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Pg 1 About Aahung Pg 2 Strategic Plan 2008-11 Aahung in the Media Pg 3 Workshop on Sexuality Pg 4 Theatre Campaign Pg 5 Ask Aahung Pg 6 Publications
C R E D I T S
Editor: Mariam Sheikh Translated By: Ghayas-un-Nabi Published By: Siddiqui Printers Designed By: Riffat Aliani
Aahung Newsletter Volume 9 Sept 2007-Feb 2008
Aahung is a Karachi-based NGO that has been working to improve the sexual health of men, women, and adolescents since 1995. The Aahung team works towards enhancing the scope and improving the quality of services that uphold sexual health and rights. To achieve these aims, Aahung engages in awareness raising, capacity building, research, and advocacy.
Dear Partners, Greetings from Aahung! 2009 brings with it many exciting changes at Aahung. As an organization working on sexual health and rights, we have introduced a unique training component to the organization to broaden our outreach and capacity building services. The Resource Center will hold workshops each month on critical sexual health related topics, as well as, be available to respond to the needs of our partner organizations seeking training and sensitization. Information regarding our workshops will be made available to all of our partners in the coming months. In the meantime, please feel free to contact Aahung for more information about our programs, services and resources. Aahung’s new website will also be launched soon, and can be accessed to get updates about our programs and trainings. The website will also allow our partners to access Aahung’s innovative publications made for medical professionals, teachers and caregivers, adult men and women, and adolescents and children on a diverse range of sexual health topics. The New Year also brings with it a change of office location. The new Aahung address can be found below and for further directions and a map, please call the office directly (our phone lines remain the same). Through collaboration with our partners, we hope to break new boundaries, reach out to more people, and of course, continue to learn from one another’s experiences. I look forward to continuing our work together and wish all of our partners success in their efforts to make sexual and reproductive health and rights a reality for men, women, and young people across Pakistan. Warm regards, Sheena Hadi Director Aahung
Aahung has 3 components. A brief description of each component is given below:
The Clinical Component focuses on
increasing access to and enhancing the quality of Sexual and Reproductive Health education for adolescents.
The Youth Component focuses on
increasing access to and enhancing the quality of Sexual and Reproductive Health education for adolescents.
The Resource Centre aims to integrate
SRHR information or services into the scope of work of large service delivery or outreach organizations
we hope that accurate and age-appropriate sexual and reproductive health and rights related information is widely available and accessible by both young people and adults across Pakistan. education and health services. Her commitment to and experience in the field of sexual and reproductive health and rights will be critical in leading Aahung as a resource organization. colleges.org 2 . She has applied her own background in education and health to develop a progressive and sustainable approach to sexual health in Pakistan by focusing on preventative measures and educational reform. focusing on Sindh. Block-8. Sheena has been with Aahung since 2003 as the Life Skills Education Manager. MediLine Show Dr. Clifton. Child Sexual Abuse and the Management of SH issues Editor’s Note Almost a year has passed since the last newsletter was published. we would like to see the elimination of unsafe sexual practices and an improvement in positive health seeking behaviours. we hope that medical practitioners are able to effectively diagnose and manage sexual health problems. G-18/6. The programme was telecast live and Dr.aahung. other NGOs and government health and education programmes. schools. Phone/Fax: 5821645. Workshop Calls on Media in Pakistan to Raise Awareness about HIV/AIDS The Pakistan Press Foundation along with the Word Bank arranged a 3-day workshop at the Arabian Sea Country Club. 5870244.org Website: www.and low-income segments of society about the risk of HIV/AIDS in Pakistan. The strategy 2008-2011 builds on the past 13 years of our experience.Sikander Sohani was invited on the Nadya Khan Show along with Mr. With the help of our partners we will focus on providing better quality sexual health information.AAHUNG’S STRATEGIC PLAN by Fatima Haider (Resource Centre) 2008-2011 This year marks the first of Aahung’s new three year strategic plan period. Both Aahung team members spoke about the causes and prevention of the disease on a very open front. INTRODUCING NEW DIRECTOR We are pleased to announce the promotion of Sheena Hadi in her new role as Aahung’s Director. To make up for this we have redesigned the newsletter and added more articles. The show received excellent reviews and has been aired more than five times to date. Sikander and Shehneel Gill appeared on a show on Vibe TV. Contact Info: AAHUNG Sasi Home.Sohani explained many of the myths related to the infection. Mariam Sheikh Communications Coordinator mariam. Dr.sheikh@aahung. As a result. Dr. It further strengthens Aahung’s role as a resource and capacity building organisation. I would like to thank the team of Aahung for contributing enthusiastically towards making this newsletter possible. 