Implementation of Anyaka Makwiri: A Multicomponent Mentoring Program for Adolescent Girls and Young Women in Uganda
DOI:
https://doi.org/10.5195/jyd.2021.1003Keywords:
adolescent girls, young women, HIV, reproductive health, mentoring, asset-buildingAbstract
This article describes the development and implementation of the Anyaka Makwiri program and summarizes results from the qualitative assessment of participant experiences. Anyaka Makwiri is a multicomponent mentoring program developed for adolescent girls and young women (AGYW) ages 15 to 24 in Gulu, Uganda. The comprehensive program consisted of a curriculum covering sexual and reproductive health (SRH), financial capabilities, soft skills, and gender-based violence and gender equality; activities designed to improve participants’ social connectedness; optional onsite testing for sexually transmitted infections (STIs), HIV, and pregnancy along with STI treatment; group-based savings; and links to SRH services, including contraceptive and gender-based violence services. The program was implemented over a 6-month period and reached 490 AGYW. Findings are derived from routine program-monitoring data including administrative records, de-identified service statistics, and baseline surveys. In addition, this article summarizes some of the key findings from qualitative interviews with both mentors and AGYW participants, conducted at the conclusion of the program. Participants generally had a favorable view of the mentoring program, particularly in terms of the curriculum topics they were exposed to, and mentors were also positive about their experiences. Despite the program’s many successes there were some implementation challenges, the most prominent being intermittent participant attendance due to a variety of difficulties. The lessons learned from the implementation of Anyaka Makwiri provide valuable insights for the design and implementation of multicomponent mentoring programs for AGYW.
References
Amone-P’Olak, K., & Ovuga, E. (2017). The influence of types of war experiences on conduct problems in war-affected youth in Northern Ugandan: Findings from the WAYS study. Psychiatry Research, 251(May),14-19. https://doi.org/10.1016/j.psychres.2017.01.092
Austrian, K., & Ghati, D. (2010). Girl-centered program design: A toolkit to develop, strengthen and expand adolescent girls programs. Population Council. https://www.popcouncil.org/research/girl-centered-program-design-a-toolkit-to-develop-strengthen-and-expand-ado
Catalano, R. F., Skinner, M. L., Alvarado, G., Kapungu, C., Reavley, N., Patton, G. C., Jessee, C., Plaut, D., Moss, C., Bennett, K., Sawyer, S. M., Sebany, M., Sexton, M., Olenik, C., & Petroni, S. Positive youth development programs in low- and middle-income countries: A conceptual framework and systematic review of efficacy. Journal of Adolescent Health, 65(1), 15-31. https://doi.org/10.1016/j.jadohealth.2019.01.024
Coalition for Adolescent Girls. (2015). Partners and allies: A toolkit for meaningful adolescent girl engagement. https://coalitionforadolescentgirls.org/wp-content/uploads/2015/12/CAGPartnersandAlliesToolKit_10.compressed.pdf
DREAMS. (2019). Uganda DREAMS overview (FY 2016-2019). The U.S. President’s Emergency Plan for AIDS Relief, Bill & Melinda Gates Foundation, Girl Effect, Johnson & Johnson, Gilead Sciences, and ViiV Healthcare, Gilead. https://www.state.gov/wp-content/uploads/2019/10/Uganda-DREAMS-Overview.pdf
DREAMS & The U.S. President’s Emergency Plan for AIDS Relief. (2015). DREAMS partnership fact sheet. Author. https://www.state.gov/wp-content/uploads/2019/08/DREAMS-Partnership.pdf
Gates, S., Lippman, L., Shadowen, N., Burke, H., Diener, O., & Malkin, M. (2016). Key soft skills for cross-sectoral youth outcomes. YouthPower Action. https://www.youthpower.org/sites/default/files/YouthPower/resources/Key%20Soft%20Skills%20for%20Cross-Sectoral%20Youth%20Outcomes_YouthPower%20Action.pdf
Girl Effect. (2013). The girl consultation research toolkit: For girls in poverty. The Youth Research and Evaluation eXchange (YouthREX). https://youthrex.com/toolkit/the-girl-consultation-toolkit-for-girls-in-poverty/
Hinson, L., Kapungu, C., Jessee, C., Skinner, M., Bardini, M., & Evans-Whipp, T. (2016). Measuring positive youth development toolkit: A guide for implementers of youth programs. YouthPower Learning, Making Cents International. https://www.edu-links.org/sites/default/files/media/file/PYD_Measurement_Toolkit_Final.pdf
Kabagenyi A., Habaasa, G., & Rutaremwa, G. (2016). Low contraceptive use among young females in Uganda: Does birth history and age at birth have an influence? Analysis of 2011 demographic and health survey. Journal of Contraceptive Studies, 1(1).
Karamagi, E., Sensalire, S., Nabwire, J., Byabagambi, J., Awio, A. O., Aluma, G., Rahimzai, M., Calnan, J., & Kyobutungi, S. (2018). Quality improvement as a framework for behavior change interventions in HIV-predisposed communities: A case of adolescent girls and young women in northern Uganda. AIDS Research and Therapy, 15(1), 4. https://doi.org/10.1186/s12981-018-0190-2
Malamba, S. S., Muyinda, H., Spittal, P. M., Ekwaru, J. P., Kiwanuka, N., Ogwang, M. D., Odong, P., Kitandwe, P. K., Katamba, A., Jongbloed, K., Sewankambo, N. K., Kinyanda, E., Blair, A., & Schechter, M. T. (2016). "The Cango Lyec Project - Healing the Elephant": HIV related vulnerabilities of post-conflict affected populations aged 13-49 years living in three Mid-Northern Uganda districts. BMC Infectious Diseases, 16, 690. https://doi.org/10.1186/s12879-016-2030-0
Morcos, C., & Sebstad, J. (2011). Financial education for adolescent girls. http://www.womensworldbanking.org/PDFs/23_FinanEducationforAdolescentGirls.pdf
Plourde, K. F., Ippoliti, N. B., Nanda, G., & McCarraher, D. R. (2017). Mentoring interventions and the impact of protective assets on the reproductive health of adolescent girls and young women. Journal of Adolescent Health, 1(2), 131-139. https://doi.org/10.1016/j.jadohealth.2017.03.002
Schlecht, J., Rowley E., & Babirye, J. (2013). Early relationships and marriage in conflict and post-conflict settings: Vulnerability of youth in Uganda. Reproductive Health Matters, 21(41), 234-42. https://doi.org/10.1016/S0968-8080(13)41710-X
Uganda AIDS Commission. (2018). Uganda HIV/AIDS Country Progress Report July 2016-June 2017. https://www.unaids.org/sites/default/files/country/documents/UGA_2018_countryreport.pdf
Uganda Bureau of Statistics & ICF. (2017). Uganda demographic and health survey 2016 (Key Indicators Report). https://dhsprogram.com/pubs/pdf/FR333/FR333.pdf
UNESCO. (2009). International technical guidance on sexuality education: An evidence-informed approach. https://www.unfpa.org/sites/default/files/pub-pdf/ITGSE.pdf
United Nations Population Fund. (2016). Adolescent girls in disaster & conflict: Interventions for improving access to sexual and reproductive health services. https://www.unfpa.org/sites/default/files/pub-pdf/UNFPA-Adolescent_Girls_in_Disaster_Conflict-Web.pdf
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