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Advocating for Adolescent Reproductive Health in Sub-Saharan Africa [PDF]
Also available in French
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Chapter 3. Building Networks: Collaborating
for Community Education and Advocacy
Networks can play an
important role in public education and advocacy on adolescent reproductive
health. Networks allow different groups to work together toward a shared
goal by coordinating strategies and pooling resources. Networks which
include a range of organizations, groups, and individuals demonstrate
to policy makers wide support for particular policies or programs.
The term network here
refers to a group of organizations that communicate and collaborate
on a shared advocacy strategy. Many organizations use the term coalition to
describe a group of organizations sharing the same advocacy goals.
This publication uses network to emphasize the important role
of communication in bringing together members and establishing a common
advocacy agenda. Whether the members choose to call the group a coalition
or a network, the goal is to come together to resources and capabilities
to advocate more effectively for adolescent health policies and programs.
Networks bring together
people, organizations and resources from all parts of the community.
Working together in a network can improve the quality and the quantity
of work and spread responsibilities by allowing individuals and groups
to contribute ideas, expertise, and resources. When advocacy efforts
are successful, all members benefit.
A network is not necessary
for effective advocacy; any committed organization or individual can
build the skills and experience necessary to build support for adolescent
reproductive health issues. However, a network can achieve results
that would be difficult for any single member to accomplish alone.
The process of building the network also strengthens members' skills
in mobilizing support for an issue, a useful skill when advocating
with opinion leaders, policy makers, and the public.
Challenges to
Building a Network
Despite the benefits,
building and maintaining networks is hard work. Network members must
keep in mind the following challenges and be prepared to address them.
- Building consensus is
a time-consuming process. Still, network members may
not always agree on the goals, objectives, and strategies
of the network.
- The network
must build trust among its members.
Member organizations and programs may compete for funding
from the same donor agencies, hampering their ability
to collaborate. Building trust in the face of such conflicts
is difficult.
- Members
may have previous experiences, both
personal and professional, with each other, that affect
their ability to work collaboratively.
- The larger
the network grows, the more complex it is to manage its logistics.
Keeping all members aware of meetings, actions taken,
results, and upcoming activities is important.
- The network
must find a means of dividing up work equitably
among members.
- The network
must remain a collaborative effort among
all members, rather than the possession of one or several
of the most powerful members.
- Members
must agree on rules necessary for the
network to operate smoothly and effectively.
- The network
must decide how to leverage resources for
its collaborative activities.
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Organizations and Groups to Involve in a Network
- young people
- school faculty and staff
- teachers' organizations
- health professionals and clinic staff
- researchers
- traditional leaders
- parents
- reproductive health organizations
- family planning providers
- youth-serving agencies
- religious leaders and organizations
- community associations
- youth groups and centers
- parent-teacher associations
- representatives of government ministries
- supportive local elected officials
- cultural associations
- businesses that employ or offer apprenticeships to youth
- local representatives of the national government
- AIDS prevention and care organizations
- women's groups
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Guidelines for
Effective Networks
Some basic tips follow
for creating and maintaining an effective network.
Share information
among members of the network. At
the initial stages, it is important that members spend time learning
about the roles and expectations of others in the network. This information
sharing will help build understanding and trust among members, as
well as provide useful information about the network's interests,
strengths, conflicts, and weaknesses.
Develop a network
mission statement and goals.
The mission statement can be broadly worded to reflect the philosophy
of the network and permit a wide range of groups to participate.
Goals demonstrate how the network plans to shape policy to support
improvements in adolescent reproductive health. A founding group
of members may design the network's mission and goals, and then invite
additional supportive organizations to join. An organization's membership
in the network symbolizes its endorsement of the mission and its
commitment to the goals of the network.
The mission statement
of the network reinforces the shared connections between members and
provides guidance on which other organizations should join. For example,
if the network supports family life education which includes information
on contraceptives, a group that insists this education should stress
only abstinence will not be an appropriate member. The network can
work with nonmember groups on other projects without jeopardizing the
strategic work of the network.
The mission statement
clarifies what issues the network supports and addresses
obvious criticisms. Highlighting program components such
as "involving parents" and "promoting
abstinence" helps forestall criticism and prevent misunderstandings.
For example, a network seeking comprehensive family life
education might adopt a mission statement that the network
seeks to promote family
life education which stresses the importance of abstinence,
provides young people with accurate information on how
to protect themselves if they become sexually active, and builds communications
skills with
parents and peers.
Develop objectives
and strategies.
