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The peer educators also provided individual counseling and used a referral card system to direct out-of-school youth to clinical and other reproductive health services at BFLA's Teen Center.
Fifteen sexually active peer counselors became family planning users following their involvement in the project, and 176 out-of-school youth utilized the clinical services of BFLA's Teen Center, an increase of more than 10 percent from the period before the project was initiated.
BFLA also hoped the dialogues would generate ideas for strengthening its services and increasing its client load, improve its image in the community, and enhance its ability to work effectively with the government to bring about positive policy change.
Moreover, BFLA faced this challenge while attempting to implement a project that was thematically controversial and potentially explosive.
The following pages describe the process by which BFLA met these challenges and reinvented itself as a more successful clinic, a valuable agency in the battle against HIV, a dynamic catalyst of social change, and a national actor in the health sector of Belize.
BFLA's Institutional Culture Did Not Fit the New Plan
To implement the new project, BFLA needed to undergo a transition from a stagnating clinical organization to a dynamic community-based one dealing with sensitive issues.
Together with Lucella Campbell (the IPPF Program Officer with regional responsibility for the Caribbean), Rosberg met with the BFLA Board several times.
BFLA made a significant investment in preparing the staff at all levels.
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