS 2015).
-Change of parents and teenagers' behavior, attitude and personality towards sex among teenage that lead teenagers to be a population at risk (Baseline questionnaire and end of intervention questions for both teenagers and parents
-Each year a survey will be conducted, and a clear M&E plan will be designed at the beginning to be able to track challenges as earlier as possible to find out remedy in a timely manner.
What would prevent your project from being a success?
-The cultural barriers (constraints) about sex talk in the Rwandan context
-The religions ideological beliefs about family planning
-Lack of alternative family planning methods in the intervention area.
How many people will your project serve annually?
More than 10,000
What is the average monthly household income in your target community, in US Dollars?
Less than $50
Does your project seek to have an impact on public policy?
Yes
Sustainability
What stage is your project in?
Idea phase
Is your organization a
Not registered
Is your initiative connected to an established organization?
If yes, provide organization name.
How long has this organization been operating?
Please select
Does your organization have a Board of Directors or an Advisory Board?
Does your organization have a non-monetary partnerships with NGOs?
Does your organization have a non-monetary partnerships with businesses?
Does your organization have a non-monetary partnerships with government?
Please tell us more about how these partnerships are critical to the success of your innovation.
I do not have any organizational partnership
What are the three most important actions needed to grow your initiative or organization?
-The reduction of teenage pregnancies in the intervention catchment area
-Reduction of maternal deaths in the intervention catchment area
-Reduction the neonatal mortality in the intervention catchment area
-Change of parents and teenagers' behavior, attitude and personality towards unsafe sex among teenagers that lead teenagers to be a population at risk towards the maternal and neonatal death
The Story
What was the defining moment that you led to this innovation?
The defining moment that led me to this innovation, was the dissemination of the Rwanda mini- 2007-2008 DHS.
Tell us about the social innovator behind this idea.
Most of the countries that are lagging behind others in development have the following common denominator :
-Lack of access to education : Teenage pregnancies is a limitation on access to education
-Lack of health care : Teenage pregnancies leads to lack of access to health care delivery. These mothers being themselves economically dependent are not in a good position to pay for the needed health care for themselves and for their prematurely delivered children if they did not die at birth period, they also weigh very heavily to the family as they were not planned births
Thus I do believe that, contributing towards teenage pregnancies will be a big contribution towards the above-mentioned fundamental right to these victimized female teenagers.
Early pregnancy expose the victims towards an economical dependency, and denial of fundamental right to the children such as access to health care. What leads to both the mother and the child not to enjoy the adequate needed quality of life.
How did you first hear about Changemakers?
College or university
If through another, please provide the name of the organization or company
no organization or company
 | hakizamungu updated this Competition Entry. - 693 days ago |
| hakizamungu updated this Competition Entry. - 693 days ago |
| apenn said: I saw your discussion and the questions you answered gave so much insight to your idea so don't forget to to add that to your actual ... about this Competition Entry. - 695 days ago read more > |
| hakizamungu said: My answers to your questions are the following: Question 1: How are you going to get the knowledge to the girl and the parents? To get ... about this Competition Entry. - 709 days ago read more > |
| storrsb2 said: It sounds like you know a lot about the issue and are passionate about it. However, how are you going to get this knowledge to the ... about this Competition Entry. - 709 days ago read more > |
| hakizamungu updated this Competition Entry. - 709 days ago |
| hakizamungu updated this Competition Entry. - 709 days ago |
| hakizamungu updated this Competition Entry. - 715 days ago |
| hakizamungu submitted this idea. - 718 days ago |
