By realizing the potential of their own resources women can address mental health, social and sexual-reproductive health needs in Guinea.
In Guinea, access to mental health and SRHR services is among the lowest worldwide. The 2014 Ebola outbreak hindered development of an already weak health system and increased mental illness. High rates of teenage pregnancy, gender inequality combined with female genital mutilation (97% of women aged 15-49) contributes to mortality and social suffering.
Our design is based on latest insights in realist research, complexity theory and implementation theory. As such it aims to show how sensitive issues can be effectively addressed in a complex setting, synergizing the potentialities, approaches and expertise of different actors and partners. The method leads to specific actions that
Select and ‘dynamize’ agents of change in communities, who will work through different networks and groups according to needs and priorities identified in a repetitious process;
Use social actions including theatre and public debates as effective methods of transforming people's behaviour through instilled reflection on contexts that shape mental health, SRHR and SGBV issues.
Organise cross referral and collaboration between a variety of services, and strengthen accountability and sustainability of service delivery.
Innovative aspects: We do not work with preconceived ideas for solutions, western-based blueprints or donor-specific protocols. We organize exchange between local and international partners to link local effectiveness to international knowledge.
Results and conclusions
Application of new insights in implementation theory and complexity management leads to a dynamic process of change, rather than traditional project implementation.
Take away points – less obvious than many would think:
1. Listen to people – understand their real issues
2. Do not medicalize social-economical problems
3. Use community systems
4. Strengthen the agency of people to design their own solutions
Afghanistan only reaches the news these days when there is another vicious attack or other form of violence. Sunday, on the first day of the presidential election campaigns, it was hit again. Correspondent Aletta André and C4C’s Willem van de Put talk about how the country is doing after 18 years of war. On Dutch radio 1 – here.
"In fact, the government has nothing to say about more than half of the country," says Van de Put. "And if nobody takes a radical step, it will still be like that in 5 years."
Afghanistan komt vooral in het nieuws als er een aanslag of een andere vorm van geweld is. Zondag, op de eerste dag van de campagnes voor de presidentsverkiezingen, was het weer raak. In De Dag vertellen correspondent Aletta André en Afghanistan-kenner Willem van de Put hoe het land er na 18 jaar oorlog voorstaat.