MY WORK-BK

Agri-Fin Annual Report
2013-2014
2 AGRI-FIN ANNUAL REPORT 2013 - 2014
Contents
05
14-21
6-13
22-27
28-37
38-59
60-99
MERCY CORPS AT A GLANCE
COUNTRY HIGHLIGHTS
UGANDA
Executive Summary
Background on Agri-Fin Mobile
COUNTRY HIGHLIGHTS
ZIMBABWE
COUNTRY HIGHLIGHTS
INDONESIA
Partnerships for Impact
Agri Finance Mobile M&E
Framework 2012-2015
Lessons Learned
Conclusion and Way Forward
ANNEXES
Annex 1: Workplans
Annex 2: Communication Strategy
Annex 3: Meeting Minutes
ACKNOWLEDGEMENTS
We would like to thank SDC for
its generous support throughout
the project. In particular we would
like to recognize the contribution
of staff from our field offices of
Uganda, Zimbabwe and Indonesia
as well as partner organizations.
22 AGRI-FIN ANNUAL REPORT 2013 - 2014 23AGRI-FIN ANNUAL REPORT 2013 - 2014
KAITE trains thousands of small-scale farmers around
Zimbabwe in cultivating and processing organic herbs and spices
to be sold at international fair trade markets.
Mercy Corps works with KAITE to train and register farmers
to set up EcoCash accounts through which farmers receive direct
deposits of exact payments to a secure private mobile
account on collection day.
Program overview
eCOfarMer lauNCH IN ZIMBaBwe
Following the signing of the collaboration agreement
between Mercy Corps and Econet in March 2013, the
EcoFarmer service was launched in Mashonaland
East Province of Zimbabwe on 11 October 2013.
The service sought to provide farmers with weather-
indexed insurance cover, as well as technical
agricultural information and financial services. The
EcoFarmer insurance cover was initially piloted
in Mashonaland East Province before going on a
countrywide rollout. At the Launch of EcoFarmer
on Oct 11, 2013, Mercy Corps donated 230 mobile
phone handsets with a total value of US$ 7,300 to
the Ministry of Agriculture, to assist extension officers
(Agritex) throughout Mash East province with the
registration of farmers onto the EcoFarmer platform.
This gesture served to underscore the continued
good working relationship between Econet and MC;
and also highlighted the importance with which Mercy
Corps attaches to collaborations with both private
and public sector partners. EcoFarmer was launched
in time for the 2013/2014 rain-fed cropping season
that begins in Nov 2013 and ends in April 2014. Over
240,000 Smallholder Farmers had been registered on
the platform as at 30 June 2014 and were receiving
farming tips and market and weather information.
About 1,100 smallholder farmers were covered by
the weather index insurance in 2013/2014 agricultural
season.
Zimbabwe
COUNTRY HIGHLIGHTS
THe 4 pIllars Of eCOfarMer were
defINed as fOllOws:
• Insurance based product: Insurance in the new
season will also cover livestock and other products.
This is a new concept to the rural farmer and there
is an increased interest in uptake of the product
due to the effects of global warning and the erratic
weather patterns being experienced.
• Financial services: Econet’s role is aimed at
encouraging a savings culture among farmers’
savings. Farmers are currently saving through
the EcoSave1
product but a customised savings
product is going to be launched in the upcoming
season so that groups of farmers save adequately
to purchase inputs. A credit product is also in the
pipeline.
• Market prices: Esoko who have a wealth of
experience from East and West Africa and trading
as Mubatsiri- provide support on the trading
platform where the farmer can trade produce from
the small holding directly to the market.
• Information Services pillar:- aimed at
disseminating farming tips
−− Livestock tips
−− Crop tips
1 The service offers a mobile virtual savings account for the
subscriber in much the same way that EcoCash users have a virtual
mobile wallet. The EcoCash Save account can be opened by any sub-
scriber within seconds via a new EcoCash USSD menu option
1AGRI-FIN ANNUAL REPORT 2013 - 2014
ANNUAL
REPORT
2013-2014
36 AGRI-FIN ANNUAL REPORT 2013 - 2014 37AGRI-FIN ANNUAL REPORT 2013 - 2014
Conferences attended
• 3rd
GFRAS meeting in Berlin. Presented Mobile
Agriculture Information Pilot during the share fair
event, September 2013
• Presented the Agri-Fin Mobile Program and
focused on the LISA implementation at the
ICT4Ag conference in Rwanda, November 2013.
The presentation was delivered by the Mercy
Corps Uganda Country Director in the Tech Talk
for Agriculture session
• Mercy Corps East Asia Program Director has
shared the Indonesia Agri-Fin Mobile Program’s
experience as a PISAgro member on the plenary
Building a New Spirit of Partnership at the Grow
Asia Agriculture Forum in Manila which was
organized by the World Economic Forum, May
2014.
Blogs and papers written
• Working to give female farmers in Indonesia
access to agricultural information and financial
services. Posted in Tuffsgloballeadership.org in
July 2013 (http://www.tuftsgloballeadership.org/
blog/working-give-female-farmers-indonesia-
access-agricultural-information-and-financial-
services)
• Agri-Fin Mobile’s Gender Analysis Highlights Female
Farmer’s Vital Role in Production, Limited Access to
Agriculture Information. Posted in e-Agriculture.org in
September 2013 (http://www.e-agriculture.org/blog/
agri-fin-mobile%E2%80%99s-gender-analysis-
highlights-female-farmer%E2%80%99s-vital-role-
production-limited-acce)
• How Do Smallholder Farmers Access Information?
