Sexual Reproductive Health

Nyaluk Foundation: Targeted Family Planning and Contraceptive Access Initiative

Executive Summary: Investing in Future Generations Through Health Equity

Sexual Reproductive Health (SRH) is the bedrock of development, but high rates of early and unintended pregnancies act as a severe barrier to achieving educational attainment and economic productivity. The Nyaluk Foundation proposes a strategic 12-Month program designed to aggressively combat this challenge by dramatically increasing knowledge and access to confidential family planning services and modern contraceptive methods in our target communities.

Our approach is built on the academic principle of health equity, ensuring that confidential, high-quality, and youth-friendly SRH information and commodities are readily available. By leveraging community-based distribution networks, partnering with clinical facilities, and implementing evidence-based Comprehensive Sexuality Education (CSE), we will empower community members—especially adolescents—to make informed, life-altering decisions, ultimately preventing early pregnancies and promoting positive health outcomes.

Building the Backbone: Clinical Governance and Integrated Coordination

The successful uptake of family planning and contraceptive methods requires trust and clinical accuracy. This pillar ensures that all interventions are clinically sound, ethical, and professionally managed to support widespread contraceptive use.

SRH Program Coordinator (1.0 FTE): This clinical or public health expert will serve as the technical lead, responsible for programmatic fidelity, particularly around contraceptive efficacy and method protocols. Their primary function is to establish synergistic coordination with the Ministry of Health (MoH) and local health facilities, ensuring smooth, non-judgmental referral for long-acting reversible contraceptives (LARCs) and other methods.
Clinical Liaison and Referral Officer (1.0 FTE): This officer will manage the continuum of care from the community level to the clinic. They oversee the quality assurance of our community-based distributors’ ability to conduct accurate family planning counselling and act as the primary contact for complicated referrals, especially those involving the consequences of early or high-risk pregnancies.
Administration and Resource Management: Dedicated logistical support ensures the timely and confidential procurement and distribution of sensitive items, including contraceptive commodities, dignity packs, and educational materials specific to family planning, while guaranteeing financial accountability.

Localizing Knowledge: Cultivating Peer Educators and SRH Capacity

Reducing early pregnancy requires changing social norms and equipping people with information. This pillar focuses on creating a sustainable network of local advocates capable of delivering high-quality family planning counselling.

Youth Peer Educator (YPE) Training: We will train 100 Youth Peer Educators across two comprehensive cohorts. This training utilizes best practices in contraceptive counselling, method mix education, and risk mitigation related to early pregnancy. This empowers youth to be credible sources of accurate information among their peers, which is proven to reduce stigma associated with contraceptive use and increase access.
Community Health Volunteer (CHV) Family Planning Refresher: We will conduct targeted training for 50 existing Community Health Volunteers in the region. The focus will be on the latest protocols for advanced family planning counselling, emphasizing the benefits of different contraceptive method types, how to manage side effects, and reinforcing the urgency of preventing adolescent pregnancy.
Mentorship and Quality Assurance: All trained educators and volunteers will participate in mandatory quarterly supervision and coaching sessions. These sessions, led by the Clinical Liaison, ensure that family planning messaging is accurate, counselling techniques are non-judgmental, and ethical protocols regarding confidentiality are strictly adhered to, especially concerning minors’ access to contraception.

III. Empowering Access: Direct Services and Commodity Support

The single greatest barrier to preventing early pregnancy is limited access to contraceptives. This pillar addresses the practical and financial obstacles to family planning service delivery.

Confidential Youth-Friendly Contraceptive Hubs: We will establish three localized, confidential service points within community hubs, staffed by trained YPEs and supervised by the Clinical Liaison. These hubs provide a crucial, non-threatening space for contraceptive counselling, Q&A, and the provision of basic SRH commodities and referrals for clinical family planning services.
Dignity and Health Pack Distribution: We will distribute 2,000 Dignity/Menstrual Health Packs to adolescent girls and young women (AGYW) over the project year. While addressing period poverty, this distribution provides a strategic, low-stigma entry point to introduce family planning education and discreetly offer counselling services.
Subsidized Essential Referrals: The program will allocate funds for Subsidized Clinical Care Vouchers to assist vulnerable clients with high-cost services directly related to preventing or managing early pregnancy complications, such as facility-based delivery fees for high-risk adolescent mothers, or the cost of LARC insertion/removal.
Emergency Maternal Transport Fund: We will maintain a small, critical fund for Emergency Transport Vouchers to ensure that women facing obstetric emergencies (a disproportionate risk among early pregnancies) can reach a healthcare facility rapidly, a key strategy for reducing maternal mortality.

Shifting the Culture: Comprehensive Contraceptive Education and Community Dialogue

A sustained reduction in early pregnancy requires that the community endorses and supports contraceptive use. This pillar focuses on systematic education to destigmatize family planning.

Life Planning and Contraceptive Education Workshops: We will host 30 structured Comprehensive Sexuality Education (CSE) workshops aimed at in- and out-of-school youth. These sessions use a life-course public health model to systematically link family planning to goal setting, economic opportunity, and responsible decision-making about contraceptive choices and consistent use.
Parent/Guardian Engagement Forums on Choice: To prevent intergenerational knowledge barriers, we will convene 10 intergenerational dialogue forums. The goal is to shift parental attitudes, equipping them with accurate information about modern contraception and facilitating open, non-judgmental communication with their children to support their informed family planning choices.
Mass Media Family Planning Acceptance Campaign: A robust Mass Media Literacy Campaign will be launched via local radio and print materials. The campaign will utilize culturally appropriate messaging to normalize the use of contraceptives, de-stigmatize SRH service-seeking, and actively promote male involvement in and support for family planning decisions.

Accountability and Data-Driven Impact

To ensure programmatic integrity, the Nyaluk Foundation is committed to rigorous Monitoring and Evaluation (M&E). This commitment provides a data-driven feedback loop for continuous improvement and learning. We will conduct a comprehensive baseline survey and an annual impact assessment. Key performance indicators (KPIs) will track critical metrics: the number of contraceptive methods accepted (Method Mix), the volume of family planning counselling sessions delivered, and measurable shifts in knowledge, attitudes, and reported behaviour toward adolescent pregnancy prevention, allowing us to robustly prove the long-term, transformative impact of our SRH initiative.