A clear set of objectives will define the specific policy changes
that the network aims to achieve. Objectives must be specific, achievable,
and measurable, and serve as a means of evaluating
the network's activities. Network members must then consider which
strategies will best allow them to achieve their objectives. Strategies
may include a public education campaign, direct appeals to a specific
leader to change a policy, or lobbying government to pass a law.
Identifying proposed strategies and activities helps network members
divide up responsibilities and highlights organizations and efforts
that need additional training, support, or resources.
Create and follow
a realistic time line.
A realistic time line is one of the most important tools for a network.
From the initial meetings to the first advocacy activities, building
a functioning network can take months or years. An achievable time
line, with targeted activities every month, will help ensure the
network remains focused on its goals and realistic in assessing different
activities to be considered. A short-term activity might be to conduct
a focused needs assessment on school policies. A medium-term activity
might be to meet with community leaders and parents to encourage
them to advocate for improvements in school policy. A long-term activity
might be to persuade the school officials to approve the network's
proposed changes to a school policy.
Establish a structure
and leadership roles. Networks
are most effective when all members have a voice and know they will
be heard. Nonetheless, the group must have leadership and structure.
The members should choose at least one chair and clearly define the
chair's responsibilities. Co-chairs, whose skills complement each
other and who represent organizations willing to commit significant
time and/or resources to network efforts, can greatly strengthen
networks. To facilitate an equal division of duties and responsibilities,
the network may wish to establish a mechanism to share or rotate
leadership among the members. The network may choose to create a
broad leadership team that includes representatives of major groups
and organizations. A diverse team can be highly successful in providing
effective leadership on issues as complex and multi-faceted as teen
reproductive and sexual health.
Be explicit about
how decisions will be made. Networks
often make decisions by consensus. This does not mean that everyone
has to agree on everything. Rather, the majority agree, and no member
organization feels so strongly opposed that it will veto or publicly
oppose the effort. Members must decide what will happen when consensus
cannot be reached and determine which decisions will be made by the
leadership team and which decisions are so important or sensitive
that the entire membership must be involved.
Share responsibilities
through committees.
Committees allow more people to participate actively, and can be
either permanent or limited to a specific project. Define responsibilities
and the decisions that committees can make without full network approval.
Expand the base.
Increase the network by inviting and admitting new organizations which
agree with the mission network's mission and goals. New members should
understand what the network is trying to accomplish as well as the
need for action. The network must make clear how new members will benefit
from being part of the network. Outreach through member organizations'
existing resources, such as newsletters and meetings, can educate and
enlist more support for the network goals.
Hold regular meetings.
Hold meetings often enough to respond to current events
and on a regular basis—at least monthly. Hold meetings at a convenient
time and location for all members; strive to start and
end on time. Consider whether
meeting times should rotate between day and evening hours
and vary in location.
Involve youth.
Articulate and committed young people can help the network remain true
to its mission of serving youth. Youth are excellent representatives
for programs designed to address their needs. Young people can organize
students, friends, and other young people to support the network's
advocacy campaign. Many community groups already work closely with
youth and can help bring them into the network. Young people's participation
may be hampered, however, by their fear that taking a leadership role
among adults would be inappropriate. Some adults may have difficultly
considering young people as full partners in the network. To promote
active, meaningful youth participation, network members should commit
to being open to young people's suggestions, actively seeking their
input, and finding appropriate ways to ensure their full participation.
Keep people informed. Maintain
up-to-date mailing, phone, fax, and e-mail lists of network members
and key contact people. Keeping members informed maintains trust, interest,
and involvement. It also minimizes misunderstandings and identifies
points of disagreement before they become problems. Network members
should always receive minutes from meetings, updates, news clippings,
and information on future events. Adequate advance notice of meetings
and other events encourages participation in important discussions
and decisions.
Select spokespeople
who will represent the network to the media.
Early in the network's development, identify members who have experience
in public speaking or interacting with the media. The spokespeople
may or may not be the same people as the leadership team. One spokesperson
should be a young person. Members should agree on a process for handling
inquiries from the media.
Resources and
Funding
Many networks falter
or fail because of funding. With many member organizations operating
on limited budgets, a large-scale advocacy campaign may be difficult
without additional sources of income. The costs of travel, communications,
resource development, and training can hamper efforts to build the
network.
