[{"data":1,"prerenderedAt":1451},["ShallowReactive",2],{"$f3rEk4njT2qcFkQ5zKP60gRfWKGaxN2a1Yfnr0FYtSOo":3,"$fBgIxsGqNHUG_u-1vryhBzV6JO3pxvfUGxz2OSqb93f0":9,"$fX6yHrO9apMtlZK526Odt6kaezdmv8lC-Pzdp6DcMMB0":454,"$fnVrj0yUZvUmnD1emXK8WBnxZjXKQVtkMNtw6jCiBjDM":527,"$fuKbcfQgjnFCvnTGuKOoiKBXfdv7jk-ovBpAEBxowloI":674,"$fomsE7hpBTqOwPvC0N2Sk5W31cAfY9vOdyqhY8Cmx7Mg":699,"$fUXVxh1hywbAuIYJct9m8dOubroo3213rwqIumkYhzzE":751,"$fCcODxP1M_-xB2TwFkLR8zKTRARcgNt4svELU7rkY8YM":792,"$frA7z4RMkL5eexA4rVxwBXe2atpfHR1Z7Eh1gShDE-9Y":833,"$fURbK4WLw9k8zgtJVPrvYs92v4sn3Yawd6F4hGdvMiOY":914},{"title":4,"description":5,"backendUrl":6,"frontendUrl":7,"themeScreenshotUrl":8},"Jhpiego","We start with women's health, but we don't stop there.","https://api.jhpiego.org","https://jhpiego.org","https://api.jhpiego.org/wp-content/themes/fuxt-backend/screenshot.png",{"googleAnalytics":10,"socialSharedImage":15,"footerText":108,"footerEmail":109,"footerPhone":110,"footerImage":111,"introVideoBg":192,"searchHeaderImage":247,"":314,"hideFeaturedNewsPost":315,"featuredNewsPost":316,"menuFeaturedNews":373,"showCustomMenuItem":387,"menuFeaturedItem":388},[11,13],{"code":12},"G-MN8NG7QBCQ",{"code":14},"G-RNH48Z0R08",{"id":16,"src":17,"width":18,"height":19,"alt":20,"caption":21,"title":22,"description":20,"mimeType":23,"html":24,"srcset":25,"sizes":26,"meta":27,"acf":103},1113,"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg",2048,1367,"","Met the health volunteer Mamadjibeye Sarah, 26, at the Miandoum ACT health clinic to follow her home to work with Sarah who is hoping to go to college and be a nurse. 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She has to walk back and forth to the farm from the village.","Chad-CountryLandingPage","image/jpeg","\u003Cimg width=\"2048\" height=\"1367\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-1024x684.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-768x513.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-1536x1025.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-809x540.jpeg 809w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-375x250.jpeg 375w, 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Kasmauski","NIKON D750","1473510651","2016 Karen Kasmauski","24","800","0.003125",[95,96,97,98,99,100,101,102],"Bebedja","Chad","clinic nurse","farming","health volunteer","malaria","village","water",{"primaryColor":104,"blurhash":105,"videoUrl":20,"focalPointX":106,"focalPointY":107},"#423f2b","UYD0JtWBWUoJ_4R*axay-=azjGay%MWCaxof","53.4","17.6","\u003Cp>\u003Cstrong>Johns Hopkins\u003Cbr />\nUniversity Affiliate\u003C/strong>\u003C/p>\n\u003Cp>\u003Ca href=\"https://maps.app.goo.gl/oSrmwL2C1hKzPDuEA\" target=\"_blank\">1615 Thames Street\u003Cbr />\nBaltimore, Maryland 21231, USA\u003C/a>\u003C/p>\n\u003Cp>\u003Ca href=\"https://maps.app.goo.gl/5dbU6KnxynaKwqnk8\" target=\"_blank\">1875 I St NW, 6th Floor\u003Cbr />\nWashington, DC 20006, USA\u003C/a>\u003C/p>\n","info@jhpiego.org","410-537-1800",{"id":33,"src":112,"width":113,"height":114,"alt":20,"caption":115,"title":116,"description":20,"mimeType":23,"html":117,"srcset":118,"sizes":119,"meta":120,"acf":188},"https://api.jhpiego.org/wp-content/uploads/2025/02/80b63f8648129e2500d8baebd7036984.jpeg",4000,2670,"Maichew Town, Lemlem Karl Hospital (built 1991)in the Tigray region of Ethiopia. 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Elyse says ÒI have four children with these two, the others are 11 and 8. My children are spaced because I am using family planning. Before I started using family planning I had two children very close together and both died because I couln't look after them. The midwife in the Health Centre explained to my husband and I then benefits of using family planning so we stared. I am happy that we can now look after the four children we have properlyÓJhpiego has been working in Burkina Faso for the last 22 years, transforming maternal and child healthcare for women and children.","JHPIEGO_BURKINA FASO","\u003Cimg width=\"2560\" height=\"1707\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1024x683.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-768x512.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1536x1024.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-2048x1366.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-810x540.jpeg 810w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-375x250.jpeg 375w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-960x640.jpeg 960w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1280x854.jpeg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1920x1280.jpeg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" />","https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1024x683.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-768x512.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1536x1024.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-2048x1366.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-810x540.jpeg 810w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-375x250.jpeg 375w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-960x640.jpeg 960w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1280x854.jpeg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1920x1280.jpeg 1920w","(max-width: 2560px) 100vw, 2560px",{"width":162,"height":250,"file":257,"filesize":258,"sizes":259,"imageMeta":301},"2025/04/Search-Header.jpeg",652939,{"medium":260,"large":263,"thumbnail":267,"mediumLarge":270,"1536x1536":274,"2048x2048":277,"postThumbnail":281,"socialPreview":285,"smallPreview":288,"mediumPreview":291,"largePreview":295,"fullscreenSmall":298},{"file":261,"width":33,"height":34,"mimeType":23,"filesize":262},"Search-Header-300x200.jpeg",40805,{"file":264,"width":38,"height":265,"mimeType":23,"filesize":266},"Search-Header-1024x683.jpeg",683,164502,{"file":268,"width":43,"height":43,"mimeType":23,"filesize":269},"Search-Header-150x150.jpeg",31471,{"file":271,"width":47,"height":272,"mimeType":23,"filesize":273},"Search-Header-768x512.jpeg",512,110463,{"file":275,"width":52,"height":38,"mimeType":23,"filesize":276},"Search-Header-1536x1024.jpeg",295479,{"file":278,"width":18,"height":279,"mimeType":23,"filesize":280},"Search-Header-2048x1366.jpeg",1366,451818,{"file":282,"width":283,"height":58,"mimeType":23,"filesize":284},"Search-Header-810x540.jpeg",810,119505,{"file":286,"width":62,"height":63,"mimeType":23,"filesize":287},"Search-Header-1200x630.jpeg",167119,{"file":289,"width":67,"height":68,"mimeType":23,"filesize":290},"Search-Header-375x250.jpeg",49537,{"file":292,"width":72,"height":293,"mimeType":23,"filesize":294},"Search-Header-960x640.jpeg",640,149615,{"file":296,"width":77,"height":78,"mimeType":23,"filesize":297},"Search-Header-1280x854.jpeg",225514,{"file":299,"width":82,"height":77,"mimeType":23,"filesize":300},"Search-Header-1920x1280.jpeg",410619,{"aperture":302,"credit":303,"camera":304,"caption":251,"createdTimestamp":305,"copyright":303,"focalLength":306,"iso":307,"shutterSpeed":308,"title":252,"orientation":309,"keywords":310},"4.5","KATE HOLT","Canon EOS 5D Mark III","1519805981","35","250","0.033333333333333","1",[],{"primaryColor":312,"blurhash":313},"#997c55","UNIgu,9a?bMy~UR,NfoLx@NfE2%Lt5E2M|Se",null,"true",{"id":317,"guid":318,"title":319,"content":320,"excerpt":321,"excerptRaw":321,"slug":322,"url":323,"uri":324,"to":324,"status":325,"date":326,"modified":327,"type":328,"authorId":329,"featuredMedia":330},8406,"https://jhpiego.org/?p=8406","Dr. Allyson Bear to Lead Jhpiego as New President and CEO","\n\u003Cp>\u003Cstrong>Baltimore, MD\u003C/strong> – Johns Hopkins University has announced that Dr. Allyson Bear will be Jhpiego’s next president and CEO. She will assume the role on April 1, 2026.\u003C/p>\n\n\n\n\u003Cp>Dr. Bear joins Jhpiego with 25 years of experience in the global health sector, most recently serving as founder and CEO of the Baltimore-based public health consultancy Vennhealth. Throughout her career, she has led strategic and evaluative initiatives that have shaped major global health programs and investments. Notable achievements include revising USAID’s maternal and child health investment frameworks to align with the Sustainable Development Goals, evaluating USAID’s flagship maternal and child health program, and designing a $1 billion successor strategy. In addition, she led the evaluation of the $3.5 billion Feed the Future nutrition portfolio, providing evidence that informed its Congressional reauthorization.\u003C/p>\n\n\n\n\u003Cp>“The throughline of Allyson’s professional trajectory has been a profound commitment to alleviating human suffering and promoting human dignity and health for all—a background that aligns deeply with Jhpiego’s longstanding mission to provide access to lifesaving health care where it is needed most,” said Johns Hopkins University President Ron Daniels in an email to the Johns Hopkins University community. “She brings a proven track record in strategic growth, innovation, and resource mobilization across the global health, economic development, and humanitarian sectors.”\u003C/p>\n\n\n\n\u003Cp>Dr. Bear began her career focused on global market shaping and scale-up efforts, starting with Gavi’s PneumoADIP and Hib Initiative, where she provided technical assistance to Ministries of Health for vaccine rollout and impact evaluations. From 2009 to 2015, she worked at USAID, leading the development of flagship U.S. Government health initiatives. She has also held leadership positions at Corus International and Abt Associates, managing global health and economic development portfolios across West Africa, francophone Central Africa, North Africa, and the Middle East. Dr. Bear has worked in more than 45 countries worldwide, including 11 years of residence in multiple countries throughout Africa and Asia.\u003C/p>\n\n\n\n\u003Cp>“It has been a privilege to lead Jhpiego over the last 25 years, and I could not be more confident as I pass the baton to Dr. Allyson Bear,” said Dr. Leslie Mancuso, outgoing president and CEO of Jhpiego. “Her commitment to improving global health and her thoughtful, values-driven leadership give me great optimism for the future of the organization.”\u003C/p>\n\n\n\n\u003Cp>Dr. Bear will succeed Dr. Leslie Mancuso, who has led Jhpiego since 2001 and announced her planned retirement in 2024. Under Dr. Mancuso’s leadership, Jhpiego has evolved from an organization with four core programs focused on family planning and cervical cancer prevention into one of the world’s most respected global health entities, now operating in 39 countries.\u003C/p>\n\n\n\n\u003Cp>To learn more about Dr. Bear, \u003Cstrong>\u003Ca href=\"https://hub.jhu.edu/2026/03/17/allyson-bear-named-jhpiego-president-ceo/\" data-type=\"link\" data-id=\"https://hub.jhu.edu/2026/03/17/allyson-bear-named-jhpiego-president-ceo/\">read the Johns Hopkins University Hub article here.\u003C/a>\u003C/strong>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>Johns Hopkins University has announced that Dr. Allyson Bear will be Jhpiego’s next president and CEO. She will assume the role on April 1, 2026.\u003C/p>\n","allyson-bear-to-lead-jhpiego-as-new-president-and-ceo","https://jhpiego.org/our-stories/p/allyson-bear-to-lead-jhpiego-as-new-president-and-ceo/","/our-stories/p/allyson-bear-to-lead-jhpiego-as-new-president-and-ceo/","publish","2026-03-23T12:01:00","2026-04-20T20:35:51","post",5,{"id":331,"src":332,"width":62,"height":333,"alt":20,"caption":20,"title":334,"description":20,"mimeType":23,"html":335,"srcset":336,"sizes":337,"meta":338,"acf":368},8456,"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg",627,"Allyson Bear Announcement_Landscape","\u003Cimg width=\"1200\" height=\"627\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg 1200w, 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Ebola outbreak caused by the Bundibugyo virus in the Democratic Republic of Congo and Uganda has been declared a Public Health Emergency of International Concern by the World Health Organization. Jhpiego is working closely with government partners in both countries to support their coordinated response efforts.","https://www.linkedin.com/feed/update/urn:li:activity:7463257431758864384/",{"id":392,"src":393,"width":394,"height":82,"alt":20,"caption":20,"title":395,"description":20,"mimeType":198,"html":396,"srcset":397,"sizes":398,"meta":399,"acf":451},8842,"https://api.jhpiego.org/wp-content/uploads/2026/06/Epidemic_Transparent_2.png",2500,"Epidemic_Transparent_2","\u003Cimg width=\"2500\" height=\"1920\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/06/Epidemic_Transparent_2.png\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/06/Epidemic_Transparent_2.png 2500w, https://api.jhpiego.org/wp-content/uploads/2026/06/Epidemic_Transparent_2-300x230.png 300w, https://api.jhpiego.org/wp-content/uploads/2026/06/Epidemic_Transparent_2-1024x786.png 1024w, 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class=\"wp-element-caption\">RPCS students collaborate on Changemakers projects.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>As a global leader in the business of saving lives and transforming futures in the world’s most challenging places, Jhpiego, as you might imagine, is working overtime—and enlisting new talent. \u003C/p>\n\n\n\n\u003Cp>Amid the COVID-19 pandemic’s devastating impact on the fight against HIV, tuberculosis and malaria, Jhpiego is looking to the next generation to share ideas, energy and passions as they focus on resolving societal concerns important to them. \u003C/p>\n\n\n\n\u003Cp>Through the aptly named Changemakers curriculum, Jhpiego is building partnerships with high schools across the United States. \u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full is-resized\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"247\" height=\"353\" src=\"https://api.jhpiego.org/wp-content/uploads/2021/09/drawing.jpg\" alt=\"\" class=\"wp-image-8661\" style=\"width:191px;height:auto\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2021/09/drawing.jpg 247w, https://api.jhpiego.org/wp-content/uploads/2021/09/drawing-210x300.jpg 210w\" sizes=\"auto, (max-width: 247px) 100vw, 247px\" />\u003Cfigcaption class=\"wp-element-caption\">Image courtesy of RPCS.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>The hands-on, service-learning curriculum was created and refined with formalized input from students. Then, Roland Park Country School (RPCS) teacher Sarah Pope classroom-tested the curriculum as a seminar for tenth graders. All gave it such an emphatic thumbs-up that, starting this fall, RPCS is requiring freshmen to participate in the program. \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>\u003Cem>Changemakers is about creative activism, which basically is using your own preferred form of media or art to enact change.”\u003C/em>\u003C/p>\n\u003Ccite>Sophie Siadatpour, chair of the student steering committee that weighed in on the curriculum as it was created, now a freshman at University of California Santa Barbara.\u003C/cite>\u003C/blockquote>\n\n\n\n\u003Cp>“Changemakers aligned with our belief that young women who build each other up will thrive,” Pope said. “Students gained a greater sense of issues related to women and girls within health systems, especially in developing regions around the world. Through exposure to stories that highlight the necessity of innovation and energy, the students became inspired to take action while learning the skills and tools needed to do so.” \u003C/p>\n\n\n\n\u003Cp>Pope mentored the young women to become creative activists, producing projects that questioned existing power structures and called for reform. Among her favorites: \u003Ca href=\"https://linktr.ee/notallqueenswearcrowns\" target=\"_blank\" rel=\"noreferrer noopener\">Not All Queens Wear Crowns\u003C/a>, a podcast for which students interviewed inspirational women; and a public service announcement about gender discrimination in health care: \u003Ca href=\"https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdrive.google.com%2Ffile%2Fd%2F1e99i2Xi8c0S2g7kd7TpwIwf5SnLFHvSy%2Fview&data=04%7C01%7CMaryalice.Yakutchik%40jhpiego.org%7Cefd2304b791e495b87fb08d976c4b616%7C26ef7fd22a7f4135a2e4de9acf168b2a%7C0%7C0%7C637671410686335969%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=rYEXtJ4f2NHM4qSXjADpcJOPRd80gl6vQLIofNgHO7E%3D&reserved=0\" target=\"_blank\" rel=\"noreferrer noopener\">We are not numbers in your system\u003C/a>. \u003C/p>\n\n\n\n\u003Cp>Not surprisingly, the idea for Changemakers was born in the places where Jhpiego works. \u003C/p>\n\n\n\n\u003Cp>Jhpiego board member Michele Brennan (who, with husband Kent Alterman, received the Elyse Bila Ouedrago Award at Jhpiego’s Laughter Is the Best Medicine Gala in 2016) visited Kenya several years ago and learned about a strategy that Jhpiego was using in informal settlements to  reduce maternal and infant deaths. \u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full is-resized\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"574\" height=\"661\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Michele_Brennan.jpg\" alt=\"\" class=\"wp-image-1470\" style=\"width:269px;height:auto\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Michele_Brennan.jpg 574w, https://api.jhpiego.org/wp-content/uploads/2025/03/Michele_Brennan-261x300.jpg 261w, https://api.jhpiego.org/wp-content/uploads/2025/03/Michele_Brennan-469x540.jpg 469w, https://api.jhpiego.org/wp-content/uploads/2025/03/Michele_Brennan-375x432.jpg 375w\" sizes=\"auto, (max-width: 574px) 100vw, 574px\" />\u003C/figure>\n\n\n\n\u003Cp>The Jhpiego team had identified a root problem that kept women from giving birth in health facilities with skilled attendants: gang members were preying on community members. Competent health care providers and clean, well-equipped facilities were necessary, but not enough. Women also required safe passage to clinics and hospitals. The team’s solution was to talk to gang members and offer employment to them, including transporting women to health facilities. The strategy worked. \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>\u003Cem>We were able to research and explore how different teenagers around the world are impacted by possibly being uneducated about matters involving their health.”\u003C/em>\u003C/p>\n\u003Ccite>RPCS students Makenzie P. and Blessing D., who presented “Factors that Influence Adolescent Health,” which focused on teen pregnancies.