Comprehensive Multi-year Plan - Universal Immunization Program -
In India Universal Immunization Program - (UIP) is bring forward by the Government, UIP ( Universal Immunization Program) in India is among the most successful vaccination program and cost-effective public health interventions.
Routine Immunization Program in India, Immunization Technical Support, routine immunization services in India, Ministry of Health and Family Welfare, Adverse Event Following Immunization Secretariat, Vaccine logistics and supply chain,Universal Immunization Program in India
Comprehensive Multi-year Plan - Universal Immunization Program -
In India Universal Immunization Program - (UIP) is bring forward by the Government, UIP ( Universal Immunization Program) in India is among the most successful vaccination program and cost-effective public health interventions.
Routine Immunization Program in India, Immunization Technical Support, routine immunization services in India, Ministry of Health and Family Welfare, Adverse Event Following Immunization Secretariat, Vaccine logistics and supply chain,Universal Immunization Program in India
Research & Analysis Report for Elderly and Health-related InformationCHEN DI
Design problem statement: What is the best way for delivering health-related information accurately to the elderly? In order To have a better understand target demographic, Hong Kong elderly people. Three research methodologies are used in this research process; those are survey, interview and task analysis. After collecting qualitative and quantitative data, we analyze, categorize and find patterns of information obtained .insights are generated according to the analysis and remarks to provide support and help for design.
Behavior of consumers using digital media to research about food products, discussing their perceptions, purchase behavior, brand awareness and brand loyalty
The products of natural origin are the source and root of modern medicine and serve as the basis of curing many infirmities as effective home remedies.
In this decade, natural nutrients have taken on unusual impetus for having been proven day-by-day that they are the answer for healing that is sound , economical and without the many side effects that many other synthetic medications usually have.
The most recent investigations have demonstrated that vitamins , minerals, healing plants, bee products, polyunsaturated fatty acids and other natural products ,taken in adequate dosage , produce optimal health and avoid most illness , help strengthen the body’s defenses (immune system ), and at the same time fight diseases in a direct and effective manner.
CITY OF CHICAGO Office of Inspector General Audit and Program Review Section ...Daniel X. O'Neil
The City of Chicago Office of Inspector General (OIG) is an independent, nonpartisan oversight agency whose mission is to promote economy, efficiency, effectiveness, and integrity in the administration of programs and operation of City government.
The OIG Audit and Program Review (APR) section supports the OIG mission by conducting independent, objective analysis and evaluation of municipal programs and operations, issuing public reports, and making recommendations to strengthen and improve the delivery of public services.
APR audits of Chicago municipal programs and operations are conducted as performance audits in accordance with generally accepted Government Auditing Standards (GAS or “Yellow Book,” December 2011 revision) established by the United States Government Accountability Office. GAS defines “performance audits” as “audits that provide findings or conclusions based on an evaluation of sufficient, appropriate evidence against criteria” (GAS 2.10). In addition to performance audits, APR may also generate non-audit work such as descriptions of programs or other non-evaluative reports.
APR’s role is separate from but complementary to the OIG Investigations section. While Investigations primarily examines allegations of individual misconduct or wrongdoing, APR focuses on the effectiveness and efficiency of programs and processes—not individuals. APR is also distinct from the OIG Hiring Oversight unit, which performs legally mandated audits and reviews of the City’s hiring and employment practices to ensure compliance with the various City hiring Plans.
Research & Analysis Report for Elderly and Health-related InformationCHEN DI
Design problem statement: What is the best way for delivering health-related information accurately to the elderly? In order To have a better understand target demographic, Hong Kong elderly people. Three research methodologies are used in this research process; those are survey, interview and task analysis. After collecting qualitative and quantitative data, we analyze, categorize and find patterns of information obtained .insights are generated according to the analysis and remarks to provide support and help for design.
Behavior of consumers using digital media to research about food products, discussing their perceptions, purchase behavior, brand awareness and brand loyalty
The products of natural origin are the source and root of modern medicine and serve as the basis of curing many infirmities as effective home remedies.
In this decade, natural nutrients have taken on unusual impetus for having been proven day-by-day that they are the answer for healing that is sound , economical and without the many side effects that many other synthetic medications usually have.
The most recent investigations have demonstrated that vitamins , minerals, healing plants, bee products, polyunsaturated fatty acids and other natural products ,taken in adequate dosage , produce optimal health and avoid most illness , help strengthen the body’s defenses (immune system ), and at the same time fight diseases in a direct and effective manner.
CITY OF CHICAGO Office of Inspector General Audit and Program Review Section ...Daniel X. O'Neil
The City of Chicago Office of Inspector General (OIG) is an independent, nonpartisan oversight agency whose mission is to promote economy, efficiency, effectiveness, and integrity in the administration of programs and operation of City government.
The OIG Audit and Program Review (APR) section supports the OIG mission by conducting independent, objective analysis and evaluation of municipal programs and operations, issuing public reports, and making recommendations to strengthen and improve the delivery of public services.
APR audits of Chicago municipal programs and operations are conducted as performance audits in accordance with generally accepted Government Auditing Standards (GAS or “Yellow Book,” December 2011 revision) established by the United States Government Accountability Office. GAS defines “performance audits” as “audits that provide findings or conclusions based on an evaluation of sufficient, appropriate evidence against criteria” (GAS 2.10). In addition to performance audits, APR may also generate non-audit work such as descriptions of programs or other non-evaluative reports.
