Fast tracking adolescent health for the demographic dividend: adolescent now for the healthy, November 2017

Championing for the Health  Adolescents and Youths

According to the Kenya National Bureau of Statistics, there are approximately 9.1 million adolescents between the ages of 10-19 years in Kenya[1] which constitutes about 24% of Kenya’s total population. Adolescence is the period in human growth and development that occurs after childhood and before adulthood, from ages 10 to 19, where young adolescents are between the ages of 10-14 years and older adolescents are between the ages of 15-19 years[2]. The adolescent stage presents a critical and opportune time for human and economic investment, in view of achieving a demographic dividend for Kenya.




 Despite the window of opportunity that adolescence presents, many adolescents face considerable high risk of adverse immediate and chronic health consequences. Social contexts exert the most powerful effects at this stage which include economic and educational status as well as peer influence to engage in habits such as use of alcohol, cigarettes, recreational drugs, poor eating habits and early initiation to sexual relationships. It is imperative to note that often, these habits progress to abuse. Evidence suggests that adolescents experience a higher rate of violence and injuries, self-esteem and adjustment issues, depression and other mental health problems than any other age groups[1]. Moreover, it is also the stage at which vulnerabilities to harmful practices such as female genital mutilation, early marriages and sexual and gender based violence[2] accentuate.


Due to the many challenges faced by adolescents in Kenya, the Ministry of Health has organized to convene policy makers, ministry of health officials, development and implementation partners, regional, national and county representatives, academia, researchers, public and private practitioners and adolescents themselves, to a joint forum in order to address the myriad issues affecting their health. Towards this end, the Neonatal, Child and Adolescent Health Unit of the Ministry of Health has organized this one-day, adolescent driven, pre-symposium on the 22nd of November 2017 and a 2-day adolescent health symposium from 23rd to 24th November 2017.



 Goal of the 2nd Kenya National Adolescent Health Symposium
The ultimate goal of the symposium is to improve the holistic multi-sector approach to adolescent health at all levels of service delivery whilst ensuring that adolescents fully participate in developing themselves, their families, communities and the nation, towards harnessing the demographic dividend.

Objectives of the 2nd Kenya National Adolescent Health Symposium
To stimulate debate around a multi-sector approach to improving Adolescent Health through coordination and interaction of the health, education and financial sectors.
Promote scale up/replication of evidence based interventions that are demonstrated to have worked in various settings including country implementation of the Global Accelerated Action for the Health of Adolescents (AA-HA!) guidelines.
Identify new approaches to adolescent health interventions/ investments.
Build partnerships and synergies across different disciplines together with adolescents.

Symposium Thematic Areas

1.      Leadership and governance for Adolescent Health
a.      Adolescent participation in adolescent health leadership decisions
b.      Parenting and Adolescent Health
c.      Child headed households
d.      Legal challenges in Adolescents and Adolescent Health
2.      Adolescent Health and Education
a.      Integration of screening and diagnosis of health conditions in learning institutions
b.      Management of illness and chronic health conditions in schools
c.      Educating Adolescents on their health in and out of school
d.      Positive engagement of adolescents during school holidays
3.      Adolescent Health and Economics
a.      Innovations in financing adolescent health including universal health care
b.      Income generating activities
c.      Entrepreneurship
d.      Microfinance
e.      Cash transfer programs
4.      Adolescent Health Service Delivery
a.      Communicable diseases affecting adolescents (HIV, TB, Malaria etc.)
b.      Non-Communicable diseases affecting adolescents (Mental Health and substance abuse, violence and injuries, diabetes, etc.)
c.      Sexual and Reproductive Health
d.      Nutrition
e.      Adolescent and Youth Friendly service provision (public and private healthcare facilities and in the community)
5.      Crosscutting issues in Adolescent Health
a.      Disabilities
b.      Gender
c.      Health rights
d.      Information Technology (m-health and e-health)


Implementation strategies
The symposium was done in a way that it would have been easier for the adolescent to understand. Projected presentation was used, open forums and question and answer sessions were also there.
Different people were involved, there were almost 18 different organization which were presented and had something to add on the table. The adolescents and the young youths were also involved in presenting issues that affects the adolescents. there was also peer to peer sessions and facilitation between the adolescents, stakeholders and the youths who were present.
The purpose of these activities were to raise issues that were not mentioned or discussed, to network, to create a safe space for the adolescents through the peer to peer session and to create awareness on issues that affects the adolescents.

RESULT.
The symposium was a success since the target group was reached, addressed, educated and empowered on how to participate and being involved in the policy making and implementation of policies that will affect them directly in the 4 discussed thematic areas.
The stakeholders also promised the adolescents for total support in overcoming issues that affect them.

CHALLENGES
Using bogus words which the adolescents found it hard to relate with hence causing confusion amongst the adolescents
Less involvement of the adolescents in taking lead of the symposium talking and addressing these issues were done by non adolescents.


Writted by a Youth Champion

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