\u003C/cite>\u003C/blockquote>\n\n\n\n\u003Cp>Brennan, a mother of two, was awestruck by this creative and holistic approach to improving health, “It is certainly what I want my children to grow up learning, that not every solution is obvious.” \u003C/p>\n\n\n\n\u003Cp>Jhpiego’s human-centered design approach to global health, field-tested for decades in the real world, belonged in classrooms, she thought. That way, young people would learn how to think and ultimately make an impact. The notion crystalized during a discussion with Jhpiego board member Cara Moreno, a mother of four who witnessed Jhpiego at work during a trip to Tanzania. Moreno was impressed that HIV screening was offered in a back corner of a farmers market, allowing women to discreetly duck in for testing.  \u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full is-resized\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/06/Cara_Moreno.jpg\" alt=\"\" class=\"wp-image-2588\" style=\"width:410px;height:auto\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/06/Cara_Moreno.jpg 600w, https://api.jhpiego.org/wp-content/uploads/2025/06/Cara_Moreno-300x300.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/06/Cara_Moreno-150x150.jpg 150w, https://api.jhpiego.org/wp-content/uploads/2025/06/Cara_Moreno-540x540.jpg 540w, https://api.jhpiego.org/wp-content/uploads/2025/06/Cara_Moreno-375x375.jpg 375w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" />\u003Cfigcaption class=\"wp-element-caption\">Cara Moreno, BSBA, MBA, managing director of MediaTech Advisors.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>The two board members spearheaded an effort to develop a curriculum that would be relevant to students, and free for schools. Rock Your World, which specializes in project-based curriculum writing, worked with Jhpiego experts and students to develop the interactive learning materials.   \u003C/p>\n\n\n\n\u003Cp>“It’s really embedded in kids today to want to be a part of the change and have impact,” Moreno said. \u003C/p>\n\n\n\n\u003Cp>Changemakers was built to be adaptive and flexible so it can be conducted by clubs and as a school seminar or class. The curriculum is rich with lessons that students can carry with them throughout life.  \u003C/p>\n\n\n\n\u003Cp> “It’s going to come down to the students and where they want to take this,” said Moreno. \u003C/p>\n\n\n\n\u003Cp>\u003Cem>\u003Cem>Maryalice Yakutchik was Jhpiego’s global communications manager.\u003C/em>\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>As a global leader in the business of saving lives and transforming futures in the world’s most challenging places, Jhpiego, as you might imagine, is working…\u003C/p>\n","making-change","https://jhpiego.org/our-stories/p/making-change/","/our-stories/p/making-change/","2021-09-22T20:23:00","2026-05-07T20:32:00",{"id":846,"src":847,"width":848,"height":849,"alt":20,"caption":850,"title":851,"description":20,"mimeType":23,"html":852,"srcset":853,"sizes":854,"meta":855,"acf":872},8660,"https://api.jhpiego.org/wp-content/uploads/2021/09/change3-1.jpg",565,356,"RPCS students collaborate on Changemakers projects.","changemakers_3","\u003Cimg width=\"565\" height=\"356\" src=\"https://api.jhpiego.org/wp-content/uploads/2021/09/change3-1.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2021/09/change3-1.jpg 565w, https://api.jhpiego.org/wp-content/uploads/2021/09/change3-1-300x189.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2021/09/change3-1-375x236.jpg 375w\" sizes=\"auto, (max-width: 565px) 100vw, 565px\" />","https://api.jhpiego.org/wp-content/uploads/2021/09/change3-1.jpg 565w, https://api.jhpiego.org/wp-content/uploads/2021/09/change3-1-300x189.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2021/09/change3-1-375x236.jpg 375w","(max-width: 565px) 100vw, 565px",{"width":848,"height":849,"file":856,"filesize":857,"sizes":858,"imageMeta":870},"2021/09/change3-1.jpg",189498,{"medium":859,"thumbnail":863,"smallPreview":866},{"file":860,"width":33,"height":861,"mimeType":23,"filesize":862},"change3-1-300x189.jpg",189,30308,{"file":864,"width":43,"height":43,"mimeType":23,"filesize":865},"change3-1-150x150.jpg",19830,{"file":867,"width":67,"height":868,"mimeType":23,"filesize":869},"change3-1-375x236.jpg",236,38525,{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":309,"keywords":871},[],{"primaryColor":873,"blurhash":874},"#b9a290","UWJtev^+?c_2-:SikVxuD%V@jFjr~VaeNdWV",{"category":876,"postTag":888,"postFormat":314,"areaOfExpertiseTax":905,"expertsTag":314},[877,882],{"id":878,"name":879,"slug":880,"parent":314,"uri":881,"to":881},22,"Americas","the-americas","/our-stories/c/the-americas/",{"id":883,"name":884,"slug":885,"parent":886,"uri":887,"to":887},195,"United States","united-states",{"id":878,"name":879,"slug":880,"parent":314,"uri":881,"to":881},"/our-stories/c/the-americas/united-states/",[889,893,898,903],{"id":890,"name":530,"slug":891,"parent":314,"uri":892,"to":892},214,"adolescent-and-youth-health","/our-stories/c/adolescent-and-youth-health/",{"id":894,"name":895,"slug":896,"parent":314,"uri":897,"to":897},241,"Care Focus Area","care-focus-area","/our-stories/c/care-focus-area/",{"id":899,"name":900,"slug":901,"parent":314,"uri":902,"to":902},272,"Changemakers","changemakers","/our-stories/c/changemakers/",{"id":43,"name":693,"slug":904,"parent":314,"uri":697,"to":697},"story",[906],{"id":907,"name":530,"slug":908,"parent":314,"uri":535,"to":535},70,"adolescent-youth-health",{"credits":910},[911],{"role":912,"name":913},"By","Maryalice Yakutchik",[915,960,1044,1088,1152,1212,1257,1297,1339,1378,1441],{"id":916,"guid":917,"title":918,"content":919,"excerpt":920,"excerptRaw":20,"slug":921,"url":922,"uri":923,"to":923,"status":325,"date":924,"modified":925,"type":328,"authorId":329,"featuredMedia":926},8968,"https://jhpiego.org/?p=8968","Paying It Forward: Erica’s Transformation Through Jhpiego’s Youth-Centered Approach in Mozambique","\n\u003Cp>When Erica Joaquim Cuamba* was diagnosed with HIV at age 21, fear, shame, and silence quickly took over her life. At the time, she was in high school. Her attendance began to decline. She hid her condition from her family and avoided any situation that would remind her of HIV. Although she was surrounded by people, she felt completely alone.\u003C/p>\n\n\n\n\u003Cp>Everything changed when Erica visited her aunt’s home in Mocuba, in Zambezia Province. Her aunt, who was breastfeeding, was receiving a home visit from a Mentor Mother affiliated with the local military health unit. As part of a peer-support network supported by Jhpiego, Mentor Mothers work with pregnant and breastfeeding women living with HIV, providing counseling and helping them stay connected to treatment and clinical follow-up.\u003C/p>\n\n\n\n\u003Cp>During the visit, the Mentor Mother spoke privately with Erica’s aunt about HIV treatment and self-acceptance. Erica’s aunt invited her to join the conversation, never imagining that she had a secret to share. What caught Erica’s attention was not just the message but the way it was conveyed: calmly, compassionately, and without judgment. For the first time, Erica saw HIV being addressed with dignity. The Mentor Mother shared her own experience of living with HIV. Her words touched Erica deeply. It was in this warm and welcoming atmosphere that Erica revealed her condition to her aunt and the Mentor Mother.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"535\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-1024x535.jpg\" alt=\"\" class=\"wp-image-8975\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-768x401.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-960x502.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-375x196.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\u003C/blockquote>\n\n\n\n\u003Cp>That moment marked the beginning of Erica’s transformation. Her Mentor Mother helped connect Erica with the health clinic, referring her to adolescent- and youth-friendly services, where she met Youth Mentors and other groups of young people living with HIV.\u003C/p>\n\n\n\n\u003Cp>With them, Erica learned more about treatment, prevention, and self-care. Jhpiego’s youth-centered approach is based on responding to the specific realities of adolescents and young people, ensuring that they actively participate in building services that meet their needs rather than merely serving as passive recipients of care.\u003C/p>\n\n\n\n\u003Cp>With the support of the Youth Mentors and the health care professionals at the clinic—and inspired by the openness she witnessed during that visit to her aunt—Erica gradually began to rebuild her confidence. She felt ready to share her HIV status with her family, who welcomed her with love and support.\u003C/p>\n\n\n\n\u003Cp>As her confidence and sense of purpose grew, so did her role. Eight months later, Erica became a Youth Mentor at the same health facility, providing the same peer support that had helped her: guiding other adolescents in setting personal goals, connecting them to accessible and welcoming services, reinforcing treatment adherence and viral suppression, and helping them confront fears, stigma, and important decisions both at school and in the community.\u003C/p>\n\n\n\n\u003Cp>With the support of the Mozambican Armed Forces, Jhpiego’s work to train peer leaders, strengthen youth-led structures, and adapt health services to the realities of adolescents in ten provinces and 27 health facilities ensures that the support currently provided by Youth Mentors like Erica is part of a broader and locally sustainable care system.\u003C/p>\n\n\n\n\u003Cp>Mentor Mothers and Youth Mentors are directly integrated into health services, working side by side with professionals to make care more humane, more accessible, and more responsive.\u003C/p>\n\n\n\n\u003Cp>Mentors and youth-friendly services play a critical role in strengthening young people’s connection to care and ensuring that young people remain engaged in care and achieve sustained viral load suppression.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"655\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Stats-1024x655.jpg\" alt=\"\" class=\"wp-image-8979\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Stats-1024x655.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Stats-300x192.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Stats-768x492.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Stats-1536x983.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Stats-2048x1311.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Stats-844x540.jpg 844w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Stats-375x240.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Stats-960x614.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Stats-1280x819.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Stats-1920x1229.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Stats-2560x1638.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Stats.jpg 3000w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cp>Jhpiego’s peer-support program does more than improve clinical outcomes: it creates safe spaces where adolescents and young people can openly share their experiences, learn from one another, and plan for their futures.\u003C/p>\n\n\n\n\u003Cp>Mentor Mothers play a key role in supporting pregnant and breastfeeding women living with HIV through peer counseling, treatment adherence support, and education on maternal and child health. Drawing on their own experiences and trusted community relationships, they help women stay connected to care from pregnancy through breastfeeding, follow up with those who miss appointments, support women with unsuppressed viral loads, and promote services such as cervical cancer screening. Their work helps improve health outcomes for mothers and children while reducing the risk of HIV transmission.\u003C/p>\n\n\n\n\u003Cp>By working with families, communities, and health facilities, Jhpiego is helping to build the supportive environment young people need. Because tailored services and attentive mentors can transform lives.\u003C/p>\n\n\n\n\u003Cp>*\u003Cem>Name changed to protect identity.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Manuel Jesus is a Senior Communications Advisor at Jhpiego in Mozambique. Juleca Montanha is a Clinical Tutor at Jhpiego in Mozambique. Lizeth Juenta is a Maternal and Neonatal Health Advisor at Jhpiego in Mozambique.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Silvia Kelbert is a Principal Technical Advisor for HIV and Infectious Diseases at Jhpiego.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>When Erica Joaquim Cuamba* was diagnosed with HIV at age 21, fear, shame, and silence quickly took over her life….\u003C/p>\n","paying-it-forward","https://jhpiego.org/our-stories/p/paying-it-forward/","/our-stories/p/paying-it-forward/","2026-06-15T18:39:11","2026-06-15T20:07:52",{"id":927,"src":928,"width":62,"height":333,"alt":20,"caption":20,"title":929,"description":20,"mimeType":23,"html":930,"srcset":931,"sizes":337,"meta":932,"acf":957},8975,"https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote.jpg","Erica-Mozambique-Quote","\u003Cimg width=\"1200\" height=\"627\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote.jpg 1200w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-768x401.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-960x502.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-375x196.jpg 375w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" />","https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote.jpg 1200w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-768x401.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-960x502.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/06/Erica-Mozambique-Quote-375x196.jpg 375w",{"width":62,"height":333,"file":933,"filesize":934,"sizes":935,"imageMeta":955},"2026/06/Erica-Mozambique-Quote.jpg",90246,{"medium":936,"large":939,"thumbnail":942,"mediumLarge":945,"postThumbnail":948,"smallPreview":951,"mediumPreview":954},{"file":937,"width":33,"height":344,"mimeType":23,"filesize":938},"Erica-Mozambique-Quote-300x157.jpg",9536,{"file":940,"width":38,"height":348,"mimeType":23,"filesize":941},"Erica-Mozambique-Quote-1024x535.jpg",56927,{"file":943,"width":43,"height":43,"mimeType":23,"filesize":944},"Erica-Mozambique-Quote-150x150.jpg",4633,{"file":946,"width":47,"height":355,"mimeType":23,"filesize":947},"Erica-Mozambique-Quote-768x401.jpg",35882,{"file":949,"width":72,"height":359,"mimeType":23,"filesize":950},"Erica-Mozambique-Quote-960x502.jpg",50063,{"file":952,"width":67,"height":363,"mimeType":23,"filesize":953},"Erica-Mozambique-Quote-375x196.jpg",13102,{"file":949,"width":72,"height":359,"mimeType":23,"filesize":950},{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":956},[],{"primaryColor":958,"blurhash":959},"#caeaf2","UVCIg??u~o%g?vt7%Lfk_1t6%LRj.9kCxtWC",{"id":961,"guid":962,"title":963,"content":964,"excerpt":965,"excerptRaw":965,"slug":966,"url":967,"uri":968,"to":968,"status":325,"date":969,"modified":970,"type":328,"authorId":329,"featuredMedia":971},7541,"https://jhpiego.org/?p=7541","Building Youth Resilience: The BRAVE Project in Northern Mindanao, Philippines","\n\u003Cp>\u003Cem>Toward epidemic-ready, climate-resilient schools, one empowered youth at a time\u003C/em>.\u003C/p>\n\n\n\n\u003Cp>In Northern Mindanao, Philippines, young people are proving that climate readiness can be learned, shared, and lived. This is made possible through Jhpiego’s Building Resilient and Aware Voices for Empowerment (BRAVE) Project, which enhances students’ agency to turn classrooms into spaces of hope, learning, and leadership, where conversations about health, climate, and well-being come alive.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"575\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines-1024x575.jpg\" alt=\"\" class=\"wp-image-7544\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines-1024x575.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines-300x168.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines-768x431.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines-1536x862.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines-2048x1150.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines-960x539.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines-375x211.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines-1280x719.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines-1920x1078.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines-2560x1437.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines-3840x2156.jpg 3840w, https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines.jpg 6000w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Students proudly display their “I AM BRAVE” signs during the launch of the BRAVE Project at Ozamiz City National High School.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Connecting Health, Mind, and Environment\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>In classrooms where laughter once drowned out serious talk about health or the environment, young people are now leading meaningful conversations that could shape their future. They talk about relationships and choices, about anxiety and hope, and about the floods and storms that sweep through their coastal communities.\u003C/p>\n\n\n\n\u003Cp>For them, these issues are not separate. They are deeply connected. The BRAVE Project, implemented by Jhpiego Philippines in partnership with the Department of Education Ozamiz City Division, is helping them understand why.\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>A Regional Challenge\u003C/strong>\u003C/h2>\n\n\n\n\u003Cp>Northern Mindanao has one of the highest rates of adolescent pregnancy in the Philippines. In 2023 alone, the Philippine Statistics Authority recorded 10,895 cases across the region. This has drawn national attention and has been recognized as a priority concern in regional development discussions.\u003C/p>\n\n\n\n\u003Cp>But behind these numbers are stories of young people who face limited access to information, support, and safe spaces to make informed decisions about their lives. Recognizing that adolescent pregnancy is shaped by social, cultural, and economic forces, Jhpiego and its partners designed a more holistic approach that nurtures resilience, not just awareness.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"575\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/11/A-student-leader-signs-the-Commitment-Wall-during-the-I-AM-BRAVE-Call-to-Action-ceremony_Philippines-1024x575.jpg\" alt=\"\" class=\"wp-image-7548\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/11/A-student-leader-signs-the-Commitment-Wall-during-the-I-AM-BRAVE-Call-to-Action-ceremony_Philippines-1024x575.