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Quarterly Newsletter
January 2015 - March 2015
5th Edition, January - March 2015
Making Health Rights And Health Responsibilities A Reality
HEPS empowered to influence:
Capacity building for advocacy
Quarterly Newsletter
Detailers converge for a group photo after the training in data collecting at Pope Paul Memorial Hotel, HEPS Uganda is under contract from USAID Strengthening Health Outcomes
through the Private Sector (SHOPS) and Clinton Health Access Initiative (CHAI) to provide services to improve treatment for early childhood diseases in the private retail sector.
Quarterly Newsletter
January 2015 - March 2015
Accountability Can Transform Health
T
here is an increasing interest in practical interven-
tions that rebalance the relationships between state
(policy makers, service providers, duty-bearers)
and clients (citizens, rights-holders, users of services). Some
efforts strengthen the spaces and direct linkages between cit-
izens to providers in the hopes of having a quicker impact
on quality of services. Meaningful participation and access to
these spaces requires individual and collective empowerment.
WithfundingfromDFID,GOALthemainimplementingpartner
sub granted HEPS Uganda to implement ACT health activities.
The ACT Health project is based on the concept that increased
accountability and responsiveness requires changes at many
levels. .GOAL, HEPS and other partners will focus on changes
in the state – society interface to contribute to the super goal
of: Improved health outcomes for communities with a focus on
womenandgirlsinhealthcentrecatchmentareas.HEPSUganda,
the National partner is leading the national advocacy activities.
Advocacy for Better Health (ABH)
A
dvocacy for better health was born out of the concern
about inefficiencies in the health service delivery, and
other weaknesses in the health system that negatively
impactonquality,accessibilityandavailabilityofhealthandsocial
services. Advocacy for better health is grounded in the belief that
if citizen’s knowledge and awareness of their rights and responsi-
bilities were increased to stimulate collective consciousness, and
if the capacity of CSOs was built to effectively empower and rep-
resent communities, then citizens would believe and have confi-
dence that they can hold their leaders accountable and influence
them to change health and social policies in their favor.
It is being implemented in two cluster districts of Kiruhura and
Ibanda as well as National level. It started in January 2015 and
will implemented for 45 months starting. The overall goal of the
project is to lead to improved quality, accessibility, and availabil-
ity of health services in Uganda by fostering citizen demand and
enhancing the capacity of CSOs to advocate for improved respon-
siveness and accountability by decision-makers and service
Take Stock Campaign
D
espite government’s new found commitment to the
promotion of family planning and supply chain policy
changes, Uganda’s public health care system remains
plagued by stock outs of contraceptives at the facility level.
This lack of availability contributes to the low Contraceptive
Prevalence Rate (CPR) and high unmet need. Most important-
ly, it limits a woman’s choice.
HEPS Uganda drawing from the larger Reproductive Health
Supplies Coalition(RHSC) Stockout Initiative approach of gen-
erating the passion and political will needed to meaningfully
mobilize action around this critical issue is focusing on mobi-
lizing communities to take action at the facility-level to address
stock-outs, and then packaging evidence gathered at the local-
level to be shared at the national level.
This project compliments and connects other RHSC activities
taking place in Uganda. The evidence gathered at the local level
will thus feed into advocacy activities that fall under the RHSC’s
Commitments Initiative and will be carried out by a sub-grantee
to be determined.
Project Profiles
HEPS UGANDA Program Officer,
Joan Kilande (C), Kiboga District
Hospital Medical superintendant
(with glasses) and right, The chair-
person of the Health Unit Man-
agemnt Committee of Kiboga Dis-
trict Hospital share views about
the quality of health services
during a talk show hosted on
Kiboga FM in March 2015. Left is
the Radio talk show host.
EMPOWERED TO INFLUENCE
Quarterly Newsletter
January 2015 - March 2015
H
EPS Uganda in partnership
with SEATINI and CEHURD
have held a strategic stakehold-
ers’ dialogue aimed to raise awareness
on the importance of extending the Trade
Related Intellectual Property Rights for
Uganda’s access to essential medicines
for sustainable development.
The dialogue attended by various stake
holders, including government officials
and Members of Parliament, was moder-
ated by Makerere University’s Professor
Ndebesa Mwebesa.
At the meeting, stakeholders deliber-
ated that Uganda needs to be given time
to be able to develop a sound and viable
technology capacity before implement-
ing the Trade Related Aspects of Intellec-
tual Property Rights (TRIPS).
TheDeputyExecutiveDirectorofHEPS,
Mr. Denis Kibira expressed concern over
the need to exempt Uganda from imple-
menting the TRIPS agreement in relation
to pharmaceutical companies saying that
this will worsen the access of essential
medicines by the population.
“Do we all get the medicines we need
when we need them? Access to medicines
is a global issue. According to World
Health Organization (WHO), in Uganda
access is about 50%. If you look at the
new diseases we are getting, like Ebola,
Nodding disease, and HIV, we still have
a long way to go and Uganda has to find
a balance between Intellectual Property
Rights and public health interests.” He
said.
This was echoed by Makindye east MP,
Hon. John Ssimbwa who said that the
TRIPS agreement not only protects the
interests of the developed world phar-
maceutical companies but also discour-
ages local innovation. He also applauded
government for having created a docket
of science by creating a state ministry
for science and technology. This he said
will encourage more investors to open up
medicine companies in Uganda.
Access to medicines is very critical
for ensuring public health and human
development in any country. However,
it remains a challenge in many parts of
the country which continue to regis-
ter growing number of people suffering
from HIV and AIDS, TB and Malaria and
other infectious diseases. Similarly, over
the past 10 years, Uganda has consistent-
ly registered medicine stock outs in up to
60% of the health facilities. This has been
amidst dire poverty, food insecurity and
malnutrition along with increasing popu-
lation growth rate of about 3.24 in 2014.
The TRIPS agreement demands
enforcement of strict intellectual proper-
ty protection rights but Least Developed
Countries like Uganda have been on an
exemption not to implement certain pro-
visions under the agreement particular-
ly to do with pharmaceutical products
(medicines).
The transition period ends in January
2016. The stakeholders’ dialogue there-
fore was held to get a collective voice and
raise awareness on the need for a further
extention of the World Trade Organisa-
tion TRIPS transition period.
In his closing remarks, Mr. Wakaabu
Siragi, an official from the Ministry of
Trade Industry said that all the sugges-
tions raised at the meeting would be
given consideration by the ministry. He
encouraged Civil Society organizations
to always send their positions on various
issues to all the MPs by email.
“It would be better that you send this
information to all the Members of Parlia-
ment too, so that it can inform their dis-
cussions on the floor of Parliament”, he
said.
