JAMAICA POLICY ENVIRONMENT SCORE ADOLESCENTS (ARH PES) NOVEMBER 2002

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JAMAICA POLICY ENVIRONMENT SCORE: ADOLESCENTS

(ARH PES)

November, 2002

RESPONDENT NAME:

POSITION:

DATE:

Introduction

The Policy Environment Score (PES) is meant to measure the policy environment that surrounds reproductive health in Jamaica. The PES is meant to assess the current environment as well as year-to-year changes.

This Adolescent Reproductive Health (ARH) PES is being conducted by Youth.now on behalf of USAID/Kingston. PES on family planning, safe motherhood, STD/HIV/AIDS and adolescents were conducted in 1999 and 2000. This 2002 ARH PES focuses on adolescents alone. Additional items have been added to the original adolescent reproductive health module, in order to capture more needed information on this target group.

The ARH PES is comprised of seven categories to assess the policy environment: political support, policy formulation, organizational structure, legal and regulatory environment, programme resources, programme components, and evaluation and research.

A scale of 0 to 4 is to be assigned to each item. In every case, 4 means a better or more satisfactory rating. Some items may seem to require just a yes or no response, but even these may be more or less satisfactory, so adhere to the 0 to 4 rating scale. Enter a “DK”, for don’t know, in a cell when you have little or no information about it. Do not leave it blank.

Score the two columns separately, to compare this year with last year. “Status now” speaks to 2002 and “status one year ago” is 2001.

By way of clarification:

Under the section Political Support, “planning bureaus” (item 11) speaks to bodies such as PIOJ and the MOH Planning Unit.

Under the section Programme Components, “Community-Based Distribution (CBD) systems” (item 8) speaks to those communities where individual members of the community provide FP services for short periods of time. These individuals also refer to the local health centers for follow-up service. HFLE (Health and Family Life Education) curricula speak to the MOE curricula introduced into the Primary and Secondary schools. “Vulnerable groups” (items 23-28) refer to youth at risk, such as youth living on the street, those unemployed, those who have dropped out of school, and those with handicaps or living with disabilities.

Thank you for your participation.

(Scoring: 0=weak; 4 = strong)
I. POLITICAL SUPPORT	Status Now 2002	Status 1 Year Ago
High-level national government support exists for effective policies and programmes.
High-level national government support exists for effective policies and programmes to provide family planning to unmarried adolescents.
High-level national government support exists for effective policies and programmes for prevention of HIV/AIDS among adolescents.
Public opinion supports effective policies and programmes.
Public opinion supports effective policies and programmes to provide family planning to unmarried adolescents.
Public opinion supports effective policies and programmes for prevention of HIV/AIDS among adolescents.
Media campaigns are permitted.
Political parties support effective policies and programmes.
The problem of pregnancy among adolescents is recognized by top planning bureaus.
10. The problem of HIV/AIDS among adolescents is recognized by top planning bureaus.
11. The problem is recognized by top planning bureaus.
12. Major religious organizations support effective policies and programmes to provide family planning to unmarried adolescents.
13. Major religious organizations support effective policies and programmes for prevention of HIV/AIDS among adolescents.

II. POLICY FORMULATION	Status Now 2002	Status 1 Year Ago
	Status Now 2002	Status 1 Year Ago
A favorable national policy exists.
A favorable national youth policy exists.
A favorable national ARH policy exists.
A favorable national HIV/AIDS policy exists that includes aolescentsadolescents.
Formal programme goals exist.
Specific and realistic strategies to meet goals exist.
Youth policies incorporate male adolescent reproductive health issues.
Youth policies address male adolescent reproductive health.
Ministries other than Health are involved in policy formulation.
Policy dialogue and formulation involves NGOs, community leaders, and representatives of the private sector and special interest groups.
Policy dialogue and formulation involves religious organizations
Government policy supports family life education and other IEC efforts for youth
Government/ national policy supports provision of contraception for adolescents.
Government/national policy supports provision of antenatal care for pregnant adolescents
Government/national policy supports provision of STI treatment for adolescents
Government/ national policy supports pregnant teenagers continuing their education
Government/national policy supports students with HIV continuing in school
	Status Now 2002	Status 1 Year Ago
III. ORGANIZATIONAL STRUCTURE

A national coordinating body exists that engages various ministries to assist with appropriate services. (If none, enter zero.)
Ministries other than Health are mandated to help with programme implementation.
A mechanism exists at the health region level to coordinate planning, resource allocation and implementation of ARH activities.
4. NGOs are formally included in policy deliberations.
5. The private sector is formally included in policy deliberations.
6. Religious organizations are formally included in policy deliberations.