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-student-leader-signs-the-Commitment-Wall-during-the-I-AM-BRAVE-Call-to-Action-ceremony_Philippines-300x168.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-student-leader-signs-the-Commitment-Wall-during-the-I-AM-BRAVE-Call-to-Action-ceremony_Philippines-768x431.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-student-leader-signs-the-Commitment-Wall-during-the-I-AM-BRAVE-Call-to-Action-ceremony_Philippines-1536x862.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-student-leader-signs-the-Commitment-Wall-during-the-I-AM-BRAVE-Call-to-Action-ceremony_Philippines-2048x1150.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-student-leader-signs-the-Commitment-Wall-during-the-I-AM-BRAVE-Call-to-Action-ceremony_Philippines-960x539.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-student-leader-signs-the-Commitment-Wall-during-the-I-AM-BRAVE-Call-to-Action-ceremony_Philippines-375x211.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-student-leader-signs-the-Commitment-Wall-during-the-I-AM-BRAVE-Call-to-Action-ceremony_Philippines-1280x719.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-student-leader-signs-the-Commitment-Wall-during-the-I-AM-BRAVE-Call-to-Action-ceremony_Philippines-1920x1078.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-student-leader-signs-the-Commitment-Wall-during-the-I-AM-BRAVE-Call-to-Action-ceremony_Philippines-2560x1437.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-student-leader-signs-the-Commitment-Wall-during-the-I-AM-BRAVE-Call-to-Action-ceremony_Philippines-3840x2156.jpg 3840w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-student-leader-signs-the-Commitment-Wall-during-the-I-AM-BRAVE-Call-to-Action-ceremony_Philippines.jpg 6000w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">A student leader signs the Commitment Wall during the I AM BRAVE Call to Action ceremony.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>\u003Cstrong>The Birth of BRAVE\u003C/strong>\u003C/p>\n\n\n\n\u003Cp>Building Resilient and Aware Voices for Empowerment (BRAVE) is Jhpiego’s youth-focused initiative in Ozamiz City, Misamis Occidental. It combines reproductive health education, mental health support, and climate change awareness—three issues that deeply influence how young people live and make choices.\u003C/p>\n\n\n\n\u003Cp>Working closely with DepEd Ozamiz City Division, the initiative has set up school-based teen centers in 16 national high schools. These spaces allow learners to seek confidential guidance, counseling, and reliable information about their health and well-being.\u003C/p>\n\n\n\n\u003Cp>Teachers, guidance counselors, and focal persons have been trained in adolescent reproductive health, mental health support, and youth-friendly care. Alongside them, a network of peer educators—students trained to educate and support their classmates—ensures that accurate, stigma-free information circulates within schools.\u003C/p>\n\n\n\n\u003Cp>BRAVE is funded through proceeds from \u003Ca href=\"https://www.rollingstone.com/music/music-news/olivia-rodrigo-guts-world-tour-donation-womens-charities-1235209069/\" data-type=\"link\" data-id=\"https://www.rollingstone.com/music/music-news/olivia-rodrigo-guts-world-tour-donation-womens-charities-1235209069/\">Olivia Rodrigo’s concert in the Philippines last October 2024\u003C/a>, a contribution that has turned the energy of music into a movement for youth empowerment.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"575\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/11/Young-participants-transform-the-space-into-a-colorful-haven-of-creativity-and-self-expression_Philippines-1024x575.jpg\" alt=\"\" class=\"wp-image-7546\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/11/Young-participants-transform-the-space-into-a-colorful-haven-of-creativity-and-self-expression_Philippines-1024x575.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/11/Young-participants-transform-the-space-into-a-colorful-haven-of-creativity-and-self-expression_Philippines-300x168.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/11/Young-participants-transform-the-space-into-a-colorful-haven-of-creativity-and-self-expression_Philippines-768x431.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/11/Young-participants-transform-the-space-into-a-colorful-haven-of-creativity-and-self-expression_Philippines-1536x862.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/11/Young-participants-transform-the-space-into-a-colorful-haven-of-creativity-and-self-expression_Philippines-2048x1150.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/11/Young-participants-transform-the-space-into-a-colorful-haven-of-creativity-and-self-expression_Philippines-960x539.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/11/Young-participants-transform-the-space-into-a-colorful-haven-of-creativity-and-self-expression_Philippines-375x211.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/11/Young-participants-transform-the-space-into-a-colorful-haven-of-creativity-and-self-expression_Philippines-1280x719.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/11/Young-participants-transform-the-space-into-a-colorful-haven-of-creativity-and-self-expression_Philippines-1920x1078.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/11/Young-participants-transform-the-space-into-a-colorful-haven-of-creativity-and-self-expression_Philippines-2560x1437.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/11/Young-participants-transform-the-space-into-a-colorful-haven-of-creativity-and-self-expression_Philippines-3840x2156.jpg 3840w, https://api.jhpiego.org/wp-content/uploads/2025/11/Young-participants-transform-the-space-into-a-colorful-haven-of-creativity-and-self-expression_Philippines.jpg 6000w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">The teen center becomes a safe space where young people can express themselves freely, learn, and connect with others without fear or judgment.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>\u003Cstrong>Health, Climate, and the Power of Play\u003C/strong>\u003C/p>\n\n\n\n\u003Cp>What sets BRAVE apart is its recognition that resilience grows not only from knowledge but also from creativity and connection. In a country ranked among the world’s most climate-vulnerable, the program helps adolescents see how environmental challenges affect both physical and mental well-being.\u003C/p>\n\n\n\n\u003Cp>To make learning engaging, Jhpiego partnered with Asia Society for Social Improvement and Sustainable Transformation (ASSIST Asia), a non-profit organization focused on environment and education, to introduce Master of Disaster, an interactive board game that helps learners understand climate change and disaster preparedness in a fun, relatable way.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"626\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/11/Master-of-Disaster-Game_Philippines.png\" alt=\"\" class=\"wp-image-7550\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/11/Master-of-Disaster-Game_Philippines.png 800w, https://api.jhpiego.org/wp-content/uploads/2025/11/Master-of-Disaster-Game_Philippines-300x235.png 300w, https://api.jhpiego.org/wp-content/uploads/2025/11/Master-of-Disaster-Game_Philippines-768x601.png 768w, https://api.jhpiego.org/wp-content/uploads/2025/11/Master-of-Disaster-Game_Philippines-690x540.png 690w, https://api.jhpiego.org/wp-content/uploads/2025/11/Master-of-Disaster-Game_Philippines-375x293.png 375w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" />\u003C/figure>\n\n\n\n\u003Cp>Through the game, young people learn teamwork, empathy, and problem-solving skills that are vital during crises and in everyday life. For teachers and guidance counselors, it serves as a creative tool for building emotional resilience while making climate education more meaningful.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"575\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/11/A-Guidance-Counselor-talks-to-the-students-at-OCSAT-Teen-Center.Photo-by-Geri-Matthew-Carretero-2_Philippines-1-1024x575.jpg\" alt=\"\" class=\"wp-image-7551\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/11/A-Guidance-Counselor-talks-to-the-students-at-OCSAT-Teen-Center.Photo-by-Geri-Matthew-Carretero-2_Philippines-1-1024x575.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-Guidance-Counselor-talks-to-the-students-at-OCSAT-Teen-Center.Photo-by-Geri-Matthew-Carretero-2_Philippines-1-300x168.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-Guidance-Counselor-talks-to-the-students-at-OCSAT-Teen-Center.Photo-by-Geri-Matthew-Carretero-2_Philippines-1-768x431.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-Guidance-Counselor-talks-to-the-students-at-OCSAT-Teen-Center.Photo-by-Geri-Matthew-Carretero-2_Philippines-1-1536x862.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-Guidance-Counselor-talks-to-the-students-at-OCSAT-Teen-Center.Photo-by-Geri-Matthew-Carretero-2_Philippines-1-2048x1150.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-Guidance-Counselor-talks-to-the-students-at-OCSAT-Teen-Center.Photo-by-Geri-Matthew-Carretero-2_Philippines-1-960x539.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-Guidance-Counselor-talks-to-the-students-at-OCSAT-Teen-Center.Photo-by-Geri-Matthew-Carretero-2_Philippines-1-375x211.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-Guidance-Counselor-talks-to-the-students-at-OCSAT-Teen-Center.Photo-by-Geri-Matthew-Carretero-2_Philippines-1-1280x719.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-Guidance-Counselor-talks-to-the-students-at-OCSAT-Teen-Center.Photo-by-Geri-Matthew-Carretero-2_Philippines-1-1920x1078.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-Guidance-Counselor-talks-to-the-students-at-OCSAT-Teen-Center.Photo-by-Geri-Matthew-Carretero-2_Philippines-1-2560x1437.jpg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-Guidance-Counselor-talks-to-the-students-at-OCSAT-Teen-Center.Photo-by-Geri-Matthew-Carretero-2_Philippines-1-3840x2156.jpg 3840w, https://api.jhpiego.org/wp-content/uploads/2025/11/A-Guidance-Counselor-talks-to-the-students-at-OCSAT-Teen-Center.Photo-by-Geri-Matthew-Carretero-2_Philippines-1.jpg 6000w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">A guidance counselor talks to the students at OCSAT Teen Center. Photo by Geri Matthew Carretero for Jhpiego.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>\u003Cstrong>Beyond Prevention: Empowerment\u003C/strong>\u003C/p>\n\n\n\n\u003Cp>For Jhpiego and its partners, success is not only measured by fewer adolescent pregnancies but also by stronger, more confident youth who see themselves as part of the solution.\u003C/p>\n\n\n\n\u003Cp>Through BRAVE, adolescents are finding their voices, speaking up for health, climate action, and mental well-being in their schools and communities. They are learning that empowerment means participation in decisions about their bodies, their environment, and their shared future.\u003C/p>\n\n\n\n\u003Cp>In a region often defined by challenges, BRAVE tells a different story of hope, courage, and leadership. The young people of Ozamiz City are proving that resilience can be taught, but more importantly, it can be lived.\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Jaime Bonifacio Jr. is a Program Manager for Jhpiego Philippines and Geri Matthew Carretero is the Communication and Knowledge Management Officer for Jhpiego Philippines.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Ingrid Magnata is the Country Program Manager for Jhpiego Philippines.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>In Northern Mindanao, Philippines, young people are proving that climate readiness can be learned, shared, and lived. This is made possible through Jhpiego’s BRAVE Project, which enhances students’ agency to turn classrooms into spaces of hope, learning, and leadership, where conversations about health, climate, and well-being come alive.\u003C/p>\n","building-youth-resilience-the-brave-project-in-northern-mindanao-philippines","https://jhpiego.org/our-stories/p/building-youth-resilience-the-brave-project-in-northern-mindanao-philippines/","/our-stories/p/building-youth-resilience-the-brave-project-in-northern-mindanao-philippines/","2025-11-12T21:18:20","2025-11-13T14:18:50",{"id":972,"src":973,"width":974,"height":975,"alt":20,"caption":976,"title":977,"description":20,"mimeType":23,"html":978,"srcset":979,"sizes":980,"meta":981,"acf":1041},7544,"https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines.jpg",6000,3368,"Students proudly display their \"I AM BRAVE\" signs during the launch of the BRAVE Project at Ozamiz City National High School. Photo by Geri Matthew Carretero for Jhpiego.","Students proudly display their I AM BRAVE signs during the launch of the BRAVE Project at Ozamiz City National High School_Philippines","\u003Cimg width=\"6000\" height=\"3368\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines.jpg 6000w, https://api.jhpiego.org/wp-content/uploads/2025/11/Students-proudly-display-their-I-AM-BRAVE-signs-during-the-launch-of-the-BRAVE-Project-at-Ozamiz-City-National-High-School_Philippines-300x168.jpg 300w, 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to Girls: Improving access to information and health services for adolescents in Tanzania","\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"936\" height=\"600\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024_2.jpg\" alt=\"\" class=\"wp-image-4979\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024_2.jpg 936w, https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024_2-300x192.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024_2-768x492.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024_2-842x540.jpg 842w, https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024_2-375x240.jpg 375w\" sizes=\"auto, (max-width: 936px) 100vw, 936px\" />\u003Cfigcaption class=\"wp-element-caption\">Rachel Daudi checks in on her cell phone at the Kiteto district hospital in Manyara region, Tanzania. Photo by Frank Kimaro.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>Growing up in a village in Tanzania’s Kiteto district in the Manyara region, Rachel Daudi a 19-year-old single mother of a two-year-old child, had limited knowledge of and access to reproductive health services.\u003C/p>\n\n\n\n\u003Cp>In her community, it is uncommon—and often disapproved of—for young people to get information on reproductive health while still living with their parents. Rachel acknowledges that she and others like her were also unaware of ways to prevent sexually transmitted diseases, including HIV.\u003C/p>\n\n\n\n\u003Cp>“I didn’t know anything about family planning and sexually transmitted diseases. I first heard about it from my sister while sharing my fear of having another child immediately after. I decided to visit the district hospital to learn more,” she says.\u003C/p>\n\n\n\n\u003Cp>At the facility, Rachel met Catherine Shayo, an Afya Yangu – Mama na Mtoto trained nurse, who counseled the teenager on ways to protect herself from unwanted pregnancies and sexually transmitted diseases. She also encouraged Rachel to join an adolescent sexual reproductive health (ASRH) service program known as Power to Girls. Rachel agreed. In the program, she met a group of young women her age and began attending sessions on family planning, gender-based violence and other health-related topics. Today, 1,891 young women like Rachel are a part of the ASRH services program in the Kiteto district.\u003C/p>\n\n\n\n\u003Cp>Catherine credits a lot of her knowledge and expertise in providing ASRH services to the training she received from the Afya Yangu – Mama na Mtotoproject, which is led by Jhpiego. \u003Cem>Afya yangu mama na mtoto\u003C/em> is a Swahili translation that means: my health, mother and child.\u003C/p>\n\n\n\n\u003Cp>“Before the project, reproductive health services were not available anywhere in our district. We had little understanding of how to attend to and manage adolescents’ cases,” says Catherine. “I have been equipped with adequate skills to provide comprehensive counseling on family planning, sexually transmitted diseases including HIV, gender-based violence and teen pregnancy—all of which posed huge risks for girls and young women in this region from reaching their full potential and realizing their dreams,” she says. “The Power to Girlsapproach … has improved my skills on adolescent issues and how to offer counseling to young people in a way that is acceptable, friendly and professional.”\u003C/p>\n\n\n\n\u003Cp>Catherine is one of 16 health care providers trained by the project, which has contributed to a 2% reduction in teenage pregnancies in Kiteto district (January–March 2023 to January–March 2024).\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"866\" height=\"532\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024.png\" alt=\"\" class=\"wp-image-4980\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024.png 866w, https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024-300x184.png 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024-768x472.png 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024-375x230.png 375w\" sizes=\"auto, (max-width: 866px) 100vw, 866px\" />\u003Cfigcaption class=\"wp-element-caption\">Catherine Shayo (in white) poses with Rachel Daudi (in red) and other girls visiting the hospital for ASRH services. Photo by Frank Kimaro.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>Launched in January 2022 in Kiteto, the project uses a Power to Girls methodology to reach adolescents and young women to empower them with the right information on sexual reproductive health and life skills and to increase the power that girls have in their community. “Power to Girls helps adolescents make right decisions on issues related to their health including where to get services at the right time,” says Sion Paul, Jhpiego’s ASRH technical officer in Manyara region. The project is also collaborating with a locally led organization, Amani Girls Organization, which works to increase opportunities for children, youth and adults from socio-economically disadvantaged households in Tanzania and connects girls to the project.