Aahung is a non-governmental organisation which aims to improve sexual and reproductive health. It is based in Karachi, Sindh, Pakistan. It was established in 1994, and in 2013 was awarded the annual Human Rights Tulip prize by the Dutch government.
Aahung is a Karachi-based non-governmental organisation which aims to improve the sexual and reproductive health of men, women, and adolescents across Pakistan. On its website it states its role as “enhancing the scope and improving the quality of services that uphold sexual health and rights, while advocating for an enabling environment where every individual’s sexual health and rights are respected, protected, and fulfilled as an inalienable human right.” [1]
Aahung was founded in 1994, bringing together two community-based projects, Karachi Reproductive Health Project (KRHP-1994) and AIDS Awareness Program (AAP-1997), which were aiming to improve the sexual health status of women and adolescents in four low-income urban communities. [2]
The experience and research of project members pointed to a widespread lack of accurate knowledge and understanding about sexual health matters, not only among the general population but among providers of medical services as well. Aahung developed culturally appropriate techniques for providing information and empowering members of the public to make better sexual and reproductive health choices and practise safer behaviours. It improved the skills of medical practitioners in handling consultations about sexual health problems, and drew up more appropriate protocols for managing sexually transmitted disease. [2]
Sheena Hadi, a graduate of Amherst College, Massachusetts, became director of Aahung in 2008. [3]
The group's own summing up of its activities is: “Functioning in an environment devoid of expertise or resources, Aahung has been successful in developing culturally relevant strategies to respond to the sexual and reproductive health needs of the Pakistani population. Moreover, Aahung has had success in integrating quality sexual and reproductive health education in medical academic and educational institutions across Pakistan.” [1]
Aahung adopts innovative strategies to promote public awareness on critical topics of reproductive health such as gender equality, violence, maternal health, and infection prevention, and to advance reproductive health and rights. It also develops long-term partnerships with organisations and institutions providing education and medical services. [4]
In a country such as Pakistan, where religious and cultural norms may hinder communication on sexual and reproductive health issues, Aahung has developed culturally appropriate strategies to respond to the sexual health needs of the Pakistani population. [5] It offers specialised training courses and develops information, education and communication materials in provincial languages that can be disseminated through clinics and community workers throughout Pakistan. [1] It widens community outreach by working with the field staff of community-based organisations (CBOs) and building the capacity of these CBOs. [5]
Aahung has begun to introduce sexual health education and services into schools, [2] a provision that has otherwise been generally lacking in Pakistan. [6] [7] It has drawn up life skills-based education (LSBE) programmes incorporating sexual and reproductive health, and trained teachers to implement them at both primary [4] and secondary [7] levels. Topics covered include gender discrimination, HIV/AIDS, child marriage and protection from violence. In the process Aahung has worked with religious leaders and institutions. Aahung has succeeded in integrating the LSBE curriculum into public and private schools in Sindh province. [8]
Aahung has integrated sexual health education and services into a range of reproductive health organisations, medical universities and nursing colleges. [2] [4] For example, Aahung has collaborated with Dow University of Karachi on developing a medical education curriculum for trainee medical doctors, incorporating reproductive health education, and inculcating clinical skills in dealing with patients' sexual and reproductive issues in a sensitive and non-judgemental way. [6]
Aahung has adopted a rights-based approach to address the sexual and reproductive health needs of the people of Pakistan, advocating for increased access to quality sexual and reproductive health information and services. It advocates for improving laws and policies and holding the government accountable to national and international commitments in this arena. [5]
Publications of Aahung include: “Preventing Child Sexual Abuse”, “Aware for Life - Facilitator Guide”, “A Care givers' Guide: 'How to Talk to Children and Young People'”, and “Teaching Puberty and Responsible Behaviour”. [9]
In December 2013, Aahung, in the person of its director Sheena Hadi, was presented with the Human Rights Tulip Award by the Netherlands Minister of Foreign Affairs, Frans Timmermans. The Tulip award is presented each year to a global human rights defender or organisation for the promotion and protection of human rights through the use of innovation. In selecting the 2013 winner, special attention was given to human rights defenders working in innovative ways. [10] [4]
Presenting the award on 11 December 2013, Mr Timmermans said: “Aahung owes its success to the ability to give human rights a human face … Its efforts to promote human rights are not abstract. They involve the people we share our daily lives with and who are part of the local community. They teach men and women of all ages life skills to help them deal with issues like puberty, gender discrimination, HIV/AIDS, peer pressure and family planning. The Aahung method is to engage a wide range of stakeholders, like school teachers, medical staff, religious scholars and parents, to talk about difficult subjects”. [10]
Timmermans added that the award of the Human Rights Tulip to Aahung was more than simply the end of a selection process: it was the start of a long relationship between Aahung and the Netherlands. Aahung would be able to use the €100,000 prize to further develop, innovate and scale up its human rights work, so that more people in as many places as possible would be able to benefit. The Hague Institute for the Internationalisation of Law (HiiL) would work with Aahung to extend the reach of the latter’s successful approach. [10]
Sex education, also known as sexual education, sexualityeducation or sex ed, is the instruction of issues relating to human sexuality, including human sexual anatomy, sexual activity, sexual reproduction, safe sex, and birth control, sexual health, reproductive health, emotional relations and responsibilities, age of consent, and reproductive rights.
