Transforming Access to Sexual and Reproductive Health: The Tombey Approach

Research has shown that when young people have their basic needs met and feel positive about their futures, they are less likely to engage in risky behaviors. The Carrera Adolescent Pregnancy Prevention Program has reduced pregnancy rates by 40 percent in New York by meeting teens educational, emotional, and employment needs.

Uganda has one of the highest rates of teen pregnancy in Africa, but a unique mobile health clinic is helping to reduce the rates of conception. Marie Stopes’ tuk tuks brings health care, sexual education and contraceptives to women in poor communities.

Reproductive Health Uganda (RHU) Clinic is taking a youth centered approach towards teaching reproductive health. Their methods, which include having youth days, hiring youth peer counselors, and providing private rooms for youth to discuss their sexual health, allow them to reach teenagers. “As a result, their uptake of contraception has increased.”

Research, and the evidence from global development campaigns in multiple countries, shows that cash transfers to women can help women to gain more freedom in choosing sexual partners, decrease HIV transmission, and decrease domestic violence. However, the short term cash transfers show proof of short term impact -- for longer term success, greater amounts that allow for greater investment might be necessary.

Since Upstart launched in rural Utah in 2009, 30,000 children have completed the online personalized preschool alternative from their homes. Upstart provides participating families with computers and internet access in addition to planned group gatherings intended to simultaneously encourage students' socio-emotional development. Following Utah's success with the program, an additional seven states are now piloting the model.

Uganda’s education ministry requires all schools to have incinerators to burn used sanitary pads. Lack of funding limits schools’ ability to comply. Even when incinerators exist, girls don’t necessarily use them. Educating both girls and boys about menstruation reduces stigma and increases the likelihood that girls feel comfortable enough to collect pads instead of throwing them in pit latrines.

Online kindergarten readiness certificate programs in several states are offering low-income families, without reliable preschool programs, an alternative to expensive private care centers. Acknowledging criticism of the model, a North Carolina State Representative noted, “We simply don’t have the money to provide a quality pre-K experience to every child in North Carolina, even though I absolutely agree that a face-to-face, high-quality pre-K is the best option. But when it’s not an option for the child, I refuse to ignore that child.”

Chicago Connected is a $50 million four-year program that has already provided high-speed broadband to over 40,000 households in need, representing around 64,000 Chicago public school students, and plans to expand. On-the-ground community outreach in multiple languages was key to connecting residents to the program quickly, which was needed as school went virtual due to COVID-19. The public schools helped identify eligible low-income students whose parents were then contacted by outreach workers.

A data analyst who is a Microsoft-certified trainer uploads videos on social media teaching digital technology skills in the Yorùbá language. The videos are free to watch and break the language barrier that arises with most English-only tech information available online.

The Mary Lyon School is a “full-inclusion school” designed to give students — especially those with special needs, including emotional and behavioral disabilities — the necessary resources and supports to see positive outcomes with their education. The Mary Lyon School uses community-based approaches and philosophies rooted in inclusion to stay connected with students and their families to help guide them toward their graduation day.