\u003C/p>\n\n\n\n\u003Cp>Catherine is now cascading her training to other health care providers from all six health facilities in the Kiteto district, while closely monitoring the quality of services provided. A total of 26,956 adolescents and young people were reached from September 2023 to October 2024.\u003C/p>\n\n\n\n\u003Cp>After joining the Power to Girls group and being counseled by Catherine, Rachel selected a family planning method that would work best for her. She has been proactive in advocating for her sexual health while taking care of her child as she plans her future.\u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>“Together with my friends, we are now regular visitors to the clinic. We come for counseling where health care providers take time to share different topics on reproductive health and overall well-being. We are happy and feel that we now have total control of our lives.”\u003Cbr>– Rachel Daudi\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp>Afya Yangu – Mama na Mtoto is a five-year project aimed at increasing the demand for and use of quality, client-centered reproductive, maternal, newborn, child and adolescent health, particularly by women and youth in 11 regions in Tanzania. In partnership with the Ministry of Health, Jhpiego leads the project team, which consists of local partners Tanzania Communication and Development Center, Benjamin Mkapa Foundation, Amani Girls Organization and D-tree International.\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Dominic Fortunatus was a Communication Officer in the Jhpiego Tanzania office.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>Catherine is one of 16 health workers trained by the Afya Yangu – Mama na Mtoto project, which has contributed to a 2% reduction in teenage pregnancies in Tanzania’s Kiteto District. \u003C/p>\n","power-to-girls-improving-access-to-information-and-health-services-for-adolescents-in-tanzania","https://jhpiego.org/our-stories/p/power-to-girls-improving-access-to-information-and-health-services-for-adolescents-in-tanzania/","/our-stories/p/power-to-girls-improving-access-to-information-and-health-services-for-adolescents-in-tanzania/","2024-12-03T01:31:21","2025-08-26T01:43:08",{"id":1056,"src":1057,"width":1058,"height":1059,"alt":20,"caption":1060,"title":1061,"description":20,"mimeType":198,"html":1062,"srcset":1063,"sizes":1064,"meta":1065,"acf":1085},4980,"https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024.png",866,532,"Catherine Shayo (in white) poses with Rachel Daudi (in red) and other girls visiting the hospital for ASRH services. Photo by Frank Kimaro.","Tanzania_FrankKimaro_2024","\u003Cimg width=\"866\" height=\"532\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024.png\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024.png 866w, https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024-300x184.png 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024-768x472.png 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024-375x230.png 375w\" sizes=\"auto, (max-width: 866px) 100vw, 866px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024.png 866w, https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024-300x184.png 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024-768x472.png 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Tanzania_FrankKimaro_2024-375x230.png 375w","(max-width: 866px) 100vw, 866px",{"width":1058,"height":1059,"file":1066,"filesize":1067,"sizes":1068,"imageMeta":1083},"2025/08/Tanzania_FrankKimaro_2024.png",1021294,{"medium":1069,"thumbnail":1073,"mediumLarge":1076,"smallPreview":1080},{"file":1070,"width":33,"height":1071,"mimeType":198,"filesize":1072},"Tanzania_FrankKimaro_2024-300x184.png",184,124598,{"file":1074,"width":43,"height":43,"mimeType":198,"filesize":1075},"Tanzania_FrankKimaro_2024-150x150.png",55573,{"file":1077,"width":47,"height":1078,"mimeType":198,"filesize":1079},"Tanzania_FrankKimaro_2024-768x472.png",472,690749,{"file":1081,"width":67,"height":405,"mimeType":198,"filesize":1082},"Tanzania_FrankKimaro_2024-375x230.png",188724,{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1084},[],{"primaryColor":1086,"blurhash":1087},"#afa38c00","ULI=76IX^w-.yXMyp0InxkX1ktD,~qM_$yt5",{"id":1089,"guid":1090,"title":1091,"content":1092,"excerpt":1093,"excerptRaw":1093,"slug":1094,"url":1095,"uri":1096,"to":1096,"status":325,"date":1097,"modified":1098,"type":328,"authorId":459,"featuredMedia":1099},125,"https://jhpiego.flywheelsites.com/?p=125","Helping a Teen Mom Dream Again","\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"685\" src=\"https://jhpiego.org/wp-content/uploads/2025/02/d060eebf6d58e7d15421a6094721f3eb.jpg\" alt=\"\" class=\"wp-image-626\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/02/d060eebf6d58e7d15421a6094721f3eb.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/02/d060eebf6d58e7d15421a6094721f3eb-300x201.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/02/d060eebf6d58e7d15421a6094721f3eb-768x514.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/02/d060eebf6d58e7d15421a6094721f3eb-807x540.jpg 807w, https://api.jhpiego.org/wp-content/uploads/2025/02/d060eebf6d58e7d15421a6094721f3eb-375x251.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/02/d060eebf6d58e7d15421a6094721f3eb-960x642.jpg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Jovie Erillia, 19 at her current home in in Santa Margarita in Samar, Philippines\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">When we met 19-year-old Jovie Erillia, mother to two-year-old Jhon Kyle, at her home in Santa Margarita in Samar, Philippines, she was living with her partner and his family. \u003C/h3>\n\n\n\n\u003Cp>She had just turned 16 when she realized she was pregnant, the only one among her friends to face a pregnancy while still in school. “Shocked” is the word she uses for herself and her family when they learned of the pregnancy. Overwhelmed, Jovie left school and moved into her partner’s home. She saw her dreams of becoming a teacher come to a screeching halt. She felt no hope for her future.\u003C/p>\n\n\n\n\u003Cdiv class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n\u003Cdiv class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n\u003Cfigure class=\"wp-block-image\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"361\" height=\"385\" src=\"https://jhpiego.org/wp-content/uploads/2025/02/image-1.jpg\" alt=\"\" class=\"wp-image-627\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/02/image-1.jpg 361w, https://api.jhpiego.org/wp-content/uploads/2025/02/image-1-281x300.jpg 281w\" sizes=\"auto, (max-width: 361px) 100vw, 361px\" />\u003Cfigcaption class=\"wp-element-caption\">Midwife Evelyn Tangaran at the adolescent clinic\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n\u003Cfigure class=\"wp-block-image\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"361\" height=\"385\" src=\"https://jhpiego.org/wp-content/uploads/2025/02/image.jpg\" alt=\"\" class=\"wp-image-628\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/02/image.jpg 361w, https://api.jhpiego.org/wp-content/uploads/2025/02/image-281x300.jpg 281w\" sizes=\"auto, (max-width: 361px) 100vw, 361px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Evelyn conducting a group session with adolescents\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp>A local community health worker linked Jovie with the rural health unit (RHU) in Santa Margarita, where she met Jhpiego-trained midwife Evelyn Tangaran. Evelyn runs the adolescent clinic at the RHU, which Jhpiego helped to set up. The counseling Evelyn provided around safe pregnancy and delivery helped put Jovie’s mind at ease and gave her hope that her pregnancy would not mean an end to her dreams.\u003C/p>\n\n\n\n\u003Cp>“The trainings I received from Jhpiego taught me to be more sensitive, more effective, and tailor my services to be adolescent-friendly. It has greatly improved my communication skills with adolescents as well,” says the midwife, explaining how she was able to get through to Jovie.\u003C/p>\n\n\n\n\u003Cdiv class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-2 wp-block-columns-is-layout-flex\">\n\u003Cdiv class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"513\" src=\"https://jhpiego.org/wp-content/uploads/2025/02/00450f1329354656803b65b27ccb8db1.jpg\" alt=\"\" class=\"wp-image-629\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/02/00450f1329354656803b65b27ccb8db1.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/02/00450f1329354656803b65b27ccb8db1-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/02/00450f1329354656803b65b27ccb8db1-375x250.jpg 375w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Jovie remembers to have her contraceptive pills daily as she knows it will protect her from an unplanned pregnancy\u003C/em>\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n\u003Ch3 class=\"wp-block-heading\">Teenage pregnancy is a common phenomenon throughout the globe, including in the Philippines.\u003C/h3>\n\n\n\n\u003Cp>The World Health Organization estimates that approximately 21 million girls aged 15–19 years in developing regions become pregnant each year, and about 12 million of them give birth. According to the University of the Philippines Population Institute’s 2021 Young Adult Fertility and Sexuality Study, 386,000 or 6.8% of Filipino girls aged 15–19 had already begun childbearing.\u003C/p>\n\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp>Jhpiego is a technical partner in the Oxfam Canada-led and Global Affairs Canada-funded Sexual Health and Empowerment project, which seeks to improve sexual and reproductive health and rights (SRHR) for women and girls in six underserved, conflict-affected and disadvantaged regions of the Philippines. To reach this goal, Jhpiego is improving the capacity of the public and private health systems to provide comprehensive and gender-responsive SRHR information and services. This includes providing training to health service providers, strengthening comprehensive SRHR services in health facilities to ensure that they are youth- and gender-responsive, and enhancing the management and coordination of SRHR and gender-based violence services to support referral and linkage to care.\u003C/p>\n\n\n\n\u003Cp>After Jovie delivered baby Jhon, Midwife Evelyn continued to ensure the health and safety of mom and baby, providing Jhon with timely immunizations. She also connected Jovie with an alternative learning system designed for out-of-school youth to complete their education, and Jovie has returned to her studies.\u003C/p>\n\n\n\n\u003Cp>Since its start, the Sexual Health and Empowerment project has reached 6,621 women, as well as 315 men, 611 girls and 224 boys through family planning outreach and practicum service provision during training of health care providers. The project also helped to refurbish 63 health facilities to be adolescent friendly.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"685\" src=\"https://jhpiego.org/wp-content/uploads/2025/02/dbd52ec89896cb418f9a0da7439b13d3-1024x685.jpg\" alt=\"\" class=\"wp-image-630\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/02/dbd52ec89896cb418f9a0da7439b13d3-1024x685.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/02/dbd52ec89896cb418f9a0da7439b13d3-300x201.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/02/dbd52ec89896cb418f9a0da7439b13d3-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/02/dbd52ec89896cb418f9a0da7439b13d3-808x540.jpg 808w, https://api.jhpiego.org/wp-content/uploads/2025/02/dbd52ec89896cb418f9a0da7439b13d3-375x251.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/02/dbd52ec89896cb418f9a0da7439b13d3-960x642.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/02/dbd52ec89896cb418f9a0da7439b13d3-1280x856.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/02/dbd52ec89896cb418f9a0da7439b13d3.jpg 1430w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Jovie remembers to have her contraceptive pills daily as she knows it will protect her from an unplanned pregnancy\u003C/em>\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>Jovie now uses contraceptive pills, which she receives for free from midwife Evelyn at the RHU. She feels that her dream of becoming a teacher is within reach again. Once she becomes a teacher, she says, she is committed to teaching adolescent boys and girls about sexual and reproductive health and rights.\u003C/p>\n\n\n\n\u003Cp>Two-year-old Jhon is clearly the apple of her eye. Jovie only wishes he had come after she and her partner had completed their education and had stable careers. “I want my son to finish his studies and not have to face roadblocks like I had to,” she concludes.\u003C/p>\n\n\n\n\u003Cp>Indrani Kashyap is associate director of regional communications for Jhpiego.\u003C/p>\n\n\n\n\u003Cp>Jeremiah Eleazer Sotto, Monitoring & Evaluation Officer for Jhpiego Philippines also contributed to the story\u003C/p>\n\n\n\n\u003Cp>The story has been technically reviewed by Meghan Greeley, Senior Technical Advisor at Jhpiego\u003C/p>\n","\u003Cp>Jovie Erillia had just turned 16 when she realized she was pregnant. She saw her dreams of becoming a teacher come to a screeching halt. But then she met Evelyn, a community health worker, who helped put Jovie’s mind at ease and gave her hope that her pregnancy would not mean an end to her dreams.\u003C/p>\n","helping-a-teen-mom-dream-again","https://jhpiego.org/our-stories/p/helping-a-teen-mom-dream-again/","/our-stories/p/helping-a-teen-mom-dream-again/","2024-10-09T07:49:00","2025-08-15T13:54:58",{"id":1100,"src":1101,"width":1102,"height":1103,"alt":20,"caption":20,"title":1104,"description":20,"mimeType":23,"html":1105,"srcset":1106,"sizes":1107,"meta":1108,"acf":1147},1328,"https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5.jpg",1430,956,"Picture5","\u003Cimg width=\"1430\" height=\"956\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5.jpg 1430w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-300x201.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-1024x685.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-808x540.jpg 808w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-375x251.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-960x642.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-1280x856.jpg 1280w\" sizes=\"auto, (max-width: 1430px) 100vw, 1430px\" />","https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5.jpg 1430w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-300x201.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-1024x685.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-808x540.jpg 808w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-375x251.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-960x642.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/03/Picture5-1280x856.jpg 1280w","(max-width: 1430px) 100vw, 1430px",{"width":1102,"height":1103,"file":1109,"filesize":1110,"sizes":1111,"imageMeta":1145},"2025/03/Picture5.jpg",347530,{"medium":1112,"large":1116,"thumbnail":1120,"mediumLarge":1123,"postThumbnail":1126,"socialPreview":1130,"smallPreview":1133,"mediumPreview":1137,"largePreview":1141},{"file":1113,"width":33,"height":1114,"mimeType":23,"filesize":1115},"Picture5-300x201.jpg",201,18982,{"file":1117,"width":38,"height":1118,"mimeType":23,"filesize":1119},"Picture5-1024x685.jpg",685,126634,{"file":1121,"width":43,"height":43,"mimeType":23,"filesize":1122},"Picture5-150x150.jpg",8191,{"file":1124,"width":47,"height":48,"mimeType":23,"filesize":1125},"Picture5-768x513.jpg",81735,{"file":1127,"width":1128,"height":58,"mimeType":23,"filesize":1129},"Picture5-808x540.jpg",808,88824,{"file":1131,"width":62,"height":63,"mimeType":23,"filesize":1132},"Picture5-1200x630.jpg",128690,{"file":1134,"width":67,"height":1135,"mimeType":23,"filesize":1136},"Picture5-375x251.jpg",251,27451,{"file":1138,"width":72,"height":1139,"mimeType":23,"filesize":1140},"Picture5-960x642.jpg",642,114570,{"file":1142,"width":77,"height":1143,"mimeType":23,"filesize":1144},"Picture5-1280x856.jpg",856,177371,{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":309,"keywords":1146},[],{"primaryColor":1148,"blurhash":1149,"videoUrl":20,"focalPointX":1150,"focalPointY":1151},"#545526","UFE{LC79S#}@b,-:VabH9t$+ajNF-;nfkTov","74.2","27.2",{"id":1153,"guid":1154,"title":1155,"content":1156,"excerpt":1157,"excerptRaw":1157,"slug":1158,"url":1159,"uri":1160,"to":1160,"status":325,"date":1161,"modified":1162,"type":328,"authorId":329,"featuredMedia":1163},4041,"https://jhpiego.netlify.app/?p=4041","Empowering Youth in Fighting Against HIV","\n\u003Cp>Mariame Toure* spent her childhood taking medications without understanding why because her mother believed she was too young to be informed of her HIV status.\u003C/p>\n\n\n\n\u003Cp>As a teenager, Mariame began questioning why she had to continuously take medication; her mother only told her she had to remain on medication for life to avoid falling ill. “I stayed in the dark until I discovered it myself through what I learnt in school on HIV medication,” Mariame, who contracted HIV through vertical transmission, reveals with a disappointed look on her face while admitting that adherence to treatment was at times difficult.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg decoding=\"async\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Mariame-Toure_CDI_RISE_Peer-Educator.jpg\" alt=\"\" class=\"wp-image-4042\"/>\u003C/figure>\n\n\n\n\u003Cp>In Côte d’Ivoire, many adolescents living with HIV face significant challenges, including stigma, difficulty adhering to treatment and barriers to accessing health care. These issues often result in poor health outcomes and hinder efforts to achieve viral load suppression. The 2018 Côte d’Ivoire Population-based HIV Impact Assessment (CIPHIA) surveillance study found that only 34% of adolescents living with HIV in Côte d’Ivoire had achieved viral load suppression, illustrating the urgent need for targeted interventions.\u003C/p>\n\n\n\n\u003Cp>In February 2023, Mariame’s life changed when she became a peer educator for the Zvandiri-Like Initiative, a community-based program implemented by the Reaching Impact Saturation and Epidemic Control (RISE) project in Côte d’Ivoire. This initiative helps adolescents and young people on antiretroviral therapy (ART) stay in care and achieve viral suppression by engaging them through structured community follow-up and support groups. With encouragement from Dr. Cyprien Nioblé, Chief of Party for RISE-Côte d’Ivoire, Mariame decided to join the project as a peer educator.  “This boosted my confidence and strengthened my adherence to treatment,” said Mariame who is now 25 and pursuing a Higher National Diploma (BTS) in Human Resources and Communication.\u003C/p>\n\n\n\n\u003Cp>Mariame became the leader of a support group established by the RISE team in collaboration with the HIV focal point at Adjamé General Hospital. She quickly earned the trust of the adolescents and young people in her group and became a key figure in their support network. Her motto: “If this disease must reach others, it will not be through me.” She said, “I have seen many suffer and leave this world because of this disease. My goal today is to help others avoid it.”\u003C/p>\n\n\n\n\u003Cp>The RISE team trained Mariame and 14 other mentors on topics such as treatment adherence, stigma and discrimination, disclosure and referring peers to additional services. To facilitate communication, Mariame created a WhatsApp group for adolescents and young people, where they could express themselves freely and receive daily encouragement to adhere to their medication regimen.\u003C/p>\n\n\n\n\u003Cp>Under the mentorship of her supervisor, Nessemon Koné, a nurse and HIV focal person at the Adjamé General Hospital, Mariame and her colleagues have become champions in their work, gaining skills to navigate challenges and improve service delivery to their peers. “This group is a space where I am perceived as both a mother and an advisor,” said Nessemon. She added that Mariame’s involvement has been invaluable, as Mariame is often closer to adolescents and young people than anyone else, enabling them to share things they wouldn’t express directly to others.\u003C/p>\n\n\n\n\u003Cp>The impact of Mariame’s work is reflected in the testimonials of support group members. Niara Sawadogo, a 23-year-old living with HIV said, “Since joining the support group, I feel comfortable with Ms. Mariame. She is like a big sister; she always calls to give me advice and encourages me. When I had issues with my sisters, Mariame was there to help. She listens to me, and it feels good.”\u003C/p>\n\n\n\n\u003Cp>Mariame encourages her peers to take control of their health. “My role is to help each one realize that while this disease weakens us, it does not control us. It should not be a hindrance to our development; we must have a brave mentality,” she says.\u003C/p>\n\n\n\n\u003Cp>Her dedication has led to remarkable outcomes. When she first started working with the group in July 2023, only one of 10 adolescents had a completely suppressed viral load. After six months of psychosocial support and encouragement, eight out of the nine others completed their viral suppression, thanks to Mariame’s efforts and the support from the RISE Côte d’Ivoire team.\u003C/p>\n\n\n\n\u003Cp>RISE provides clinical support to 1,015 adolescents and young people aged 15 to 19 years in the Abidjan 2 region, with 90% (916) achieving viral load suppression. Currently (July 2024) Mariame’s peer cohort of 12 adolescents has achieved a remarkable milestone, with all members (100%) successfully attaining viral suppression.\u003C/p>\n\n\n\n\u003Cp>“I am in constant communication with them,” Mariame says. “I lead the support groups at the hospital and manage the WhatsApp group where we discuss health and safety, including the dangers of sexually transmitted infections. For those without smartphones, I call them to understand their daily challenges and encourage them to take their medications every day.”\u003C/p>\n\n\n\n\u003Cp>\u003Ca>\u003C/a>Mariame confides that her involvement in the project not only helps others but also keeps her spirits up. Looking ahead, Mariame dreams of creating a non-governmental organization to support adolescents and children living with HIV, educate those who cannot afford schooling and financially assist those in business. She also aims to raise awareness among healthy young people about the prevention of HIV.\u003C/p>\n\n\n\n\u003Cp>RISE, a global project funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through the United States Agency for International Development (USAID), works with countries to achieve and maintain HIV epidemic control. In Côte d’Ivoire, RISE implements a clinical and community-based HIV project led by Jhpiego in the Abidjan 2 region. To support viral suppression among adolescents, RISE provides adherence support, home visits, ART delivery, medical appointment reminders and therapeutic education.\u003C/p>\n\n\n\n\u003Cp>RISE Chief of Party Dr. Cyprien explains, “The adolescent support group is of paramount importance. Adolescence is a time of uncertainty and it’s often when HIV status is disclosed. In this turbulent period, support groups led by peer educators like Mariame are essential for helping adolescents accept their status, adhere to treatment and achieve viral suppression.”\u003C/p>\n\n\n\n\u003Cp>*Mariame is a pseudonym chosen at the request of the peer educator to maintain her privacy.\u003C/p>\n","\u003Cp>A Youth Leader’s Impact on Viral Load Suppression Among Her Peers in Côte d’Ivoire.\u003C/p>\n","empowering-youth-in-fighting-against-hiv","https://jhpiego.org/our-stories/p/empowering-youth-in-fighting-against-hiv/","/our-stories/p/empowering-youth-in-fighting-against-hiv/","2024-08-27T02:13:22","2025-08-14T02:19:49",{"id":1164,"src":1165,"width":18,"height":19,"alt":20,"caption":20,"title":1166,"description":20,"mimeType":23,"html":1167,"srcset":1168,"sizes":26,"meta":1169,"acf":1209},4044,"https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019.jpg","Cote dIvoire_HIV_2019","\u003Cimg width=\"2048\" height=\"1367\" src=\"https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-1024x684.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-1536x1025.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-809x540.jpg 809w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-960x641.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-1920x1282.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\" />","https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-1024x684.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-1536x1025.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-809x540.jpg 809w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-960x641.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2024/08/Cote-dIvoire_HIV_2019-1920x1282.jpg 1920w",{"width":18,"height":19,"file":1170,"filesize":1171,"sizes":1172,"imageMeta":1206},"2024/08/Cote-dIvoire_HIV_2019.jpg",421590,{"medium":1173,"large":1176,"thumbnail":1179,"mediumLarge":1182,"1536x1536":1185,"postThumbnail":1188,"socialPreview":1191,"smallPreview":1194,"mediumPreview":1197,"largePreview":1200,"fullscreenSmall":1203},{"file":1174,"width":33,"height":34,"mimeType":23,"filesize":1175},"Cote-dIvoire_HIV_2019-300x200.jpg",14796,{"file":1177,"width":38,"height":39,"mimeType":23,"filesize":1178},"Cote-dIvoire_HIV_2019-1024x684.jpg",86780,{"file":1180,"width":43,"height":43,"mimeType":23,"filesize":1181},"Cote-dIvoire_HIV_2019-150x150.jpg",7274,{"file":1183,"width":47,"height":48,"mimeType":23,"filesize":1184},"Cote-dIvoire_HIV_2019-768x513.jpg",57411,{"file":1186,"width":52,"height":53,"mimeType":23,"filesize":1187},"Cote-dIvoire_HIV_2019-1536x1025.jpg",160189,{"file":1189,"width":57,"height":58,"mimeType":23,"filesize":1190},"Cote-dIvoire_HIV_2019-809x540.jpg",61896,{"file":1192,"width":62,"height":63,"mimeType":23,"filesize":1193},"Cote-dIvoire_HIV_2019-1200x630.jpg",88850,{"file":1195,"width":67,"height":68,"mimeType":23,"filesize":1196},"Cote-dIvoire_HIV_2019-375x250.jpg",20379,{"file":1198,"width":72,"height":73,"mimeType":23,"filesize":1199},"Cote-dIvoire_HIV_2019-960x641.jpg",79142,{"file":1201,"width":77,"height":78,"mimeType":23,"filesize":1202},"Cote-dIvoire_HIV_2019-1280x854.jpg",120770,{"file":1204,"width":82,"height":83,"mimeType":23,"filesize":1205},"Cote-dIvoire_HIV_2019-1920x1282.jpg",230723,{"aperture":86,"credit":1207,"camera":20,"caption":20,"createdTimestamp":86,"copyright":1207,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1208},"Monique Jaques",[],{"primaryColor":1210,"blurhash":1211},"#715844","USF=w6-=e,RO?wx]t5WAjwt7WBjr-;xuRit7",{"id":1213,"guid":1214,"title":1215,"content":1216,"excerpt":1217,"excerptRaw":1217,"slug":1218,"url":1219,"uri":1220,"to":1220,"status":325,"date":1221,"modified":1222,"type":328,"authorId":487,"featuredMedia":1223},4130,"https://jhpiego.netlify.app/?p=4130","Working toward a Brighter Future in South Sudan","\n\u003Ch2 class=\"wp-block-heading\">Determined. Resilient. Empowered. AIDS Free. Mentored. Safe.\u003C/h2>\n\n\n\n\u003Cul class=\"wp-block-list\">\n\u003Cli>The Hayatna project in South Sudan, building on the DREAMS initiative, empowers adolescent girls and young women with HIV prevention education, GBV support, and livelihood training to reduce their vulnerability and improve health outcomes.\u003C/li>\n\n\n\n\u003Cli>Through skills-building programs and partnerships like the Radisson Blu hospitality training, participants gain employment, economic independence, and the confidence to shape their futures.\u003C/li>\n\n\n\n\u003Cli>Personal transformations—from leaving unsafe relationships and gang life to starting businesses—demonstrate the program’s life-changing impact on health, safety, and self-sufficiency.\u003C/li>\n\u003C/ul>\n\n\n\n\u003Cp>These words reflect the aspirations of young women and adolescent girls participating in the U.S. Government’s Hayatna (“our lives” in Juba Arabic) project in South Sudan. The project continues the DREAMS (Determined, Resilient, Empowered, AIDS Free, Mentored and Safe) initiative begun in Juba County, South Sudan, in 2020. DREAMS, \u003Ca href=\"https://2017-2021.state.gov/pepfar-dreams-partnership/\" target=\"_blank\" rel=\"noreferrer noopener\">a public-private partnership of the U.S. President’s Emergency Fund for AIDS Relief,\u003C/a> seeks to improve health outcomes for vulnerable families and reduce the risk of HIV among adolescent girls and young women ages 15–24. Hayatna is led by Jhpiego with consortium local partners, National Empowerment of Positive Women United, Young Positives South Sudan and Active Youth Agency. The goal of Hayatna is to enhance health outcomes for children, adolescents and vulnerable families and to reduce new HIV infections among adolescent girls and young women.  \u003C/p>\n\n\n\n\u003Cp>Previous work supporting adolescent girls and young women under DREAMS was funded through the U. S. Government’s \u003Ca href=\"https://www.pactworld.org/achieve\" target=\"_blank\" rel=\"noreferrer noopener\">Adolescents and Children HIV Incidence Reduction, Empowerment and Virus Elimination (ACHIEVE) project, \u003C/a>a global consortium led by Pact with partners Jhpiego, Palladium, No Means No Worldwide and WI-HER. Young women and adolescents facing economic hardship received education, skills building and job training to prevent and treat HIV, stay healthy and thrive. More than 2,100 young women have graduated from that program’s internship opportunities.  \u003C/p>\n\n\n\n\u003Cp>Meet four young women who share the progress they have made in their lives. \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">Leaving a Gang Behind\u003C/h3>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"600\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-01.jpeg\" alt=\"\" class=\"wp-image-4134\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-01.jpeg 800w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-01-300x225.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-01-768x576.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-01-720x540.jpeg 720w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-01-375x281.jpeg 375w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Diana David Hakim attends a DREAMS Empowerment Livelihood for Adolescent session at Kimu Primary Health Care Cener in South Sudan.\u003C/em>\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>Diana David Hakim was in a girl gang and proud of it. As a member of the Wrong Girls, Diana teamed up with other adolescents to roam their community, causing havoc. There were countless fights, she says now. Some involved machetes. People got hurt. \u003C/p>\n\n\n\n\u003Cp>“I was living a dangerous life,” the 22-year-old admits. “Indeed, it was very risky. I could not even listen to anyone, including my family.” \u003C/p>\n\n\n\n\u003Cp>But the DREAMS project offered Diana another path: education on sexual and reproductive health, ways to avoid an unwanted pregnancy and services for gender-based violence (GBV) survivors. Through DREAMS, this Wrong Girl saw how she could get right with herself and the world. \u003C/p>\n\n\n\n\u003Cp>Diana took account of herself, acknowledged the negative impact of her previous actions, and recognized that she could write a different ending to her story, one she could be proud of. She began to listen to her parents and treat people in the neighborhood with respect.  \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>“I am now an empowered young woman and through the DREAMS (activities), I now know my HIV status. I am on family planning and also received post-GBV services. I have seen a lot of changes in my life now, and I appreciate DREAMS for . . . showing us the pathways to the future.”\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp>Her path includes a catering training program sponsored by DREAMS partner, Radisson Blu. Says Diana, “I want to be my own boss and have my place in the future.”  \u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">A Newfound Confidence and HIV Awareness\u003C/h3>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"600\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-03.jpg\" alt=\"\" class=\"wp-image-4135\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-03.jpg 800w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-03-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-03-768x576.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-03-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-03-375x281.jpg 375w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Alana John Musa, 22 years, attends a DREAMS Empowerment Livelihood for Adolescent session at Kimu PHCC.\u003C/em>\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>Body shaming took an emotional toll on Alana John Musa, a 22-year-old who faced stigma and discrimination over her weight and appearance. Shy and fearful, Alana felt the pressure of being overweight and the false suggestion that she was older and unmarried. This led her to transactional sex, risking her health and enduring abuse from some clients. Alana was unaware of her HIV status because she knew nothing about HIV or sexually transmitted infections. That all changed when she was introduced to the DREAMS initiative. She enrolled in DREAMS classes and gained a profound understanding of HIV. She decided to be tested; the result was negative.\u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>“I now have the ability to plan for my life and future. As a strong and determined DREAMS participant, I have become independent and accountable for my actions. I now confidently visit health facilities for HIV testing, and, thanks to the HIV prevention program, I have acquired so much prevention literacy that I am able to make informed decisions. I am also now educating other young girls in my community about HIV and those in risky relationships to be initiated on PrEP [pre-exposure prophylaxis].” -Alana John Musa\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp>Alana’s next goal is to enroll in a liquid soap-making training. Upon completion of these courses, she wants to establish a vibrant business in liquid and bar soap making and use the proceeds to enroll in school and pursue a career helping her community: “My ultimate aspiration is to become a doctor one day.”\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">Overcoming Barriers to a Purpose-Driven Life\u003C/h3>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"800\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-04.jpg\" alt=\"\" class=\"wp-image-4136\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-04.jpg 600w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-04-225x300.jpg 225w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-04-405x540.jpg 405w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-04-375x500.jpg 375w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Teresa Nyaku of DREAMS AGYW is employed as a chef at Radisson Blu Hotel, Juba.\u003C/em>\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>At age 14, Teresa Nyaku had to drop out of school because her parents couldn’t afford her school fees. That left her vulnerable and idle and at a loss for how to improve her life. But then she joined the DREAMS project and found a purpose.  \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>“The DREAMS program gave me all my lost hope and confidence back. I am empowered and now know my rights and believe that I will do better than I thought.”  Teresa Nyak\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp>Through the DREAMS activities, Teresa received HIV testing and post-GBV services and obtained a national identity card, which is critical to attaining employment and government services. She then joined the Radisson Blu hospitality training program, graduating with skills to work in food services. \u003C/p>\n\n\n\n\u003Cp>“Wearing that graduation gown really meant a lot to me and my family,” Teresa said, “because I never thought or imagined that one day my life will change . . . I’m now a skilled and strong girl who can afford to buy herself sanitary pads, nice dresses and support my parents, because I am now employed by Radisson Blu hotel in the kitchen department.”\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">An Aspiring Chef\u003C/h3>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"600\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-05.jpg\" alt=\"\" class=\"wp-image-4137\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-05.jpg 800w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-05-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-05-768x576.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-05-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-05-375x281.jpg 375w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" />\u003Cfigcaption class=\"wp-element-caption\">\u003Cem>Ronecia Robert, 23, attends a DREAMS Empowerment Livelihood for Adolescent session at Kimu PHCC.