1. EVALUATION OF PILOT YOUTH FRIENDLY SERVICES
DEBRIEFING
EVALUATION OF PILOT YOUTH FRIENDLY SERVICES

2. Outline Project Overview Objectives of evaluation
Methodologies of evaluation
Key Findings
Conclusions and Discussions
Recommendations

3. Youth Counselling Service | Youth Friendly services
1. Project Overview
Youth Counselling Service | Youth Friendly services
Project Objective
Project Period:
27 months
Feb Apr 2012
To promote access to reliable SRH information sources and related basic services, targeting young people and women living in rural villages, working in garment factories or studying in secondary schools.
Interventions
Demand Side
Supply Side
Intense community demand creation work
Supporting the public health provider in consolidating SRH‐related skills and introducing a pilot SRH service for youth.
Target Populations
Target HCs
50,000 of young people women living in rural villages, working in garment factories and in schools.
HC Pong Ro
HC Kg. Hao
HC Akpiwat
HC Ponley
Outreach, PE & VHV/VHSG

4. 2. Objective of Evaluation
Objective of the evaluation is to evaluate relevance, efficiency, effectiveness, sustainability and impact of the pilot Youth Counseling Services established by the Project in 4 Health Centers, and to identify lesson learned and best practices. Particular focus shall be put on sustainability, with an in‐depth evaluation of the impact of free consultations for youth in improving access to services.

5. 3. Methodologies KII Desk Study FGD Staff Consultation
Desk Review
Evaluation Tools Development
Project Overview meeting
Data collection
Key Informants Interview
Focus Group Discussion
Secondary Data Analysis (HIS data)
Report writing
Feedback on
First draft
Second Draft
Final draft of evaluation
Final Report
Staff Consultation
Preliminary Findings
Final Report
FGD
Desk Study
KII

6. 3. Methodologies FGDs KII:
A group of school youth in Tekphos Commune
A group of female Garment Workers (MV)
A group of young people in Koh Krabey village
A group of HCMC at Kampong Hao HC
A group of VHSG at Pong Ro HC
Cesvi staffs
KII:
Interview with service providers in Akphivat, Kampong Hao, Pong Ro and Ponley HC
OD 1 Chief together with MCH representative
Debriefing with Cesvi country Representative and Management team

7. 3. Methodologies Timeline of the Evaluation of YFS
Overall agreement between Cesvi and ART
Final Report submision
Data Collection
Evaluation Tools development and agreement
& Desk Study
Preliminary findings Consultation
Confirmation with KII and FGD
Contract Sign
Data Collection Tolls Approved
Field work
KII, FGD and Staff Meeting
Field work
Preparation
Document Collection
3-7 April 2012
9-12 April 2012
19-20 Apr
26 Apr
2 May

8. 4. Key findings
Significant increased access of young population across youth friendly services
Specially trained staff on VCCT, STI, ANC, Delivery, Birth Spacing and Counseling
Great HCMC and Feedback Committee involved in youth friendly services
Appropriate IEC materials and Well recorded book ( Registration Book)
Significant increased awareness of targeted youth on sexual and reproductive health
Good coordination between MCMC, HC, OD, PHD, Local Authority and Cesvi staff

9. 4. Key findings
Increased user fee as evidence of increased access of youth to youth friendly services
Increased satisfaction
Targeted Youth
Peer Educators
Health Centre Staff
Stakeholders
Local Authority

10. 4. Key findings Improved quality of youth friendly services
Increased accessibility of youth and general population
Availability
Reduced waiting time
Specially trained staff
Availability of drugs and equipments
Increased satisfaction among interviewed youth and peers

11. Rapid Assessment Findings

12. 4. Findings
Access to YFS Services by Type of Service

13. 4. Findings
Access to YFS Services by HC

14. 5. Key Challenges
Lack of meaningful involvement of youth in particular aspects (eg Youth Peer Counselors
Youth friendly services need more time and resources
Stakeholders' involvement has room for improvement
Lack of exit strategy
Users fee can not make cover all needed activities

15. 5. Key Challenges
Very limited time for completing different steps of counseling
Lack of innovative health financing schemes for staff motivation
Imbalance benefits among health Centre Staff especially midwife and NGO supported staff
There is no community resource mobilization

16. 6. Recommendation1 Meaningful Participation of Youth
Village based youth club (Club Moderators and Club Equipments, Materials, Plan…)
Youth Peer Educators (One Peer Educator per 10 to 15 peer beneficiaries or targeted youth
Youth Peers play critical roles in youth friendly service providers as youth counselor
Youth Saving Group
Involvement in Community Coordination Bodies ( CCWC, HCMC, VHSG, EFC, School MC… ) as full membership

17. 6. Recommendation 2 Youth Friendly Services at HC
Convenient hours for consultation and counseling
Convenient room
Respect for young people
Privacy and confidentiality honored
Adequate space and sufficient privacy
Comfortable surroundings
Youth Peer Counselors available
IEC Materials and Edutainment

18. 6. Recommendation 3 Stakeholders' involvement
Coordination Bodies (CCWC, HCMC, VHSG, ….)
Advocate for full membership of those coordination bodies
Project Design and Project implementation and Monitoring

19. 6. Recommendation 4 Exit Strategy
Mainstreaming main activities within Commune Development Plan-CDP, Commune Investment Plan-CIP and Plan of CCWC
Integrate core indicators (STI, ANC, BS and Consoling ) into monitoring checklist of CCWC
Full membership of Youth Peer in Community Coordination Bodies (CCWC, HCMC, VHSG, EFC, School MC…)
Simple Proposal Writing Skills and Planning Technical Skills building for HCMC …)

20. 6. Recommendation 5 HC Health Financing
All sources of income should be collected and shared based on revised guideline or agreement
Innovative approach for increased income should be happened
Community Resource Mobilization
Community Based Health Insurance
Commune Budget Plan
Government Budget
General User Fee…

21. 6. Recommendation 6 Efficiency and Sustainability
Full package of Health Equity Fund for P1 and partial package for P2-Youth
Initiate community based health insurance for non poor youth
Community Resource Mobilization – Pagoda based Fund Raising and Saving Group among youth
Youth Peer Counseling