Posted in CGAP.org in January 2014 (http://
www.cgap.org/blog/how-do-smallholder-farmers-
access-information)
• Breaking the Agricultural Financing Myth through
Supply Chain Viable Business Model, in PISAgro
News (a quarterly newsletter), November 2013
(http://pisagro.org/wp-content/uploads/2014/01/
PISAgro-Newsletter-V.pdf)
• Working with Smallholder Female Farmers in
Improving their Access to Agriculture Information
and Financial Services, in PISAgro News (a
quarterly newsletter), February 2014 (http://
pisagro.org/wp-content/uploads/2013/10/
PISAgro-Newsletter-6.pdf)
Meetings attended
Map showing project locations in Indonesia
MAR
MAR
RPP
RPP
RPP
RPP
RPP
RPP
RPP
RPP
BRI
BYR
BYR
BYR
MC
MC
MC
MC
BOGOR
KARAWANG
SUBANG
TEGAL
INDRAMAYU
CILACAP
BANTUL
PATI
TUBAN
SURABAYA
BLITAR
KLATEN
POROWOREJO
MAGELANG
SRAGEN
GROBOGAN
SUKOHARDJO
KARANGANYAR
MC Agri-Fin
Mobile
BYR 8villages -
Bayer Corps
RPP 8villages - Central
Java Govt
MAR 8villages -
Market USAID
BRI 8villages - BRI
Tanjung Tua
Kambagan
Tanjung Bygel
Tanjung Pangkah
Semanjung
Blambangan
JAVA SEA
INDIAN OCEAN
A female-owned fertiliser
kiosk doubles as a mobile
services distributor. Mercy
Corps found that in
Kutawaluya, Indonesia, the
head of a female farmer
group owned a kiosk that
distributes fertiliser, which
also doubles as a top-up
service for adding credit
to mobile phones and
could potentially distribute
additional mAgri services.
1. PISAgro General Meetings, quarterly bases
2. The Farmer Day in Garut District which was
organised by Value Chain Center, Padjajaran
University.
3. Presented the Agri-Fin Mobile Program to the
NetHope NGO members, December 2013. The
program has been facilitating other NGOs that
are interested in having more discussion on LISA
Application and have potential to partner with
8Villlages.
4. Presented the Agri-Fin Mobile Program in Mercy
Corps East Asia Regional Meeting, February 2014
5. Presented Agri-Fin Mobile’s work in the Financial
Service Authority and TNP2K Workshop. The
Financial Service Authority will prepare a
branchless banking regulation and it is expected
the Agri-Fin Program could share the mobile
agricultural information and mobile payment
services for the farmer experiences, June 2014
6. Meeting with Asuransi Jasindo (an insurance
company provides rice crop insurance) and Bank
Pundi to discuss the possibility of bundling rice
crop insurance with working capital loans for rice
farmers.
7. PISAgro Rice WG member meetings
8. PISAgro Corn WG member meetings
9. PISAgro Agri Finance WG member meetings
10.PISAgro Agri Finance WG member meeting with
Vice Minister of Ministry of Agriculture
11.PISAgro Rice WG and PISAgro Corn WG meetings
with Director General of Food Stuffs, Ministry of
Agriculture
12.PISAgro Rice WG and PISAgro Corn WG meetings
with Cereal Director, Ministry of Agriculture
13.PISAgro Rice WG and PISAgro Agri Finance
WG meetings with Finance Director, Ministry of
Agriculture

2 3Mercy corps in Uganda Mercy corps in Uganda
WHO WE ARE
Mercy Corps is a leading global humanitarian agency saving and improving lives in the world’s
toughest places. Poverty. Conflict. Disaster. In more than 40 countries, we partner with local people to
put bold ideas into action, helping them overcome adversity and build stronger communities. Now, and
for the future.
THE SITUATION
Since Uganda’s protracted 21-year conflict ended in 2008,
peace has returned to the northern part of the country.
Millions of people who were displaced by war have
returned home seeking to rebuild their lives --and hoping to
invest in prosperous futures. However, after spending two
decades in camps, their challenges are many. Abandoned
farmland is overgrown. An entire generation of children
has grown up without learning traditional livelihoods like
herding and farming. And the long stint in camps fostered
a culture of aid dependence.
With farmland not producing at capacity, food is in short
supply and malnutrition is common. Good quality seeds
are scarce in local markets, keeping yields low. Recurring
climate shocks, including drought and flooding, have
further reduced harvests. Cattle raiding is becoming an
ever-bigger problem; when people lose their most valuable
assets, any hope of a more prosperous future is dashed.
Weak infrastructure means that many roads are impassable
during the rainy season, so it’s difficult to transport food
and supplies. Continuing inequalities in the distribution of
income and the treatment of women have contributed to
high poverty rates, poor health and disparities in education
and opportunity.
OF YOUNG POPULATION
AFFECTED BY MALNUTRITION
LIVING IN POVERTY
39%
34.7
7.5
UGANDA POPULATION
MILLION
MILLION
1
Mercy corps in Uganda
in Uganda
To catalyze change-makers within the
Ugandan private sector, civil society
and government to create economically
dynamic, healthy, and secure communities
Mercy Corps in Uganda
Program Scope Evolution
Since its initial programs, Mercy Corps Uganda
has developed a solid portfolio of programs
and operations focused in the north of Uganda,
primarily in Acholi and Karamoja, and established
a track record of innovative and successful
programming that have evolved from peace and
conflict to addressing food security, facilitating
economic growth and access to financial services,
improving the health and nutrition of mothers
and children under five, and supporting peace
and reconciliation. Drawing upon our successes in
program implementation, extensive knowledge
and assessments in the north, the capacity of our
staff as well as remote support from our regional
and headquarters teams, Mercy Corps Uganda
has established a set of ambitious, yet achievable,
objectives and a course of action to realize them.
The country program will on focus activities in
the northern Uganda where there is the greatest
development need and the largest opportunity to
have the greatest impact.
Our objectives
1. To increase resilience and enable economic
growth in target communities: creative, market-
based solutions that provide economic benefits to
individuals and communities. Programs focused
on small and micro-enterprise solutions, making
markets work approaches and facilitating access
to financial services. Mercy Corps will help create
effective, functioning market systems to address
income poverty and vulnerability.
2. Good governance: decision-making and
resource allocation by government and local
institutions are informed, participatory,
transparent and accountable: developing the
ability of rural communities to make informed
economic and social decisions and to participate
in public sector decision-making. Interventions will
strengthen the capacity of local Northern Uganda
stakeholders.
3. To improve opportunities for target
communities to attain better health and nutrition:
programs for mothers and children focus on
the most vulnerable by raising awareness and
educating health care providers and mothers.
Programs partner with the government,
community leaders, schools and the private
sector to increase access to clean and safe water,
sanitation and waste disposal to reduce the
incidence of infectious disease.
4. Increase MC staff and organizational capacity
to invite dynamic professional leadership and
quality program management: build the capacity
and development of team members to become
future leaders in Mercy Corps with a focus on
training programs and opportunities to build
technical as well as management and leadership
skills.
OUR WORK
Improving the Agricultural Economy
Mercy Corps is helping the people of Uganda
build a foundation for sustainable agricultural
livelihoods and economic prosperity.
