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Uganda Protestant Medical Bureau Contributions to Family Planning
 

Uganda Protestant Medical Bureau Contributions to Family Planning

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Dr. Tonny Tumwesigye describes how the Uganda Protestant Medical Bureau (UPMB) works with community health workers to help provide family planning services in Uganda. Dr. Tumwesigye also explains how ...

Dr. Tonny Tumwesigye describes how the Uganda Protestant Medical Bureau (UPMB) works with community health workers to help provide family planning services in Uganda. Dr. Tumwesigye also explains how UPMB has engaged religious leaders of various faiths to be advocates for family planning.

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    Uganda Protestant Medical Bureau Contributions to Family Planning Uganda Protestant Medical Bureau Contributions to Family Planning Presentation Transcript

    • Acts 1:7-8 Uganda Protestant Medical Bureau’s Contributions to Family Planning Dr. Tonny Tumwesigye Executive Director 3 December 2013
    • UPMB Background • Founded in 1957 as an NGO to manage mission hospital grants & serve as liaison between the facilities & government • Currently a network of 278 health facilities affiliated with Protestant Churches • Together with the Catholic, Muslim & Orthodox Medical Bureaus - account for around 45% of health care service delivery in Uganda • Key Mandate as Technical Arm of the Protestant Churches : – Institution Capacity Development – Advocacy & Networking – Coordination – Patient Safety & Quality Assurance – Reproductive Health & HIV/AIDS
    • Reproductive HealthPast Experience FHI Funded Project • To strengthen the capacity of Ugandan health networks in integrated maternal health & sexual reproductive health services (SRH) in rural communities • Duration: 2002 - 04 • 10 districts facility & community based • Focused on Sexual and Reproductive Health (SRH) Information Education and Communications (IEC) & service provision, post-abortion care, treatment of STIs, FP counseling & provision of commodities Funded by Big Lottery Fund (BLF)/Interact World Wide-UK • Reaching women & girls with quality SRH education, counseling & services • Duration: 2006-09 • 10 Districts • Facility & community- based
    • Strategic Project on Maternal & Neonatal Health (MNH) • • • • • Funded by Big Lottery Fund Duration: 2009-13 31 health facilities in 20 districts Facility and community-based Use of Village Health Teams (VHTs) & Community-Based Volunteers (CBVs) • FP integration in nation-wide PMTCT roll out • VHTs & CBVs are still active
    • Packard Foundation Funded FP Project • Africa Christian Health Associations (ACHA) FP Project – 2013 – 2015 – Facility and community-based – 2 health facilities in 2 districts-low uptake of FP – Objective: To strengthen capacity of church-run health facilities to develop & implement quality FP programs on a larger scale, serving difficult to reach clientele & improving rural health services
    • Packard Foundation Funded FP Project • Capacity building of health workers & CBVscommunity based volunteers • Strengthening community referrals for FP services • Community mobilization & sensitization • Conduct integrated FP outreaches • Development & printing of IEC materials
    • FP Integration • A total 150 VHTs & CBVs trained in partnership with FHI 360 to give commodities • Through this network, more than 1000 clients access FP services a month • Integrates FP into HIV & postnatal clinics • Family Planning Camps – • • • • Hard to reach facilities, Communities mobilized, Share critical knowledge & skills. Tubal ligation being utilized
    • Parents receiving education in FP, nutrition and general care after delivery
    • Lessons : FP Messaging • Example of a message that works: “plan a small manageable family for a better life” • Be simple, clear & easy to understand • Local language most preferred for packaging information/messages • Consistent messaging makes people appreciate messages better • Involvement of local political leaders & community elders
    • Lessons: Working with Religious Leaders • Using religious leaders as agents of change in Busoga-East Central Region around Lake Victoria, rural to semi urban, high fertility rate (about 8 percent), highly polygamous, poor communities • Good uptake of natural methods by religious leaders – Peer education a powerful tool for training religious leaders on FP
    • Success story – Peer Education for Religious Leaders of All Faiths
    • Lessons: Working with Men • Husbands/men play a dominant role in decision making regarding Reproductive Health services • Most available RH services are not male friendly • Addressing the RH care of couples would increase male engagement in FP
    • Scale Up Strategies • FP integration into existing RH services like PMTCT & cancer screening • Increased use of CBVs to increase access & utilization for FP services at community level • Use of religious leaders to promote & create demand for services related to child spacing
    • Acts 1:7-8