\u003C/em>\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>A rebellious teenager, Ronecia Robert had a tumultuous past before she joined the DREAMS initiative for adolescents. Low self-esteem, anger management issues and serial sexual encounters led the 23-year-old into relationships that compromised her health, including dealing with a serious sexually transmitted infection.\u003C/p>\n\n\n\n\u003Cp>Through the DREAMS project, however, Ronecia attended educational empowerment sessions and learned how to socialize with others, value her body and manage her temper.\u003C/p>\n\n\n\n\u003Cp>“The DREAMS program has given me hope and guided me to have aspirations in life,” she said.\u003C/p>\n\n\n\n\u003Cp>Today, she is transformed, has taken charge of her health and celebrates a positive attitude. She knows her HIV status, educates peers on HIV prevention, condom use and the positive aspects of PrEP, encouraging them to also prioritize their health and wellbeing.\u003C/p>\n\n\n\n\u003Cp>Ronecia plans to enroll as a catering trainee with partner Radisson Blu to fulfill her dream of being a professional chef: “I am going to get training on catering and thereafter, start my own business. This will help me cater for my basic daily needs and cope better in this harsh economy.”\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Kelly Curran, Sr. Technical Director of HIV and Infectious Diseases, provided technical review of this article.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Kumbirai Tudor Mazaiwana is the DREAMS Activity Manager in Jhpiego’s South Sudan office. \u003C/em> \u003C/p>\n","\u003Cp>In South Sudan, the Hayatna project is transforming the lives of adolescent girls and young women—equipping them with HIV prevention knowledge, job skills, and renewed confidence to build safer, healthier, and more self-reliant futures.\u003C/p>\n","dreams-hayatna-south-sudan","https://jhpiego.org/our-stories/p/dreams-hayatna-south-sudan/","/our-stories/p/dreams-hayatna-south-sudan/","2024-08-20T18:12:00","2025-08-14T18:28:43",{"id":1224,"src":1225,"width":47,"height":1226,"alt":20,"caption":1227,"title":1228,"description":20,"mimeType":23,"html":1229,"srcset":1230,"sizes":1231,"meta":1232,"acf":1254},4138,"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06.jpg",576,"Young women attending a DREAMS Empowerment Livelihood for Adolescent session at Kimu PHCC, Juba.","Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06","\u003Cimg width=\"768\" height=\"576\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06-375x281.jpg 375w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06-300x225.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06-720x540.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06-375x281.jpg 375w","(max-width: 768px) 100vw, 768px",{"width":47,"height":1226,"file":1233,"filesize":1234,"sizes":1235,"imageMeta":1251},"2025/08/Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06.jpg",75094,{"medium":1236,"thumbnail":1240,"postThumbnail":1243,"smallPreview":1247},{"file":1237,"width":33,"height":1238,"mimeType":23,"filesize":1239},"Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06-300x225.jpg",225,25669,{"file":1241,"width":43,"height":43,"mimeType":23,"filesize":1242},"Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06-150x150.jpg",16791,{"file":1244,"width":1245,"height":58,"mimeType":23,"filesize":1246},"Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06-720x540.jpg",720,66485,{"file":1248,"width":67,"height":1249,"mimeType":23,"filesize":1250},"Jhpiego-Story-SouthSudan-DREAMS-08-20-2024-06-375x281.jpg",281,31267,{"aperture":86,"credit":1252,"camera":20,"caption":20,"createdTimestamp":86,"copyright":1252,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":309,"keywords":1253},"Peter Caton/Jhpiego",[],{"primaryColor":1255,"blurhash":1256},"#3f3c36","U7B|EH009F~q00-;xtM|00?bxuD%WqflxuIU",{"id":1258,"guid":1259,"title":1260,"content":1261,"excerpt":1262,"excerptRaw":1262,"slug":1263,"url":1264,"uri":1265,"to":1265,"status":325,"date":1266,"modified":1267,"type":328,"authorId":487,"featuredMedia":1268},4107,"https://jhpiego.netlify.app/?p=4107","Coming together to improve health care for young people in Guatemala ","\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>Adolescents and health care providers define and design quality, youth-responsive health services\u003C/strong>\u003C/h3>\n\n\n\n\u003Cul class=\"wp-block-list\">\n\u003Cli>In Santa Cruz Barillas, Guatemala, adolescents and health care providers partnered through the Partnership Defined Quality for Youth process to design high-quality, youth-responsive health services.\u003C/li>\n\n\n\n\u003Cli>Guided by OSAR-Juvenil, youth and providers jointly identified barriers, prioritized urgent needs, and developed an action plan to improve adolescent access to respectful, comprehensive care.\u003C/li>\n\n\n\n\u003Cli>This collaboration marks a cultural shift toward youth engagement in health decision-making, fostering trust and ensuring services reflect young people’s real concerns.\u003C/li>\n\u003C/ul>\n\n\n\n\u003Cp>In the community of Santa Cruz Barillas, in the western highlands of Huehuetenango in Guatemala, a shared dream between adolescents and health care providers was in the making. The vision was clear: to ensure that young people have access to high-quality, comprehensive health services.\u003C/p>\n\n\n\n\u003Cp>Despite efforts to strengthen the community’s health system, which have included equipping facilities and training staff, lasting improvements in the quality of health services have not been achieved, especially for adolescents and youth ages 10 to 24 years old.\u003C/p>\n\n\n\n\u003Cp>Many barriers prevent young people from obtaining adequate health information and access to health services near their homes, beginning with where to start. In a survey of adolescents and youth, the problem most often mentioned was the lack of knowledge about the availability of services. One adolescent pointed out, “I don’t know what services there are for youth at the health center.” Without knowledge and access to services, young people do not have the opportunity to dig into the critical issues around quality and respect.\u003C/p>\n\n\n\n\u003Cp>To address this problem, the U.S. Government Health and Nutrition Project (Proyecto de Salud y Nutrición), implemented by Jhpiego, has promoted partnering with young people and has invited young community members to get involved and support services through community mobilization. The project works with OSAR-Juvenil (Observatorio en Salud Sexual y Reproductiva), an organization of young people for young people that advocates for access to comprehensive sexual education for adolescents and youth.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"620\" height=\"436\" data-id=\"4120\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-01.jpg\" alt=\"\" class=\"wp-image-4120\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-01.jpg 620w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-01-300x211.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-01-375x264.jpg 375w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" />\u003Cfigcaption class=\"wp-element-caption\">Youth and health care providers gather to develop an action plan for improving health care for young people.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"496\" height=\"454\" data-id=\"4121\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-02.jpg\" alt=\"\" class=\"wp-image-4121\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-02.jpg 496w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-02-300x275.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-02-375x343.jpg 375w\" sizes=\"auto, (max-width: 496px) 100vw, 496px\" />\u003Cfigcaption class=\"wp-element-caption\">Youth volunteers participated in the PDQ process.\u003C/figcaption>\u003C/figure>\n\u003C/figure>\n\n\n\n\u003Cp>At the end of 2023, the Santa Cruz Barillas Health Center took a significant step by opening its doors to Partnership Defined Quality (PDQ) for Youth, a process to improve quality and access to services through community involvement. The process has four stages—building support, exploring quality, closing gaps and working together. Engaging youth in planning health services that meet their needs is not customary in Guatemala, where roles and responsibilities are more traditional in scope. But using a time-tested, evidence-based approach to involve youth in the process proved productive.\u003C/p>\n\n\n\n\u003Cp>OSAR-Juvenil facilitated the PDQ process, adopting the theme, “adolescents and health services defining and improving the quality of health service provision.”\u003C/p>\n\n\n\n\u003Cp>Health care providers participated in a workshop to explore the quality of care they provide. Through reflective exercises and in-depth discussions, they identified areas for improvement in their daily practice. In parallel, a group of adolescents organized by OSAR-Juvenil explored their views on adolescent health care, defining what quality meant to them and highlighting both the strengths and weaknesses of existing health services. They had concerns such as “Will I be discriminated for being young?”\u003C/p>\n\n\n\n\u003Cp>Health care providers and adolescents met to close gaps in their vision of quality care and to find innovative solutions to the problems they identified. Together, they categorized the information gathered during the previous sessions and prioritized the most urgent needs. This collaborative process was critical to ensure that the proposed solutions addressed the adolescents’ real concerns.\u003C/p>\n\n\n\n\u003Cp>They met again to define a joint vision for comprehensive, adolescent-friendly services and developed a detailed quality improvement action plan. With specific objectives and clear strategies, they committed to work together to transform adolescent care in Santa Cruz Barillas.\u003C/p>\n\n\n\n\u003Cp>A referral voucher, cupón de referencia, designed to encourage adolescent participation in their health and services, was presented and enthusiastically received, marking a promising start.\u003C/p>\n\n\n\n\u003Cp>The next step is to implement the action plan, but the road traveled so far is already a testament to the power of collaboration and commitment. This work is an inspiring example of how high-quality, adolescent-responsive health care can become reality when a community and health care providers come together for a common purpose.\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Meghan Greeley, Jhpiego’s Sr. Technical Advisor for Adolescent Health, provided technical review of this story.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Haydee Ileanova Lemus, Gender and Social and Behavior Change Communication Advisor, and Fernando Arevalo, Communications and Knowledge Management Senior Specialist, work in Jhpiego’s Guatemala office.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Photos courtesy of ISDM for the U.S. Government Health and Nutrition Project. July 2024\u003C/em>\u003C/p>\n","\u003Cp>In rural Guatemala, adolescents and health care providers are breaking tradition—working side by side to redesign health services that truly meet young people’s needs.\u003C/p>\n","youth-guatemala","https://jhpiego.org/our-stories/p/youth-guatemala/","/our-stories/p/youth-guatemala/","2024-08-20T18:01:00","2025-08-14T18:10:34",{"id":1269,"src":1270,"width":1271,"height":1272,"alt":20,"caption":1273,"title":1274,"description":20,"mimeType":23,"html":1275,"srcset":1276,"sizes":1277,"meta":1278,"acf":1294},4120,"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-01.jpg",620,436,"Youth and health care providers gather to develop an action plan for improving health care for young people.","Jhpiego-Story-Guatemala-Youth-08-20-2024-01","\u003Cimg width=\"620\" height=\"436\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-01.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-01.jpg 620w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-01-300x211.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-01-375x264.jpg 375w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-01.jpg 620w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-01-300x211.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-01-375x264.jpg 375w","(max-width: 620px) 100vw, 620px",{"width":1271,"height":1272,"file":1279,"filesize":1280,"sizes":1281,"imageMeta":1292},"2025/08/Jhpiego-Story-Guatemala-Youth-08-20-2024-01.jpg",61908,{"medium":1282,"thumbnail":1285,"smallPreview":1288},{"file":1283,"width":33,"height":1016,"mimeType":23,"filesize":1284},"Jhpiego-Story-Guatemala-Youth-08-20-2024-01-300x211.jpg",18203,{"file":1286,"width":43,"height":43,"mimeType":23,"filesize":1287},"Jhpiego-Story-Guatemala-Youth-08-20-2024-01-150x150.jpg",7858,{"file":1289,"width":67,"height":1290,"mimeType":23,"filesize":1291},"Jhpiego-Story-Guatemala-Youth-08-20-2024-01-375x264.jpg",264,25305,{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1293},[],{"primaryColor":1295,"blurhash":1296},"#bbad9c","UCHeB@~A00n3DN-n_3MxXQIVR7Ip.RbcDjoy",{"id":1298,"guid":1299,"title":1300,"content":1301,"excerpt":1302,"excerptRaw":1302,"slug":1303,"url":1304,"uri":1305,"to":1305,"status":325,"date":1306,"modified":1307,"type":328,"authorId":459,"featuredMedia":1308},1370,"https://jhpiego.netlify.app/?p=1370","Youth Peer Educators Like Amrita in India Raise Awareness on Sexual and Reproductive Health Issues ","\n\u003Cp>Dindori, India –– Amrita Sahu stands before a group of adolescents and holds up a menstrual pad. It’s a bold move in a farming village in central India’s tribal belt where conversations about sexual and reproductive health among young people are taboo and adolescents have few opportunities to ask questions about their bodies.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"799\" height=\"533\" src=\"https://jhpiego.org/wp-content/uploads/2025/03/India-group.jpg\" alt=\"\" class=\"wp-image-1372\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/India-group.jpg 799w, https://api.jhpiego.org/wp-content/uploads/2025/03/India-group-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/India-group-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/India-group-375x250.jpg 375w\" sizes=\"auto, (max-width: 799px) 100vw, 799px\" />\u003Cfigcaption class=\"wp-element-caption\">Amrita speaking to other members of the youth leadership group to which she will distribute napkins and other information.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>“Everybody knows what this is, right?” the 18-year-old asks confidently as she launches into a discussion about the misinformation around a woman’s monthly period that can keep an adolescent from attending school or seeking health services.\u003C/p>\n\n\n\n\u003Cp>Amrita has been a peer educator in her community since 2017 when she was selected by her village’s local government to be part of the Government of India’s peer educator program.\u003C/p>\n\n\n\n\u003Cp>At this youth support meeting, Amrita dispels a series of familiar myths around menstrual hygiene, “You can’t enter the kitchen. Don’t eat pickles. Don’t wash up.” She challenges group participants to dismiss them. “You should do all of it,” she says emphatically, and urges, “If you bleed for more than seven days, you must get checked up.” The peer counselor also discusses gender equality, reproductive rights, nutrition, mental health, communicable disease and drug abuse. Amrita educates the participants on issues that girls and young women in this conservative community find difficult to talk about.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023_2-1024x683.jpg\" alt=\"\" class=\"wp-image-4962\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023_2-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023_2-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023_2-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023_2-1536x1025.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023_2-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023_2-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023_2-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023_2-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023_2-1920x1281.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023_2.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Amrita Sahu was asked to be a leader in 2019 but had to postpone her training due to COVID.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>As part of her work, Amrita introduced her peers to Baatein Unlocked, a youth-led movement for open dialogue supported by the MOMENTUM Country and Global Leadership: India-Yash project and in partnership with the government of India. In addition to having a social media presence for all, the initiative hosts a closed Facebook group, a private online space where membership is limited and controlled to ensure a focused, confidential and safe environment for discussions.\u003C/p>\n\n\n\n\u003Cp>“Pull out your phones, type your question and post! You can ask anything; it’s that simple,” she tells the group. Amrita received training on the social media tool from Purpose, an implementing partner, and on-ground support from local civil society organizations, like Gram Bharati Mahila Mandal. She believes this closed\u003C/p>\n\n\n\n\u003Cp>Facebook group, which has over 6,000 followers, is bridging the digital divide, helping youth access health services and promoting good health.\u003C/p>\n\n\n\n\u003Cp>“There is a lot of disparity between the way girls are treated and how boys are treated. We try to bridge that gap by talking to boys and girls,” says Amrita, a physiotherapy student.\u003C/p>\n\n\n\n\u003Cp>Amrita is part of a larger movement energized by the Jhpiego-led MOMENTUM Country and Global Leadership: India-Yash project. Young people between the ages of 15 and 29 make up more than 27% of India’s population—yet this large group remains underserved regarding their sexual and reproductive needs.\u003C/p>\n\n\n\n\u003Cp>Youth champions, like Amrita, supported by MOMENTUM are working throughout India.\u003C/p>\n\n\n\n\u003Cp>In Delhi, Rajesh Kumar is driven by the same passion and commitment as Amrita. The challenges he faces are different, but they share a mutual goal: to break the silence surrounding sexual and reproductive health and promote gender equality. Rajesh is a 24-year-old youth champion at Delhi Learning Lab (DLL), an initiative supported by MOMENTUM located in a low-resource community, Dakshinpuri, in New Delhi.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023-1024x683.jpg\" alt=\"\" class=\"wp-image-4959\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2024/08/India_Yash_2023.