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A- Newborn Health & Early Childhood Development B- Child Health
C- Adolescent & Reproductive Health & Rights D- Women's Health & Rights
Training Materials  

C - Adolescent and Reproductive Health and Rights

 
The adolescence period, which begins with sexual and psycho-social maturation due to physical and emotional processes, is characterized by rapid physical, psychological and social changes in individuals. Due to increased sexual activities and high risk behaviors during adolescence, such as unprotected sex, tobacco, alcohol and drug use,
adolescents are potentially the most at-risk age group for sexually transmitted infections and early pregnancies.

It is vital to understand the opportunities and the challenges faced by young people in order to develop effective policies for them. Adolescents should be able to access the information, services and counseling they need in order to better manage the difficulties they face and minimize the sexual and reproductive health related risks during this
period of their lives.

Guided by the globally accepted plan of action of the International Conference on Population and Development (ICPD) and leadership of WHO, the International Children's Center has given special consideration to reproductive health and rights with special emphasis on adolescent/youth health. ICC gives priority to conducting research, providing training to health care service providers and organizing meetings on challenging issues in sexual and reproductive health. It publishes articles, meeting reports and books in order to strengthen the capacity of the health care workers. It disseminates information on priority areas, and works to mobilize politicians to support legislative and regulatory mechanisms for better sexual and reproductive health services for adolescents and youth.

 

Workshop on Improved Programming for Essential SRH Services to Most-at-Risk and Marginalized Young People, UNFPA Eastern Europe and Central Asia Regional Office (EECARO), Istanbul, 23-27 April 2013

Workshop on Improved Programming for Essential SRH Services to Most-at-Risk and Marginalized Young People was organized by ICC with the collaboration of the UNFPA Eastern Europe and Central Asia Regional Office in Istanbul on 23-27 April 2013. The main purpose of the meeting was to review the ToT Module of the “Training-of-Trainers Course on Sexual and Reproductive Health for Most at Risk Young People”, with a focus on developing a new resource package for country level to meet the needs of MARA/MARYP.

Specific objectives:

  • To review existing ToT Module and to collect expert opinions on achievements and critical gaps where accelerated actions are needed;
  • To develop technical and evidence-based recommendations to enhance the effectiveness and coherence of country level trainings;
  • To provide inputs into the implementation of SRH services for most-at-risk adolescents (MARA) and young people (MARYP) on the regional and national level.

An essential conclusion was reached on the relationship between the original ToT training course and the “country level course” that was to be developed: the latter would not be a ToT training course, but a regular course for service providers. The country level course would focus on the practice of service delivery. Finally, it was advised that more attention should be paid in the Course Manual itself (in an Introductory Chapter) to assisting future course organisers and facilitators on how to organise and conduct a course like this, as well as to how to implement the specific sessions.

International Program for Development Evaluation Training (IPDET), June 10 to July 23, 2013 Carleton University, Ottawa, Canada

One responsible person from ICC attended to and got certificated from the “International Program for Development Evaluation Training” (IPDET-2013) organized by Carleton University and the World Bank held in Ottawa, Canada.  The main objective of the course was to provide participants a comprehensive overview of development monitoring and evaluation.

174 participants including one person from ICC from 81 countries were participated and certificated.

 
Balancing Primary and Secondary Care Provision for More Integration and Better Health Outcomes”, Istanbul, 9-10 September 2013


Patient- and people-centeredness are key features of primary care that can develop in community-oriented health facilities. Both the demographical and epidemiological transition and the increasing social and health problems related to poverty, challenges health systems in Europe to develop comprehensive and integrated responses. In the era of multi-morbidity vertical disease-oriented programs should be replaced by an integrated approach, focusing on the needs of individuals and their families. This paradigm-shift will need not only new organizational structures, but also a new type of health professional able to improve quality and to act as a change agent in the health services.