Faced with the need
for resources and support, network leaders may choose to make the network
into an NGO. While this offers the possibility of a stable source of
funding, a network NGO may have difficulty maintaining inclusiveness
and responsiveness to its members. Turning an open network into an
NGO may cause the network's activities to be identified only with the
chair and his/her organization. Other members may feel that they are
receiving no credit for their contributions or that funding is not
being divided fairly among members. If the network seeks funding as
an NGO, it will need responsive leaders, a clear understanding of what
will be done with funds, and open discussion of how all members will
receive credit and attention for their activities.
Some recommendations
for developing and sustaining a collaborative network with limited
resources follow:
- Start
small. Although a large network brings the perspectives
of more members, it is important to lay a solid foundation
first. Start with a limited number of members from
a defined geographical area. A small network is easier
to manage, makes communication and travel less expensive,
and helps members identify achievable goals and objectives
which will help guide later growth.
- Identify
resources among the members. While members may
not be able to fund the network directly, they have
other resources that can contribute to the group's
growth. Early in the network's development, all members
should identify what they will offer the network. For
example, members may be able to provide a few hours
of secretarial support each month or host meetings
in their offices. Others may be able to conduct research
or focus group discussions. This process will set a
precedent for new members as they are invited to join.
- Use
existing opportunities to meet and communicate.
Hold meetings in conjunction with other events, such
as a conference or workshop that members are already
attending. Use members' existing newsletters and publications
to disseminate information on what the network is doing.
- Encourage
members to include funding for advocacy in their own
proposals.
- Resist
the urge to build the network too quickly. Consider
which new partners will best support the goals of the
network and invite them to participate.
- Stay
focused. Encourage new members to express their
organizations' interests and priorities but be slow
to take on new issues.
- Remember
the private sector, especially local businesses. Local
businesses provide a large potential source of support
and are often overlooked by advocates. Companies that
actively advertise, especially to youth, and that already
have established distribution networks can provide
outreach for advocacy messages and public education
campaigns. Business leaders can be sponsors, give donations,
and create opportunities for public outreach. Businesses
can benefit from associating their names or products
with adolescent reproductive health issues. Sponsoring
events and donating to programs demonstrate a company's
commitment to social responsibility.
Case
Study—The
Kenyan Association for the Promotion of Adolescent Health
(KAPAH)
In 1992, three hundred
participants from twenty-eight countries attended the First
Inter-African Conference on Adolescent Health in Nairobi,
Kenya, to discuss the current
situation of adolescent health in Africa. One of the principal
recommendations from that conference was to establish "an umbrella body… to
supervise and coordinate the activities of the various organizations
dealing with adolescent health… to erase duplication of studies
and programs and end the scramble for the meager funds
that are available from donors." 1 Delegates
proposed the formation of the African Association for the Promotion
of Adolescent Health (AAPAH) and mandated that it promote the formation
of national networks focusing on adolescent health.
The YSOs in attendance
at the conference had found their day-to-day work hampered by their
small size and isolation. They reported facing organized opposition
from religious groups wanting to restrict sexuality education and services
to adolescents. There was little coordination between local, district,
and national NGOs to establish consistent messages, health services,
and policy goals for youth.
In 1994, the Centre
for the Study of Adolescence (CSA) organized a workshop
in Nairobi— Advocacy
for Rational Approaches to Adolescent Reproductive Health—and
invited YSOs from all over the country. In addition to
providing an opportunity to discuss adolescent reproductive
health at a national
level, the workshop established Kenya's branch of AAPAH,
the Kenya Association for the Promotion of Adolescent Health
or KAPAH. CSA drafted
a statement of policies, procedures, and objectives, which
was revised and approved by the attending participants.
Six KAPAH officials were
elected to form the National Executive Committee, which
met at least once a month. Individuals and organizational
representatives made statements
of commitment, indicating the steps they planned to take
to promote adolescent reproductive health at the peer,
family, community, and
organizational levels. KAPAH members were divided into
five subcommittees: 1) service delivery, 2) publicity and
information, education, and communication
IEC, 3) fund-raising, 4) research, and 5) administration.
KAPAH set the following objectives to promote adolescent
health policies and
activities in Kenya.
- Recruit
additional members to secure the objectives of the association.
- Support
the establishment of quality adolescent health services
including counseling, treatment, and community centers.
- Promote
adolescent friendly activities through public education,
primary health care, and school education programs.
- Encourage
the establishment and implementation of positive policies
by the government, ministries, and local authorities.
- Network
and communicate with other groups with similar interests,
locally and internationally.
- Fund-raise
to sponsor adolescent health activities.
- Support
adolescent research projects.
- Hold
periodic workshops, seminars, and conferences on adolescent
health.