We are training farmers in basic business skills
and linking farmers’ groups to major buyers
of agricultural products. We’re also facilitating
farmers’ access to technical information (such
as weather reports and crop prices), high quality
seeds, tools and fertilizers and financial services
-- including loans, so they can leave behind the
cyclic uncertainty of subsistence farming and
advance to the more predictable and profitable
model of small-scale commercial farming.
Mercy Corps initiatives that connect farmers
to businesses offering seeds, tools and post-
harvest storage have increased harvests and
reduced postharvest losses.
Our innovative Agri-Fin (agriculture plus financial
services) Mobile program brings together
local mobile technology companies, financial
institutions and research organizations to
provide farmers with a bundle of practical
support. Farmers receive local financial services,
market information and agricultural tips in a
single, comprehensive mobile phone-based
package so they can make better decisions and
solve their day-to-day challenges.
Training farmers in business
skills, providing them with
useful information, better
quality tools and seeds and
connecting them with
markets.
Organizing mothers to learn
healthy behaviors and
providing mothers and
children with nutritious food.
Making sure that programs –
and progress – are equally
accessible to women, men,
boys and girls.
Conﬂict Resolution- to help
Communities resolve tensions
over scarce resources.
HOW WE’RE HELPING
Mercy Corps is helping the people of
Uganda by:
In Every Program, Addressing Gender
Inequities
We believe that in order to be successful, our
programs must also address the social and gender
inequities behind the uneven distribution of
wealth.
These biases prevent the efficient and fair
distribution of essential services like health
and security and can act as triggers of conflict.
To ensure gender equality in all our programs
and operations, we have created a country-
wide gender policy, as well as program specific
guidelines. For example, in our agriculture
programs, we are paying special attention to
eliminating obstacles that prevented women from
participating to the same degree as men.
Fostering Peace
Conflict in the Karamoja cluster of Uganda,
Kenya, and South Sudan is largely driven by
established cultural practices, such as cattle
raiding (traditionally part of initiation processes),
that have become large in scale and in some cases
heavily armed and commercialized.
Our Peace III program is taking a unique approach
to address these conflicts, by building on existing
capacities and strengthen the horizontal and
vertical linkages within and between local,
national, and regional CMS actors, as well
as ensuring women and youth, in particular,
are included in key consultant, design, and
implementation roles of peace project.
In order to promote community openness to
reconciliation we will execute a range of peace-
building activities, including multi-stakeholder
dialogues, Inter-community land use planning and
developing shared economic and social resources
to foster long-term cooperation.
WHERE WE WORK IN
UGANDA
KENYA
REPUBLIC OF SOUTH SUDAN
KOLE
NAKAPIRIPIRIT
NAPAK
OTUKE
ABIM
OYAM
APAC
ALEBTONG
AMURU
LIRA
GULU
DOKOLO AMUDAT
MOROTO
KOTIDO
AMURIA
AGAGO
LAMWO
KITGUM
KAABONG
PADER

Using malaria as an entry point to strengthen the health system and reduce childhood deaths
THE MBALE MALARIA CONTROL PROJECT 5
In the communityThe community selected 2,748 communith health workers from among their peers. These Village Health Team
members (VHTs) – have been trained to sensitise the communities about a range of health issues, especially the
prevention of common illnesses and care-seeking behaviour. They are now also able to identify severely sick
children and quickly refer them to the nearest health facility. This strengthened capability has been implemented
according to the Ministry of Health’s policy on VHTs, including a comprehensive Behaviour Change Communication
(BCC) approach combining the use of various channels – radio, IEC material, drama groups – to inform and educate
community members.
At the health facilitySome 184 health workers have been trained in malaria case management. Skills and behaviour of health workers are
also being regularly improved through innovative forums – peer-to-peer review meetings, provider-client discussions,
clinical audits and clinical sessions. Triage system has been introduced to identify and prioritise severe cases. The
laboratory services have also been strengthened through the training of 70 laboratory technicians in malaria diagnosis
and regular support supervision. In addition, buffer stocks of drugs and other health supplies have been established to
reduce the stock outs.
Reaching the health facility
More than 400 motorcycle taxi (boda-boda) drivers have been trained to handle the transport of sick children and
pregnant women to the local health facility. VHTs give the drivers vouchers, which indicate the amount the health
facility will pay them when they deliver the patient.
THE MBALE MALARIA CONTROL PROJECT4
Malaria is the most common cause of
illness and death in children in Mbale
District, which suffers one of the highest
malaria burdens in the country.
Most care givers in Mbale District do not
seek care either quickly nor from outside
the formal health system. This lack of
connection between the community and
the public health services is the result of
many factors. Among these are a lack of
awareness and understanding of health
issues, a lack of trust in public health
services, health workers with inadequate
skills and knowledge, regular stock outs
of medicine supplies, a strong belief in
traditional healing methods, a widespread
practice of self-medication, and a lack of
affordable means of transport.
The Mbale project is using both proven
and innovative approaches to tackle these
barriers to children receiving appropriate
and timely health care. Malaria
Consortium is working in close partnership
with the Mbale District Authorities and
the Ministry of Health at all stages of the
design and implementation of activities to
ensure sustainability of the interventions.
Integrations at various levels are being
combined to achieve greater impact.
Involvement of all stakeholders from the start of the project has ensured a tremendous
level of uptake of its activities by communities and political leaders. This is the first step to
ensuring sustainable solutions will remain in place when the project ends and that children
of Mbale District will still benefit from these activities. The purpose of this booklet is to
illustrate the impact of the project through the voices of implementers and beneficiaries.
Beatrice Wolungai with her
grandson. She uses drama and her
model home to promote healthy
behaviour in her community
InBeatrice’scompound,aquicklookisenoughtounderstandthatherhouseisamodelhouseusedtoshowcommunitymembers
how to clean and arrange their compound to prevent malaria and other diseases. Beatrice sits in front of the house with her
four-month old grandson. Beatrice Wolungai is the leader of the VHT drama group of Bumasikye sub-county. We discussed her
role as a VHT and the impact of the drama group in her community.