Reproductive rights are legal rights and freedoms relating to reproduction and reproductive health that vary amongst countries around the world. The World Health Organization defines reproductive rights as follows:
Reproductive rights rest on the recognition of the basic right of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so, and the right to attain the highest standard of sexual and reproductive health. They also include the right of all to make decisions concerning reproduction free of discrimination, coercion and violence.
Sexual and reproductive health (SRH) is a field of research, health care, and social activism that explores the health of an individual's reproductive system and sexual well-being during all stages of their life. Sexual and reproductive health is more commonly defined as sexual and reproductive health and rights, to encompass individual agency to make choices about their sexual and reproductive lives.
Abstinence-only sex education is a form of sex education that teaches not having sex outside of marriage. It often excludes other types of sexual and reproductive health education, such as birth control and safe sex. In contrast, comprehensive sex education covers the use of birth control and sexual abstinence.
The healthcare delivery system of Pakistan is complex because it includes healthcare subsystems by federal governments and provincial governments competing with formal and informal private sector healthcare systems. Healthcare is delivered mainly through vertically managed disease-specific mechanisms. The different institutions that are responsible for this include: provincial and district health departments, parastatal organizations, social security institutions, non-governmental organizations (NGOs) and private sector. The country's health sector is also marked by urban-rural disparities in healthcare delivery and an imbalance in the health workforce, with insufficient health managers, nurses, paramedics and skilled birth attendants in the peripheral areas. Pakistan's gross national income per capita in 2021 was 1,506 USD. In the health budget, the total expenditure per capita on health in 2021 was only 28.3 billion, constituting 1.4% of the country's GDP. The health care delivery system in Pakistan consists of public and private sectors. Under the constitution, health is primarily responsibility of the provincial government, except in the federally administered areas. Health care delivery has traditionally been jointly administered by the federal and provincial governments with districts mainly responsible for implementation. Service delivery is being organized through preventive, promotive, curative and rehabilitative services. The curative and rehabilitative services are being provided mainly at the secondary and tertiary care facilities. Preventive and promotive services, on the other hand, are mainly provided through various national programs; and community health workers’ interfacing with the communities through primary healthcare facilities and outreach activities. The state provides healthcare through a three-tiered healthcare delivery system and a range of public health interventions. Some government/ semi government organizations like the armed forces, Sui Gas, WAPDA, Railways, Fauji Foundation, Employees Social Security Institution and NUST provide health service to their employees and their dependants through their own system, however, these collectively cover about 10% of the population. The private health sector constitutes a diverse group of doctors, nurses, pharmacists, traditional healers, drug vendors, as well as laboratory technicians, shopkeepers and unqualified practitioners.
Comprehensive sex education (CSE) is an instructional approach aimed at providing individuals, particularly young people, with accurate, holistic information about sexuality, relationships, and reproductive health. Unlike abstinence-only education, CSE includes a broad curriculum that covers topics such as safe sex practices, contraception, sexually transmitted infections (STIs), sexual orientation, gender identity, and relationship skills. This approach seeks to empower individuals to make informed, responsible decisions regarding their sexual health and to promote respect and equality in sexual relationships.
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Sexual and reproductive health and rights or SRHR is the concept of human rights applied to sexuality and reproduction. It is the recognition of every person’s right to make fully informed and self-determined decisions about their sexual participation, such as contraception use, sexual partners, and access to sexual health information and services, without discrimination, violence, and/or coercion. SRHR encompasses a combination of four distinct yet interconnected fields, which may exhibit varying degrees of distinction depending on the specific context. These four fields include sexual health, sexual rights, reproductive health and reproductive rights. In the broad concept of SRHR, these four fields are treated as separate, but are inherently intertwined.
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