CSOs call for extension to
the TRIPS transition period
Do we all get the medi-
cines we need when we
need them? Access to
medicines is a global issue.
- DENIS KIBIRA - Deputy
E.D, HEPS Uganda.
HEPS recruits and orients new staff
I
n a bid to strengthen organisation systems HEPS Uganda
recriuted a total of 12 new staff. A three day orientation
workshop was organized for them to understand the
organization culture, values, and programming and be able
to fit into the system.
The orientation took place at the HEPS secretariat from
25th–27th February 2015.
The new staff are part of the workforce for the new proj-
ects of Advocacy for Better Health (Ibanda and Kiruhura) and
Sexual Reproductive Health ( Kiboga, Kamuli, Mbarara and
Isingiro).
The new recruits were given a general overview on HEPS
key documents including the Strategic plan, Annual report,
and Human resource manual to make them conversant with
the work of Heps Uganda. They were also facilitated on health
advocacy, community empowerment, health responsibilities
and rights and how to engage the community on such.
The New Staff include:
Wakabi Eric – Communications Officer
JB Luyima - Programme Officer
Noeline Namugwanya – Program Assistant
Mutimba Jakie – Monitoring & Evaluation Officer
Isreal Tayebwa - Program Officer (Mbarara)
Noeline Namugwanya - Program Assistant
Naturinda Hannington - Program Assistant (Mbarara)
Bangirana Moses - Program Assistant(Mbarara)
Brian Wafiire - Program Officer (Eastern region)
Ms. Jackline Mutimba
M&E Officer
Mr. Eric Wakabi
Communications Officer
Ms. Noeline Namugwanya
Program Assistant
Mr. Moses Bangirana
Program Assistant
Mr. Israel Tayebwa
Program Officer, Mbarara
Mr. Naturinda Hannnington
District Field Coordinator,
Kiruhura
Ms. Twinimujuni Percy
Finance&Admin Asst.
Mbarara
Mr. Narinda Darius.
Mr. Brian Wafire
Program Officer
l, Eastern Region
Quarterly Newsletter
January 2015 - March 2015
Uganda’s health care system needs overhaul
T
he level at which Uganda’s health
system is dependent on donor
aid is distressing. Like no other,
the health sector seems to have one of the
highest components of donor funding in
the country. In the 2014/2015 financial year
for example, donor aid accounts for almost
26% of the health budget, covering essential
areas like reproductive health, HIV/AIDS
and immunization.
While National Medical Stores takes the
third highest share of the health sector
budget, inadequacy in the drug supplies
continue to drag down quality service
delivery to the people. The frequent stock-
outs of essential medicines in health facil-
ities is a significant indicator of the sorry
state of our health system.
Coupled with low funding to essential
areas like hygiene, sanitation and health
research, there is no way we are going to
have effective health promotion and a fully
functioning health system in Uganda. Gov-
ernment needs to realize this before it is
too late. The ministry of health should put
more emphasis to the proper functionality
of existing health facilities by equipping
them with essential medicines and avoid-
ing the frequent stock-outs instead of build-
ing more facilities with poor services.
National Medical Stores needs to increase
its level of transparency too. They should
start publishing credit lines for districts
and health facilities in the media and public
hospital notice boards so that we all know
what is being availed and what is not.
A survey conducted by ACODE in
2010/11 showed that most health facilities
including Local Government officials were
not aware of their credit lines at NMS. Some
health facilities reported that their requisi-
tions were not consistent with NMS sup-
plies.
On another footing, despite increase in the
health sector budget over the last financial
years, and the Ministry of Health putting
into place maternal mortality reforms which
include improving family planning servic-
es, contraceptive prevalence rates are still
very low. Efforts by the ministry of health
to purchase mama kits to be supplied by
NMS are outdone by the over 1.5 million
babies are born every year. As a result, most
of the mothers have to take their own items
for delivery. Government therefore needs
to increase spending on family planning
commodities as stipulated in the reproduc-
tive health commodity security strategy. It
is also important that government also pro-
cures family planning commodities used by
men, especially condoms and surgical kits
for vasectomy.According to the National
Health Investment Plan 2011-2015, about
940 billion is required to cover the national
need for pharmaceuticals, health supplies
and commodities annually, of this; essen-
tial medicines take only a meagre12%.
There is limited appreciation of Palliative
Care (providing care to the terminally ill
persons with severe pain, especially those
with HIV/AIDS and Cancer) among some
health facility managers. This coupled with
inadequate funding to meet the training
needs, required medicines, scale-up and
monitoring and support supervision makes
palliative services nonexistent most health
facilities.
A National Household Survey conduct-
ed by Uganda Bureau of Statistics shows
that inadequacy of drugs at health facilities
increased from 2005/07 to 11% in 2009/10.
In addition, the ‘push system’ has increased
waste of medicines that are sent but not
required at various health facilities while
creating shortages of no- basic, but essential
medicines that are required at the facilities.
Asamatteroffact,theavailabilityofessen-
tial medicines at health facilities should not
be played around like a ball between NMS
publicists and the public, government
needs to address this issue head on.
-The writer is the Communications
-Officer of HEPS Uganda-
While National Medical Stores
takes the third highest share of
the health sector budget, inade-
quacy in the drug supplies con-
tinue to drag down quality service
delivery to the people. The fre-
quent stock-outs of essential
medicines in health facilities is a
significant indicator of the sorry
state of our health system.
HEPS Uganda Deputy ED, Denis Kibira and Programme Officer
for Advocacy and Networking, Kenneth Mwehonge in March 2015
attended Aids Vaccine Advocacy Coalition Fellowship in Johannes-
burg, South Africa.
The HIV Prevention Research Advocacy Fellowship pairs emerg-
ing leaders in advocacy and activism with existing organizations to
develop and execute creative, context-specific projects focused on HIV
prevention research.
Fellowship projects focus primarily on advocacy around biomedi-
cal HIV prevention research (such as clinical trials of vaccines, micro-
bicides, pre-exposure prophylaxis) or rollout of male circumcision for
HIV prevention. Fellowship projects may also focus on “test and treat”
or ARV treatment as prevention strategies, which are under active dis-
cussion in many contexts. Fellows receive training, financial support,
and technical assistance to plan and implement a targeted one-year
project within host organizations focused on HIV/AIDS.
HEPS-Uganda staff attend HIV prevention
fellowship in South Africa
HEPS Uganda together with other CSOs has been implement-
ing the CAD project of promoting Safe Male Circumcision (SMC)
in eastern Uganda. In the last quarter, HEPS managed to attain
the average performance percentage of over 50% which qualified
the organization for 75% funding from STAR E. This was revealed
during a meeting held on 12th February 2015 at Mount Elgon
Hotel, Mbale.
