EngenderHealth

We deliver our programs by working in collaboration with individuals, communities, local organizations, health systems, and national governments to advance sexual and reproductive health and rights and gender equality. We achieve our program results through training, community engagement, strengthening service delivery, and supporting policy development, and we apply a gender, youth, and social inclusion (gysi) lens across all our activities. In fy23, Engenderhealth continued its tradition of providing high-quality comprehensive sexual and reproductive health (srh) services. We generated an estimated 3,488,700 couple years of protection (cyps) and prevented 2,300 maternal deaths, 31,300 child deaths, and 477,400 unsafe abortions as a result of our work in fy23. Engenderhealth provided contraceptive care to an estimated 1,164,500 clients. Our work resulted in an estimated $157,679,500 of savings in direct health care costs that would have been incurred by families or the healthcare system if contraceptive services and postabortion/abortion care services had not been provided. In addition to contraceptive care, Engenderhealth's project-supported health facilities provided a total of 21,000 comprehensive abortion care (cac) and postabortion care (pac) services and 1,299 fistula repair surgeries, and supported the quality of more than 89,400 obstetric surgeries. Engenderhealth also supported services for survivors of 127,435 gender-based violence (gbv) incidents.engenderhealth reached over 1.6 million people directly with information on srh and rights (srhr) in fy23, including messaging on contraception, fistula, cac, sgbv, and other elements of srhr.in fy23, Engenderhealth trained more than 7,300 clinical staff (e.g., surgeons, doctors, nurses, and midwives) and more than 41,500 community health workers (chws) across 14 projects. Among the clinical staff trained, 68% were female; all chws were female. Training areas for clinical staff included modern contraceptive method service provision, cac, sgbv, and/or provision of male and youth-friendly services. In addition to healthcare personnel, Engenderhealth trained 54,100 influential community members including adolescent champions, young people, religious and community leaders, and police in sgbv prevention; gender, youth, and social inclusion (gysi); srhr advocacy; and disability inclusion.in fy23, Engenderhealth had active programs in benin, burkina faso, burundi, cote d'ivoire, the democratic republic of congo, ethiopia, guinea, india, kenya, madagascar, mali, mozambique, nigeria, rwanda, senegal, and tanzania.illustrative program updatesbelow, we provide project examples organized by our core impact areas: srhr (including contraception and cac), sgbv, and maternal health (mh). Srhr: Engenderhealth employs a rights-based approach that emphasizes clients' full, free, and informed choice of contraceptive methods and expands access to high-quality srhr information and services, including comprehensive abortion care. During fy23, in addition to our ongoing support to service provision and systems strengthening work, we supported development and implementation of standards and guidelines and curricula that support the implementation of best practice. For example, in burkina faso we supported the ministry of health and ministry of education to develop and validate training modules for teachers and students in family life education. We also continued our extensive programming supporting service provision for srhr, including strengthening health systems and supporting integration of srhr into other aspects of healthcare. For example, through the afya yangu project in tanzania Engenderhealth supported delivery of integrated gbv, fp, hiv, and tuberculosis services. In fy23 this project reached nearly 25,000 with integrated gbv care, including treatment of sexually transmitted infections, pregnancy screening, and postexposure prophylaxis for hiv, along with supportive social services. We also incorporated water, sanitation, and hygiene components in several srh projects, including the integration of menstrual hygiene management and srh in the reach, expand, and access community health (reach) project in ethiopia. Gbv:preventing and addressing gbv and supporting survivors are essential to improving the health of all people. In india, Engenderhealth supported gbv prevention and response in six states to address the heightened cases and vulnerabilities to gbv experienced by communities due to covid-19. The project strengthened gbv referral pathways across 25 districts, built capacity of facility-based health workers and frontline health workers to identify gbv and refer gbv survivors. The project also sensitized male champions and youth champions to challenge negative gender norms in their communities and connect those in need with available services.mh: in fy23, Engenderhealth continued to expand patient-centered, safe, affordable, and respectful maternal and obstetric care. The momentum safe surgery in family planning and obstetrics (mssfpo) project enables facilities and providers to offer high-quality maternal healthcare, including antenatal care, essential and emergency obstetric care, fistula prevention and treatment, safe surgical obstetric care, and postnatal care. Mssfpo formalized local partnerships for community-based fistula screening nd referrals using tested community health worker-friendly tools and/or national digital health platforms in drc, mali, nigeria, and rwanda. The project expanded services through new safe surgery core teams at its more than 1,200 supported healthcare facilities and expanded awareness within the health sector and communities about rehabilitation and reintegration services for women treated for fistula. Mssfpo provided clinical mentorship, training, and data monitoring to ensure that women who need high-quality, medically indicated cesarean deliveries are able to access them; this work resulted in provision of more than 82,500 safe cesarean deliveries at project-supported facilities.