For this reason, Turkish Foundation of Family Medicine (TAHEV) to co-organise together with European Forum For Primary Care (EFPC), the 2013 EFPC conference in Istanbul, September 9-10 2013. Health systems will not automatically gravitate towards greater fairness and efficiency. It requires appropriate conditions at the health care system level, and in actual practice to make primary care providers both able and willing to take accountability for the health of the population under their care. A key element is effective collaboration with well-organised secondary care. Therefore, EFPC and TAHEV, supported by the International Hospital Federation (IHF) and the WHO regional office for Europe, seizes the momentum where austerity measures are still on-going, to emphasise the need to further explore how a fine balance between primary and secondary care can lead to more integration and better health outcomes.

ICC presented “How to affect Financial Flows for Population Activities on Primary Level in Turkey; A continuation of the 2010 Ankara meeting on Integration of Primary Care and Sexual & Reproductive Health” statement to 160 delegates from 30 countries at the EFPC Istanbul conference.

These are some conclusion of this Workshop;
 

  • The reproductive health program is one of the most effective vehicles in closing the gap in health indicators between the developed and developing countries. Turkey should continue taking strong steps towards reaching these goals.  Immunization, family planning and antenatal services are the responsibility of the General Directorate of Mother, Child Health and Family Planning Health. Prior to the implementation of the family practitioner scheme, health centres, maternal and child health care centres and dispensaries provided these services in the regions; now family practitioners conduct these activities through family health centres.
  • The following problems are examples of obstacles in the provision of reproductive health and family planning services:collaboration between the units in the MoH is very poor, procedures of spending the budget of the General Directorate of MCH–FP are very complex, which causes wasting of time and resources,turnover among health personnel is very high. Qualified personnel are changed and sometimes a new staff person is not skilled in delivering reproductive health services. In addition, the distribution of health personnel across the country is not well balanced between rural and urban areas and western and eastern regions.
  • Current funding levels in Turkey are far below what is necessary to meet current SRH needs. Given the global financial crisis and the uncertainty of future funding levels, full implementation of the ICPD PoA agenda may be in jeopardy. Both international and domestic allocation of resources to population activities must increase from present levels to meet current and future needs.


However, the results for Turkey indicate that spending on RH has reduced quite dramatically. This downward trend is related to the reorganisation of the health care system in Turkey, and the move toward primary care as part of that process. One consequence of this process of change has been that the traditional MCH/FP centres have been closed down, and there functions are supposed to have been largely taken over by family doctors.

This presentation also has become available just recently and is part of Vol. 13 of the International Journal of Integrated Care (IJIC).
http://www.ijic.org/index.php/ijic/article/view/URN%3ANBN%3ANL%3AUI%3A10-1-114855

Preparation of Policy Brief on Family Planning Services in Turkey

ICC in collaboration with the Swiss Tropical and Public Health Institute and the UNFPA Regional Office for Eastern Europe and Central Asia (UNFPA EECARO), collects and process additional information on national and regional trends, key data, and documentation on Family Planing in Turkey. The purpose of this research is to assist EECARO in developing the policy brief on Family Planning in Eastern Europe and Central Asia. The policy brief will be used mainly for advocacy purposes to increase understanding of the role of family planning in the changing demographical, social and political environment in the region. The brief also will guide UNFPA country offices in their efforts to reposition FP at national level. Under this assignment the ICC overviewed key documents related to: national laws, policies and strategies addressing family planning, demographic projections and family planning; available reports of SRH/FP cost-effectiveness studies; FP programme evaluation reports; reports on qualitative studies of family planning use especially among vulnerable groups; and other documents relevant to the thematic scope of the policy brief; and conducted interviews with key regional stakeholders in FP including  representatives of NGOs, MoH, Ministry of Development, academia, professional organizations and UN agencies.  Some conclusion about the research;

Turkey is a big country, signatory to all UN agreements promoting women’s health, sexual and reproductive health and rights, women’s empowerment and gender equality.  Turkey has also played an active role in integrating the global plan of actions to its national policies, laws and regulations. Individuals were free to make their own choices about fertility. FP commodities were provided free of charge to all who demanded it at the primary health care level. There was also a wide range of modern contraceptives available. Abortion was discouraged as a family planning method and induced abortion was legal up to 10 weeks on request.

