Ccih 2014-faith-communities-fp-tonny-tumwesigye


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Dr. Tonny Tumwesigye, Executive Director of the Uganda Protestant Medical Bureau describes the organizations composition and mission and explores how faith communities can be engaged in family planning education and promotion.

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Ccih 2014-faith-communities-fp-tonny-tumwesigye

  2. 2. UPMB BACKGROUND • Founded 1957 to manage mission hospital grants and serve as liaison between the facilities and government • Protestant Churches-COU, SDA, and Pentecostal Churches like Elim, Deliverance, Full Gospel, Pentecostal Assemblies of God and Church of God. • 80% are in Rural & Hard to reach Areas
  3. 3. • Network of 278 health facilities (18 Hospitals Including 10 Training Institutions, 7 HCIVs, 54 HCIIIs, 199 HCIIs) • Part of three Medical Bureaus-Catholic, Moslem and Orthodox • 45% of the Hospital Beds in Uganda • 65% of the Nursing and Midwives Training • 25% 0f the Lower level facilities • 40% of this is by UPMB • UPMB & UCMB formed JMS to supply Medicine
  4. 4. UPMB- KEY STRATEGIC AREAS 4 Strategic Areas of Focus (2014-2018) • Institution Capacity Development • Support to Health Service Delivery • Patient Safety and Quality Health Services • Research, Advocacy and Networking
  5. 5. 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)
  6. 6. FOCUS ON FP/RH PROJECTS/PROGRAMS AT UPMB Driven by; National performance in Reproductive Health. Ref; UDHS 2006, 2011. All indices are unacceptably Bad. • Low uptake • Low access • Problems in commodity supply
  7. 7. PAST PERFORMANCE (2002 -2004) • Strengthening the Capacity of Ugandan Health Networks in Integrated Maternal Health and Sexual Reproductive Health Services (SRH) in Rural Communities – 10 Health facilities in 10 Districts – Funded by Family health International (FHI360) – Focused on SRH IEC & service provision, post- abortion care with treatment of STIs, Counselling and Provision of Commodities
  8. 8. PAST PERFORMANCE 2006 – 2009 • Reaching Women and Girls with Quality SRH Services and Information – 10 Health facilities in 10 Districts – Funded by Big Lottery Fund/Interact World Wide- UK – Focused on SRH IEC & service provision, post- abortion care with treatment of STIs, Counselling and Provision of Commodities
  9. 9. PAST PERFORMANCE-2009 – 2013 • Strategic Project on Maternal and Neonatal Health – Funded by Big Lottery Fund-UK – 31 Health Facilities, 20 Districts – To support facility and community based Maternal and Neonatal Health services. – Focused on SRH IEC & service provision, post- abortion care with treatment of STIs, Counselling and Provision of Commodities – Built Maternal waiting Huts – Provided Ambulances for referral
  10. 10. Current Performance • National Expansion and Strengthening of Sustainable TBHIV Services in Uganda (NESH) – 2012 - 2017 – Funded by Centres for Disease Control and Prevention (CDC) – 15 Hospitals in 10 Districts (scaling up Annually-2 in 2012) – Family integrated in on going Activities like EMTCT
  11. 11. Current Performance • Africa Christian Health Associations (ACHA) Family Planning Project – 2013 – 2015 –Funded by PACKARD FOUNDATION USA –Pilot in 2 Districts, 2 Health facilities • To strengthen capacity of church run health facilities to develop and implement quality FP programs on a larger scale ,yet attracting an unreachable clientele and improving rural health services.
  12. 12. UPMB- FP ACTIVITIES • FP integrated in nation wide EMTCT implementation in 60 UPMB supported Health facilities-the VHTs/ CBVs are still active. • FP commodity distribution through in-kind support from USAID project in collaboration with Uganda Health Marketing Group (UHMG).
  13. 13. FP ACTIVITIES CONT’D • 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.
  14. 14. FP COMMODITY DISTRIBUTION BY UPMB IN FY 2012-2013 No ProductDescription Unitofmeasure QuantityDistributed 1 CombinedOralcontraceptives(Microgynon) cycle 10,883 2 Progesteroneonlycontraceptives(Microlut) Cycle 2,830 3 Malecondoms Piece 164,416 4 Femalecondoms Piece 500 5 Jadelle(5-year,2-rodlevonorgestrel)Implants Piece 6,160 6 Implanon(3-year,1-rodetonogestrel)Implants Piece 652 7 Depo-proveraInjection vial 2,000 8 MisoprostolTablets tablet 300 9 Copper-TIUDs Piece 264 10 Emergencycontraceptivepill 2’s 43
  15. 15. UPMB MHFs Family Planning service utilization statistics by method – FY 2012-2013 and FY 2011-2012 • DataforFY2012-2013 representsdatacollectedfrom85.2%of allUPMB MHFs (100% hospitals, 100% HCIVs,90.6% HCIII and82% HCII) • DataforFY2011-2012 representsdatacollectedfrom75.1%of allUPMB MHFs (76.5% hospitals, 157.1% HC IVs,83% HCIII and73.5% HC II)
  16. 16. FP INTEGRATION-CASE OF BWINDI Parent'sgeteducationinnutrition,familyplanning,andgeneralcare.
  17. 17. FP INTEGRATION • A total 60 VHTs/CBVs trained to give contraceptives . • Through this network, more than 500 clients access FP services a month. • Integrates FP into HIV and postnatal clinics, and runs Family Planning Camps (All Methods including BTL, Vasectomy).
  18. 18. 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 “ PLAN A SMALL MANAGEABLE FAMILY FOR A BETTER LIFE”
  19. 19. 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.
  20. 20. Lessons: Religious leaders • Using religious leaders as agents of change Good uptake of natural methods by Religious leaders-The Religious leaders have shown interest in knowing more about the Family planning and this has improved their confidence. 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
  21. 21. Success story – Peer education for religious leaders
  22. 22. 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 • Camps-whole package • All Member Health Facilities • Offer Youth Focused Family Planning Services