Presented by Leigh Wynne, Senior Technical Officer, APC/FHI360 and Lisa Firth, Technical Advisor, SAWSO at the International Conference on Family Planning
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Integrating Community-based FP into an FBO’s Comprehensive Program for Vulnerable Families in Rural Uganda
1. International Family Planning Conference
Bali, Indonesia
28 January 2016
Leigh Wynne, Senior Technical Officer, APC/FHI360
Lisa Firth, Technical Advisor – Health, SAWSO
Integrating Community-based FP into
an FBO’s Comprehensive Program for
Vulnerable Families in Rural Uganda
T h e S a lvat i o n A r m y W o r l d S e rv i c e O f f i c e
2. F P / O V C i n t e g r at i o n i n U g a n d a
Context
• The Salvation Army Uganda’s SCORE
(Sustainable, Comprehensive Response for
vulnerable children and their families) Project.
• Based in Mbale, Eastern Uganda
• Operating in 6 districts
• Part of a 5-year consortium run by AVSI
• < December 2015; one-year extension for 2016
• Funded by USAID
3. Organization Overview
• The Salvation Army (TSA) is a worldwide evangelical church,
headquartered in London and with a presence in 127 countries.
• It has served the poor via its local “corps” (church and social
service centers) throughout its 150-year history.
• The Salvation Army World Service Office (SAWSO) helps TSA
territories identify needs and facilitates US resources to meet them.
• In 2014, SAWSO partnered with TSA in 62 countries.
4. F P / O V C i n t e g r at i o n i n U g a n d a
Framework of Integration (Existing Project)
• SCORE’s objectives for vulnerable children’s households:
• Improve socio-economic status
• Improve food security
• Increase access to protection and legal services
• Increase capacity to access other services
• Program based on:
• Family-centered, household-based approach
• Facilitation of community partnerships
• Gender mainstreaming
• Service coordination & district ownership
5. F P / O V C i n t e g r at i o n i n U g a n d a
Framework of Integration (Context and Rationale for
Adding Community-based Family Planning)
• FP services requested by SCORE Project staff & beneficiaries
• High fertility and large family size in service area
• District (government) health personnel supportive
• Existing network of health centers , but
• limited availability of FP commodities
• Existing volunteer village health teams (VHTs) , but
• VHT members generally not trained in FP
• Limited understanding & uptake of family planning
• Openness to “healthy timing and spacing of pregnancies”
6. F P / O V C i n t e g r at i o n i n U g a n d a
SAIFaP (Salvation Army Integrated Family Planning)
• Mbale based. 2-year project began May 2014
• Objectives
• Increase access to FP services
• Increase knowledge of and interest in FP
• Improve the quality of FP services
• Main activities
• Service mapping and linkages with health centers
• Training of VHTs and youth peer & ASRH educators
• Male, community and church leader engagement
• Home-based care & mobile outreach, with HC referrals
7. VHTs registering clients at the outreach services
(Apr-June 2015)
Demonstration on how to roll down a condom by a youth
Educator in one of the sessions (Apr-Jun 2015)
8. F P / O V C i n t e g r at i o n i n U g a n d a
Results to Date
• 378 VHT members trained on FP and deployed
• 375 youth peer educators, 65 teachers/ASRH mentors active
• 83 male volunteer mentors engaged and trained
• 130 Salvation Army officers and cadets trained on FP
• Seven outreaches/quarter being conducted
• Quarterly stakeholder and monthly coordination meetings
• Engagement in national FP events
• CCIH conference
• World Contraception Day
• Introduction of donated CycleBeads via Georgetown IRH
10. F P / O V C i n t e g r at i o n i n U g a n d a
Successes
• Use of existing structures valuable
• SCORE volunteers, VHTs and health centers
• Church/TSA officers
• Public sector buy-in crucial
• Local agencies engaged
• Support at the national level
• Gender integration
• Opportunities to broaden outlook of staff and leaders
• National CCIH conference for FBOs
• Study visit and mentoring
11. F P / O V C i n t e g r at i o n i n U g a n d a
Lessons Learned
• Approved by International Headquarters
• US government project’s management requirements
• Documentation
• Compliance
• Associated costs
• Sufficient time for integration in existing project
• Co-location & engagement of project manager(s)
• Dependence on public sector
• Supplies
• Referral capacity