5838114 Email: info@aahung. The show was hosted by Dr. The thematic areas that Aahung will work on include Adolescent Sexual and Reproductive Health (ARSH). Similarly. Kehkashan.org AAHUNG IN THE MEDIA By Mariam Sheikh(Resource Centre) World Aids Day Aahung celebrated World Aids Day by making an appearance on a talk show on Geo. Khurram Haider and focused on Hepatitis in Pakistan. During this phase we will collaborate with institutions such as medical universities.X accidentally contracted HIV when he was given a contaminated blood transfusion. Through access to proper information and quality services. The aim of this workshop was that the media should seek to inform the middle. Mr.A in Biology from Amherst College in the US. She has a background in teaching and completed her B. We are confident that Aahung will continue to strive under her dynamic leadership.X and his wife. This was the first time a person with HIV appeared publicly on televison. Sikander spoke to journalists and his lecture was appreciated so much that the hour long session went on for more than two hours. Karachi.
The Naaz Foundation liked the HIV booklet and contacted us later also for more materials. pre-marital booklets. New Delhi. The 28 participants taking part in the workshop were mainly from Pakistan. mainly the flashcards. and guiding principles for working on sexuality. sexual and reproductive rights. WORKSHOP ON SEXUALITY AND RIGHTS conducted by TARSHI An interesting session ‘Negotiation with stakeholders’ included an exercise in which participants had to negotiate and achieve their goals through a role play. After recently rejoining Aahung I had the opportunity to participate in the ‘Sexuality and Rights’ course conducted by facilitators Prabha Nagaraja and Gunjan Sharma from Talking About Reproductive Health Issues (TARSHI). The main focus of the workshop was basic human rights. The exercise also challenged participant stereotypes and misconceptions related to sex work. STIs. conception and contraception. demand and access their human rights by enhancing women’s leadership and building networks at the local. Farah Shaikh Ali Resource Centre 3 . I shared my training skills with the participants and they also shared some useful training tips. The Life Skills CD and the theatre campaign DVD were also viewed. HIV/AIDs. mainly highlighting abortion. The Aahung IEC material was appreciated a lot. The Nepal participants approach impressed me the most because they knew their target areas very well for instance they would visit parlours as they are popular amongst women. During discussions a lot of myths concerning basic rights of the participant countries were identified and removed. violence against women. abortion. This was a good activity to allow participants to discuss different strategies for negotiation and to be aware of the positions held by other stakeholders especially given the challenges faced while working in the sexual and reproductive health sector. They are also trying to pass a law to legalize transgender marriages. Apart from learning a lot in this workshop it was an excellent opportunity for me to interact with other people from different countries and share their experiences and build a strong network for Aahung. anatomy and physiology. It also works on sexuality. 2008 and participants from various reproductive health and media organizations had taken part in the training. regional and international levels. The workshop was hosted by Aahung in Karachi from July 1st-July 4th. human rights and social justice. the ‘Sex Work and Prostitution’ session was also extremely interesting as the depiction of prostitutes and sex workers was explored in the media. abuse.Third Human Rights Institute Training Workshop By Nazo Pirzada (Resource Centre) CREA organized a workshop from the 2nd to the 8th of November 2008 in New Delhi. The workshop was an excellent network building opportunity as I worked with 15 CBO workers. It covered various topics such as women health issues. CREA is a women’s human rights organization that empowers women to articulate. and violence. international frameworks of rights. The workshop had a participatory approach where participants learnt through sharing of experiences. human rights. The workshop covered a diverse range of issues such as The workshop covered a diverse range of issues such as sexuality. sexual harassment. I felt I had learned a lot through my interaction with different organizations and felt that the facilitators from TARSHI enriched the entire process with their experience and enthusiasm. gender. India and Nepal. Furthermore. posters and How to talk. sexual rights.