KAPAH is a loose network
of organizations and individuals, which includes CSA, the Family Planning
Association of Kenya or FPAK, Kenya's cultural associations, the Young
Women's Christian Association of Kenya, the Girl Guides, the Program
for Appropriate Technology in Health, Pathfinder International, the
Single Mothers Association, the Ministry of Health's Division of Family
Health, and youth representatives, among others.
KAPAH's Activities
The individuals and
organizations that comprise KAPAH have worked together to 1) write
a series of fact sheets, 2) publish articles in the Nairobi Daily
Nation to present the facts on adolescent sexuality in Kenya,
and 3) foster public discussion about incorporating family life education
into the school curriculum. KAPAH has often met significant resistance
from the Catholic church, which has long been opposed to family life
education in schools. Yet, working together, KAPAH members have asked
government officials to make speeches on youth issues at public events
and have provided them with facts and talking points. As a result,
other policy makers have asked CSA to write speeches for them on population
and youth issues. In addition, CSA drafted the adolescent health sections
of a pending population policy. CSA has marketed itself as a reliable
source of information on youth and population, and it is frequently
consulted by opinion leaders.
Case
Study—The
Ghana United Nations Student Association (GUNSA)
In 1996, GUNSA organized
the First African Youth Conference on Sexual Health with
the theme "Youth
and AIDS: Challenges for the 21st Century." The purpose of the
conference was to discuss the sexual health issues faced
by African youth who grow up in a climate of rapid urbanization
and social change.
The International Youth and Students Movement for the
United Nations (ISMUN) used its extensive networks to
attract youth to the conference,
while GUNSA supervised organizing and fundraising with
the cooperation of other Ghanaian and international organizations.
GUNSA is an accredited
member of ISMUN and works to empower young people to develop healthy
knowledge, skills, and attitudes. Students run 150 branches of GUNSA
in schools throughout Ghana, and the organization has a nationwide
membership of 5,000. GUNSA created a variety of in-school programs
which are designed to meet student interests and local needs. GUNSA
chapters are careful to involve school administrators and to gain
their support at each level of organizing and implementing youth
activities. By engaging school leaders from the very beginning, GUNSA
develops positive relationships based on responsibility, reliability,
and trust.
Involving the
Private Sector
GUNSA representatives
believed that there was considerable fundraising potential from private
corporations in Ghana. Recognizing that corporations might be reluctant
to sponsor a controversial event, such as a conference on sexual
health, GUNSA developed a strategy to convince corporations of the
importance of their support. GUNSA sent corporations letters which
explained the conference's goals and requested meetings with the
company presidents. At these meetings, representatives outlined the
scope and urgency of the threat pf HIV/AIDS to young people in Ghana.
GUNSA emphasized that corporate sponsorship would provide an opportunity
for the business to receive recognition in the communities for being
sensitive to the needs of youth.
By framing the problem
of HIV/AIDS as a public health concern for the country's youth, GUNSA
was able to secure support and endorsement from a wide variety of
Ghanaian businesses, including Coca Cola, Legend Design
House, Ghana Postal Services, and the Ghana Broadcasting
Corporation. The name and logo of each company appeared
in the conference program,
along with a message wishing "all participants at the First
African Youth Conference on Sexual Health a successful conference." Companies
became sponsors by providing an official service or product for the
conference. For example, Astek Ghana provided the "official
water" to the conference.
Although some companies
declined to become sponsors either for financial reasons or because
of the conference's content, GUNSA created widespread support for
the conference in local communities and in the print media. In planning
the conference, GUNSA already had the advantage of being well known
for organizing successful workshops on adolescent pregnancy and on
drug abuse and for raising awareness of adolescent reproductive health
in communities. This established reputation made companies more likely
to provide sponsorship when they might otherwise have been reluctant
to do so.
Although often overlooked
as a funding source, private sponsorship of conferences and programs
provides benefits for both YSOs and businesses. Businesses benefit
from having a new advertising outlet and having their products associated
with a community-supported activity. YSOs benefit from having a new
and influential way to promote their advocacy messages and from receiving
desperately needed financial resources.
___________________________
1 Mbugua W, Kizito P, Takon
T, ed. The First Inter-African Conference on Adolescent
Health: Adolescent Health in Sub-Saharan African, Present
and Future, 24th - 27th March, 1992, Safari Park Hotel,
Nairobi, Kenya. Nairobi: s.n., 1993.
Source/Citation:
Shannon A. Advocating for Adolescent Reproductive Health in Sub-Saharan Africa. Washington, DC: Advocates for Youth, 1998.
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