New Model of Health System has many handicaps in regard to SRH/FP, like;

  • Limited Logistics
  • Training deficiency of Family Physicians and  Family Health Service Providers
  • Performance criteria (while 10 points are awarded for physicians who monitor pregnancy and babies, post-natal care, physicians promoting FP gets 0 point)


The economy of Turkey is progressing well and Turkey is not considered as a developing country anymore. However, these recent economic developments have not had positive effects on SRH/FP field. The funds from international agencies for SRH/FP have stopped and this has not been compensated by the government. Therefore, there is continuous deficiency in SRH/FP commodities.

Future needs include undertaking systematic reviews of policies, regulations, and service facilities to provide sustainable access to high-quality family planning and reproductive health services; establishing a national management information system; enlarging the scope of scientific and operations research; expanding and strengthening training for family planning and reproductive health; adding trainers throughout the country; engaging in efforts to improve contraceptive technologies and provide them to the public; and maintaining international cooperation and collaboration. Parliamentarians, NGOs, professional societies, academicians should unite their forces to continuously question these policies and demand implementation of FP.  Advocacy is needed at all levels and international NGOs should be encouraged to support the efforts of national NGOs.


The national Training Course on Providing Comprehensive Sexual and Reproductive Health Services for Most-at-Risk Adolescents and Young People, Kairakkum/Tajikistan, 21-25 October 2013

In collaboration with UNFPA EECARO, ICC with the assistance of UNFPA Tajikistan office organised the national Training Course on Providing Comprehensive SRH Services for Most-at-Risk Adolescents and Young People for professionals working directly with adolescents/young people on 21-25 October 2013 in Kairakkum/Tajikistan.The course is designed to build the capacity of national institutions and professionals (general practitioners, midwives, health providers and social workers working with most-at-risk adolescents and youth), including NGOs and state institutions. Participants from Kyrgyzstan, Tajikistan and Uzbekistan attended the training and receive their certificates in 2013.

According to post-test result, the national Training Course on Providing Comprehensive SRH Services for Most-at-Risk Adolescents and Young People for professionals was very effective and useful.
After the training there were demands from Kyrgyzstan, Tajikistan and Uzbekistan for continuation of the training programme.

Cairo+20 and Sustainability, Working Platform of Development Goals, İstanbul 29 November 2013 & 20 December 2013,

The International Conference on Population and Development (ICPD) ICPD Programme of Action (POA) in 1994, wherein 179 governments have endorsed, has been an important reference for the  Ministry of Health as well as public institutions and civil societies in Turkey. Population, on the basis of sustainable development and the empowerment of women reproductive rights and sexual rights was identified as the fundamental human rights in this international agreement.

Currently at the United Nations in this regard that concerns us all a very important process continues.  Of all the world’s governments at the UN will attend a UN General Assembly’s 20th year evaluation will be undertaken by the ICPD Plan of Action in 2014.  Briefly at this meeting called “ICPD +20” is planned to be taken decisions regarding in ICP after 2014. There is another important UN issue which processing at the same time is “ UN Process of the Sustainable Development Goals” has been started in 2012 in Brazil UN Rio+20 Conference. During this very important process all the world’s governments will decide the content of the Sustainable Development Goals for the years after 2015.

Cairo +20 and Sustainable Development Goals Platform, is the foundation of sustainable development including sexual and reproductive health, sexual rights and reproductive rights, empowerment of women and gender equality.

Cairo +20 and Sustainable Development Goals Platform is the realization of the goals listed above have come together to build a platform which supported with ICC.