IV. LEGAL AND REGULATORY ENVIRONMENT	Status Now 2002	Status 1 Year Ago
There is a favorable legal and regulatory climate for ensuring that unmarried adolescents may receive services for family planning.
Pregnant adolescents are allowed to continue with their education.
Providers are free from unnecessary legal and regulatory restrictions (i.e., services available to adults are available to adolescents as well).
V. PROGRAMME RESOURCES	Status Now	Status 1 Year Ago
Funding from government sources is generally adequate.
Funding from donor sources is generally adequate.
Staffing for service provision is generally adequate.
Staffing for ARH service provision is generally adequate.
Enough service points and providers exist for reasonable access by most clients.
Resources are allocated by explicit priority guidelines.
Funding/other support for ARH from private sector is generally adequate.

VI. PROGRAMME COMPONENTS	Status Now	Status 1 Year Ago
Contraceptives are provided for single adolescents in the usual service delivery points, as well as in schools, youth centers and other places where youth are found.
Counselling services in family planning for single adolescents are offered not only in the usual service delivery points, but also elsewhere, such as in schools, youth centers, or other places where youth are found.
STD/AIDS information is an integral part of educational efforts.
Condoms are easily available to youth through channels that youth have access to, e.g. pharmacies, clinics, vendors.
Post-abortion counseling is an integral part of the youth programme.
Emergency contraceptive protection (ECP) is available to unmarried adolescents.
STI services are available to unmarried adolescents
Health staff arestaffs are trained to counsel youth in sexuality and reproductive health matters.
VI. PROGRAMME COMPONENTS (cont.)	Status Now 2002	Status 1 Year Ago
Community-based distribution (CBD) systems exist and employ youth (male and female) distributors. (If no CBD system exists, enter zero.)
HFLE curricula are appropriate to address ARH issues in the country
HFLE curricula take gender issues into account.
HFLE curricula incorporate STI information
HFLE curricula incorporate HIV/AIDS information
HFLE is being effectively implemented in schools
Guidance counselors receive support from the MOE to teach HFLE
Guidance counselors receive support from school administrators to teach HFLE
MOH’s service delivery guidelines for serving minors influences service delivery for adolescents
Pre service training in ARH for nurses and midwives is adequate.
Pregnancy prevention efforts are adequately targeted to vulnerable groups of female adolescents.
Pregnancy prevention efforts are adequately targeted to vulnerable groups of male adolescents.
STI control efforts are adequately targeted to vulnerable groups of female adolescents.
STI control efforts are adequately targeted to vulnerable groups of male adolescents.
HIV/AIDS control efforts are adequately targeted to vulnerable groups of female adolescents.
HIV/AIDS control efforts are adequately targeted to vulnerable groups of male adolescents.
NGOs participate in the provision of information for pregnancy prevention.
NGOs participate in the provision of information for STI prevention.
NGOs participate in the provision of information for HIV/AIDS prevention.
Comments: _____________________________________________________
VII. EVALUATION AND RESEARCH	Status Now 2002	Status 1 Year Ago
A regular system of service statistics exists and functions adequately.
A system exists to monitor secondary data sources (surveys, censuses, local studies, etc.) for the benefit of policy guidance.
A system exists to bring evaluation and research results to management’s attention.
Special studies are undertaken to address leading policy issues.
Service statistics are?? effectively disseminated to NGO, CBO and private sector
Research and service data/information are used to inform policy formulation
Research and service data/information are used to inform decision making

Comments: _______________________

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