Empowering adolescents to prevent violence and early pregnancy

Location: La Paz & El Alto
Duration: 18 months
Total cost: 750,000 USD

Preventing violence and teen pregnancy in El Alto

Problem statement

Children and adolescents from 10 to 18 years old make up 23% of the total population in Bolivia, and 49% of them are girls. Nationally, about 18% of adolescent girls between 15 to 18 are pregnant or already mothers and at least 70% of these pregnancies are unplanned. In the municipality of El Alto, these statistics are much a higher. The 2008 National Youth Survey revealed an alarming 83% of adolescent girls and young women in El Alto are pregnant or already mothers by 18. This is the highest teenage pregnancy rate in the country. To complicate matters, 32.1% of male and female adolescents in El Alto stated that they were victims of some form of violence.

Justification

With a population of 848,452 , the municipality of El Alto is the youngest city in Bolivia. 38% of the population are migrants from elsewhere in the country and 77% self-identify as Aymara, one of the country’s indigenous groups. Adolescent girls who are migrants and/or members of these indigenous groups face even more challenges than their peers and are among the most vulnerable young people in the country.

El Alto’s adolescent girls lack the protective environment and educational opportunities they need to both feel safe and prevent early pregnancy. UNICEF is positioned to guarantee their rights to education, protection and prevention by working with the adolescents themselves, the Bolivian Government and partners to provide evidence-based programming and services that address their needs.

Programme strategy

This programme seeks to reduce the prevalence of teenage pregnancy and sexual violence against adolescent girls by enabling adolescents to play an active role in demanding quality pregnancy prevention services, while at the same time addressing risk factors in their families, their communities and their schools. It is aligned with country priorities and the Bolivian Government’s Plan for Integrated Adolescent Care 2015-2020.

Objectives

  • The overall objective: To reduce the prevalence of teenage pregnancy and violence against adolescent girls in El Alto, La Paz, Bolivia.

The specific objectives are to:

  1. Mobilise adolescents, promote their participation and develop institutional competencies to empower young people to become leaders in the movement to prevent unplanned pregnancy and violence.
  2. Engage cross-sectoral professional teams of government and community workers involved in the health, education and justice sectors to prevent unplanned pregnancy and violence.

Partners

  • 20,000 adolescents from schools in El Alto
  • 15 adolescent organisations in El Alto
  • Non-governmental organisations working on to prevent violence and unplanned pregnancy.
  • La Paz Departmental Health Service (SEDES) and 10 Health Service Networks
  • The Ministry of Health, through the National Adolescent Health Programmes
  • The Ministry of Education, the Departmental Education Directorate (DDE) and the District Education Directorates
  • The Ministry of Justice, the Departmental Social Work Service (SEDEGES) and the Child and Adolescent Defence Offices

Target groups

  • The most vulnerable adolescent girls aged 10 to 18 living in El Alto, especially those from migrant families and those who self-identify as Aymara
  • All adolescent girls aged 10 to 18 living in El Alto
  • Networks of adolescents
  • Health service network clients and staff
  • Teachers
  • Parents

Main activities

  • Adolescents from schools will carry out initiatives and actions to prevent violence and unplanned pregnancy within and outside the school community, working together with teachers and parents.
    • Review, print and distribute teaching materials to teachers and students.
    • Train teachers on life skills and how to prevent violence and unplanned pregnancy.
    • Train student leaders to promote prevention measures and to identify and report cases of violence in school.
    • Train parent peers as school advisers to address issues of violence and unplanned pregnancy.
  • Organisations of adolescents will mobilise, disseminate information and carry out advocacy work to prevent teenage pregnancy and violence together with social sector authorities, community organisations and the municipal government
    • Design a communication strategy
    • Produce printed and audio-visual materials and other media.
    • Implement the communication strategy under the adolescents’ leadership.
  • Health service networks will improve their capacity to provide differentiated, integrated, culturally appropriate services to adolescents, paying particular attention to sexual and reproductive health and violence
    • Conduct a rapid assessment of the care provided to adolescents in the health service network.
    • Organize health services to provide appropriate care to adolescents.
    • Train health service staff to provide the kind of care adolescents require/demand.
    • Develop and strengthen violence detection processes and methods, working together with the education and justice sectors.
  • Technical assistance to develop the capacity of sustainable institutions that can deliver quality social services, particularly at the sub-national level.
    • Define the baseline.
    • Conduct a field visit to health service networks and schools to monitor progress and adjust the outcome indicators if necessary.
    • Evaluate the initiative’s impact.
  • Technical assistance to support monitoring and evaluation of services in order to identify and address challenges.
    • Technical assistance to develop the capacity of sustainable institutions that can deliver quality social services, particularly at the sub-national level.
    • Technical assistance to support monitoring and evaluation of services in order to identify challenges and address them.

Budget

Output / Line of Actions Expresed in USD
Year 1 Year 2 Total
1. Adolescents from schools carry out initiatives and actions to prevent violence and unplanned pregnancy within and outside the school community, working together with teachers and parents
Review, print and distribute teaching materials to teachers and students
Train teachers on life skills and how to prevent violence and unplanned pregnancy
Train student leaders to promote prevention and identify cases of violence
Train parent peers as school advisers to address violence and unplanned pregnancy
60,000110,000170,000
2. Organisations of adolescents mobilise, disseminate information and carry out advocacy work to prevent teenage pregnancy and violence together with social sector authorities, community organisations and the municipal government
Design a communication strategy
Produce printed and audio-visual materials and other media
Implement the communication strategy under the adolescents’ leadership
50,00090,000140,000
3. Health service networks improve their capacity to provide differentiated, integrated, culturally appropriate services to adolescents, paying particular attention to sexual and reproductive health and violence
Rapid assessment of the care provided to adolescents in the health service network
Organize health services to provide appropriate care to adolescents
Train health service staff to provide the kind of care adolescents require/demand
Develop and strengthen violence detection processes and methods
40,00080,000120,000
4. Monitoring and evaluation
Define the baseline
Conduct a field visit to health service networks and schools to monitor progress
Evaluate the initiative’s impact
25,00045,00070,000
5. Technical assistance
Develop the capacity of sustainable institutions to deliver quality social services
Support monitoring and evaluation of services to identify and address challenges
50,000116,900166,900
6. External communications and visibility 7,5007,50015,000
Total programmable amount 232,500449,400681,900
Recovery cost (10%) 23,20044,90068,100
Total required budget 255,700494,300750,000
Contact:
Pedro Pablo Palma,
Chief of Child Survival and Development,
pppalma@unicef.org
Tel: +591.2.2623.220