Averting unintended pregnancy among adolescents: Research protocol development Meeting, February 17-18, 2014

In collaboration with Department of Reproductive Health and Research (RHR) including  UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP) the International Children’s Center at Bilkent University, Ankara hosted a WHO/RHP  Adolescent Sexual and Reproductive Health Research Advisory Group Meeting. The meeting was opened by Prof. Tomris Türmen.  The meeting aimed to discuss “HRP Research Proposal: Increasing effective contraception use among adolescents at risk for repeat pregnancy: a multi-country, efficacy trial”. Unintended pregnancy among adolescents is a common public health problem globally, and is associated with significant health risks and social costs. Infants born to adolescent mothers account for roughly 11% of all births worldwide, with 95% occurring in developing countries. Childbirth at an early age is associated with increased health risks for the mother, and the infant. In low and middle income countries, complications from pregnancy and childbirth is the leading cause of death for adolescents aged 15-19.

For some of these young women, these pregnancies are planned and desired. However, for many adolescents they are unintended. Contraception averts maternal and child morbidity and mortality, if couples space their pregnancies by at least two years. Successfully averting unintended pregnancy in adolescents requires addressing the most common barriers to contraceptive access and use. These barriers exist at the community, facility and individual level. For this reason HRP designed this study addresses that gap, by providing data on the efficacy of three interventions to prevent pregnancy among a high risk group of adolescents. Interventions will be selected and designed with scalability in mind. Costing data will be collected for each intervention, and the cost efficacy of each intervention in averting repeat unintended pregnancy will be determined.
The objective of the study was to determine the separate and combined efficacy of three interventions (a media campaign, peer counseling and provider training) to reduce repeat (in less than 2 years) unintended pregnancy among adolescents.

During the meeting:  Proposed interventions, outcomes and Discussion questions, Site selection and study design were discussed. Sexual and Reproductive Health Program of ICC was presented and future collaboration activities were discussed.

Results Based Management And Unfpa Financial Management Training, April 28-30, 2014, Istanbul, Turkey

As part of capacity building strategy within regional office and implementing partners, EECARO was planned to conduct an Result Based Management/Monitoring & Evaluation capacity building training workshop. The draft curriculum for this workshop was based a standard curriculum of a reputed institution conducting training on Result Based Management (RBM) for UN agencies and international development organizations. Adaptation was made using specific UNFPA RBM and financial management policies and procedure. The objective of the training was to improve knowledge and skills on results-based planning and managing for results of regional office and regional programme implementing partner staff. Three days workshop activity was implemented in the form of a training workshop where a combination of the presentations, group works, plenary discussions and practical challenges. Two ICC staff were joined the training and they were strengthened the results based management, planning, implementation, monitoring and evaluation, and reporting for regional programme, improved financial reporting and Results based planning/M&E knowledge and skills. During the training, programme performance and results based management challenges diagnosed, shared and solutions were identified.   

Comprehensive Sexual and Sexual and Reproductive Health services for Most at Risk Adolescent/Most at Risk Young People in the Eastern Europe and Central Asia Region

The International Children’s Center has been giving priority to the most vulnerable, particularly most at risk adolescents and young people (MARA and MARYP) and also persons living with HIV since 2011. ICC and UNFPA EECARO have been cooperating since 2011 on SRHR issues for adolescents and youth. As part of SRH systems strengthening, UNFPA EECARO supported development of a Training of Trainers (ToT) course on provision of comprehensive SRH services for MARA/MARYP. Since 2011, thirty six health care providers from Albania, Azerbaijan, Belarus, Bulgaria, Georgia, Kazakhstan, Kyrgyzstan, Macedonia, Moldova, Tajikistan, Turkmenistan, Turkey, and Uzbekistan were provided with technical and practical knowledge on MARA & MARYP, and they returned to their countries to share this knowledge with many young people. The aim of these courses is to build the capacity of SRHR service providers, to increase MARYP access to “youth friendly” SRHR services, including HIV and STIs. The aim of these courses is to build the capacity of SRHR service providers, to increase MARYP access to “youth friendly” SRHR services, including HIV and STIs. During the trainings, valuable feedback was received on the way on how to improve the manual. Currently, the ToT Manual includes all materials of each session and detailed instructions for trainers, as well as all materials for trainees.