Beatrice’s husband is now too old to work and her three children
and her grandson are living from the sale of yellow bananas and
some small money collected here and there. Beatrice used to
be a traditional birth attendant before being trained by Malaria
Consortium to become a VHT. “Malaria Consortium and Beatrice
Kudonganya, our health assistant, suggested VHTs could create
a drama group, so I mobilised some VHTs and a few community
members and we now use drama to sensitise people about
malaria, home hygiene and health seeking behaviour. Nowadays,
we find people have swept their homes, they have rubbish pits,
pit latrines, tip-taps and plate stands.”
Addressing misconceptions is an important part of Beatrice’s
role. “Some of them thought that when they are using mosquito
nets, they can’t get malaria and don’t need to clean their home.
So we had to tell them that clearing mosquito breeding places is
important, even if they are using nets.
“Yes it has really changed people,” she continues. “At first, they
didn’t show much interest, but as we went around with our
drama, they started becoming interested. They loved the drama
and they understand the messages. Most of them used to give
herbs to their children whenever they would fall sick or take them
to the witch doctor.” The drama group used this habit to create
a story and encourage people to go the health facility. “Some of
them came to me after the show and confessed that they had
not known what to do before watching the drama. Sometimes, I
meet with people on their way to hospital with their children and
they say ‘you always tell us to go to the health centre’, so I know
that our drama has changed something in them.”
Beatrice is very conscious that she committed herself to do
all this work voluntarily. However, she wishes that some more
could be done to support them as VHTs and the drama group.
“We don’t always manage to get food for everyone and when we
have to walk long distances in the sun to perform, we need to get
food and a first aid kit.” Beatrice is calling to leaders and other
organisations, but not her community members, for this help.
“There is nothing I expect from
the community except for them to
understand the messages we give.”
Herbert Namugi, an enrolled nurse, has been working in Muruba
healthcentreIIformorethan2yearsandspeakswithfervourabout
the changes brought about by the project’s interventions.
Herbert chose this profession “out of passion” and he is thankful for
the training he received in malaria case management. “Initially we
were using fever as a diagnosis for malaria. Now, fever is a symptom
and we send the patient for an RDT test. The training has given me
more confidence and I now handle patients from an informed point of
view.”
Training alone does not have a long term impact on health worker’
practices. It is with this in mind that the project has re-established
and strengthened the district’s support supervision process. “This is
an island where the district hardly used to come. Now, a team comes
and checks the unit. We are kept updated and senior personnel are
here to advise us. We receive mentorship and it has improved the way
we communicate with and handle patients,” explains Herbert. “It has
actually made us better medical practitioners.
“The project also supports the organisation of client provider forums,
enabling patients to provide feedbacks on our services. We also
communicate our expectations. For example, patients used to send
kids to the unit without anyone to accompany them. Thanks to these
forums we no longer receive children alone at the unit.”
Herbert is confident that interventions can be sustained after the end
of the project. “I would encourage the district and the government to
take over the responsibility of the support supervision.”
“Together with Malaria Consortium, we
have equipped our laboratories with
microscopes and our health units with
weighing scales, RDTs and other medical
supplies. We have also trained health
workers and laboratory technicians. It
brings joy to my heart and it has been a
boost to all staff across the health system.
In fact, last time I felt unwell, I decided to
go to the public health facility to check the
quality of the services. They diagnosed me
using an RDT, gave me the right medicine
and I got better. The health-seeking
behaviours of our community have greatly
improved. People used to think that they
would not find drugs or skilled health
workers at the health facility, so they
would not seek medical care. Perceptions
and attitudes have changed thanks to
Malaria Consortium.”
Charles Otim, District Chief Administrative Officer
Daniel Okello, an enrolled nurse in charge of
a health centre II, reads the rapid diagnostic
test result of his latest patient
Using malaria as an entry point to strengthen
the health system and reduce childhood deaths
THE MBALE MALARIA CONTROL PROJECT
Malaria Consortium
Closing report - Mbale Malaria Project

Acknowledgements
UHMG would like to thank each and every one who contributed
to the formulation of this Strategic Plan 2014-2019, including our
development partners, implementing partners – both institutions
and individuals – and other organizations and companies in
Uganda working with us to achieve our mutual goals. We are
grateful for the long-standing and vital partnerships with the
Government of Uganda (GoU) through the Ministry of Health,
and with USAID, UKAID, UNFPA and Johns Hopkins University
Bloomberg School of Public Health - Center for Communication
Programs. We are continuously indebted to UHMG’s Good
Life Advocates (our committed founder members, Board of
Directors and staff), who have been instrumental in making this
new strategic plan a reality. We thank our clients, customers,
distributors, communities and the beneficiaries of our services,
with whom we partner to achieve our vision.
Working in partnership with you all, we look forward to delivering
the Good Life!
I AM UHMG
Iam
Produ
cts
IamS
ervice
s
Ia
mCom
munic
ation
I AM UHMG
32
“The truck drove by here and
the messages were about family
planning, and I wanted to know more
about it so I went. I was aware about
family planning from the hospital
and radio, and I’ve had in my mind
to stop having children for the last
two years. But I had to pay for the
services and also, I knew women
with implants who still conceived.
And you have to remove them
from Mbale, which is far away and
expensive. So I never did it. At the
activation I learnt about condom use
and about the free services at the
clinic, so I called my husband and he
agreed. We have discussed it before,
to plan for the young ones, and he
always agreed. I want to wait at least
two years before I conceive again, so
I am going to try the implant.”
The following week: “I went for
services and was treated very well
and got the implant for three years.”
Nafuna Carol (26), Sironko.
Mother to four children, aged 10 to 1.
31
Community Outreaches
UHMG increases access to quality health products
and services for hard-to-reach populations through
outreaches. Targeted outreaches are highly effective,
especially for HIV/AIDS services, MARPS, or in family
planning service provision. Outreaches provide linkages
between the community, district health centers and
Good Life Clinics and create demand for services at
accredited outlets in the community.
“We now conduct two HCT outreaches
per month plus the weekly clinic day. That
has been working perfectly for now. The
clinic days are great, I love them! And we
have seen real results. For example, for
family planning, we used to have maybe
four walk-ins in a month – now it’s more
than ten per week. This huge increase
benefits us and the communities. For the
communities, maybe they used to see us as
expensive so they would never come here,
but now they can afford it on certain days.
They come here, get a feel for the place,
hopefully have a good experience and so
next time, they’re willing to pay a little bit
for the service.”
