Tonga – Amanaki Lelei project
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The Amanaki Lelei project aims to improve sexual and reproductive health (SRH), reduce unintended pregnancies and reduce sexually transmitted infections among key sub-populations in Tonga. The project is implemented in partnership with the Tonga Family Health Association (TFHA), and funded by New Zealand’s Ministry of Foreign Affairs and Trade.
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While progress in sexual and reproductive helath (SRH) and maternal health have been made in Tonga in recent years, the nation still has high levels of unmet need for contraception, high rates of adolescent and unintended pregnancies, and high rates of sexually transmissible infections (STIs).
Beginning in 2025, the Amanaki Lelei project is the newest of Sexual Wellbeing Aotearoa’s international projects. Through this project, Sexual Wellbeing Aotearoa and TFHA partner on a range of activities including:
Delivering SRH awareness sessions and clinical outreach in Tongatapu, Vava'u, and Ha'apai
Building relationships through SRH advocacy with key stakeholders
Developing and distributing Information, Education and Communication (IEC) materials
Providing clinical, health promotion and monitoring and evaluation training to TFHA staff
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About the Tonga Family Health Association (TFHA)
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TFHA has been providing SRH health services in Tonga since 1975. TFHA’s current work extends across the spectrum of service provision, advocacy, and crisis response, and other critical areas such as youth engagement and comprehensive sexuality education. SRH, maternal and child services, and fertility and counselling assistance are provided by TFHA.
TFHA plays a pivotal role in improving the quality of life of individuals through quality sexual and reproductive health and rights (SRHR) services and shaping the SRHR response through advocacy in line with the International Planned Parenthood Federation’s (IPPF) mission and vision in Tonga.
Watch the following video for an introduction to TFHA
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The project and its outcomes
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The project teams from Sexual Wellbeing Aotearoa and TFHA in 2025.
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Since the project began in 2025, there have been:
1 clinical training session held, with 13 TFHA and community nurses participating
1 health promotion training held, with 13 staff and 8 youth volunteers participating
6 SRH awareness and education sessions with different target groups (10 male advocates, 22 parents, 67 young people, 20 community leaders, 22 church group members, and 20 disabled people)
1 advocacy meeting with representatives from 14 stakeholder and partner organisations
1 clinical outreach session with 50 clients
Research report published on the attitudes towards sexual and reproductive health in Tonga
Photos from the training sessions
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An image of participants in the final clinical training from 2025.
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An image from the health promotion training held in 2025.
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Photo from research report launch
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Launch of the research report in 2026
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Our other international work
International research
We work with our in-country partners to quantitative and qualitative research on sexual and reproductive health.
Kiribati — Healthy Families
The Healthy Families project aims to reduce STIs, and unintended pregnancies on certain islands of Kiribati.
Vanuatu — Planem Gud Famili Blong Yumi
The Planem Gud Famili Blong Yumi project aims to reduce the rates of unintended pregnancy, and STIs among Ni-Vanuatu.
Pacific countries - Niu Vaka II Strategy
The Niu Vaka II Strategy (2023–2028) was created by Pacific organisations – for Pacific organisations – to come together and break through the barriers that limit sexual and reproductive health and rights.