Stories

The inspiration for delivering comprehensive sexuality education to young people digitally was propelled by the COVID-19 lockdown. Like other frontline healthcare providers, Famia Planea Aruba (FPA) was faced with unforeseen challenges about how to continue reaching their communities. Undeterred, the small team of four embraced the challenge to create, develop, and launch FPA’s first Online Puberty Educational News Program (OPEN).  With a background in marketing and extensive management experience, FPA’s Executive Director Evelyn Yarzagaray, led the project and team to successfully bring the digital platform to life.  “In the last few years, FPA’s in-school Comprehensive Sexuality Education program was growing rapidly, and then all of a sudden we hit a wall; our Island was in complete lockdown and all schools were closed. At first, we were very sad, since we were fully booked for the upcoming few months, and would lose the opportunity to reach thousands of young people”, Evelyn remembers.  Typically, during April and May FPA usually focuses on students between the ages of 11 and 13 and supporting with the transition from elementary school to secondary school. At this age young people are starting to experience changes to their bodies and hormones.  “We were all of a sudden bombarded with parents who started requesting one-on-one counseling sessions for their kids, but due to safety regulations, this was not an easy option. That was when we started looking for a way to reach both parent and child in the safety of their own homes. By converting materials used during our in-person CSE’s we developed an educational video that can be viewed by both parent and child”, says Evelyn The OPEN platform has been designed with a colorful background, emojis, and animation to appeal to its target audience. Users can access valuable information through the FAQ section, international news, and video content such as an interview with a Family Physician.  “The filming and editing were the longest and most difficult part of the entire process, but once it was launched, we immediately saw that is was completely worth it, reaching over 42,000 people on social media”, Evelyn says.   

Famia Planea Aruba (FPA) is proud to be able to serve over 7,000 clients and celebrated its 50th anniversary in November 2020. FPA strives to live up to the motto, ‘Improving your quality of life’, by ensuring its healthcare provision is accessible to everyone.  One regular client is Christopher, an account manager at a local marketing agency. “I am truly a big fan of FPA, they are really good at being inclusive to men as well as women. The entire staff is very client orientated, I have never felt judged or discriminated against while using any of their services, or while at their office. They are always ready to answer any questions I may have or ease any concern.” FPA has built a strong bond of trust and communication with its clients by sharing regular updates on their work and projects.  “I try as much as possible to stay up-to-date with FPA, I have followed all of their projects so far and have really enjoyed them. I can still remember when I was younger and had my first girlfriend, FPA was my go-to for information, guidance, tips and tricks. They are very good at adapting to each situation, whether it is personal, local or even global”.  FPA places great emphasis on listening to the community it supports to better understand their needs. This enables the team to provide their clients with carefully researched and targeted healthcare.  “Over the years, FPA has gone above and beyond to provide both myself and my partner with information and contraceptives. Over the last few years, in addition to visiting their office, I can follow-up my consultation by asking them additional questions through their social media counseling or even the delivery service”, says Christopher.  

During the 1970’s Aruba’s population was rapidly growing; yet one-third of all pregnancies were unplanned. With the arrival of Famia Planea Aruba (FPA), local communities were able to access health and contraceptive care. For more than 50 years FPA has evolved and adapted its healthcare provision to meet the needs of the growing and changing community. Access to contraception continues to be FPA’s most in demand healthcare provision.  “As a recently graduated Social Worker, I feel it is very important to provide both, men and women, with information and products regarding sexual and reproductive health and rights. We hear far too often that preventing an unwanted pregnancy should be the woman’s responsibility, especially from our male counterparts”, says Lisen, one of the Information, Education, and Communication Support Staff at FPA. During a one-on-one consultation at the FPA office, everyone is provided with information individual to their own needs as well as that of their partner. This information is provided by a trained IEC member of the team.  “I believe in the values of FPA, and that information is the key to health and a prosperous future. When counseling an individual, I try to take time to get to know the person the best I can in what is usually a short period. By building a trust relationship with each client they are more inclined to open up and ask the questions they truly need help with. What for one person might seem a small issue might be something huge for another one when as a counselor you are able to assess each individual, you can achieve so much”, Lisen says. What sets FPA apart from a pharmacy is the integrated care provision. This includes guidance provided with the contraceptives, the individually tailored care for each client, and working in close partnership with family practitioners, midwives and the local general health insurance provider. “There are some clients that you see so often that they almost become like family in a way, as soon as you see them you can already anticipate their needs. I am just 25 years old which means that some of the clients are my age, some older, some younger. Seeing someone you helped out in public and having them greet you or tell you that you did a great job helping them is such a wonderful feeling, I don’t know if I will ever get used to it”, Lisen says.

