Advancing Sexual and Reproductive Health in Cabo Delgado (SPARC)


Reporting Organization:Aga Khan Foundation Canada
Total Budget ($CAD):$ 21,935,000
Timeframe: October 2, 2018 - February 1, 2024
Status: Implementation
Contact Information: Fawad Akbari
[email protected]

Partner & Funder Profiles


Reporting Organization


Aga Khan Foundation Canada

Participating Organizations


  • Government and Public Sector

    • Global Affairs Canada
    • Government of Mozambique - Ministry of Gender, Child and Social Action
    • Government of Mozambique - Ministry of Health
  • NGOs

    • Aga Khan Foundation Mozambique

Funders (Total Budget Contribution)


  • Government and Public Sector

    • Global Affairs Canada (86%)
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Location


Country - Total Budget Allocation


Mozambique - $ 21,935,000.00 (100.00%)

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Areas of Focus


Health - Total Budget Allocation


Sexual Health & Rights (40 %)

Adolescent Health (30 %)

Reproductive Health & Rights incl. Maternal Health (30 %)

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Description


The project aims to improve the sexual and reproductive health and rights (SRHR) of some of the most vulnerable women and adolescent girls in six districts of Cabo Delgado province in Mozambique. It addresses SRHR barriers facing women and girls through three interrelated and mutually reinforcing efforts: improving the supply of services, so that quality sexual and reproductive health (SRH) services are available and effectively delivered; increasing the demand for and use of SRH services, which requires an environment where partners, families and communities understand the importance of SRHR and value women’s and girls’ decision-making power; and enhancing the use of SRHR information and evidence by key stakeholders. Project activities include: (1) building capacity of key district-level health workers; (2) addressing weaknesses with infrastructure, equipment and services (such as ensuring confidentiality); (3) strengthening referral systems, including for complicated post-abortion cases; (4) engaging men and boys as partners for change, sensitising community leaders, engaging community health committees; (5) providing family planning services through community health workers; and (6) generating and disseminating gender-sensitive research on SRHR and supporting the government’s capacity to collect, analyse and use SRH data effectively.

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Target Population


Gender and age: Adult women Adult men Adolescent females Adolescent males Children, girls Children, boys
Descriptors: Rural
Total Direct Population: 482,293
Total Indirect Population: 9,664
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Outputs


11 Health facilities renovated
14 Health facilities equipped
1,968 Community change agents trained
25 Scholarships provided
26 Government staff trained
44 Quality improvement action plans developed
547 Heath staff trained
624 Mobile clinics held
75 Community organizations trained
8 Public Engagement activities completed
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Results & Indicators


Expected Results


The expected outcomes for this project include: (1) improved delivery of gender and adolescent-responsive, environmentally-sensitive and comprehensive SRH services for women, girls, and their families; (2) reduced gender and social barriers to utilization and adoption of comprehensive SRH services and practices by women and adolescents; and (3) enhanced use and management of gender sensitive and adolescent responsive SRHR information and evidence by key stakeholders.

Achieved Results


SPARC is entering its fourth year in 2022. More than 800 community health workers have been trained on community-based family planning and pregnancy reduction. Similarly, 100 adolescents have been trained as peer educators. 200 community health centres and 15 community management commitees have been supported to improve participatory governance, community responsibility and address key issues of SRHR and gender equality. Over 100 mobile health clinics have been carried out, providing sexual reproductive health services. The project continues to provide financial support to the Pemba Nursing School enabling 21 maternal newborn and child health (MNCH) nurses to continue their studies and training. Additionally, 40 nurses, 4 doctos, 4 psychologists, 4 police staff, and four justice staff have been trained in Prevention and Response to sexual gender based violence

Indicators


SDG Goal 3. Ensure healthy lives and promote well-being for all at all ages
  • SDG 3.7.1 Proportion of women of reproductive age (aged 15–49 years) who have their need for family planning satisfied with modern methods
SRHR-related Indicators
  • % of primary service delivery points with least 3 modern methods of contraception available on the day of assessment
  • # of advocacy and public engagement activities completed which are focused on SRHR
  • # of national laws, policies and strategies relating to SRHR implemented or strengthened
  • # of women and girls (age) provided with access to sexual and reproductive health services, including modern methods of contraception
  • # of health care service providers trained in SRHR services
MNCH-related indicators
  • %/total of women attended at least four times during pregnancy by any provider for reasons related to the pregnancy
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Sub Projects


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