Levert Wafula, in-Charge Bushikori
Good Life Clinic
STRATEGIC PLAN 2014-2019
15
UHMG new office building
and warehouse opened
for business
Smart Choices
family planning
campaign launched
Product
facility
awarded ISO
certification
UHMG is given mandate by
AFFORD to manage own-
brand products
The Ministry of Health appoints
UHMG alternative distributor of
family planning and reproductive
health commodities in Uganda
Elimination of
Mother to Child
Transmission of
HIV campaign
Ministry of Health
grants Zinkid,
UHMG’s own
brand, over-the-
counter status
joined as a social
enterprise partner
Product facility
covers own costs
for first time
Smart Choices Phase
2 campaign launched
focusing on rural areas
190GoodLifeClinics
GoodLifeclinicsreducedto80
2ndwarehouseisopened
2nd
StrategicPlanlaunched
UHMGpharmacy
distributorslaunched
UHMGisgranted‘FirstLineBuyer’status
onGlobalFundAFMmanti-malarials
Projectevaluation
AFFORDIIprojectend
MINISTRY OF HEALTH
2011 2012 2013 2014
14
Mapping
the Good
Life!AFFORD I LAUNCHED
Officiallaunch
Show launched
One Love Get off the Sexual
Network wins Gold award for radio
ads and a Bronze for TV spots at
the AFRI CANNES (Y1 of campaign)
Construction of new
main office building
commenced
The Good Life campaign is
awarded AfriComNet annual
award for excellence in strategic
HIV/AIDS communication in the
social marketing category
Product facility launches
commercial products and third
party logistics management unit
GoodLifePlatformlaunched
1st
Strategicplanlaunched
UHMGregistered
asnationalNGO
AFFORDIIlaunched
2005 2006 2008 2009 2010
UHMG Strategic Plan
2014 - 2019

Malaria Consotium
LLIN Training Manual
Malaria Control Culture Project
Training Manual For
District Trainers And
School Leaders
National Malaria Control Programme
Tororo District Health Team
Tororo District Education Team
24 25Malaria Control Culture Project – Training Manual For District Trainers And School Leaders Malaria Control Culture Project – Training Manual For District Trainers And School Leaders
Organising and Managing the
School LLIN Distribution
(Applicable to training of district trainers and school head-teachers)
Learning objectives:
By the end of the session, participants will be able to:
Describe the school based distribution process and the implementation of planned activities.
Materials:
• Notebooks and pens.
• Flip chart paper, marker and masking tape.
Instructions:
• Form a group of 6‐7 participants and answer the following questions;
- How will the trainings be conducted?
- How, when, and where will the school based distribution exercises take place?
- WhatotherIEC/BCCactivities(information,education,Communication/behaviourchangecommunication)
are planned?
- Write down your answers on a flip chart paper
- Each group member should present at least one answered question to the audience.
Please write the objectives and questions to be addressed on a flipchart. Ensure the session addresses them.
For transparency, the following information should be discussed up to the community level.
Inform the participants that the school based distribution is one of the channels of continuous distribution of LLINs.
Many activities, including procurement and transportation of the LLINs, have been done and the nets are already in
the country.
How will the trainings be conducted?
Malaria Consortium team facilitators and the district health and education team will train district/sub‐county trainers.
These will include the district health educator and malaria focal person of the district.
At sub‐county level, the district/sub‐county trainers will train school head‐teachers at their respective sub‐county
headquarters. The one (1) training will orient the school leaders on logistics and record keeping for school based
LLIN distribution, health education, focusing on the malaria messages that the head‐teacher will deliver to the class
teachers of primary one (1) and primary four (4) during orientation on LLIN distribution.
SESSION
4
OD: Introduction
Briefly explain why this training is taking place, leaving detailed discussions of the activities planned until Unit 2.
The Ministry of Health, National Malaria Control Program and its development partners are working towards reducing
malaria related maternal and infant mortality by ensuring that all children under five years, pregnant women, and
subsequently everybody own and sleep under an LLIN every night.
The Ugandan Ministry of Health in partnership with development partners like Malaria Consortium is implementing
the mass LLIN distribution across the country. The door‐to‐door mass campaign is aiming at giving (ONE) LLIN to every
(TWO) persons in a household and hanging the LLIN on their sleeping places for them. The continuous distribution of
LLIN is a complementary strategy to maintain and sustain gains made from the universal coverage campaign.
OE: Training overview
This workshop will be held for one day with the aim of training district and sub-county trainers who will, in turn,
train school head‐teachers . It is expected that at the end of the one day training program, participants will fully
understand the entire continuous distribution strategy.
The purpose of this training is to equip school teachers with skills necessary for successfully distributing Long Lasting
Insecticidal Nets (LLINs) to primary one and primary four pupils in primary day schools in Tororo district.
At the end of this training, participants will be able to:
• Sensitise and train the rest of school teachers on the MCC Project overview and the LLIN distribution model and
process in particular.
• Sensitise school pupils on how to prevent malaria.
• Present the information on the Malaria Control Culture Project to the school committee/board.
• Organise health talks about malaria and LLINs to pupils.
• Organise and manage the registration and LLIN issuing exercise as described in the SOPs (Annex 1).
• Plan and make arrangements for school LLIN issuing exercise.
• Supervise and coordinate all aspects of the school LLIN distribution process.
• Accurately fill out the different reporting formats and submit reports (Class Registration and Issuing Booklets and
the Class Summary Booklets).
SESSION
1
The Role of LLINs In Malaria
Prevention
Communication and Social
Mobilisation
SESSION
3
1. Learning objectives:
At the end of the session, participants will be able to:
Explain the benefits of using LLINs.
Describe strategies to promote and influence the correct use of LLINs among beneficiaries.
Explain ways of preventing leakage of nets.
Explain possible ways of communicating malaria information to children.
Explain social mobilization plan including community/parents involvement.
Materials:
• Notebooks and pens.
• Flip chart paper, marker and masking tape.
Instructions:
• Please request participants to individually answer the following questions in their Note‐books.
- Explain the benefits of using LLINs.
- Describe strategies to promote and influence the correct use of LLINs among beneficiaries.
- Explain possible ways of communicating malaria information to children.
- Explain social mobilization plan including community/parents involvement.
- The importance of promoting proper use of LLINs.
- Frequently asked questions about LLINs that may help provide information to support proper use.
- How to incorporate topics on malaria in school subjects.
- Mobilisation for support from parents of beneficiary pupils.