The meeting which was organized by STAR E had all the 11
CSOs implementing the CAD project and was purposed to discuss
the continuation of business in the No Cost Extension (NCE).
The Grants Manager, Star E called upon all the CSOs on the
project to do more mobilization for SMC and collaborate with the
SMC teams in the respective districts for maximum results.
The Star E capacity building specialist Lydia Murungi advised
that CSOs are to obtain condoms from their respective district
stores for distribution to different centers.
CAD Project: HEPS Attains average performance
Quarterly Newsletter
January 2015 - March 2015
H
EPS Uganda is under contract from
USAID Strengthening Health Out-
comes through the Private Sector
(SHOPS) and Clinton Health
Access Initiative (CHAI) to provide
services to improve treatment for early childhood
diseases in the private retail sector. This will entail
provision of medical detailing services for a period
of eight months. The project began with training of
detailers in Kampala at the end of January 2015.
The intervention targeting 10,000 drug retailers
and private clinics is focused in rural areas across at
least 101 districts in Uganda except Karamoja and
Island regions. 150 pharmaceutical wholesalers in
upcountry trading centres are being targeted.
Detailers collect data from retail and wholesale
outlets on each visit. The detailers are equipped
with tablets logged in a Customer Relationship
Management (CRM) platform to be provided by
CHAI/SHOPS.
Each detailer is overseeing approximately two dis-
tricts covering all drug shops in the districts. Detail-
er supervisors also visit three to four wholesalers in
the two districts. There are a total of 58 detailers and
8 regional supervisors. The regions for the interven-
tion include; West Nile, Northern, Mid-Western,
South Western, Central 1, Central 2, East-Central,
Eastern.
Each drug shop and clinic should will be visited at
least once a month but more frequently in the first
quarter of project. The Supervisors visit wholesalers
in their area on a bi-weekly routine.
The visits will be used to conduct direct mer-
chandizing and education outreach to the retailers
and wholesalers. These merchandizing visits will
include distribution of POSM, continuing medical
education, reinforcement of product benefits, and
provision of supply information. The detailers will
coordinate with wholesalers and partners to ensure
delivery of high-priority products to retailers.
Improving treatment of early childhood diseases in the private retail sector
HEPSUGANDAundertooktheAdvocacy
for Scaling Up Lifesaving Commodities,
Programs, and Services for Women,
Newborns, and Children project. It was
funded by PATH under the UN Commis-
siononLifeSavingCommodities.Below
are the activities and achievements of
the project.
H
EPS-Uganda made great strides to ensure that
Pharmacy Division of Ministry of Health (MoH)
institutionalizes a monitoring framework for
Essential Medicines (EM) within the next National Phar-
maceutical Sector Strategic Plan (NPSSPIII) by December
2016. The objectives of the project were achieved through
support from stakeholders, in particularly MoH, WHO
and civil society partners. MoH appreciated the support
HEPS provided through the project. In particular the
project helped kick-start the process of developing the
(NPSSPIII) and review of the National Medicines Policy
(NMP) which expired in 2012. The project supported the
development of a roadmap to complete the above stra-
tegic documents and the coordinator of the project was
selected on the national taskforce to lead the document
development process.
Four meetings were held with CSO partners; two
meetings of the Uganda Coalition on Access to Essential
Medicines were held in July and August 2014 at HEPS
offices in Kampala to agree on a position paper on CSO
priorities/ key issues needed to be addressed in next
pharmaceutical strategic plan. The paper was endorsed
by CSOs and circulated. Two meetings were held at
Piato restaurant in Kampala in March 2015, one to share
findings of the medicines monitoring mapping (below)
and another to disseminate MoH roadmap on develop-
ment of strategic plan.
In a meeting with MoH, The Assistant Commissioner
for Pharmacy acknowledged CSO concerns and prom-
ised to address them.
Meeting with CSO partners
Meetings with development partners (e.g WHO,
UNFPA) More than a dozen meetings were held mainly
with WHO. The UNFPA medicines logistics advisor
at MoH also participated in majority of meetings with
MoH. The meetings were aimed at gaining support for
the project. WHO provided overwhelming support and
leadership during the project and committed to help MoH
complete the two documents in 2015.
Meetings with development partners
At least 10 meetings were held with PD during project
period. Initial meetings were for MoH to provide support
for the project and to develop ToRs for consult to under-
take mapping exercise and lead development of the
monitoring framework. Consequent meetings were held
to review report from consult, CSO position paper and
development process for NPSSP and NMP.
Currently, HEPS has been taken on as key partner in
the development of both NPSSPIII and NMP, taking part
on taskforce for this process and asked to convene CSO
meetings with consultants to develop these strategic
documents. The EM mapping report was disseminated
to MoH medicines procurement and management tech-
nical working group (TWG) on 18th February 2015.
Meetings with MOH departments
Meetings with MOH departments
A meeting of a technical team from HEPS, MoH, WHO, UNFPA and other
experts was held on 9th and 10th March in Jinja to review report on Review of
monitoring of EM within NPSSP and provide way forward. The technical team felt
that a monitoring framework would be developed after completion of priorities
for NPSSP and instead developed a road map to develop NPSSPIII. CSO concerns
were acknowledged and CSO expert included on taskforce to help coordinate
CSOinput into the process. The results were shared, reviewed and endorsed by a
wide stakeholder group in Jinja on 11th March 2015 and with CSOs in Kampala
on the same day.
Advocacy for Scaling Up Lifesaving Commodities, Programs, and Services for Women, Newborns
One of the detailers of the Private Sector Activation project talks to a drug shop retailer about the
availability of Zinc and ORS medicines which help combat diarrhea in children.
Quarterly Newsletter
January 2015 - March 2015
HEPS projects’newsCSOs contribute to National Pharmaceutical Strategic Plan
U
gandaCoalitiononAccesstoEssen-
tial Medicines (UCAEM) which is
coordinated by HEPS Uganda has
been working to improve access to
essential medicines through advocacy, stake-
holder engagement and analysis. As the draft-
ing of the National Pharmaceutical Sector Stra-
tegic Plan III got underway, the undersigned
civil society representatives and organizations
under the umbrella UCAEM met with con-
sultants from the Ministry of Health to chat a
way of including the position of civil society in
regards to the contents of the NPSSSP III in the
first week of April 2015.
Consultants from Ministry of Health and
World Health Organisation (WHO) met with
civil society members under UCAEM and
conducted a Q&A session with the coalition
members on what improvements have been
observed in the last 5 years and what needs to
be improved in the next 10 years in-regard to
access to essential medicines at health facilities.