In a hired bus. symptoms. the Aahung team comprising of Shehneel Gill. This was a major turning point in the activities of Aahung as this was the first ever theatre campaign. In the past. It highlighted symptoms and causes of the disease and how to prevent it. Together they headed towards Badin. Along with reaching out to men the message would also be able to get across to women. The second topic was about TB. A strong network was built with our partner organisations which strengthened Aahung’s reputation and publicity. Tando Mohammad Khan and Hoor Camp. All villages besides Badin and Hoor Camp were given one performance each. 4 . The male participants took a keen interest and learnt about responsibilities and received traning which would help them in other communities. causes of spread and most importantly respect towards people living with the disease. It removed reinforced gender stereotypes and raised awareness about rights to marriage and the choice of decision making. Mathiari. One of the topics was ‘Akhir Kiyoon’ which dealt with gender discrimination and harassment. Mithi. in Badin. the second stop was in Tharparkar. THEATER CAMPAIGN By Sheneel Gill (Resource Centre) & Nazo P1rzada (Resource Centre) In the future. Sexual Health and rights should be included in family planning so that people can get quality services and they can avail them easily. it covered awareness. The convoy travelled to Sanghar. Aahung should research into trainings so that we can observe if rights are being delivered properly at government level.Family Planning & Male Responsibility In 2008. Umarkot. Tando Adam. A total of 1850 IEC materials were distributed and it was also a good opportunity to learn about the living habits of the rural target audience so that in the future we would know what areas to target. The third topic was on HIV/AIDS. By Shehneel Gill (Resource Centre) Aahung collaborated with six partner organisations and organized a five-day theatre campaign about sexual health and sexual health rights in different areas of rural Sindh. Sanghar and Mirpurkhas where 17 men and 17 women received training. this was not a play but a song performed in a tableau. Drama is termed as ‘old’ but even in this modern era it is successful as it is a good way to communicate with the uneducated audience. Nazo Pirzada and Gopal Govind took off for Hyderabad where they joined the actors of the theatre group Hayat-e-Nau. Strong communication between all partner organisations made the campaign run smoothly. In the first part of this programme Family Welfare workers of Hyderabad and Karachi held a needs assessment and male mobilizers were identifies as the main target of training. We were able to reach an audience of 2000 people and the ratio was 45%male and 55%female. melas and conferences have been held but this was by far the most effective way to communicate. Aahung along with the Packard Foundation and Mekma Behbude-Abadi Government of Sindh (PWDS) collaborated together to work on training male mobilizers about family planning. Mirpurkhas.
A study shows that the risk of inquiring HIV infection significantly reduces by 60% in men who have undergone safe circumcision. Public and Private Academic Universities in all the four provinces of Pakistan and Pakistan Nursing Council. There is also some evidence showing that the effect of second hand smoke is equally damaging.Data demonstrates that smoking may lead to infertility. nd 5 . it ultimately depends on what exactly is the cause of fertility problems. The second group identified as teaching and learning group will guide Aahung in the development of content. formalizing a core-group in individual universities and advocating at the policy level with PMDC. This is because presence of foreskin is an entry point for HIV. under which it will work. hence precaution must be taken in this instance. women who abort the first pregnancy. College of Physicians and Surgeons Pakistan (CPSP). However this is not a 100% protection from the virus. The core-group felt that the larger group needs to divided into thematic areas. Secretary Population Welfare Department Sindh. Some types of fertility can be hereditary for example endometriosis. The fourth group will be the assessment group which will help in identifying the local research based needs of sexual and reproductive health in Pakistan and guide Aahung in identifying the future sexual and reproductive health needs which can be translated into practice by integrating or modifying the curriculum. PMA and Pakistan Nursing Council. HIV can also be transmitted from a pregnant or lactating mother to her child. using disposable syringes and needles and screening of blood must be practiced.Generally speaking fertility problem are not hereditary however. These included the Pakistan Medical and Dental Council (PMDC). Head of the Departments of various public and private medical and nursing universities across Pakistan. facilitating faculty meetings in universities. AAHUNG’S CURRICULUM CORE-GROUP MEETING By Kanwal Qadeer ( Clinical Component) On 22 January 09’ the Clinical Component of Aahung hosted a Curriculum Core-Group meeting at Avari Towers Karachi.1 Does circumcision prevent HIV/AIDS? A. increasing the resource pool of the trainers and support in the replication and development of Training of Trainers. In the last curriculum core-group meeting four pillars were identified by the group for advocacy of sexual health into the medical universities.Women who have abortion of unexpected pregnancy are 30% more likely to experience anxiety and depression. The meeting was attended by 40 members including Vice Chancellor University of Health Sciences. are at greater risk of subsequent long time clinical depression. 3 4 Does abortion lead to depression? A. consultant gynecologists. In the recent meeting another pillar of Family Physicians was identified and Pakistan Medical Association was recognized as a platform to reach out to the family physicians. Third group identified as the advocacy group will facilitate Aahung in developing the network. Is infertility hereditary? A. The first group identified as Monitoring and Evaluation group will monitor and advice certain tools which can be used by Aahung to monitor the progress of trainers and students after the training. research. such as safe sexual behaviors (use of condom). hand 2 Does secondinfertility? smoke cause A. compare to women who carry an unintended first pregnancy to term. Other preventative methods.