• Form a group of 6‐7 participants
• Share and Discuss your answers for the above questions
• Write them down on a flip chart paper
• Each group member should present at least one answered question to the audience
IEC/BCC activities
Daily school assembly provides a good platform to talk about key issues related to net use and should be linked to
the IEC/BCC materials that will be distributed and displayed on school compound. School lessons can be tailored to
emphasize malaria issues (e.g. Class six: integrated science syllabus – topic on the Life cycle of the mosquito etc.) to
reinforce messages and effect behaviour change.

Malaria Consotium
School LLIN Distribution Strategy
MALARIA CONTROL CULTURE PROJECT
TORORO DISTRICT, UGANDA
School LLIN Distribution Strategy
Tororo District 2014
National Malaria Control Programme
Tororo District Health Team
Tororo District Education Team
16 17Malaria Control Culture Project – School Based LLIN Distribution Strategy
SLEEPING UNDER
LLINS IS OUR WAY
OF LIFE
Innovative behavioural change communication (BCC)
is important at the district level, community level and
schools before, during and after LLINs are issued to
school pupils. BCC will aim to increase awareness about
LLIN distribution, and emphasise proper use of LLIN
every night.
BCC will target district civic, political and religious
leaders for advocacy purposes, while school pupils and
community members especially parents of school pupils
will be targeted to improve LLIN utilisation in households.
Proposed channels for BCC include: radio, interpersonal
communication by vHts, school teachers and religious
leaders. Among school pupils, health education will
be done during school assembles, weekly quizzes,
introduction before lesson commence, school clubs and
children’s calendar.
various materials, tool kits and guidelines will be used to
guide BCC among the targeted audiences. these include:
• Messages on malaria for schools (including clubs)
• IeC materials for teachers on school LLINs
• guide for teachers on how to provide health
education to school pupils on malaria
• Leaflets for LLIN issued
• religious leaders factsheets/orientation materials
• village Health team (vHt) Community dialogue too
kit
4
4. Mobilisation and
Behaviour Change
Communication
Primary one pupils of Namwanga Primary School
assembled in class to receive LLINs
SLEEPING UNDER
LLINS IS OUR WAY
OF LIFE
1.Introduction
1
In August 2014, Uganda celebrated an historic milestone in its
fight against malaria by achieving universal LLIN coverage of
its 41 million citizens, owing to multi-donor sponsored efforts
led by Ministry of Health (MoH) and Malaria Consortium, with
funding from Presidential Malaria Initiative/USAID, DFID and
the global Fund. While this has provided an unprecedented
opportunity for malaria control in Uganda, it is important to
ensure sustained high coverage of LLINs through continuous
distribution channels to sustain these fragile gains. the
malaria control culture project is exploring combination of
channels to maintain the recently achieved high net coverage
levels. two models are being used: Ante Natal Care (ANC)
clinics at health facilities that have been widely used, and
schools that have been piloted in Nigeria, ghana and tanzania.
Schools are already organised with targeted beneficiaries
(primary one and primary four pupils) registered, and
their school attendance predictable. Schools also have
existing structures and personnel (teachers) on which
LLIN distribution can leverage on. Children constitute
about 57% of the general population. Formative research
done in tororo district also showed that school going
children also serve as channels for health education in
causing significant change in health practises. A typical
example if hand washing campaigns that promoted use
of hand washing facilities placed near toilets and latrines.
this document (school LLIN distribution guidelines)
serves as a guide to steer the implementation of the
school based LLIN distribution through primary school.
the guide was developed in reference to literature of
materials used in school distribution in tanzania, Nigeria
and guide. Insights from tororo district formative research
and school based LLIN distribution experience were also
incorporated. the guide consists of sections outlining
how the various steps in the distribution process will
be conducted. these include: the objectives, rationale,
distribution process, supervision, and monitoring and
evaluation sections.
School LLIN supervisors
verifying distribution data
and compiling reports
at Yona Okoth Primary
School
SLEEPING UNDER
LLINS IS OUR WAY
OF LIFE
5
5. Coordination and
Supervision
LIN distribution will be done by the district education
office and health team with technical assistance MOH
and Malaria Consortium.
roles and responsibilities of key persons are outlined
below:
Ministry of Health (MoH)
• Provide technical oversight and supervise school
based LLIN distribution
• review and approve distribution training materials
and reporting tools
• Manage monitoring, evaluation and quality
assurance of the entire distribution process
District and sub-county supervisors:
• Oversee registration of target beneficiaries.
• Verify LLINs received in school stores 1 day prior to
issuing.
• supervise LLIN issuing to school pupils.
• Collect registration forms.
• Collect school distribution reports.
• Make sure LLINs delivered to schools tally with those
distributed and balanced
• Arrange for balances of LLINs to be returned and
signed for at district stores
• Work with teachers to complete and authenticate
reports with signatures of designated persons
• Arrange for delivery of all wastes to district stores
School head teachers:
• Quantify and register project beneficiaries.
• Attend training for head teachers of school LLIN
distribution.
• Orient relevant staff in the school who will be
engaged in issuing LLIN to school pupils.
• Identify storage space for LLIN in the school.
• Plan and execute health education.
• Coordinate issuing LLIN to school pupils in respective
schools.
Primary one and primary four class teachers:
• Provide health education to school pupils on malaria.
• Issue LLINs to school pupils.
• ensure children receiving LLINs sign their names on
the registration form.
• Prepare and authenticate report
Malaria Control Culture project staff:
• Overall coordination of the project.
• Oversee all trainings: identify trainers and training
materials.
• Coordinate logistical support for field work:
transport, storage for LLIN at the district, data/
registration forms, technical guidelines, financial
support.
• Manage monitoring, evaluation and quality
assurance of the distribution process
A pupil at a primary
school signs with a
thumbprint for the LLIN
she received.

PEACE III
ObjECtIvEs:
#1 strengthened Local Cross-
border Management
Increased openness of communities to social
reconciliation
We will work towards social reconciliation by building
understandingof conflictdrivers and positively working
with communities to redirect emotions, practices
and ideas from those of conflict to those of peace.
PEACE III will support key actors such as local leaders,
women and youth in the targeted cross-border cluster
areas to deepen and broaden transformative social
reconciliation processes. Our program will emphasize
on trauma healing, cultural practices adaptation and
peace dividends to increase reconciliation.