The consultants deliberated to forge a way
and get the civil society suggestions and voice
into the NPSSP III. The consultants challenged
civil society organizations to take up the role of
supporting the community in terms of capac-
ity building and proving public information
on essential medicines and the health sector in
general.
In March 2015, the Pharmacy Division of Min-
istry of Health, with support from HEPS-Ugan-
da and WorldHealth Organisation (WHO),
embarked on the process of revising and updat-
ing the National Drug Policy, which expired in
2012, as well as the National Pharmaceutical
Sector Strategic Plan(NPSSP), which expires in
June 2015.
As part of this process, MOH Pharmacy Divi-
sion convened a series of meetings with experts
and with key stakeholders at Hotel Paradise
in Jinja on 9th – 11th March 2015. Dissemina-
tion meetings were also held for CSOs at Piato
restaurant in Kampala. The meetings were
supported by HEPS-Uganda and chaired by
Ministry of Heath Acting Commissioner Phar-
macy Division, Mr. Morries Seru. The stake-
holders were drawn from Ministry of Health,
WHO, UNFPA, Uganda Health Supplies Chain
Project, implementing partners, warehouses/
medicine distribution institutions, local med-
icine manufacturers, professional bodies and
the civil society.
Themeetingsundertookaprocessmapping,
identifying activities/tasks, identified
members of the Task Team and their terms
of reference, drew up the process of identi-
fying the consultants and their terms of ref-
erence; identified the policy documents to be
reviewed in analysing the national situation;
identified the stakeholders to be engaged at
the different stages of the process; drew up
timelines.
MoH and WHO consultants discuss with UCAEM members during the consultative meeting held at the HEPS
UGANDA secretariat (Photo by Eric Wakabi)
-There’s over prescription in the private sector for profit
gains and MoH needs to check it.
-There should be more financing for essential medicines
in the budget
-Government needs to support the local pharmaceuti
cal industry
-There is need to invest in disease preventive measures.
-There should be increased availability of information on
essential medicines to the public
-MoH needs to make sure we utilize the global space to
collaborate with international companies and institu
tions to improve the sector
-There should be available psychosocial support
especially for PLWHs
-NDA should put a mechanism for feedback from the
end users of the medicines
-NMS needs to put information sharing platforms to
improve on delays in delivery and other glitches that
hinder access to medicines
-Improvement in medicine financing
-Improvement in the coverage of NMS distribution chains
and areas of reach
-Increase of public trust in health centres in regard to access
to essential medicines
-Better quality of medicines on the market as sub-standard
products being kicked out.
-Improving delivery and monitoring mechanisms deployed
by NMS
-More essential medicines have been made available at
health facilities albeit with shortages
What needs to be done in the next 10 years:
What has improved in the last five years
COME project registers milestones
Citizen Engagement to Stop Medicine Stock outs (
COME) project aims to foster action, engagement
and participation of community based (VHTs, HUMCs,
Private sector players, community leaders), District and
national level citizen representatives. These citizens belong
to the various HEPS Uganda coalitions that serve as advo-
cates for the right to access essential medicines and contrib-
ute to reduction of stock outs for medicines at public health
facilities in the two districts of Lira and Kiboga. Their com-
bined voice and interaction with duty bearers foster visi-
bility of community voices that are committed to securing
quality affordable essential medicines for all people in their
communities. Below are some of the milestones registered
in the last quater in both Kiboga and Lira.
LIRA
According to the In-charge of Barapwo HCIII, there is
continued dialogue among health workers and patients.
Patients have been educated about other services that are
offered at the health facility, like daily antenatal, immuni-
zation which is done every Wednesday, family planning
services offered daily, TB treatment and adolescent repro-
ductive services. Originally patients would only come for
OPD services only.
Due to empowerment, the community monitors and sub
county of Barapwo lobbied for a bore hole from Devine
Waters an NGO and it was constructed. It is the only source
of water for the healthy facility and the neighboring com-
munity.
Monitors and sub county leadership of Barapwo managed
to lobby for a bore hole from Devine Waters an NGO oper-
ating from Lira. This is now the only source of water for the
facility and the neighboring community people.
KIBOGA
Community Health monitors and health workers now
plan together, which was never the case before the inter-
vention of COME project in Kiboga District.
A number of health workers have uniforms due the advo-
cacy undertaken by community workers. This is true with
Kiboga District Hospital where now health workers have
name tags for easy identification and just in a patient needs
to lodge a complaint when he or she feels mistreated by the
health provider.
The problem of drug stock outs particularly essential med-
icines has reduced. For example at Kiboga District Hospital
as reported by Musawo Namuli, the community monitors
have persistently fought the problem of drug stock outs
particularly essential medicines to the point that at times
Kiboga District Hospital supplies medicine to other lower
health centers when needed
Quarterly Newsletter
January 2015 - March 2015
Last quarter in pictures...
New and old staff attending orientation at the HEPS secretariat
early March 2015. HEPS recruited more staff to sttregthen organisa-
tion systems and increase human resource capacity.
A HEPS social worker distributes free condoms to locals during a
community out reach in Pallisa District, eastern Uganda.
HEPS UGANDA Executive Director, Ms. Rosette Mutambi talks to one
one Mbarara Municipal Authorities during the inception visits for
the Take Stock Project
Detailers converge for a group photo after the training in data collect-
ing at Pope Paul Memorial Hotel, HEPS Uganda is under contract from
USAID Strengthening Health Outcomes through the Private Sector
(SHOPS) and Clinton Health Access Initiative (CHAI) to provide services
to improve treatment for early childhood diseases in the private retail
sector.
HEPS Staff on the streets of Jinja during a health survey
One of the detailers of the Private Sector Activation project talks to
a drug shop retailer about the availability of Zinc and ORS medi-
cines which help combat diarrhea in children.
Quarterly Newsletter
January 2015 - March 2015
ABOUT HEPS UGANDA
HEPS – Uganda is a health and human rights organization that advocates for health rights and health responsi-
bilities, with a special focus on access to essential medicines and rational use of medicines.
HEPS – Uganda focuses on addressing bottlenecks that hinder access to quality healcare for the majority of
Ugandans. HEPS believes that more preventive and curative means are paramount to good health and that they
should be designed from a health consumer’s perspective.
A just and fair society in which all Ugandans can exercise their health rights and healthy responsibilities
OUR VISION
To enable Ugandans attain equitable access to health services with emphasis an access to medicine especially on
access to medicine policy advocacy and community empowerment.