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">As a youth leader for MOMENTUM-supported Delhi Learning Lab, Rajesh Kumar (right) does community outreach to raise awareness about sexual and reproductive health issues that impact young people.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>Rajesh joined DLL in early 2023 and received foundational training with support from local partner Restless Development on how to address taboo subjects around sexual and reproductive health within his community. “If a boy talks about menstruation, it’s not acceptable in our society,” he explains. “But it’s crucial to break the silence.”\u003C/p>\n\n\n\n\u003Cp>Through DLL, Rajesh also has learned to advocate for the queer community and people with disabilities. He partners with private and public health service providers, faith-based leaders, colleges and government authorities to facilitate easy access to youth-friendly, quality sexual and reproductive health information and services and to leverage the use of technology.\u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>“DLL has given me a platform, an identity. The community recognizes me as an advocate for change. With a network of 400 changemakers like me in our community in Dakshinpuri, we are creating a ripple effect. I want to use technology, like Baatein Unlocked, as a tool to communicate with communities on sensitive topics through which we are unlocking difficult conversations. It’s a movement.”\u003C/p>\n\u003Ccite>Rajesh\u003C/cite>\u003C/blockquote>\n\n\n\n\u003Cp>Embodying the spirit of International Youth Day 2024 and the theme “From Clicks to Progress: Youth Digital Pathways for Sustainable Development,” Amrita and Rajesh are deepening the crucial connection between digitalization and progress toward the global Sustainable Development Goals. Their voices resonate with the power and promise of a brighter tomorrow. Through social media, face-to-face sessions and educational discussions, the India-Yash champions are transforming their communities—one conversation at a time.\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Sribash Chandra Saha, State Program Manager–Madhya Pradesh and Pankhuri Shukla, Program Officer–Youth\u003C/em> \u003Cem>contributed to this story\u003C/em>.\u003C/p>\n","\u003Cp>Amrita has been a peer educator in her community since 2017 when she was selected by her village’s local government to be part of the Government of India’s peer educator program.\u003C/p>\n","youth-peer-educators-in-india-raise-awareness-on-sexual-and-reproductive-health-issues","https://jhpiego.org/our-stories/p/youth-peer-educators-in-india-raise-awareness-on-sexual-and-reproductive-health-issues/","/our-stories/p/youth-peer-educators-in-india-raise-awareness-on-sexual-and-reproductive-health-issues/","2024-08-20T17:50:00","2025-08-26T00:53:11",{"id":1309,"src":1310,"width":1311,"height":1312,"alt":20,"caption":20,"title":1313,"description":20,"mimeType":23,"html":1314,"srcset":1315,"sizes":1316,"meta":1317,"acf":1336},1371,"https://api.jhpiego.org/wp-content/uploads/2025/03/circle.jpg",800,534,"circle","\u003Cimg width=\"800\" height=\"534\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/03/circle.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/circle.jpg 800w, https://api.jhpiego.org/wp-content/uploads/2025/03/circle-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/circle-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/circle-375x250.jpg 375w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" />","https://api.jhpiego.org/wp-content/uploads/2025/03/circle.jpg 800w, https://api.jhpiego.org/wp-content/uploads/2025/03/circle-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/circle-768x513.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/circle-375x250.jpg 375w","(max-width: 800px) 100vw, 800px",{"width":1311,"height":1312,"file":1318,"filesize":1319,"sizes":1320,"imageMeta":1333},"2025/03/circle.jpg",360411,{"medium":1321,"thumbnail":1324,"mediumLarge":1327,"smallPreview":1330},{"file":1322,"width":33,"height":34,"mimeType":23,"filesize":1323},"circle-300x200.jpg",34388,{"file":1325,"width":43,"height":43,"mimeType":23,"filesize":1326},"circle-150x150.jpg",22643,{"file":1328,"width":47,"height":48,"mimeType":23,"filesize":1329},"circle-768x513.jpg",136205,{"file":1331,"width":67,"height":68,"mimeType":23,"filesize":1332},"circle-375x250.jpg",45531,{"aperture":86,"credit":87,"camera":20,"caption":20,"createdTimestamp":86,"copyright":1334,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":309,"keywords":1335},"�2023 Karen Kasmauski",[],{"primaryColor":1337,"blurhash":1338},"#404344","U7C?ZU4:NE?a_4NGIV#r54J6yDI:I.V_r]Io",{"id":1340,"guid":1341,"title":1342,"content":1343,"excerpt":1344,"excerptRaw":1344,"slug":1345,"url":1346,"uri":1347,"to":1347,"status":325,"date":1348,"modified":1349,"type":328,"authorId":487,"featuredMedia":1350},4105,"https://jhpiego.netlify.app/?p=4105","Three Principles to Provide HIV/SRH Services for Young People","\n\u003Cp>\u003Cem>Lessons from five countries on maintaining and sustaining integrated, adolescent- and youth-centered services.\u003C/em>\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"720\" height=\"477\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image.jpg\" alt=\"\" class=\"wp-image-4118\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-300x199.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-375x248.jpg 375w\" sizes=\"auto, (max-width: 720px) 100vw, 720px\" />\u003C/figure>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">Adolescents and HIV epidemic control\u003C/h2>\n\n\n\n\u003Cp>Despite years of advocacy and a growing evidence base to reduce vertical programming, progress on integrating services remains limited and, in many countries, HIV prevention and family planning (FP) continue to be offered as isolated services with limited options. Providing individual services in isolation places an unnecessary burden on clients and health workers. In addition, it doesn’t take into consideration the specific needs of adolescent girls and young women (AGYW) who already face numerous challenges to access high-quality care. AGYW report a lack of support from parents and sexual partners for contraceptives and HIV prevention methods [1],[2] and cite negative, judgmental attitudes from providers [3] and frequent stockouts of FP methods as barriers at the health facility level.\u003C/p>\n\n\n\n\u003Cp>To achieve HIV epidemic control, AGYW at high risk of acquiring HIV must have access to comprehensive sexual and reproductive health (SRH) services that address their unique HIV prevention needs alongside their contraceptive and FP needs. The 2023 UNAIDS report confirmed the urgent need to address AGYW HIV prevention and SRH needs, indicating a continued disproportionately high risk of acquiring HIV among AGYW 15–24 years old, with a total of 210,000 women in this age group acquiring HIV in 2022.[4] The report attributes this increased vulnerability among AGYW to insufficient access to information and services to protect their sexual well-being and a lack of decision-making power about sex, contraceptive use, and health care.\u003C/p>\n\n\n\n\u003Cp>Every year, an estimated 21 million AGYW aged 15–19 years in low- and middle-income countries (LMIC) become pregnant, around 50% are unintended; 55% of these pregnancies end in largely unsafe abortions.[5] Although access to modern contraceptive methods has improved, there is still a substantial unmet need for contraception and FP. According to a 2016 study, of the 252 million AGYW living in LMIC, approximately 38 million are sexually active and do not want a child in the next two years; 15 million of these AGYW use a modern contraceptive method, while 23 million do not.[6]\u003C/p>\n\n\n\n\u003Cp>The 2019 Evidence for Contraceptive Options and HIV Outcomes (ECHO) trial,[7] (a large-scale randomized clinical trial of the relationship between hormonal contraception and HIV conducted in Eswatini, Kenya, South Africa, and Zambia), reinforced the need for urgent action. The trial confirmed an unacceptably high incidence of HIV infection and other sexually transmitted infections among AGYW seeking contraception in the study areas and limited choices for HIV prevention and contraception. High HIV incidence was observed among women seeking FP/SRH services who were not necessarily classified or considered to be at risk, emphasizing the importance of integrating HIV prevention and FP/SRH services, especially in high-burden settings. These findings resulted in a renewed call to improve access to a full range of contraceptives and integrate HIV prevention within FP services, including multiple pre-exposure prophylaxis options. The finding informed the development of the 2020 Global Fund Strategic Initiative on Adolescent Girls and Young Women (AGYWSI), a catalytic investment to align national strategies and Global Fund investments with epidemiology and evidence-based interventions that improve HIV prevention outcomes among AGYW.\u003C/p>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">Experience from five countries\u003C/h2>\n\n\n\n\u003Cp>Drawing on our vast experience working across disease areas and services and with our deep understanding of the importance of integrated service delivery for high-quality care, from December 2022 to December 2023, Jhpiego implemented Phase Two of the second component of the AGYWSI with funding from Global Fund and continued strategic aspects of this work until June 2024 with organizational (Jhpiego) funding. We worked in five countries—Kenya, Mozambique, South Africa, Tanzania, and Zimbabwe—supporting government priorities for enhanced SRH/HIV system integration and readiness. This built on work previously done by the World Health Organization in each country that included conducting landscape analysis to assess policy and program gaps and creating country action plans to improve availability, accessibility, uptake, and quality of integrated SRH and HIV services. In each country, Jhpiego worked with governments to identify and support strategic priority activities that could be implemented during the project. Based on our experience, these are the common themes and considerations that should be applied for a sustained, high-quality, integrated approach to SRH/HIV prevention:\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">1. \u003Cstrong>Programs require practical guidance on how to apply principles of integration.\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>While several global guidance documents emphasize the importance of integration with a focus on “why” and “what,” there is less attention on “how” to operationalize integration and, in the absence of clear step-by-step guidance or an incentive to change, siloed services continue according to the status quo. Insufficient operational guidance and policies that don’t meet the needs of service providers and adolescents can lead to inefficiencies and mistrust in the health system.\u003C/p>\n\n\n\n\u003Cp>What is missing is standardization of approaches at the facility level that inform and shape what is happening at a regional and national level, which should include feedback from providers, engagement and coordination, voices of young people, using human-centered design, tracking of integration indicators, training for implementers, accountability for integration, and a sustainability and planning tool/approach. The result is bi-directional communication to mutually inform each other, supporting a system that is both responsive and well-informed.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">2.\u003Cstrong> Governments must lead and prioritize integration of SRH/HIV prevention services for AGYW.\u003C/strong>\u003C/h3>\n\n\n\n\u003Cp>More often, integration initiatives are supported by donors/external agencies using a top-down approach. For ownership and long-term sustainability, integration initiatives require government leadership and political commitment. This may first require demonstrating the value of integration to governments, which includes improved health outcomes, better efficiency of resources, and improved experience of care for individual clients. Engaging with and having governments be at the lead, with targeted support, will enable them to include integration in health policies, strategies, and business processes. The government should also foster collaboration between different health departments and ministries; both central and local (decentralized) levels should be involved. To streamline integrated service delivery efforts and resources, integration scope/activities need to be costed. Donors should include integration as a priority/objective. Jhpiego and other implementing partners should continue to advocate with donors to introduce integration and avoid verticalized programming. Governments can also work to synergize programs at the national level, clearly articulating integration within their strategic plans. Governments then need to reinforce this priority in their discussions with donors. For continuous improvements of integrated services, the ministry of health and national health departments need to lead the use of monitoring and evaluation data to improve service delivery, including identifying gaps, assessing the outcomes of integrated services, and making data-driven decisions to enhance program effectiveness.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">3. \u003Cstrong>A person-centered, rights-based approach is essential for ensuring equity as we move towards comprehensive, integrated services\u003C/strong>.\u003C/h3>\n\n\n\n\u003Cp>Evidence from AGYW engagement suggests that the current approaches to integrated service delivery do not adequately put AGYW perspectives of quality at the center. Integration must benefit the end users—the clients—and prioritize their needs, rights, and preferences and ensure that services are accessible, acceptable, and of high quality. Communities should be included not only as beneficiaries but also as key stakeholders and decision-makers working in partnership with others. This may include incorporating AGYW in problem identification, designing solutions, community-led monitoring, and other critical aspects of program design that may occur as part of national or local technical working groups. This can also include equipping health workers with the skills needed to deliver integrated, right-based SRH/HIV care and how to seek the perspectives and feedback of their clients. Governments and health workers need to create more opportunities for engaging AGYW at all stages of design, finding value in these partnerships, and strengthening their skills in partnering with AGYW and communities in meaningful ways.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">Guidance to share\u003C/h3>\n\n\n\n\u003Cp>To strengthen the connective tissue between what is happening at policy and service delivery levels, \u003Ca href=\"https://jhpiego.org/wp-content/uploads/2025/08/SRH-HIV-Integration-Implementation-Guide-July-2024_V2-final.pdf\" data-type=\"link\" data-id=\"https://jhpiego.org/wp-content/uploads/2025/08/SRH-HIV-Integration-Implementation-Guide-July-2024_V2-final.pdf\">we developed guidance \u003C/a>to support governments in achieving \u003Ca href=\"https://jhpiego.org/wp-content/uploads/2025/08/Technical-brief_Coordination-and-Collaboration.pdf\" data-type=\"link\" data-id=\"https://jhpiego.org/wp-content/uploads/2025/08/Technical-brief_Coordination-and-Collaboration.pdf\">SRH/HIV coordination and collaboration\u003C/a> for—\u003Ca href=\"https://jhpiego.org/wp-content/uploads/2025/08/Technical-brief_Nothing-for-us-without-us.pdf\" data-type=\"link\" data-id=\"https://jhpiego.org/wp-content/uploads/2025/08/Technical-brief_Nothing-for-us-without-us.pdf\">and with—AGYW.\u003C/a> Through our experience supporting this process in five countries, we found similar solutions, including the need to optimize the national health management information system to incorporate integration indicators and data use.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-gallery aligncenter has-nested-images columns-default is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\">\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"704\" data-id=\"4115\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-1-1-1024x704.jpg\" alt=\"\" class=\"wp-image-4115\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-1-1-1024x704.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-1-1-300x206.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-1-1-768x528.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-1-1-786x540.jpg 786w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-1-1-375x258.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-1-1-960x660.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-1-1-1280x880.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-1-1.jpg 1315w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"727\" data-id=\"4114\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-2-1.jpg\" alt=\"\" class=\"wp-image-4114\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-2-1.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-2-1-300x213.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-2-1-768x545.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-2-1-761x540.jpg 761w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-2-1-375x266.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-2-1-960x682.jpg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"728\" data-id=\"4113\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-3-1.jpg\" alt=\"\" class=\"wp-image-4113\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-3-1.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-3-1-300x213.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-3-1-768x546.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-3-1-760x540.jpg 760w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-3-1-375x267.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-3-1-960x683.jpg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"723\" data-id=\"4117\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-4-1.jpg\" alt=\"\" class=\"wp-image-4117\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-4-1.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-4-1-300x212.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-4-1-768x542.