Development Impact Bond for adolescent sexual, reproductive health launched – KBC
Development Impact Bond for adolescent sexual, reproductive ... Kenya Broadcasting Corporation
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The Roll-Out of a New Development Impact Bond for Adolescent Sexual and Reproductive Health in Kenya
Introduction
The UN in Kenya, led by UNFPA, UNAIDS, WHO, and the SDG Partnership Platform, in collaboration with the Government of Kenya, a global non-profit organization Triggerise, the Children’s Investment Fund Foundation (CIFF), and Bridges Outcomes Partnerships, has announced the roll-out of a new Development Impact Bond (DIB) for adolescent sexual and reproductive health (ASRH) in Kenya.
Background
Kenya faces significant challenges with teen pregnancy and new HIV infections among adolescents. One in six adolescent girls between 15 and 19 years has ever been pregnant. In 2022, an estimated 7,307 new HIV infections occurred among adolescents and young people aged 15-24, accounting for 41% of all adult new infections in the country. Adolescent girls and young women are particularly vulnerable and account for 78% of new HIV infections among adolescents and young people of the same age.
The ASRH DIB
The ASRH DIB aims to address the problem of teenage pregnancy, new HIV infections, and AIDS-related deaths among vulnerable adolescent girls in Kenya. It focuses on challenges such as the lack of information about sexual and reproductive health and rights and inadequate access to services tailored to young people. The program will be implemented in ten counties that experience a significant burden of HIV and adolescent pregnancy.
Tiko Platform
Bridges Outcomes Partnerships will provide upfront funding to Triggerise for a two-year pay-for-success program. This program will support the delivery of high-quality, youth-friendly sexual and reproductive health and HIV services to over 300,000 vulnerable adolescent girls and improve services in 150 public primary health facilities in the ten high-burden counties. The DIB will be implemented using Triggerise’s Tiko platform, a mobile-based digital platform that connects adolescents to nearby public and private facilities offering free services.
Government Involvement
The government of Kenya, through the Ministry of Health, will provide the policy direction and overall stewardship of the program. The Council of Governors will ensure effective coordination of counties. The ten county governments involved will be responsible for providing SRH and HIV services to vulnerable adolescent girls.
Funding
The DIB is backed by $10.1 million (Ksh.148,773,000) in outcome funding provided by the Joint SDG Fund and CIFF. Once specific outcomes linked to improving adolescent health are achieved and independently verified, the upfront funding provided by Bridges Outcomes Partnership will be repaid through outcome funding provided by the Joint SDG Fund and CIFF.
Impact and Results
Triggerise and its local delivery partners will have the flexibility to adapt and innovate to focus on what is having the greatest impact on the uptake of HIV and SRH services among adolescents. The ASRH DIB builds on a successful Phase One model previously implemented by Triggerise and funded by the Foreign and Commonwealth Development Office (FCDO) with CIFF as the investor. During this phase, the availability and uptake of SRH services among adolescents in Kenya were expanded, reaching a total of 251,000 girls with 383,000 services. The number of repeat service visits exceeded the initial target by 262%, with a total of 118,058 girls receiving repeat visits.
Conclusion
The roll-out of the ASRH DIB in Kenya is an innovative program that aims to improve the sexual and reproductive health of vulnerable adolescent girls. By providing high-quality, youth-friendly services and addressing the barriers to access, this program has the potential to make a significant impact on reducing teenage pregnancy and new HIV infections among adolescents in Kenya.
SDGs, Targets, and Indicators in the Article
1. Which SDGs are addressed or connected to the issues highlighted in the article?
- SDG 3: Good Health and Well-being
- SDG 5: Gender Equality
- SDG 10: Reduced Inequalities
- SDG 17: Partnerships for the Goals
2. What specific targets under those SDGs can be identified based on the article’s content?
- SDG 3.7: By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programs.
- SDG 5.6: Ensure universal access to sexual and reproductive health and reproductive rights as agreed in accordance with the Program of Action of the International Conference on Population and Development and the Beijing Platform for Action and the outcome documents of their review conferences.
- SDG 10.3: Ensure equal opportunity and reduce inequalities of outcome, including by eliminating discriminatory laws, policies, and practices and promoting appropriate legislation, policies, and action in this regard.
- SDG 17.17: Encourage and promote effective public, public-private, and civil society partnerships, building on the experience and resourcing strategies of partnerships.
3. Are there any indicators mentioned or implied in the article that can be used to measure progress towards the identified targets?
- Number of adolescent girls aged 15-19 accessing high-quality sexual and reproductive health services
- Number of HIV testing and treatment services provided to adolescent girls aged 15-19
- Number of new HIV infections among adolescents and young people aged 15-24
- Percentage of new HIV infections among adolescents and young people accounted for by adolescent girls and young women
- Number of vulnerable adolescent girls accessing sexual and reproductive health and HIV services
- Number of public primary health facilities improved in terms of providing youth-friendly sexual and reproductive health and HIV services
- Number of vulnerable adolescent girls receiving repeat visits for sexual and reproductive health services
Table: SDGs, Targets, and Indicators
| SDGs | Targets | Indicators |
|---|---|---|
| SDG 3: Good Health and Well-being | Target 3.7: By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programs. | – Number of adolescent girls aged 15-19 accessing high-quality sexual and reproductive health services – Number of HIV testing and treatment services provided to adolescent girls aged 15-19 |
| SDG 5: Gender Equality | Target 5.6: Ensure universal access to sexual and reproductive health and reproductive rights as agreed in accordance with the Program of Action of the International Conference on Population and Development and the Beijing Platform for Action and the outcome documents of their review conferences. | – Number of vulnerable adolescent girls accessing sexual and reproductive health and HIV services |
| SDG 10: Reduced Inequalities | Target 10.3: Ensure equal opportunity and reduce inequalities of outcome, including by eliminating discriminatory laws, policies, and practices and promoting appropriate legislation, policies, and action in this regard. | – Number of new HIV infections among adolescents and young people aged 15-24 – Percentage of new HIV infections among adolescents and young people accounted for by adolescent girls and young women |
| SDG 17: Partnerships for the Goals | Target 17.17: Encourage and promote effective public, public-private, and civil society partnerships, building on the experience and resourcing strategies of partnerships. | – Number of public primary health facilities improved in terms of providing youth-friendly sexual and reproductive health and HIV services |
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Source: kbc.co.ke
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