OUR MISSION
STRATEGIC OBJECTIVES
Objective 1: Advocate for health consumer friendly laws, policies and health packages and their implementation at
all levels in Uganda.
Objective 2: Empower health consumers in Uganda with Knowledge and skills to claim their right to health and ex
ercise their health responsibilities.
Objective 3: Strengthen the capacity of HEPS– Uganda and Civil Society partners to meet her set objectives
CONTACT USHEPS-UGANDA HEADQUARTERS, PLOT 351A, BALINTUMA ROAD– NAMIREMBE, P.O. BOX 2426, KAMPALA,
TEL: +256 414-270970, E-MAIL: info@heps.o r.ug, WEBSITE: www.heps.or.ug, FACEBOOK: HEPS-UGANDA
CONTACT US

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Jan to march 2015 quaterly news leter

  • 1. Quarterly Newsletter January 2015 - March 2015 5th Edition, January - March 2015 Making Health Rights And Health Responsibilities A Reality HEPS empowered to influence: Capacity building for advocacy Quarterly Newsletter Detailers converge for a group photo after the training in data collecting at Pope Paul Memorial Hotel, HEPS Uganda is under contract from USAID Strengthening Health Outcomes through the Private Sector (SHOPS) and Clinton Health Access Initiative (CHAI) to provide services to improve treatment for early childhood diseases in the private retail sector.
  • 2. Quarterly Newsletter January 2015 - March 2015 Accountability Can Transform Health T here is an increasing interest in practical interven- tions that rebalance the relationships between state (policy makers, service providers, duty-bearers) and clients (citizens, rights-holders, users of services). Some efforts strengthen the spaces and direct linkages between cit- izens to providers in the hopes of having a quicker impact on quality of services. Meaningful participation and access to these spaces requires individual and collective empowerment. WithfundingfromDFID,GOALthemainimplementingpartner sub granted HEPS Uganda to implement ACT health activities. The ACT Health project is based on the concept that increased accountability and responsiveness requires changes at many levels. .GOAL, HEPS and other partners will focus on changes in the state – society interface to contribute to the super goal of: Improved health outcomes for communities with a focus on womenandgirlsinhealthcentrecatchmentareas.HEPSUganda, the National partner is leading the national advocacy activities. Advocacy for Better Health (ABH) A dvocacy for better health was born out of the concern about inefficiencies in the health service delivery, and other weaknesses in the health system that negatively impactonquality,accessibilityandavailabilityofhealthandsocial services. Advocacy for better health is grounded in the belief that if citizen’s knowledge and awareness of their rights and responsi- bilities were increased to stimulate collective consciousness, and if the capacity of CSOs was built to effectively empower and rep- resent communities, then citizens would believe and have confi- dence that they can hold their leaders accountable and influence them to change health and social policies in their favor. It is being implemented in two cluster districts of Kiruhura and Ibanda as well as National level. It started in January 2015 and will implemented for 45 months starting. The overall goal of the project is to lead to improved quality, accessibility, and availabil- ity of health services in Uganda by fostering citizen demand and enhancing the capacity of CSOs to advocate for improved respon- siveness and accountability by decision-makers and service Take Stock Campaign D espite government’s new found commitment to the promotion of family planning and supply chain policy changes, Uganda’s public health care system remains plagued by stock outs of contraceptives at the facility level. This lack of availability contributes to the low Contraceptive Prevalence Rate (CPR) and high unmet need. Most important- ly, it limits a woman’s choice. HEPS Uganda drawing from the larger Reproductive Health Supplies Coalition(RHSC) Stockout Initiative approach of gen- erating the passion and political will needed to meaningfully mobilize action around this critical issue is focusing on mobi- lizing communities to take action at the facility-level to address stock-outs, and then packaging evidence gathered at the local- level to be shared at the national level. This project compliments and connects other RHSC activities taking place in Uganda. The evidence gathered at the local level will thus feed into advocacy activities that fall under the RHSC’s Commitments Initiative and will be carried out by a sub-grantee to be determined. Project Profiles HEPS UGANDA Program Officer, Joan Kilande (C), Kiboga District Hospital Medical superintendant (with glasses) and right, The chair- person of the Health Unit Man- agemnt Committee of Kiboga Dis- trict Hospital share views about the quality of health services during a talk show hosted on Kiboga FM in March 2015. Left is the Radio talk show host. EMPOWERED TO INFLUENCE
  • 3. Quarterly Newsletter January 2015 - March 2015 H EPS Uganda in partnership with SEATINI and CEHURD have held a strategic stakehold- ers’ dialogue aimed to raise awareness on the importance of extending the Trade Related Intellectual Property Rights for Uganda’s access to essential medicines for sustainable development. The dialogue attended by various stake holders, including government officials and Members of Parliament, was moder- ated by Makerere University’s Professor Ndebesa Mwebesa. At the meeting, stakeholders deliber- ated that Uganda needs to be given time to be able to develop a sound and viable technology capacity before implement- ing the Trade Related Aspects of Intellec- tual Property Rights (TRIPS). TheDeputyExecutiveDirectorofHEPS, Mr. Denis Kibira expressed concern over the need to exempt Uganda from imple- menting the TRIPS agreement in relation to pharmaceutical companies saying that this will worsen the access of essential medicines by the population. “Do we all get the medicines we need when we need them? Access to medicines is a global issue. According to World Health Organization (WHO), in Uganda access is about 50%. If you look at the new diseases we are getting, like Ebola, Nodding disease, and HIV, we still have a long way to go and Uganda has to find a balance between Intellectual Property Rights and public health interests.” He said. This was echoed by Makindye east MP, Hon. John Ssimbwa who said that the TRIPS agreement not only protects the interests of the developed world phar- maceutical companies but also discour- ages local innovation. He also applauded government for having created a docket of science by creating a state ministry for science and technology. This he said will encourage more investors to open up medicine companies in Uganda. Access to medicines is very critical for ensuring public health and human development in any country. However, it remains a challenge in many parts of the country which continue to regis- ter growing number of people suffering from HIV and AIDS, TB and Malaria and other infectious diseases. Similarly, over the past 10 years, Uganda has consistent- ly registered medicine stock outs in up to 60% of the health facilities. This has been amidst dire poverty, food insecurity and malnutrition along with increasing popu- lation growth rate of about 3.24 in 2014. The TRIPS agreement demands enforcement