Mobilizing community peace building capacities
Peace III will employ a strength-based Appreciative
Inquiry approach to engage whole communities,
nurture local leadership and support effective local responses,
ultimately creating sustainable and dense community-led
peace networks.
Partnerships of local governments with their cross-border
counterparts and communities in conflict management
Our experience across the Horn of Africa has shown that
local government actors can play a role in both perpetuating
conflict and creating peace. Local government serves as
an important intermediary between community needs and
national government responses to conflict. In order to
promote more effective conflict management, PEACE III will
involve a wide range of local government representatives to
foster collaborative relationships with their communities and
with their counterparts across the borders.
Capacity of Horn of Africa NGO Partners to support local
cross-border conflict management increased
In order to ensure a sustainable program that is grounded
in local context, two types of local partners (sub-grantees);
established NGOs and community based organisations will
implement at national / cluster level and at the grass-roots level
respectively.
#2 Responsiveness of Regional and
National Institutions to Cross-border
Conflict Improved
strengthening targeted management systems in CEWARN
network institutions
The IGAD Conflict Early Warning and Response Mechanism
(CEWARN) has emerged as a leading regional actor in conflict
managementoverthelast11yearswithsupportfromnumerous
actors and efforts, including PEACE II. We will provide a wide
range of technical support to better managing conflict in Horn
of Africa.
supporting targeted initiatives to achieve CEWARN strategic
framework objectives
ToachievetheCEWARNstrategicframeworkobjectives,PEACE
III will provide targeted Short Term Technical Assistance (STTA)
to targeted initiatives advance to advance policy responses.
These responses will not only respond to conflict, but also
prevent the reoccurrence of underlying causes of cross-border
conflict.
PEACE III Model of Change
strengthening Cross-border
Conflict Management in the
Horn of Africa
PEACE III
CONtACt
David Gatare | Karamoja Cluster Program Director
dgatare@ug.mercycorps.org
Adan Haji | Deputy Chief of Party
ahaji@pactworld.org
National CEWERUs
Result 3
Community
Networks and
CBDs
Result 2 Local
Gov’t
Management
System
Local Level
CEWARN
Conflict
Management
System
Horizontal Linkages - More People
Result 1
Conflict affected cross-border communities
IGAD
CEWARN
Secretariat
VerticalLinkages-KeyPeople
Objective 1
Objective 2Result4
Supporting
NGOs
Higher Level
CEWARN Conflict
Management
System
RAIN
SECTOR STRATEGIES
TILLAGE
Well-prepared fields
Improve access to animal traction and
mechanical tillage
AGRO-PROCESSING
Adding value
Facilitating access to technology by networking
suppliers, financial institutions and buyers.
INPUTS
Higher yields
Increase access to high quality inputs through
improved business models, local agent networks
and embedded services
CONTRACT FARMING
Reduce risk
Guarantee markets by empowering farmers to
produce better quality products and buyers to
competitive prices.
OUTPUTS
Improved access to commodity markets
Increased access to info, reduced transaction
costs through aggregator agent model, value
chain financing
CROSS-BORDER TRADE
New markets
Partner with government and business to
overcome barriers to market access in South
Sudan.
POST-HARVEST
HANDLING
Quality produce
Reducing post-harvest losses by educating farmers
on best practice and improving storage facilities.
FINANCIAL ACCESS
Savings & loans
Improve access to financial services through
better outreaches, establishing local branches
and tailored products.
RAIN’s sector-based approach has seen a dramatic transformation of the market system to a more inclusive network of actors.
Melaku Yirga | Director of Programs myirga@ug.mercycorps.orgCONTACT:
ROLES OF OUR PARTNERS:
· Banks: For provision of loans, savings accounts,
remittances, value chain payments, bill pay &
insurance
· Mobile Network Operators: Infrastructure for
mobile network coverage, mobile wallets, agent
networks, hosting information, sending SMS’s
· Channels to Small Holder Farmers: Distribution
channel for accessing and acquiring farmers
· Rural advisory service providers: Development and
dissemination of information that is accessed by
farmers
· Platform hosting and Management: Software
vendors that build systems to manage customers
and information
HOW WE HELP
· Providing demand-driven bundled financial and rural
advisory services via mobile phones are elaborated and
made available;
· Supporting in establishing sustainable and scalable
business models that work;
· Introducing a platform for smallholder farmers to have
sustainable access and make accurate use of financial and
rural advisory services;
· Ensuring knowledge of models, services and products are
captured and shared for dissemination and replication.
CONTACT
Carol Kakooza |Agri-Fin Mobile Program Director
ckakooza@ug.mercycorps.org
WHERE WE WORK
Driven by an
MNO through the
development of an
in house range of
products suitable
to the need of the
farmers
Centered on a
third party platform
provider that allows
for the integration of
additional services
essential to small
holder farmers
Working through a 3rd party
platform Host Company that
reaches small holder farmers
through a social network with
additional layered services
The value of the pastoral
livestock and meat trade for
the Horn of Africa in 2010 was
estimated at approaching
$ US1 billion, and this is
expected to increase with
expanding export markets
and a growing and increasingly
affluent urban population
(Catley et al, 2013)21.
In Uganda alone, it has been
estimated that 8.5 % of total
GDP comes from pastoralist
and small holder livestock
producers
(Muhureza and Ossiya, 2004).
NORTHE
GROWTH
GOVERNA
CONTACT
Sean Granville-Ross | Country Director
sross@ug.mercycorps.org
FUNDING AND PROGRAM SUPPORT
GHG is Funded by USAID (United States Agency for
International Development) Bureau of Democracy,
Conflict and Humanitarian Assistance Office of
Food for Peace. The five year (19 July 2012 to 18 July
2017) GHG program is implemented by consortium
of local and international NGOs and a research
institution. The consortium, lead by Mercy Corps,
consists of the following expertise: World Vision,
Feinstein International Centre, Karamoja Peace
for Development Agency (KAPDA) and AWOTID-
Uganda).
The program works with local governments,
businesses, private sector governance bodies,
traditional authority structures, community-based
groups, and a broad range of other actors.
ARN strategic
ectives,PEACE
sistance (STTA)
licy responses.
nflict, but also
of cross-border
strengthening Cross-border
Conflict Management in the
Horn of Africa
PEACE III
m Director
al
nt
Local Level
CEWARN
Conflict
Management
System
e
unities
Objective 1
Objective 2
Higher Level
CEWARN Conflict
Management
System
RAIN
HARVEST
LING
oduce
ost-harvest losses by educating farmers
ctice and improving storage facilities.