Accessibility to information and contraceptives has always been a priority for Famia Planea Aruba (FPA), whether through the office, delivery service, or in schools.  For over fifteen years FPA has worked in partnership with one of the largest secondary schools on the island. The FPA team visits the school on a monthly basis to provide guidance, counseling, and contraceptive care to students and to help ensure they stay in school to complete their education.  “One of my first experiences providing comprehensive sex education, with FPA was at the EPB School during my education as a social worker, many years later I still very much enjoy this”, says Richenella, FPA’s Finance and IEC support staff. FPA’s client is at the heart of its healthcare provision. FPA staff work with students to build trust and ensure they feel safe to talk openly. This helps to provide a sense of consistency for the student, as well as efficiency for the team being familiar with specific students and cases. They are better able to notice if something changes, and if a student needs a referral to a medical doctor or other organization for additional treatment. “The consultations are always fun; you get a change of scenery by stepping out of the office. Over the years you see so many faces and still, somehow you manage to remember most of them. After just a few visits you can start to build a profile of most students, you can start to tell who the class clown is, the Mister Popular, the shy one, the loud one, and the one who just wants to take his time to avoid going back to class”, Richenella laughs.  

  Famia Planea Aruba (FPA) places great value on the relationship they have with Adriana, the social worker at EPB San Nicolas School. Adriana is the person who has the most contact with the students, and the one most students turn to when they need help.  “I’ve been the Social Worker at EPB San Nicolas for about fourteen years and have been working with FPA throughout my entire career here. It has always been a pleasure to work with them, they are very accommodating to whatever project we have going on. Each year we have an educational carousel for the first-year students, and we have always been able to count on FPA to provide information to our students. The Comprehensive Sexuality Education program is always fun, informative, and evolving. I, as well as other colleagues, try to catch at least one CSE session each year to see what innovative way the information is presented.” EPB is a secondary vocational school that educates young people from 12 to 18 years. Over the years it has developed a reputation for having challenging students. Adriana knows the students better than most of the teaching staff and is a firm advocate for the continuation of the on-the-spot-consultations, having seen the consequences when this type of care is not offered.  For registered youth under 21 years, the costs of healthcare provision are covered by the national health insurance, however, some students fall outside of the system. “Most of the times you get to have fun with the students, however, every now and then you will come across a heartbreaking case. Since Aruba has so many different migrants, very often you will come across one person who is not insured at the moment, who needs products and can’t afford it and you figure out a way to help”, Adriana says. “For our second, third- and fourth-year students FPA has been collaborating with us to provide a monthly session where the students receive contraceptives and guidance on school grounds. Since around this age, most of our students are already sexually active, we try to help them stay safe in and out of school. The consultations hours have become so popular over the years that as soon as the students see an FPA team member, they immediately assume that they are here to provide them with contraceptives and guidance, even if they are here for some completely different reason that day”, she comments. “The love, patience, and dedication that FPA has shown our students over the years are outstanding. At the beginning of the COVID-19 crisis we had to stop the consultation hours, but thankfully we are now back at it, bigger and better. Due to the collaboration with FPA, we were able to finish out our 2018-2019 school year with no new pregnancies, which was a first for our school. We hope to accomplish this again, now that we can continue our consultations, and keep our kids educated and in school, for as long as we can so they can achieve the best possible future”, Adriana concludes.  

Damara Rasmijn is a data analyst and a member of the Sustainable Development Goals Commission. She started using Famia Planea Aruba’s (FPA) contraceptive delivery service a year ago.  “It definitely has made my life much easier especially when I have a busy schedule. I sometimes clock in at work very early and leave late which makes it difficult for me to personally stop by and buy my products. With the delivery service I simply order my products through the online store and choose the date and time that is most convenient for me”, she says. Damara values the personal service and the convenience of paying by card and choosing a preferred delivery time. “I love this service because sometimes I place an order a few days before and with my busy schedule I forget I ordered it. However, the employees at FPA call to confirm the order on the day of the delivery, which is great because it is like a personal reminder! The best part is that they also have a portable ATM machine. I get my products, guidance and have it delivered to my location, what more can you ask for?”  Damara has shared her positive experience of the convenience of buying products through FPA’s online store recommending it to her colleagues and friends.  “I suggested this service to my colleagues and friends because we all have such hectic lifestyles and are always searching for faster, easier, and more convenient ways to balance our lifestyles. Especially during the COVID-19 pandemic, this service has been a great help for me. Having to adhere to the protocols and restrictions and being a health enthusiast, it was much easier and comfortable for me that FPA provides this service.”