 Physically bringing services to communities increases uptake and understanding of services available. Through May 2014, the program reached 108 AYP sites.

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 Physically bringing services to communities increases uptake and understanding of services available. Through May 2014, the program reached 108 AYP sites in Liberia and 2,769 HA participants (2,199 F; 570M). 50% of participant women accepted a modern FP method, much higher than CPR, and 68% received HTC.  Conducting the training in a setting where social ties already exist enhances the role of positive peer pressure to behave in healthier ways, rather than reinforcing fears and myths.  The program impacts the entire community, not just those who directly participate. 30% of community members who did not receive HA also got tested for HIV, far above the national average. 49,620 condoms were distributed.  Learners had chance to actually see and touch the commodities, mitigating fear. This is something most would otherwise never have had the opportunity to do.  Classroom environment gave learners a safe environment to practice new skills. * Currently there are only preliminary findings for the Liberia 2013 DHS TH STREET, NW | SUITE 600 WASHINGTON, DC PSI.ORG PSI ■■ Expanding Access to Critical HIV and Reproductive Health Services to Low Literacy Youth in Liberia BACKGROUND In order to bridge the income and education inequalities in many contexts like Liberia, integration of HIV and FP services into non- traditional education can greatly improve health outcomes for women and youth. Multi-sector programs in informal education, vocational training, and work-readiness should be a major focus for future FP-HIV expansion and scale-up.  PSI will pursue funding to continue and scale-up the project with EDC. DESCRIPTION HealthyActions (HA), a collaboration between PSI Liberia and EDC’s Advancing Youth Project (AYP), funded by USAID, launched in October AYP provides access to Alternative Basic Education, social and leadership development, and livelihoods training for out-of-school youth, 13-35, who have no or marginal literacy and numeracy skills. HA provides a five-day, 15-hour program covering HIV prevention and FP. The primary objective is to increase FP use and uptake of HIV testing and counseling (HTC). Secondary aims are to improve assertiveness, communication skills, and gender-transformational attitudes. Program culminates with an on-site “Clinic Celebration Day,” with HTC and FP counseling and services for HA participants and community members. LESSONS LEARNED CONCLUSIONS / NEXT STEPS Following a lengthy civil war and in a context of pervasive poverty, Liberian youth face major challenges in making healthy decisions. Lack of education is a significant factor in determining HIV protective behaviors and family planning (FP) use and intention. With a population of 4.1 million, only 16% have tested for HIV in the preceding 12 months (DHS, 2013) Overall contraceptive prevalence rate (CPR) is 20% Substantial disparities: For those with no education, only 1% had ever tested for HIV and CPR was 15.3%; for those with secondary education or higher, 9.4% had tested for HIV and CPR was 28.6%. (DHS, 2007)* R. Moorsmith (1), L. Hartenberger-Toby (2), R. Greifinger (3), C. Foti (4), M. Luke Urey (1), E. Bee-Barbu (1) (1) Population Services International, Monrovia, Liberia; (2) Education Development Center, Monrovia, Liberia; (3) Population Services International, Washington, United States; (4) Education Development Center, Washington, United States