The second step to the development of the ToT Manual was a development of a training package to be utilized during national roll out of the training course. In collaboration with UNFPA EECARO, ICC developed the draft training package, and the first national roll-out took place in Tajikistan with the assistance of UNFPA Tajikistan country office in 2013. It was designed to build the capacity of national institutions and professionals, including NGOs and state institutions. Feedback received during this pilot-testing was used by ICC for further improvements.

The following manuals were prepared in English and Russian:

  • The Training of Trainers on Providing Comprehensive SRH for MARA and Young People
  • National Training Course Providing Comprehensive SRH for MARA and Young People.

With the aim of a sustainable facilitation of further ToT and national roll-outs in EECA countries, UNFPA and ICC were planned to finalize and put on web the ToT Manual and the National Training for available to ready print both in English and Russian languages. ICC is reviewing all documents with experts and proceeding and implementing the necessary changes. Professional editing in English and in Russian and professional graphic design will be completed by the end of 2014. The users will be able to reach these Manuals on ICC’s and EECARO’s websites and easily print and use them. For review of ToT and National Training Packages, a Working Group comprised of experts in the field from UNESCO, UNFPA EECARO representatives and active SRH young peer educators was established to review both course manuals in English. The Group reviewed the manuals (ToT Manual and the National Training Manual along with the course sessions’ PPT presentations) and they gave necessary inputs and made suggestions for the final output. The suggestions of the Working Group Members were incorporated and Technical Edition was completed.

Assessment of capacity development needs and creation of database of national trainers.

Training is an activity for communicating information and guidance in order to improve trainees’ performance. For a training to achieve this goal it must be clear what level of performance is required and what levels of knowledge and skills are desired. To “evaluate” training means finding out what the “value” of training really is to the trainees, their managers, their colleagues, the organization for which they work, and for the wider community.  Training that restricts itself to one course can never be enough. Learning does not stop when the course ends. Indeed, one can argue that learning really begins only when practice with the new knowledge and skills starts. For this reason ICC is searching trainee’s assessment of capacity development needs through the Survey.

The aims for evaluating training include:

  • Create a regional database of trained experts
  • Learn from your experience in working with most at risk young people (MARYP), and in particular understand the challenges you face in order for us to further develop capacity building programmes and support you in your work in the future
  • Assess the appropriateness of the training and to what extended it had helped you in your work with most at risk young people (MARYP), including adolescents (MARA)

The assessment is envisaged to:

  • Review the appropriateness of the trainings;
  • Reveal the effectiveness of the trainings conducted;
  • Search what gaps remain in the participants’ capacity to better respond to most at risk young people (MARYP), SRHR needs
  • Establish the Trainers Pool/database which would serve as a repository of available capacity in the region for provision of technical assistance in the area of youth SRH
  • Draw lessons that may improve similar trainings in the future.

RESEARCH (pre-2013)

"Qualitative Study on Expectations of Youth from Youth Counseling and Health Care Service Centers in the Province of Ankara" (with WHO grant)

The International Children's Center conducted a study in three Youth Counseling and Health Service Centers in Ankara in order to determine the reproductive health related needs and expectations of youth from those service provision centers. The study was carried out among 8th and 12th grade students of selected schools in close proximity to the Ankara SSK Etlik Maternity and Women's Health Training and Research Hospital, the Polatlı Mother and Child Health and Family Planning Center and the Oran Healthcare Center. Within the context of the study, focus group discussions with students and in-depth interviews with service providers working at the Centers were conducted.

