Presentation by Dr. Nathan Omony M in Moroto for the MSU UNFPA on 5th May 2012

1. NORTHERN KARAMOJA MSU
PERFORMANCE REPORT FOR 3RD
QTR 2012

2. INTRODUCTION
• Partner of Marie Stopes International.
• MSI Works also in 42 countries globally.
• MSI vision is to ensure that all births are
wanted.
• Achieved through the provision of high
quality family planning and reproductive
health care services to men and women.
• MSU been in Uganda since 1990.

3. WORK IN KARAMOJA REGION
• Started work in Karamoja in September 2010.
• Our work involves the provision of short term,
long term and permanent methods of FP.
• Work in consultation with the respective District
Health Teams and health facilities.
• Two Teams, 1 funded by UNFPA and the other
funded by USAID.
• Two teams each comprising;
a) 1 Medical Officer,
b) 2 Service Providers (nurses/midwives)
c) 1 Transport Assistant.

4. SERVICE DELIVERY APPROACH
• MSU work in the region is primarily through
outreaches to health facilities.
• We use schedules that are aired on radio and
shared with VHTs who are responsible for
mobilization of FP clients within the communities
and referring for services at the nearest facilities.
• In each of the facilities, we work with at least 1
health workers to ensure mentoring and skills
transfer and with 8 VHTs.
• We move with all our supplies and equipment in
the vehicle, all we need is space and an
examination bed in the health facilities to qualify
for service delivery.

5. Performance 2010
PERMENENT LONG TERM SHORT TERM
District MSV MSL IUD JAD IMP DEPO PILL TOTAL %
Moroto 0 0 0 18 5 4 1 28 78
Napak 0 0 0 2 5 0 1 8 22
Total 0 0 0 20 10 4 2 36 100
Performance 2011
PERMENENT LONG TERM SHORT TERM
District MSV MSL IUD JAD IMP DEPO PILL TOT %
Moroto 0 2 11 87 87 49 18 254 22
Napak 1 8 7 101 67 27 23 235 20
Kotido 1 5 8 150 119 20 33 353 30
Kaabong 0 4 20 143 94 35 27 333 28
Total 2 19 48 471 363 128 84 1175 100

6. Performance 3RD QTR FY 2011/2012
PERMENENT LONG TERM SHORT TERM
District MSL MSV IUD JAD IMP DEPO PILL TO NTFP NTLPM
T
Moroto 0 0 4 21 37 23 9 94 52 57
Kotido 1 0 2 13 20 0 0 36 10 17
Napak 2 0 0 2 13 2 0 19 13 17
Kaabong 3 0 0 17 28 9 0 57 39 47
Total 6 0 6 53 98 34 9 206 114 138

7. TOTAL UPTAKE OF MSU FP SERVICES PER
DISTRICT IN NORTHERN KARAMOJA 3RD QTR

8. UPTAKE OF MSU FP SERVICES PER DISTRICT
IN NORTHERN KARAMOJA 3RD QTR

9. UPTAKE OF FP SERVICES IN MSU IN
MOROTO DISTRICT 3RD QTR

10. UPTAKE OF FP SERVICES IN MSU IN
NAPAK DISTRICT 3RD QTR

11. UPTAKE OF FP SERVICES IN MSU IN
KOTIDO DISTRICT IN 3RD QTR

12. UPTAKE OF FP SERVICES IN MSU IN
KAABONG DISTRICT IN 3RD QTR

13. Challenges
• There is still a low uptake of FP due to the huge
knowledge gap, strong cultural and religious
beliefs against artificial FP in the community.
• Lack of spouse support when a partner takes up a
method .
• Inadequate reporting of FP activities by HC.
• VHT issues i.e. training, and poor attitudes
towards FP services and 5000/= incentive.
• Health centers in need of services do not have
space and the examination bed.
• Some areas are too far from health facilities to
qualify for our service delivery.

14. Opportunities
• Training health staffs on FP & its documentation
on the HMIS. Training of VHT on FP.
• Social mobilisation for FP.
• Need to review the 5000/= to VHT in the
presence of the current inflation.
• New module for FP service delivery(mobile
outreach services). Still being discussed with the
DHO’s offices.
• Still working on how to open up a centre(special
clinic) to offer high quality FP and sexual
reproductive services at an affordable cost.

15. Conclusion
• With continuous community access to FP
information and constant accessibility to
free FP services, we expect the negative
attitudes towards FP services to reduce and
as a whole male involvement in FP services
especially as clients and as supportive
spouses to improve.

16. Thank you