Working Group 2: Complementarity and coherence within the Accra Agenda for

Action10-11 November 2010

New Delhi

Structured Dialogue Seminar

Case Study: MAMTA Health Institute for Mother &Child

New Delhi, INDIA

The SACH Experience

SACH-Scheme for Adolescent Counselling for Health2

Contents

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a) Backgroundb) Backgroundc) The journeyd) Where did we reach?e) The challengef) The lessong) The lesson contd.h) Donor Coordination (key experiences)i) Donor Coordination (key experiences)j) Finally….

Background

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BackgroundMAMTA has been working with youth on

sexual reproductive health rights (SRHR) for over a decade

Linkages of Sexual Reproductive Health (with sexuality) with systems (including services) has posed enough challenges

Clarity of SRH for its connectivity to Maternal Child Health is at the most nascent.

Sexual and Reproductive Rights – as a rights based approach needs much more affirmative actions.

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The journey…MAMTA submitted a concept note in 2008 for SACH in 18 districts in Uttar Pradesh

ARSH got a push with resources (funds) being allocated for SACH in two districts (Allahabad & Meerut)

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Where did we reach?Finally after two years SACH is to be scaled up in six districts ( to complement the menstrual hygiene management programme being rolled out by the government)

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The challenge…ARSH required a multi stakeholder

partnership in order to roll out the benefits to the young

Getting the various stakeholders on board was facilitated by the Mission Director (NRHM)

SACH was rolled out in Uttar Pradesh in 2008 by the Health Minister of the state

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The lesson…Experience and evidence were

instrumental in MAMTA positioning itself as an institution identified as working with young people on SRHR

Advocacy becomes easier when supported by existing policy and programmes

Decisions are person dependent many a times and thus may not be sustainable

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The lesson contd.…

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Attempt should be made to ensure that decisions are taken at a larger systemic level

Strong leadership within the government system is extremely useful in effective roll out of policies and programmes for the people whom it is intended for

Donor Coordination(Some key experiences)

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Presently most donor coordination happens at the government level

Most of the coordination is as per government guidelines and need

Within the UN system there is a coordination of resources and issues but with a big challenge of individual power

Donor Coordination(Some key experiences)

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Country Coordinating Mechanism (CCM) is one place where donor coordination is along with civil societies, but with a very feeble voice…

Strongly propose increased civil society participation in donor coordination…need platforms for the same

Donor needs to invest much more in building capacities to put together community experiences into a language that is understood by functionaries at different levels

Finally….

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 MAMTA has engaged in policy dialogue and influenced health policies and programmes 

MAMTA is a part of different committees at the National, State and District level which provides us an opportunity to put across the voices from the field and inform the decision making process

We feel that the civil society needs a stronger representation and appropriate platforms for the same and at the same time the capacities of the NGOs need to built around being able put a language to their experience that is understood by all

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