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2015 CCIH FP Preconference Tonny Tumwesigye


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At a preconference session on Faith and Family Planning at the CCIH 2015 Annual Conference, Dr. Tonny Tumwesigye of the Uganda Protestant Medical Bureau discusses successful messaging on family planning, the importance of involving religious leaders and how to engage men in family planning discussions and services.

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2015 CCIH FP Preconference Tonny Tumwesigye

  1. 1. Uganda Protestant Medical Bureau ENGAGING FAITH COMMUNITIES IN FAMILY PLANNING Dr. Tonny Tumwesigye Executive Director CCIH Annual Conference 26th – 29th June 2015
  2. 2. Health in Totality Background • Founded in 1957 by government notice no. 672 • National umbrella organization for Protestant, Adventist and Pentecostal Founded member health facilities. • Health technical arm of the CoU and the SDA Church • 80% are in Rural & Hard to reach Areas • It is one of the four religious medical bureau networks in Uganda (UCMB, UMMB, UOMB)
  3. 3. Health in Totality Coverage of UPMB 18 Hospitals 10 Health Centre IV 255 Lower Level Health Facilities 10 Health Training Institutions Contributing about 40% of the facility based private not for profit Health Care Facilities in Uganda (Bureaus contribute 80% & 45% of Hospital Beds)
  4. 4. Health in Totality UPMB Vision & Mission • Motto: – “Health in Totality” • Vision: – “Transformed lives through Christian quality health care” • Mission: – "Supporting members to witness for Christ through the provision of quality health care“
  5. 5. Health in Totality UPMB Strategic Areas of focus (2014-2018) 1) Institutional Capacity Development • Interventions like training and resource mobilization to improve – HRH for member health facilities and Governance structures 2) Support to Health Service Delivery • Concentrates on logistical and technical facilitation for MHF – Infectious diseases e.g. HIV/AIDS and Reproductive health initiatives and NCD – Health Systems Strengthening-CHI 3) Patient Safety and Quality Health Services • Looks at setting standards and monitoring compliance to them for – Accreditation – Patient safety promotion, ICT improvement and Support supervision 4) Research Advocacy and Networking
  6. 6. Health in Totality WHY FOCUS ON FP/RH PROJECTS/PROGRAMS AT UPMB Driven by; National performance in Reproductive Health. Ref; UDHS 2011. All indices are unacceptably Bad. • Low uptake • Low access • Problems in commodity supply • Very high fertility Rate
  7. 7. Health in Totality FP/RH IN AT UPMB • FP implemented within the National Health Framework • Services are offered by level • Commodities supplied within the National Framework (NMS (all) • Until 2013, P/RH were being implemented as an Integral part of the health care at Facilities
  8. 8. Health in Totality Current FP/RH Programs – Packard Foundation – A3-IRH Funded grant – E2A-Pathfinder International Funded Grant – Fp2020-Demand Creating Grant – CCIH/FHI360/JSI-Dialogue with Religious Leaders
  9. 9. Health in Totality FP ACTIVITIES CONT’D • Strengthen Capacity of Church run Health facilities to deveop & Implement Quality FP services on a large scale yet attracting and unreachable clientele and improve Health services • Started as Pilots-scattered across the Network • Engage and Strengthen capacity of Religious leaders • Capacity building of health workers and CBVs • Strengthening community referrals for FP services. • Community mobilization and sensitization. • Conduct integrated FP outreaches • Development and printing of IEC materials. • Ensure method Mix of FP services
  10. 10. Health in Totality Packard Grant 0 2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 Year 1: Jan 2012 - May 2013 (Baseline) Year 2: Oct 2013 - Sept 2014 Year 3: Oct 2014 - Mar 2015 Progressive Acheivement todate Chart Title Male condoms Female condoms POP COC Moon beads Injectable Natural IUDs Implants BTLs Vasectomy Other methods
  11. 11. Health in Totality A3 Grant-FAM
  12. 12. Health in Totality E2A 0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 January - December 2014 (Baseline) October 2014 - May 2015 Chart Title Male condoms Female condoms POP COC Moon beads Injectable Natural (LAM & TDM) IUDs Implants BTLs Vasectomy Other methods
  13. 13. Health in Totality FP2020 0 500 1,000 1,500 2,000 2,500 January - December 2014 (Baseline) February - March 2015 Chart Title Male condoms Female condoms POP COC Moon beads Injectable Natural (LAM & TDM) IUDs Implants BTLs Vasectomy Other methods
  14. 14. Health in Totality Lessons : Messaging • FP Messages Be simple, clear and easy to understand –HTSP (Healthy Timing And Spacing) • Local language most preferred for packaging information/messages (Bicycle Photo-CCIH). • Consistence in Branding (consistent messages being sent out) makes people appreciate messages e.g
  15. 15. Health in Totality Lessons: Working with men • Husbands/men play a dominant role in decision making regarding Reproductive Health services. • Most available RH services are not male/men friendly (men are never part of the FP process as women are introduced to FP without their husbands considering that they don’t come with their wives). • Addressing the RH care of couples would increase male engagement in FP.
  16. 16. Health in Totality MALE ENGEMENT Parent'sgeteducationinnutrition,familyplanning,andgeneralcare.
  17. 17. Health in Totality Lessons: Religious leaders • Using religious leaders as agents of change-The Religious leaders have shown interest in knowing more about the Family planning and this has improved their confidence. Q • Quote from a Rev “Initially, I preached messages against use of modern family planning methods, But this has changed with the Training I received. Some of my followers at church ask: How come the message is now different? This issue needs action and not mere prayers, I keep explaining.” • Peer education is a powerful tool for training e.g use of religious Champion Religious leaders to Train others
  18. 18. Health in Totality Success story – Peer education for religious leaders
  19. 19. Health in Totality SCALE UP STRATEGIES • FP integration into existing RH services like EMTCT and Cancer screening • Increased use of CHWs to increase access and utilization for FP services at community level. • Use of Religious leaders to promote and create demand for services related to child spacing. • Male involvement • Messaging-Local, simple and consistent“ PLAN A SMALL MANAGEABLE FAMILY FOR A BETTER LIFE” • Camps-whole package • All Member Health Facilities • Offer Youth Focused Family Planning Services
  20. 20. Health in Totality CHALLENGES • Most of the projects are not able to offer permanent methods which is a challenge to the communities. • High staff turnover especially the focal persons • Untimely monthly reporting which delays the entire reporting chain • The providers both at facility and community level are not willing to work as volunteers • Delay in transfer of funds which may delay implementation of planned activities
  21. 21. Health in Totality BEST PRACTICES • Working with different categories of providers including facility based health workers, community health workers and religious leaders has greatly improved quality of services offered. • The involvement of religious leaders has enhanced the platform for RH/FP information to be delivered to congregations during their times of worship. • Some community health workers especially under the Packard project have been trained on offering the injectable method of FP. This has increased the FP uptake in those particular communities.
  22. 22. Health in Totality CONCLUSSION • Need is still enormous • Surgical camps should be included in the budgets in future • Train and mentor as many facility staff and CHWs as possible to avoid setbacks during project implementation. • Emphasize timely accountability and reporting especially to the community providers • During project design and budget development, facilitation for the providers should be included to ensure that the providers are motivated. • Availability of Commodities to ensure a method mix
  23. 23. Health in Totality THANK YOU