If you are a caregiver and would like to learn more about the Flashcards Toolkit please feel free to contact the Aahung office for more information. Aahung’s Sexual Health Training Modules for Service Providers includes modules on Sexuality. yet allow children to explore feelings.g. Aahung advocates for the integration of sexual health into the medical curriculum. The content of the cards is all visual which allows for them to be run with children who cannot read. Child sexual abuse can be a disturbing and intimidating topic for parents and other caregivers to address with children because they often fear that discussing the topic may frighten children or take away their innocence from them. sexual abuse. while the prevalence of HIV/AIDS is low. This will enable them to become comfortable in teaching sexual health and related issues to the students and in return the students will be comfortable in dealing with these issues when they come into clinical practice. there is a great deal of evidence which suggests that children can play a vital role in being able to protect themselves from abuse if they are given the correct information and skills. which can arise when a child is being abused. children can share their thoughts. Furthermore. both girls and boys. such as confusion and discomfort. experiences and also develop a closer relationship with the facilitating adult. Without proper training. being sexually abused before the time they turn 18 years old. health care providers may also shy away from discussions concerning sexuality because they feel unable to handle complex issues (e. This inhibition may lead to several problems such as incomplete sexual history and misdiagnosis. difficulties in contact tracing and partner management. sexual dysfunction etc. Sexual Health. In order to address these gaps.. different exercises. Similarly. the methodology of the cards is intended to be participatory so that through the process of running the cards. activities. lack of client adherence. The images have been designed so that they are not frightening or graphic. Furthermore. inappropriate treatment. Moreover. sexual dysfunctions. quiz games and documentaries with complete instructions on how to run the module. One of the strategies taken was to develop training modules on sexual health for faculty of medical universities and nursing colleges. One of the major reasons for why people turn to alternative service providers for sexual health concerns is because medical practitioners often lack the necessary knowledge. there is a high prevalence of high risk behaviours such as IV drug use that puts Pakistan at a very high risk to the HIV epidemic. time and skills required to treat SRH issues effectively. However. and violence is increasing.) that can arise during such discussions. Each module consists of basic information on the topic. Lack of awareness and access to quality health care services leads people to turning to spiritual healers and quacks for sexual health related issues.PUBLICATIONS PUBLICATIONS PUBLICATIONS PUBLICATIONS Sexual Health Module for Health Care Providers By Kanwal Qadeer (Clinical Component) Over the last 61 years the prevalence of sexual health issues such as sexually transmitted infections. the notion of client centred care and counselling is often neglected which prevents the creation of an enabling environment for clients seeking health care. Client Centered Approach. either because of their age or lack of schooling. These training Modules are handed over to the faculty members at the end of the workshops so that they can use them to replicate the training on sexual health with their students. Flash Card Toolkit By Aisha Ijaz (Youth Component) Statistics show that cases of child sexual abuse are very high in Pakistan with an approximated 15-20% of children. 6 . Data shows that approximately 80% of women in Pakistan are subjected to some form of domestic violence. how to take a Sexual History using socially appropriate language and Holistic Management of Reproductive Tract Infections and additional exercises including Body Mapping and Empowerment Exercise. Aahung has developed a set of flashcards to make the process of providing children with the necessary skills for protection easier for caregivers. all the key messages are stated for caregivers so that they have a clear sense of why each card is significant with regards to imparting certain skills and information to children. These service providers continue to perpetuate the myths and misconceptions surrounding these issues and further perpetuate the problem.
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