of strict intellectual proper- ty protection rights but Least Developed Countries like Uganda have been on an exemption not to implement certain pro- visions under the agreement particular- ly to do with pharmaceutical products (medicines). The transition period ends in January 2016. The stakeholders’ dialogue there- fore was held to get a collective voice and raise awareness on the need for a further extention of the World Trade Organisa- tion TRIPS transition period. In his closing remarks, Mr. Wakaabu Siragi, an official from the Ministry of Trade Industry said that all the sugges- tions raised at the meeting would be given consideration by the ministry. He encouraged Civil Society organizations to always send their positions on various issues to all the MPs by email. “It would be better that you send this information to all the Members of Parlia- ment too, so that it can inform their dis- cussions on the floor of Parliament”, he said. CSOs call for extension to the TRIPS transition period Do we all get the medi- cines we need when we need them? Access to medicines is a global issue. - DENIS KIBIRA - Deputy E.D, HEPS Uganda. HEPS recruits and orients new staff I n a bid to strengthen organisation systems HEPS Uganda recriuted a total of 12 new staff. A three day orientation workshop was organized for them to understand the organization culture, values, and programming and be able to fit into the system. The orientation took place at the HEPS secretariat from 25th–27th February 2015. The new staff are part of the workforce for the new proj- ects of Advocacy for Better Health (Ibanda and Kiruhura) and Sexual Reproductive Health ( Kiboga, Kamuli, Mbarara and Isingiro). The new recruits were given a general overview on HEPS key documents including the Strategic plan, Annual report, and Human resource manual to make them conversant with the work of Heps Uganda. They were also facilitated on health advocacy, community empowerment, health responsibilities and rights and how to engage the community on such. The New Staff include: Wakabi Eric – Communications Officer JB Luyima - Programme Officer Noeline Namugwanya – Program Assistant Mutimba Jakie – Monitoring & Evaluation Officer Isreal Tayebwa - Program Officer (Mbarara) Noeline Namugwanya - Program Assistant Naturinda Hannington - Program Assistant (Mbarara) Bangirana Moses - Program Assistant(Mbarara) Brian Wafiire - Program Officer (Eastern region) Ms. Jackline Mutimba M&E Officer Mr. Eric Wakabi Communications Officer Ms. Noeline Namugwanya Program Assistant Mr. Moses Bangirana Program Assistant Mr. Israel Tayebwa Program Officer, Mbarara Mr. Naturinda Hannnington District Field Coordinator, Kiruhura Ms. Twinimujuni Percy Finance&Admin Asst. Mbarara Mr. Narinda Darius. Mr. Brian Wafire Program Officer l, Eastern Region
  • 4. Quarterly Newsletter January 2015 - March 2015 Uganda’s health care system needs overhaul T he level at which Uganda’s health system is dependent on donor aid is distressing. Like no other, the health sector seems to have one of the highest components of donor funding in the country. In the 2014/2015 financial year for example, donor aid accounts for almost 26% of the health budget, covering essential areas like reproductive health, HIV/AIDS and immunization. While National Medical Stores takes the third highest share of the health sector budget, inadequacy in the drug supplies continue to drag down quality service delivery to the people. The frequent stock- outs of essential medicines in health facil- ities is a significant indicator of the sorry state of our health system. Coupled with low funding to essential areas like hygiene, sanitation and health research, there is no way we are going to have effective health promotion and a fully functioning health system in Uganda. Gov- ernment needs to realize this before it is too late. The ministry of health should put more emphasis to the proper functionality of existing health facilities by equipping them with essential medicines and avoid- ing the frequent stock-outs instead of build- ing more facilities with poor services. National Medical Stores needs to increase its level of transparency too. They should start publishing credit lines for districts and health facilities in the media and public hospital notice boards so that we all know what is being availed and what is not. A survey conducted by ACODE in 2010/11 showed that most health facilities including Local Government officials were not aware of their credit lines at NMS. Some health facilities reported that their requisi- tions were not consistent with NMS sup- plies. On another footing, despite increase in the health sector budget over the last financial years, and the Ministry of Health putting into place maternal mortality reforms which include improving family planning servic- es, contraceptive prevalence rates are still very low. Efforts by the ministry of health to purchase mama kits to be supplied by NMS are outdone by the over 1.5 million babies are born every year. As a result, most of the mothers have to take their own items for delivery. Government therefore needs to increase spending on family planning commodities as stipulated in the reproduc- tive health commodity security strategy. It is also important that government also pro- cures family planning commodities used by men, especially condoms and surgical kits for vasectomy.According to the National Health Investment Plan 2011-2015, about 940 billion is required to cover the national need for pharmaceuticals, health supplies and commodities annually, of this; essen- tial medicines take only a meagre12%. There is limited appreciation of Palliative Care (providing care to the terminally ill persons with severe pain, especially those with HIV/AIDS and Cancer) among some health facility managers. This coupled with inadequate funding to meet the training needs, required medicines, scale-up and monitoring and support supervision makes palliative services nonexistent most health facilities. A National Household Survey conduct- ed by Uganda Bureau of Statistics shows that inadequacy of drugs at health facilities increased from 2005/07 to 11% in 2009/10. In addition, the ‘push system’ has increased waste of medicines that are sent but not required at various health facilities while creating shortages of no- basic, but essential medicines that are required at the facilities. Asamatteroffact,theavailabilityofessen- tial medicines at health facilities should not be played around like a ball between NMS publicists and the public, government needs to address this issue head on. -The writer is the Communications -Officer of HEPS Uganda- While National Medical Stores takes the third highest share of the health sector budget, inade- quacy in the drug supplies con- tinue to drag down quality service delivery to the people. The fre- quent stock-outs of essential medicines in health facilities is a significant indicator of the sorry state of our health system. HEPS Uganda Deputy ED, Denis Kibira and Programme Officer for Advocacy and Networking, Kenneth Mwehonge in March 2015 attended Aids Vaccine Advocacy Coalition Fellowship in Johannes- burg, South Africa. The HIV Prevention Research Advocacy Fellowship pairs emerg- ing leaders in advocacy and activism with existing organizations to develop and execute creative, context-specific projects focused on HIV prevention research. Fellowship