The results of the study indicated that even these adolescents and youth whose schools are in close proximity to the Centers are not informed about the services being offered and therefore the demand for services was quite low among the study group. Centers were visited only for general health complaints. In-depth interviews with the service providers revealed problems such as inadequate infrastructure, lack of qualified personnel, and the doubts of adolescents and young people about the confidentiality of the visits. An evaluation report of this study was prepared and presented to the Ministry of Health in order to help enhance service provision.
 
Survey on Adolescents in Eight Universities

Repeating a survey conducted in 2005, the International Children's Center coordinated a survey of senior year students in eight universities in Turkey to determine their lifestyles and knowledge regarding adolescence in Adnan Menderes, Harran, Kırıkkale, Kocaeli, Mersin, Ondokuz Mayıs, Osmangazi, Yüzüncü Yıl Universities. The repeat survey aimed to monitor changes in the level of this knowledge among university students as well as the frequency of their risky behaviors that might affect their health. The results of the survey are being published.
 

INTERNATIONAL and NATIONAL MEETINGS


Workshop on Strengthening Primary Care Services on Sexual and Reproductive Health, Cyprus

This meeting was chaired by the International Children's Center and the results of the workshop were shared with the experts participating from Europe. The film which was produced during the workshop was broadcast during the 62nd World Health Assembly in Geneva. (http://www.euprimarycare.org)

At the end of the workshop, a directive for strengthening of sexual and reproductive health services and integrating them into primary health care services in Europe was prepared. Turkey was represented by the ICC in these studies.

The second workshop held in Romania,
was also chaired by ICC. The initiative was supported by the World Health Organization and the European Forum for Primary Care. At the workshop, the next steps to integrate sexual and reproductive health into primary health care in Europe were planned. The results were published as Integrating Sexual and Reproductive Health in Primary Health Care in Europe; Ketting E, Esin A. Quality in Primary Care 2010;18:269-82 and a Position Paper on this issue was presented during the conference of The Future of Primary Health Care in Europe III held in Pisa / Italy in 2010.

Meeting on Sexual Health Education in Europe and Implementations, 23-26 November 2010, Cologne / Germany

The meeting was conducted by the German Government's Federal Centre for Health Education (BZgA) and the WHO Regional Office for Europe with the objective of strengthening sexual health in Europe. ICC participated in the meeting as the representative of NGOs based in Turkey. The objective was to develop practical programs for the implementation
of sexual and reproductive health education and to determine the reproductive health education status of the various countries. The Sexual Health Standards were developed during the meeting and finalized in November 2011 in Madrid. The standards, which are based on a holistic approach, include not only sexual and reproductive health and rights but also a positive approach to sexuality. Representatives from nine countries participated and prepared a plan of action to identify and overcome the obstacles to implementation of sexual and reproductive health education standards. The ICC representative prepared a plan for Turkey and ICC was assigned as the implementation body in Turkey. The standards which were the outcome of this meeting were translated into Turkish by the Ministry of National Education.

Symposium on Integration of Sexual and Reproductive Health in Primary Care, 9 December 2010, Ankara

The objective of the meeting was to contribute to the preparation by the senior managers of a roadmap in order to develop strategies and to strengthen reproductive health care service delivery within family medicine and within the framework of the newly restructured health care system. The General Director of Mother Child Health and Family Planning of the Turkish Ministry of Health, a Coordinator of the Europe Primary Health Care Forum (EFPC),
a representative of the World Health Organization Regional Office for Europe and a representative of the United Nations Population Fund (UNFPA) Country Office participated. The results of the Symposium were published as an article in the European Journal of General Practice.

"EECA Regional Technical Meeting on Reducing Health Inequalities: Focus on Vulnerable Groups and SRH"
28-30 March 2011, Istanbul

This meeting was organized in Istanbul by the UNFPA Eastern Europe and Central Asia Regional Office. The purpose of the meeting was to contribute to a policy dialogue on focusing national programs on the SRH needs of vulnerable groups such as Roma, internally displaced people and adolescents in Eastern European and Central Asian countries. Health inequality is defined as inequalities in health deemed to be unfair or to stem from some form of injustice.
Numerous studies show that inequality in health arises from inequalities in the social determinants of health:
social policies and programs, economic arrangements and the quality of governance. This, in turn, is responsible for inequalities in the lives people are able to lead: early years, education, working conditions and employment levels, levels and distribution of income, communities and public health, and health status.