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-4-1-765x540.jpg 765w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-4-1-375x265.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-4-1-960x678.jpg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"721\" data-id=\"4116\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-5-1.jpg\" alt=\"\" class=\"wp-image-4116\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-5-1.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-5-1-300x211.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-5-1-768x541.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-5-1-767x540.jpg 767w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-5-1-375x264.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-5-1-960x676.jpg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003C/figure>\n\u003Cfigcaption class=\"blocks-gallery-caption wp-element-caption\">\u003Cem>The authors are Jhpiego staff on the Adolescent and Young People HIV/Sexual and Reproductive Health Integration Project, funded by the Global Fund.\u003C/em>[ET1] \u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>[1] Jonas K, et al. \u003Ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7427945/#:%7E:text=AGYW%20reported%20to%20experience%20difficulties,at%20the%20health%20service%20level.\">Perceptions of contraception services among recipients of a combination HIV-prevention intervention for adolescent girls and young women in South Africa: a qualitative study\u003C/a>. Reprod Health. 2020 Aug 14;17(1):122.\u003C/p>\n\n\n\n\u003Cp>[2] Holmes LE, et al. \u003Ca href=\"https://onlinelibrary.wiley.com/doi/pdf/10.1002/jia2.25521\">Qualitative characterizations of relationships among South African adolescent girls and young women and male partners: implications for engagement across HIV self-testing and pre-exposure prophylaxis prevention cascades\u003C/a>. JAIDS. 2020; 23(S3):e25521.\u003C/p>\n\n\n\n\u003Cp>[3] Warenius LU, et al. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/16713886/\">Nurse midwives’ attitudes towards adolescent sexual and reproductive health needs in Kenya and Zambia\u003C/a>. Reprod Health Matters. 2006 May;14(27):119-28.\u003C/p>\n\n\n\n\u003Cp>[4] UNAIDS. \u003Ca href=\"https://thepath.unaids.org/wp-content/themes/unaids2023/assets/files/2023_report.pdf\">The path that ends AIDS: UNAIDS Global AIDS Update 2023\u003C/a>.\u003C/p>\n\n\n\n\u003Cp>[5] WHO. \u003Ca href=\"https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy\">Adolescent pregnancy\u003C/a>.\u003C/p>\n\n\n\n\u003Cp>[6] Guttmacher Institute. \u003Ca href=\"https://www.guttmacher.org/report/adding-it-meeting-contraceptive-needs-of-adolescents\">Adding it up: Costs and Benefits of Meeting the Contraceptive Needs of Adolescents\u003C/a>.\u003C/p>\n\n\n\n\u003Cp>[7] Evidence for Contraceptive Options and HIV Outcomes (ECHO) Trial Consortium. \u003Ca href=\"https://www.thelancet.com/action/showPdf?pii=S0140-6736%2819%2931288-7\">HIV incidence among women using intramuscular depot medroxyprogesterone acetate, a copper intrauterine device, or a levonorgestrel implant for contraception: a randomized, multicenter, open-label trial\u003C/a>. Lancet. 2019;394:303-13.\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>Lessons from five countries on maintaining and sustaining integrated, adolescent- and youth-centered services.\u003C/p>\n","three-principles-to-provide-hiv-srh-services-for-young-people","https://jhpiego.org/our-stories/p/three-principles-to-provide-hiv-srh-services-for-young-people/","/our-stories/p/three-principles-to-provide-hiv-srh-services-for-young-people/","2024-07-16T17:58:00","2025-08-26T01:00:24",{"id":1351,"src":1352,"width":1245,"height":1353,"alt":20,"caption":20,"title":1354,"description":20,"mimeType":23,"html":1355,"srcset":1356,"sizes":1357,"meta":1358,"acf":1375},4118,"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image.jpg",477,"Story-Three principles-Image","\u003Cimg width=\"720\" height=\"477\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-300x199.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-375x248.jpg 375w\" sizes=\"auto, (max-width: 720px) 100vw, 720px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image.jpg 720w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-300x199.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-Three-principles-Image-375x248.jpg 375w","(max-width: 720px) 100vw, 720px",{"width":1245,"height":1353,"file":1359,"filesize":1360,"sizes":1361,"imageMeta":1373},"2025/08/Story-Three-principles-Image.jpg",90679,{"medium":1362,"thumbnail":1366,"smallPreview":1369},{"file":1363,"width":33,"height":1364,"mimeType":23,"filesize":1365},"Story-Three-principles-Image-300x199.jpg",199,25520,{"file":1367,"width":43,"height":43,"mimeType":23,"filesize":1368},"Story-Three-principles-Image-150x150.jpg",17621,{"file":1370,"width":67,"height":1371,"mimeType":23,"filesize":1372},"Story-Three-principles-Image-375x248.jpg",248,31188,{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":309,"keywords":1374},[],{"primaryColor":1376,"blurhash":1377},"#36302f","UGD+#o%fO?oz00NGtRs,_N%2s-WUD$RPjEtQ",{"id":1379,"guid":1380,"title":1381,"content":1382,"excerpt":1383,"excerptRaw":1383,"slug":1384,"url":1385,"uri":1386,"to":1386,"status":325,"date":1387,"modified":1388,"type":328,"authorId":329,"featuredMedia":1389},3816,"https://jhpiego.netlify.app/?p=3816","Helping Girls Realize Their Dreams","\n\u003Cp>Lunzu, Blantyre District, Malawi — Alinafe Machilika had to leave high school before finishing her final year, dashing her hopes of becoming a nurse. Her family couldn’t afford the fees.\u003C/p>\n\n\n\n\u003Cp>The teen quickly married and soon had a baby, which left her wholly dependent on her husband. The couple fought, mostly about money. With little hope that she alone could provide for her 11-month-old daughter, Theodora, Alinafe returned to her parents’ home, even though they too were struggling financially.\u003C/p>\n\n\n\n\u003Cp>In Blantyre district, where Alinafe lives, young women have few options if they leave school early—which is the case for the vast majority of young women. In fact, only \u003Ca href=\"https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fborgenproject.org%2Fgirls-education-in-malawi-2%2F&data=04%7C01%7CAnn.Lolordo%40jhpiego.org%7C5c69bceee13c4877270e08d99db0355a%7C26ef7fd22a7f4135a2e4de9acf168b2a%7C0%7C0%7C637714202394275990%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=tEVTJLExs6c76Hk%2BnYnsywuuGHhKtFOuKsHGwgCyGEc%3D&reserved=0\">6 percent\u003C/a> of girls in Malawi graduate from secondary education each year. Only 2.9 percent seek post-secondary education. Most are vulnerable to early pregnancy and marriage before they are emotionally ready, and they are exposed to high-risk behaviors that can lead to HIV infection.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-1024x683.jpg\" alt=\"\" class=\"wp-image-3824\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo.jpg 1440w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Alinafe holds her daughter Theadora, 2. Photo by Karel Prinsloo for Jhpiego.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>To change that reality for thousands of girls in Malawi, Jhpiego has been implementing the \u003Ca href=\"https://www.jhpiego.org/countries-we-support/malawi/\">Gateway project\u003C/a> since September 2018. In partnership with the Malawi Ministry of Health, the project aims to reduce the vulnerability of girls and young women to HIV by improving access to health services and offering paths to economic empowerment.\u003C/p>\n\n\n\n\u003Cp>Gateway is funded by the U. S. President’s Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention (CDC) under the \u003Ca href=\"https://www.usaid.gov/global-health/health-areas/hiv-and-aids/technical-areas/dreams\">Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe (DREAMS)\u003C/a> initiative.\u003C/p>\n\n\n\n\u003Cp>“From the onset of the DREAMS initiative, Jhpiego has been determined to support girls from across Blantyre district to realize their DREAMS, which were nearly shattered due to early pregnancies, school drop outs and early marriages, these vulnerabilities are drivers to HIV infection,” said Getrude Chipungu, Gateway project director. “Jhpiego, through the Gateway project is implementing the DREAMS program to equip adolescent girls and young women with skills and knowledge to deal with expectations, behaviors and attitudes that put them at high risk of HIV infection and make them vulnerable.”\u003C/p>\n\n\n\n\u003Cp>DREAMS provides a comprehensive package of services that address the broad needs of girls and young women. In addition to preventing HIV and making sure that people living with HIV get healthy and stay that way, it’s about linking youth with reproductive health and family planning services, helping them achieve financial literacy and empowerment and preventing gender-based violence. \u003C/p>\n\n\n\n\u003Cdiv class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-3 wp-block-columns-is-layout-flex\">\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1024x683.jpg\" alt=\"\" class=\"wp-image-3827\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1280x853.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3.jpg 1440w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Alinafe Machilika (20) greets her 2-year-old daughter, Theodora, as she returns home from class at the Malawi Institute of Tourism. Photo by Karel Prinsloo for Jhpiego.\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-1024x683.jpg\" alt=\"\" class=\"wp-image-3831\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-2048x1366.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_5.jpg 2560w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Alinafe Machilika holds her daughter Theadora at her parents’ home. Photo by Karel Prinsloo for Jhpiego.\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\n\n\n\u003Cdiv class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-1024x683.jpg\" alt=\"\" class=\"wp-image-3828\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-1536x1024.jpg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-2048x1366.jpg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-1280x854.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4-1920x1280.jpg 1920w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_4.jpg 2560w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Alinafe Machilika holds her daughter Theadora (2) while she collects water from the borehole in her parents’ home, just outside Blantyre, Malawi. Photo by Karel Prinsloo for Jhpiego.\u003C/figcaption>\u003C/figure>\n\u003C/div>\n\u003C/div>\n\n\n\n\u003Cp>“Jhpiego is strong across many different technical areas that fall under adolescent health,” said Meghan Greeley, Jhpiego’s technical advisor for adolescent health. “If a 16-year-old is seeking family planning, we aim to see the full picture of her needs and provide much more than a choice of methods, including social support and HIV prevention strategies.” Meghan also noted Jhpiego’s innovative immunization strategies to engage adolescents in the prevention of HPV, which can lead to cervical cancer, especially in women who are living with HIV.\u003C/p>\n\n\n\n\u003Cp>Currently, Jhpiego is helping girls to piece together their shattered dreams through DREAMS in eight countries: Namibia, South Sudan, Botswana, Cote d’Ivoire, Lesotho, Rwanda, Mozambique and, of course, Malawi. In Malawi, one in four new HIV infections occurs among young women, according to a recent \u003Ca href=\"https://www.unaids.org/sites/default/files/media_asset/unaids-data-2018_en.pdf\">report from UNAIDS\u003C/a> that reveals just how disproportionately women and girls are affected by what is described as “a prevention crisis.” In fact, young women in Malawi aged 15 to 24 are at almost twice the risk of acquiring HIV compared to males of the same age.\u003C/p>\n\n\n\n\u003Cp>In October 2020, Alinafe met a Gateway community health volunteer. “I was struggling and losing hope until Jhpiego arrived in my village and one of the club mentors [a volunteer working with Jhpiego] introduced me to the DREAMS club in our community,” said Alinafe. “Regardless of having a child or failing to cope with married life or poverty, I was encouraged. I was told that this was not the end, but the beginning of my future.”\u003C/p>\n\n\n\n\u003Cp>At ­club meetings, Alinafe and 28 other girls and young women learned about ways to reduce their risk of acquiring HIV. The members encouraged each other to make decisions to preserve their health and safety and lead healthier lives. They discussed economic empowerment and gender issues while learning entrepreneurship skills. Trainings included proper ways of establishing and doing business, developing capital and identifying potential income-generating activities. The DREAMS clubs serve girls, ages 10–­­14, and adolescents and young women, ages 15–24.\u003C/p>\n\n\n\n\u003Cp>“The club has changed my life,” said Alinafe, now 20 and studying hotel management and catering at the Malawi Institute of Tourism. “I will take my knowledge back to the girls at home who are like me and tell them to dream big.”\u003C/p>\n\n\n\n\u003Cp>She is among \u003Cstrong>19,238\u003C/strong> young women and adolescents in Malawi to benefit from the Gateway DREAMS initiative through educational support and enrollment in vocational training in the hotel industry, plumbing trades and tailoring. Village savings and loan groups also figure prominently in the DREAMS clubs, encouraging a culture of saving and entrepreneurship.\u003C/p>\n\n\n\n\u003Cp>“The DREAMS program is having a great impact,” said Getrude. “The adolescent girls and young women are getting talents and believing in themselves, they can go into the world and tap from the many opportunities that are out there and become what they have always dreamed of.”\u003C/p>\n\n\n\n\u003Cp>“Because of this program, I learned not to doubt myself,” Alinafe said. “I am confident and now understand what I am capable of and what I can achieve.\u003C/p>\n\n\n\n\u003Cp>“Before, my dreams were shattered, but I now see a brighter future. I can become independent and support myself and my child.”\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-full\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2.jpg\" alt=\"\" class=\"wp-image-3826\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_2-960x640.jpg 960w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Alinafe studies hotel management and catering. Photo by Karel Prinsloo for Jhpiego.\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>\u003Cem>Sarah Sakanda is a communication and knowledge management specialist for Jhpiego in Malawi. Maryalice Yakutchik, a communications manager for Jhpiego, also contributed to this story.\u003C/em> \u003C/p>\n","\u003Cp>In partnership with the Malawi Ministry of Health, Jhpiego is helping reduce the vulnerability of girls and young women to HIV by improving access to health services and offering paths to economic empowerment.\u003C/p>\n","helping-girls-realize-their-dreams","https://jhpiego.org/our-stories/p/helping-girls-realize-their-dreams/","/our-stories/p/helping-girls-realize-their-dreams/","2021-11-18T01:06:42","2025-08-12T13:26:46",{"id":1390,"src":1391,"width":196,"height":72,"alt":20,"caption":1392,"title":1393,"description":1394,"mimeType":23,"html":1395,"srcset":1396,"sizes":1397,"meta":1398,"acf":1438},3827,"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3.jpg","Alinafe Machilika (20) greets her 2-year-old daughter, Theodora, as she returns home from class at the Malawi Institute of Tourism. Photo by Karel Prinsloo for Jhpiego.","Jhpiego - Malawi - August / September 2021","\u003Cp>Alinafe Machilika (20) greets her 2-year-old daughter, Theodora, as she returns home from class at the Malawi Institute of Tourism where she is attending a Hotel Management and Catering Services course, in Blantyre, Malawi on 1st September 2021. Alinafe Machilika dropped out of school when she was pregnant. When DREAMS was formed in her community, she took a financial literacy course and now has access to contraceptive pills and safe HIV testing under the Gateway Project.\u003C/p>\n","\u003Cimg width=\"1440\" height=\"960\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3.jpg 1440w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1280x853.jpg 1280w\" sizes=\"auto, (max-width: 1440px) 100vw, 1440px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3.jpg 1440w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/Malawi_DREAMS_KarelPrinsloo_3-1280x853.jpg 1280w","(max-width: 1440px) 100vw, 1440px",{"width":196,"height":72,"file":1399,"filesize":1400,"sizes":1401,"imageMeta":1430},"2025/08/Malawi_DREAMS_KarelPrinsloo_3.jpg",181498,{"medium":1402,"large":1405,"thumbnail":1408,"mediumLarge":1411,"postThumbnail":1414,"socialPreview":1417,"smallPreview":1420,"mediumPreview":1423,"largePreview":1426},{"file":1403,"width":33,"height":34,"mimeType":23,"filesize":1404},"Malawi_DREAMS_KarelPrinsloo_3-300x200.jpg",32966,{"file":1406,"width":38,"height":265,"mimeType":23,"filesize":1407},"Malawi_DREAMS_KarelPrinsloo_3-1024x683.jpg",111772,{"file":1409,"width":43,"height":43,"mimeType":23,"filesize":1410},"Malawi_DREAMS_KarelPrinsloo_3-150x150.jpg",25509,{"file":1412,"width":47,"height":272,"mimeType":23,"filesize":1413},"Malawi_DREAMS_KarelPrinsloo_3-768x512.jpg",78330,{"file":1415,"width":283,"height":58,"mimeType":23,"filesize":1416},"Malawi_DREAMS_KarelPrinsloo_3-810x540.jpg",84188,{"file":1418,"width":62,"height":63,"mimeType":23,"filesize":1419},"Malawi_DREAMS_KarelPrinsloo_3-1200x630.jpg",115747,{"file":1421,"width":67,"height":68,"mimeType":23,"filesize":1422},"Malawi_DREAMS_KarelPrinsloo_3-375x250.jpg",38903,{"file":1424,"width":72,"height":293,"mimeType":23,"filesize":1425},"Malawi_DREAMS_KarelPrinsloo_3-960x640.jpg",102854,{"file":1427,"width":77,"height":1428,"mimeType":23,"filesize":1429},"Malawi_DREAMS_KarelPrinsloo_3-1280x853.jpg",853,149958,{"aperture":171,"credit":1431,"camera":304,"caption":1432,"createdTimestamp":1433,"copyright":1431,"focalLength":1434,"iso":1435,"shutterSpeed":1436,"title":1393,"orientation":309,"keywords":1437},"Arete / Karel Prinsloo / Jhpiego","Alinafe Machilika (20) greets her 2-year-old daughter, Theodora, as she returns home from class at the Malawi Institute of Tourism where she is attending a Hotel Management and Catering Services course, in Blantyre, Malawi on 1st September 2021. Alinafe Machilika dropped out of school when she was pregnant. 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