projects focus primarily on advocacy around biomedi- cal HIV prevention research (such as clinical trials of vaccines, micro- bicides, pre-exposure prophylaxis) or rollout of male circumcision for HIV prevention. Fellowship projects may also focus on “test and treat” or ARV treatment as prevention strategies, which are under active dis- cussion in many contexts. Fellows receive training, financial support, and technical assistance to plan and implement a targeted one-year project within host organizations focused on HIV/AIDS. HEPS-Uganda staff attend HIV prevention fellowship in South Africa HEPS Uganda together with other CSOs has been implement- ing the CAD project of promoting Safe Male Circumcision (SMC) in eastern Uganda. In the last quarter, HEPS managed to attain the average performance percentage of over 50% which qualified the organization for 75% funding from STAR E. This was revealed during a meeting held on 12th February 2015 at Mount Elgon Hotel, Mbale. The meeting which was organized by STAR E had all the 11 CSOs implementing the CAD project and was purposed to discuss the continuation of business in the No Cost Extension (NCE). The Grants Manager, Star E called upon all the CSOs on the project to do more mobilization for SMC and collaborate with the SMC teams in the respective districts for maximum results. The Star E capacity building specialist Lydia Murungi advised that CSOs are to obtain condoms from their respective district stores for distribution to different centers. CAD Project: HEPS Attains average performance
  • 5. Quarterly Newsletter January 2015 - March 2015 H EPS Uganda is under contract from USAID Strengthening Health Out- comes through the Private Sector (SHOPS) and Clinton Health Access Initiative (CHAI) to provide services to improve treatment for early childhood diseases in the private retail sector. This will entail provision of medical detailing services for a period of eight months. The project began with training of detailers in Kampala at the end of January 2015. The intervention targeting 10,000 drug retailers and private clinics is focused in rural areas across at least 101 districts in Uganda except Karamoja and Island regions. 150 pharmaceutical wholesalers in upcountry trading centres are being targeted. Detailers collect data from retail and wholesale outlets on each visit. The detailers are equipped with tablets logged in a Customer Relationship Management (CRM) platform to be provided by CHAI/SHOPS. Each detailer is overseeing approximately two dis- tricts covering all drug shops in the districts. Detail- er supervisors also visit three to four wholesalers in the two districts. There are a total of 58 detailers and 8 regional supervisors. The regions for the interven- tion include; West Nile, Northern, Mid-Western, South Western, Central 1, Central 2, East-Central, Eastern. Each drug shop and clinic should will be visited at least once a month but more frequently in the first quarter of project. The Supervisors visit wholesalers in their area on a bi-weekly routine. The visits will be used to conduct direct mer- chandizing and education outreach to the retailers and wholesalers. These merchandizing visits will include distribution of POSM, continuing medical education, reinforcement of product benefits, and provision of supply information. The detailers will coordinate with wholesalers and partners to ensure delivery of high-priority products to retailers. Improving treatment of early childhood diseases in the private retail sector HEPSUGANDAundertooktheAdvocacy for Scaling Up Lifesaving Commodities, Programs, and Services for Women, Newborns, and Children project. It was funded by PATH under the UN Commis- siononLifeSavingCommodities.Below are the activities and achievements of the project. H EPS-Uganda made great strides to ensure that Pharmacy Division of Ministry of Health (MoH) institutionalizes a monitoring framework for Essential Medicines (EM) within the next National Phar- maceutical Sector Strategic Plan (NPSSPIII) by December 2016. The objectives of the project were achieved through support from stakeholders, in particularly MoH, WHO and civil society partners. MoH appreciated the support HEPS provided through the project. In particular the project helped kick-start the process of developing the (NPSSPIII) and review of the National Medicines Policy (NMP) which expired in 2012. The project supported the development of a roadmap to complete the above stra- tegic documents and the coordinator of the project was selected on the national taskforce to lead the document development process. Four meetings were held with CSO partners; two meetings of the Uganda Coalition on Access to Essential Medicines were held in July and August 2014 at HEPS offices in Kampala to agree on a position paper on CSO priorities/ key issues needed to be addressed in next pharmaceutical strategic plan. The paper was endorsed by CSOs and circulated. Two meetings were held at Piato restaurant in Kampala in March 2015, one to share findings of the medicines monitoring mapping (below) and another to disseminate MoH roadmap on develop- ment of strategic plan. In a meeting with MoH, The Assistant Commissioner for Pharmacy acknowledged CSO concerns and prom- ised to address them. Meeting with CSO partners Meetings with development partners (e.g WHO, UNFPA) More than a dozen meetings were held mainly with WHO. The UNFPA medicines logistics advisor at MoH also participated in majority of meetings with MoH. The meetings were aimed at gaining support for the project. WHO provided overwhelming support and leadership during the project and committed to help MoH complete the two documents in 2015. Meetings with development partners At least 10 meetings were held with PD during project period. Initial meetings were for MoH to provide support for the project and to develop ToRs for consult to under- take mapping exercise and lead development of the monitoring framework. Consequent meetings were held to review report from consult, CSO position paper and development process for NPSSP and NMP. Currently, HEPS has been taken on as key partner in the development of both NPSSPIII and NMP, taking part on taskforce for this process and asked to convene CSO meetings with consultants to develop these strategic documents. The EM mapping report was disseminated to MoH medicines procurement and management tech- nical working group (TWG) on 18th February 2015. Meetings with MOH departments Meetings with MOH departments A meeting of a technical team from HEPS, MoH, WHO, UNFPA and other experts was held on 9th and 10th March in Jinja to review report on Review of monitoring of EM within NPSSP and provide way forward. The technical team felt that a monitoring framework would be developed after completion of priorities for NPSSP and instead developed a road map to develop NPSSPIII. CSO concerns were acknowledged and CSO expert included on taskforce to help coordinate CSOinput into the process. The results were shared, reviewed and endorsed by a wide stakeholder group in Jinja on 11th March 2015 and with CSOs in Kampala on the same day. Advocacy for Scaling Up Lifesaving Commodities, Programs, and Services for Women, Newborns One of the detailers of the Private Sector Activation project talks to a drug shop retailer about the availability of Zinc and ORS medicines which help combat diarrhea in children.