The contributions of ICC were focused mainly on strengthening advocacy efforts towards reducing health inequalities in the region and delivering expert recommendations in order to effectively address the needs of the disadvantaged populations in accessing services.

At the end of the meeting, a series of recommendations were made such as integrating sexual health into the school curriculum, improvement of the legislative framework for effective service provision, supporting the issue through national policies, improving data collection and reporting systems.

UNFPA Eastern Europe and Central Asia Regional Conference: Investing in Youth: Path to Accelerated Development
9-11 May 2011, Istanbul


The United Nations General Assembly recognized the period from August 12, 2010, to August 11, 2011 as the Year of Youth, which seeks to increase commitment to youth, promote youth participation and to enhance inter-cultural and inter-generational dialogue and understanding among youth, contributing to the achievement of internationally
agreed upon development goals, in particular, the Millennium Development Goals (MDGs).

The Conference was organized in Istanbul by the UNFPA Eastern Europe and Central Asia Regional Office and with the participation of governments, parliamentarians, international organizations, nongovernmental rganizations,academics, and youth leaders from 27 countries in the region.

ICC participated in the Conference and contributed to the recommendations to create a mechanism for reporting on youth issues and implementation of the recommendations, to report on progress on youth action framework by 2015 as part of the MDG reporting process.

International Conference on HIV/AIDS 26-27 May 2011, Istanbul

ICC attended the Conference which was organized by the Positive Living Association within the context of "HIV/AIDS Advocacy and raising awareness of the rights of those living with it " project and contributed to the negotiations on "Drafting Legislation on HIV/AIDS in Turkey". The difficulties of people living with HIV/AIDS, community health, the vulnerable groups and HIV/AIDS, as well as legislative status were discussed. Also international experience and knowledge were shared. Based on the discussions and by taking the cultural and legal situation into account, a roadmap for Turkey was identified.

National School Health Symposium (21-22 May 2010, Mersin):

ICC presented the results of "An Assessment of Youth Counseling and Health Services on Young People's Needs and
Expectations".

7th Congress of Reproductive Health (24 April 2011, Ankara):
ICC presented a paper titled "Adolescents' Rights and Challenges"

14th National Public Health Congress (4 October 2011, Trabzon):
ICC presented a paper during the panel discussion on "Rights of Child Patients"

Course on "Understanding the Needs of Vulnerable and Most-at-Risk Adolescents and Young People in Concentrated and Low Prevalence HIV Epidemics in Asia- Pacific Countries" 19-23 September 2011,
Bangkok / Thailand

ICC participated in a course organized jointly by UNFPA, UNICEF and UNESCO. The main objective of the course was to increase and to strengthen the technical capacity of professionals working with adolescents and young people on the prevention of HIV. ICC contributed to the outcome documents.

Training of Trainers Course on Understanding the Focus on Young Affected Populations in Concentrated
and Low Prevalence HIV Epidemics, 26- 30 September 2011,
Bangkok / Thailand


ICC participated in a Course organized jointly by UNFPA, UNICEF and UNESCO. The main objective of the course was to increase and to strengthen the training capacity of professionals working with adolescents and young people on the prevention of HIV. The course aimed to strengthen their capacity to plan and implement training programs in their
countries.

REPRODUCTIVE HEALTH TRAINING COURSES


International Training Course on Sexual and Reproductive Health of Adolescents/ Young People November 2010,
Ankara


Since 2001, ICC has been organizing International Training Courses on Sexual and Reproductive Health of Adolescents/Young People in collaboration with the United Nations Population Fund. The tenth course
was held in Ankara on 1-12 November 2010.