NANCIAL ACCESS
ings & loans
ove access to financial services through
er outreaches, establishing local branches
tailored products.
ROLES OF OUR PARTNERS:
· Banks: For provision of loans, savings accounts,
remittances, value chain payments, bill pay &
insurance
· Mobile Network Operators: Infrastructure for
mobile network coverage, mobile wallets, agent
networks, hosting information, sending SMS’s
· Channels to Small Holder Farmers: Distribution
channel for accessing and acquiring farmers
· Rural advisory service providers: Development and
dissemination of information that is accessed by
farmers
· Platform hosting and Management: Software
vendors that build systems to manage customers
and information
HOW WE HELP
· Providing demand-driven bundled financial and rural
advisory services via mobile phones are elaborated and
made available;
· Supporting in establishing sustainable and scalable
business models that work;
· Introducing a platform for smallholder farmers to have
sustainable access and make accurate use of financial and
rural advisory services;
· Ensuring knowledge of models, services and products are
captured and shared for dissemination and replication.
CONTACT
Carol Kakooza |Agri-Fin Mobile Program Director
ckakooza@ug.mercycorps.org
WHERE WE WORK
Driven by an MNO
through the
development of an
in house range of
products suitable
to the need of the
farmers
Working through a 3rd party
Centered on a third
party platform
for the integration
of additional
services essential
to small holder
farmers
Driven by an
MNO through the
development of an
in house range of
products suitable
to the need of the
farmers
Centered on a
third party platform
for the integration of
additional services
essential to small
holder farmers
Working through a third party
The value of the pastoral
livestock and meat trade for
the Horn of Africa in 2010 was
estimated at approaching
$ US1 billion, and this is
expected to increase with
expanding export markets
and a growing and increasingly
affluent urban population
(Catley et al, 2013)21.
In Uganda alone, it has been
estimated that 8.5 % of total
GDP comes from pastoralist
and small holder livestock
producers
(Muhureza and Ossiya, 2004).
NORTHERN KARAMOJA
GROWTH, HEALTH, AND
GOVERNANCE PROGRAM
CONTACT
Sean Granville-Ross | Country Director
sross@ug.mercycorps.org
FUNDING AND PROGRAM SUPPORT
GHG is Funded by USAID (United States Agency for
International Development) Bureau of Democracy,
Conflict and Humanitarian Assistance Office of
Food for Peace. The five year (19 July 2012 to 18 July
2017) GHG program is implemented by consortium
of local and international NGOs and a research
institution. The consortium, lead by Mercy Corps,
consists of the following expertise: World Vision,
Feinstein International Centre, Karamoja Peace
for Development Agency (KAPDA) and AWOTID-
Uganda).
The program works with local governments,
businesses, private sector governance bodies,
traditional authority structures, community-based
groups, and a broad range of other actors.

Posters
Strengthen malaria
diagnosis at health
facilities to reduce
presumptive
treatment of malaria
through training of
health workers on:
• use of RDTs
• management
of non -
malaria
fever
Implement a supportive & integratedCommunity Mobilisation &
Behaviour Change
Communication Campaign and
Advocacy activities:
• through grass root leadership
(VHTs),
• radio campaigns
• school teachers & clubs
• engaging district and
national
leadership
Develop a model of continuousdistribution of LLINs:
• Primary schools and
• Ante Natal Care (ANC)
Strengthen the private market for LLINsto serve as an alternative channel for netreplacement:
• Skills enhancement on marketing for privateLLIN distributors
• Strategy to strengthen district and centralgovernment support for private sector
Malaria
control
Malaria
control
Fostering a Malaria
Control Culture to
Reduce Malaria
Morbidity and
Mortality in Tororo
District
M&E of the project and
operational research aiming
at informing how to improve
uptake of Inj AS in Uganda,
Ethiopia and Nigeria
Price negotiation and
shipping commodities
into the beneficiary
countries
Price
negotiations
and procuring
commodities
In country supply chain
management of commodities
and training of health workers
on the use of inj AS in
treatment of severe
malaria
severe malariaImproving
outcomessevere malariaImproving
outcomes
reducing severe malaria
case fatality rate by improved
access and use of inj as
reducing severe malaria
case fatality rate by improved
access and use of inj as
AndroidappMpneum
o
nia
PHONEOXIMETER
FingerpulseOximeter
Javaapp
Solar-powered
f
ingerpulseoximeter
A
ndroidappMpneumonia
Javaapp
HANDH
ELDPULSEOXIMETERCOUNTINGBEADS
Acc
eleromet
AndroidappMpne
umonia
BRE
ATHINGSOUND
Noss
aloximeter
??????
Community health workers are trained to diagnose and treat malaria,
pneumonia and diahorrea in young children. Current tools used to
diagnose pneumonia: UNICEF timer or counting beads, but counting
respiratory rate is
challenging for
community health
workers. Besides, pulse
oximeters, used to
identify hypoxemia
(low blood oxygen
levels), a predictor of
pneumonia severity
and death, are rarely
available at low level
health facilities.
• Mobile phone applications
• New electronic devices (timers, pulse oximeters)
However, a limited number of the devices have been
evaluated in small, often statistically underpowered
studies and no comprehensive comparison of the
clinical performance, usability and acceptability of
these devices in endemic settings.
Clinical evaluation of these new technologies and
compare them with the UNICEF timer.
• Review all existing applications, tools and devices
• Identify the most promising ones for field testing
• Establish the accuracy of the selected ones when
used by community health workers and first level
health facility workers
• Explore the acceptability and usability of the selected
device by caregivers and health workers
THE PROBLEM
THE Goal
POTENTIAL
SOLUTIONS are
being DEVELOPED
WHAT THE
PROJECT WILL DO
Misclassification
ofthe observed rate
wrong diagnosis inappropriate treatment
Use of improved tools for
measuring respiratory rate
and oxygen saturation among
community health workers in
Sub-saharan africa and South
East Asia
PNUEMONIA
DIAGNOSTICS
To identify the most accurate, acceptable, scalable and user friendly
respiratory rate timers and pulse oximeters for diagnosis of
pneumonia symptoms by community health workers and first level
health facility workers.
user
friendly Accurate
acceptablescalable
Malaria Consortium
CEO PRESENTATION - 2014

MY WORK-BK

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