  • 6. Quarterly Newsletter January 2015 - March 2015 HEPS projects’newsCSOs contribute to National Pharmaceutical Strategic Plan U gandaCoalitiononAccesstoEssen- tial Medicines (UCAEM) which is coordinated by HEPS Uganda has been working to improve access to essential medicines through advocacy, stake- holder engagement and analysis. As the draft- ing of the National Pharmaceutical Sector Stra- tegic Plan III got underway, the undersigned civil society representatives and organizations under the umbrella UCAEM met with con- sultants from the Ministry of Health to chat a way of including the position of civil society in regards to the contents of the NPSSSP III in the first week of April 2015. Consultants from Ministry of Health and World Health Organisation (WHO) met with civil society members under UCAEM and conducted a Q&A session with the coalition members on what improvements have been observed in the last 5 years and what needs to be improved in the next 10 years in-regard to access to essential medicines at health facilities. The consultants deliberated to forge a way and get the civil society suggestions and voice into the NPSSP III. The consultants challenged civil society organizations to take up the role of supporting the community in terms of capac- ity building and proving public information on essential medicines and the health sector in general. In March 2015, the Pharmacy Division of Min- istry of Health, with support from HEPS-Ugan- da and WorldHealth Organisation (WHO), embarked on the process of revising and updat- ing the National Drug Policy, which expired in 2012, as well as the National Pharmaceutical Sector Strategic Plan(NPSSP), which expires in June 2015. As part of this process, MOH Pharmacy Divi- sion convened a series of meetings with experts and with key stakeholders at Hotel Paradise in Jinja on 9th – 11th March 2015. Dissemina- tion meetings were also held for CSOs at Piato restaurant in Kampala. The meetings were supported by HEPS-Uganda and chaired by Ministry of Heath Acting Commissioner Phar- macy Division, Mr. Morries Seru. The stake- holders were drawn from Ministry of Health, WHO, UNFPA, Uganda Health Supplies Chain Project, implementing partners, warehouses/ medicine distribution institutions, local med- icine manufacturers, professional bodies and the civil society. Themeetingsundertookaprocessmapping, identifying activities/tasks, identified members of the Task Team and their terms of reference, drew up the process of identi- fying the consultants and their terms of ref- erence; identified the policy documents to be reviewed in analysing the national situation; identified the stakeholders to be engaged at the different stages of the process; drew up timelines. MoH and WHO consultants discuss with UCAEM members during the consultative meeting held at the HEPS UGANDA secretariat (Photo by Eric Wakabi) -There’s over prescription in the private sector for profit gains and MoH needs to check it. -There should be more financing for essential medicines in the budget -Government needs to support the local pharmaceuti cal industry -There is need to invest in disease preventive measures. -There should be increased availability of information on essential medicines to the public -MoH needs to make sure we utilize the global space to collaborate with international companies and institu tions to improve the sector -There should be available psychosocial support especially for PLWHs -NDA should put a mechanism for feedback from the end users of the medicines -NMS needs to put information sharing platforms to improve on delays in delivery and other glitches that hinder access to medicines -Improvement in medicine financing -Improvement in the coverage of NMS distribution chains and areas of reach -Increase of public trust in health centres in regard to access to essential medicines -Better quality of medicines on the market as sub-standard products being kicked out. -Improving delivery and monitoring mechanisms deployed by NMS -More essential medicines have been made available at health facilities albeit with shortages What needs to be done in the next 10 years: What has improved in the last five years COME project registers milestones Citizen Engagement to Stop Medicine Stock outs ( COME) project aims to foster action, engagement and participation of community based (VHTs, HUMCs, Private sector players, community leaders), District and national level citizen representatives. These citizens belong to the various HEPS Uganda coalitions that serve as advo- cates for the right to access essential medicines and contrib- ute to reduction of stock outs for medicines at public health facilities in the two districts of Lira and Kiboga. Their com- bined voice and interaction with duty bearers foster visi- bility of community voices that are committed to securing quality affordable essential medicines for all people in their communities. Below are some of the milestones registered in the last quater in both Kiboga and Lira. LIRA According to the In-charge of Barapwo HCIII, there is continued dialogue among health workers and patients. Patients have been educated about other services that are offered at the health facility, like daily antenatal, immuni- zation which is done every Wednesday, family planning services offered daily, TB treatment and adolescent repro- ductive services. Originally patients would only come for OPD services only. Due to empowerment, the community monitors and sub county of Barapwo lobbied for a bore hole from Devine Waters an NGO and it was constructed. It is the only source of water for the healthy facility and the neighboring com- munity. Monitors and sub county leadership of Barapwo managed to lobby for a bore hole from Devine Waters an NGO oper- ating from Lira. This is now the only source of water for the facility and the neighboring community people. KIBOGA Community Health monitors and health workers now plan together, which was never the case before the inter- vention of COME project in Kiboga District. A number of health workers have uniforms due the advo- cacy undertaken by community workers. This is true with Kiboga District Hospital where now health workers have name tags for easy identification and just in a patient needs to lodge a complaint when he or she feels mistreated by the health provider. The problem of drug stock outs particularly essential med- icines has reduced. For example at Kiboga District Hospital as reported by Musawo Namuli, the community monitors have persistently fought the problem of drug stock outs particularly essential medicines to the point that at times Kiboga District Hospital supplies medicine to other lower health centers when needed
  • 7. Quarterly Newsletter January 2015 - March 2015 Last quarter in pictures... New and old staff attending orientation at the HEPS secretariat early March 2015. HEPS recruited more staff to sttregthen organisa- tion systems and increase human resource capacity. A HEPS social worker distributes free condoms to locals during a community out reach in Pallisa District, eastern Uganda. HEPS UGANDA Executive Director, Ms. Rosette Mutambi talks to one one Mbarara Municipal Authorities during the inception visits for the Take Stock Project Detailers converge for a group photo after the training in data collect- ing at Pope Paul Memorial Hotel, HEPS Uganda is under contract from USAID Strengthening Health Outcomes through the Private Sector (SHOPS) and Clinton Health Access Initiative (CHAI) to provide services to improve treatment for early childhood diseases in the private retail sector. HEPS Staff on the streets of Jinja during a health survey One of the detailers of the Private Sector Activation project talks to a drug shop retailer about the availability of Zinc and ORS medi- cines which help combat diarrhea in children.
  • 8. Quarterly Newsletter January 2015 - March 2015 ABOUT HEPS UGANDA HEPS – Uganda is a health and human rights organization that advocates for health rights and health responsi- bilities, with a special focus on access to essential medicines and rational use of medicines. HEPS – Uganda focuses on addressing bottlenecks that hinder access to quality healcare for the majority of Ugandans. HEPS believes that more preventive and curative means are paramount to good health and that they should be designed from a health consumer’s perspective. A just and fair society in which all Ugandans can exercise their health rights and healthy responsibilities OUR VISION To enable Ugandans attain equitable access to health services with emphasis an access to medicine especially on access to medicine policy advocacy and community empowerment. OUR MISSION STRATEGIC OBJECTIVES Objective 1: Advocate for health consumer friendly laws, policies and health packages and their implementation at all levels in Uganda. Objective 2: Empower health consumers in Uganda with Knowledge and skills to claim their right to health and ex ercise their health responsibilities. Objective 3: Strengthen the capacity of HEPS– Uganda and Civil Society partners to meet her set objectives CONTACT USHEPS-UGANDA HEADQUARTERS, PLOT 351A, BALINTUMA ROAD– NAMIREMBE, P.O. BOX 2426, KAMPALA, TEL: +256 414-270970, E-MAIL: info@heps.o r.ug, WEBSITE: www.heps.or.ug, FACEBOOK: HEPS-UGANDA CONTACT US