A total of thirty participants with different professions participated in the course from Albania, Armenia, Azerbaijan, Bulgaria, Bosnia-Herzegovina, Georgia, Iraq, Kazakhstan, Kyrgyzstan, Kosovo, Macedonia, Palestine, Romania, Tajikistan, Turkey and Uzbekistan. The main objective of the course was to empower and strengthen the capacity of managerial level health providers and professionals working closely with adolescents/young people ,providing them with up-to-date information and skills required in the field of adolescents' and young people's sexual and reproductive health.

Various training methods were utilized to enable the participants to improve knowledge and skills with regard to planning, implementation and monitoring the programs designed for adolescents with special emphasis on reproductive health. The last two days, participants prepared and presented plans of action to implement the experience and skills they gained from the course in their own countries.

Training of Trainers Course on Sexual and Reproductive Health, 8-14 December 2011, Ankara


A one-week pilot training course was organized by the International Children's Center at the request of the UNFPA Eastern Europe and Central Asia Regional Office. The Course aimed to improve the training skills and knowledge of participants who work with most-atrisk young people. A total of 17 service providers from Albania, Bulgaria, Georgia, Macedonia, Moldova and Turkey completed the training and were certified as "Trainer". ICC will continue to organize this Course in the coming years.

European Youth Information Systems Training, Ankara 2010

The Project "Active Civil Dialogue" was conducted with a subtitle 'Youth Entrepreneurship for Dialogue' of the project 'Support for Civil Society between Turkey and European Union' funded by Central Finance & Contracts Unit. ICC participated actively in the networking activities and participated in the project conducted by GSM-Youth Services Centre
in cooperation with Lunaria/Italy and Eurodesk/ Italy. The goal of the project was ensuring that NGOs working on youth in Turkey are integrated in Europebased youth information systems and making civil society dialogue easier among groups by effecting a reciprocal information flow. In the project, it was aimed to increase the knowledge of Turkish NGOs about youth information systems, information networks and developments in this field in Turkey. Furthermore, another purpose of the project was transferring the important information concerning youth in the civil society dialogue and youth information policy of European Union to NGOs working on youth in Turkey.

ADOLESCENT AND REPRODUCTIVE HEALTH AND RIGHTS PROGRAM PUBLICATIONS


The following articles were prepared in 2010:
•The Situation of Service Provision at Youth Counseling and Health Centers- A Review Study on Observations of Service Providers of the Centers; Çelik K., Esin A., Journal of Adolescent Research (in press)

• Ankara İlinde İlköğretim ve Lise Son Sınıfa Devam Eden ve Gençlik Danışma Merkezi Hizmetlerini Kullanan Gençlerin Başvuru Nedenleri, Bilgi Kaynakları ve Cinsel Üreme Sağlığı Konusuna İlişkin Bakış Açılarına İlişkin Bir Değerlendirme; Çelik K., Esin A., Dağdelen G., (Sağlık ve Toplum Dergisi, 2010, Number :1, Pg:13-26)

• An Evaluation of the Reasons for Non-Usage by Final Year Primary and High School Students of Services Provided in Youth Counseling and Health Service Centers in Ankara Province; Esin A., Çelik K., Journal of Sex Research (in press)

• Integrating Sexual and Reproductive Health in Primary Health Care in Europe; Ketting E., Esin A., Quality in Primary Care 2010;18:269-82.

• Survey on Adolescence Period and Lifestyles, [in Turkish] (International Children's Center and Hacettepe University, Department of Public Heath)

• Adolescent Rights within International Human Rights Documents, Child Rights Series 5, International Children's Center Publication.

• An article on Symposium on Integration of Sexual and Reproductive Health in Primary Care organized on 9 December 2010 was published in European Journal of General Practice. 2011;17:76-77 (http://informahealthcare.com/doi/pdf/10.3109/138 14788.2010.550000)

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