APR’s role is separate from but complementary to the OIG Investigations section. While Investigations primarily examines allegations of individual misconduct or wrongdoing, APR focuses on the effectiveness and efficiency of programs and processes—not individuals. APR is also distinct from the OIG Hiring Oversight unit, which performs legally mandated audits and reviews of the City’s hiring and employment practices to ensure compliance with the various City hiring Plans.
Open source reduces development costs, frees internal developers to work on higher-order tasks, and accelerates time to market. Quite simply, open source is the way applications are developed today. Mike Pittenger addresses security in the age of open source in this presentation.
You need to establish clear operational and security processes around your app and container usage. Join this session to see how enterprise IT can use accelerate business agility, implement DevOps processes, and achieve greater security and control.
Discussing the primary reasons organizations are doing audits today. We take a look at what's involved in the audit process, what type of reports you can expect to receive, and possible next steps.Presented January 2016 at the Open source compliance seminar hosted Brooks Kushman and Rogue Wave Software.
Serving Up Justice: How to Design an Emergency Feeding Program and Build Community Food Security
`
For more information, Please see websites below:
`
Organic Edible Schoolyards & Gardening with Children
http://scribd.com/doc/239851214
`
Double Food Production from your School Garden with Organic Tech
http://scribd.com/doc/239851079
`
Free School Gardening Art Posters
http://scribd.com/doc/239851159`
`
Increase Food Production with Companion Planting in your School Garden
http://scribd.com/doc/239851159
`
Healthy Foods Dramatically Improves Student Academic Success
http://scribd.com/doc/239851348
`
City Chickens for your Organic School Garden
http://scribd.com/doc/239850440
`
Simple Square Foot Gardening for Schools - Teacher Guide
http://scribd.com/doc/239851110
Serving Up Food Justice at School: How to Design an Emergency Feeding Program and Build Community Food Security
`
For more information, Please see websites below:
`
Organic Edible Schoolyards & Gardening with Children
http://scribd.com/doc/239851214
`
Double Food Production from your School Garden with Organic Tech
http://scribd.com/doc/239851079
`
Free School Gardening Art Posters
http://scribd.com/doc/239851159`
`
Companion Planting Increases Food Production from School Gardens
http://scribd.com/doc/239851159
`
Healthy Foods Dramatically Improves Student Academic Success
http://scribd.com/doc/239851348
`
City Chickens for your Organic School Garden
http://scribd.com/doc/239850440
`
Simple Square Foot Gardening for Schools - Teacher Guide
http://scribd.com/doc/239851110
Day Stay Program - Research and Evaluation - Tweddle Child and Family Health ...Tweddle Australia
A recent Monash University Jean Hailes Research Unit study into the Tweddle Day Stay Program examined the health, social circumstances and presenting needs of 115 clients attending the Tweddle Day stay Program. The study looked at parents with infants under 12 months old and assessed the parent mental health and infant behaviour outcomes and factors associated with program success. Results revealed that Day Stay participants’ mental health and their infants’ behaviours were significantly improved after their admission.
Recent Victorian State Government policy and legislative changes are intended to promote earlier intervention for vulnerable families and children. Tweddle’s Day Stay programs, which operate across 5 western locations across Victoria, have a focus on infant health and development and the promotion of parent-infant emotional attachment. The study, conducted by Heather Rowe, Sonia Mccallum, Minh Thi H Le and Renzo Vittorino concluded that the Day Stay Program offered important benefits for the prevention of more serious family problems and consequent health care cost savings
We work in Health, Safety and Environment training engineering and animation. The content of the training plan or training course is determined by the objectives and the repository to which the company is subject: HSE standard or reference to a contractor.
Fields workers, all our instructors speak at least two languages. Some modules can be accessed online.
Sanitation Personnel. Capacity Development Strategy.Oswar Mungkasa
Final Report of the Sanitation Training and Capacity Study. Prepared by PT. Qipra Galang Kualita in cooperation with Water Supply and Sanitation Policy and Action Planning (WASPOLA) Facility
THE DIGITAL TURN. Pathways for higher education in the digital age.
ABOUT THIS REPORT
This summary report presents key statements,
findings and recommendations by Hochschulforum Digitalisierung (German Forum for Higher Education in the Digital Age, abbreviated
HFD) with regard to shaping forward-looking
higher education for the digital age in Germany.
This condensed version of the report is geared
first and foremost towards readers with limited
time and above all to representatives of higher
education institution administrations and policymakers who have a key role in the strategic
development of the digital turn at German
higher education institutions (HEIs). The basis of
and background to the analyses and recommendations can be found in the full-length version of the report. It illustrates and documents
the findings of a three-year project involving
the work of over 70 experts who examined the
opportunities and challenges of digitalisation in
six expert groups.
Similar to UNFPA End of project report -FINAL (20)
3. 3END OF PROJECT REPORT 2015
PROJECT OVERVIEW
Uganda’s population, estimated at 34.9 million1
is one of the
fastest growing in the world. The average Ugandan woman
gives birth to 6.2 children. Uganda’s total fertility, maternal
mortality, and teenage pregnancy rates remain among the
highest in sub-Saharan Africa. More than one million Ugandans
are born every year, increasing pressure on the country’s health
system.
Despite improvements made in increasing support for family
planning, improving access for family planning and scaling up
family planning (FP) services, only 26% of women use a modern
family planning method and an estimated 34% 2
of women of
reproductive age have an unmet need for FP.
The United Nations Population Fund (UNFPA) under its 7th
country program supports Jhpiego to increase Uganda’s
nationalcapacitytostrengthenenablingenvironments,increase
demand for and supply of modern contraceptives, and improve
quality family planning services that are free of coercion,
discrimination, and violence. Postpartum family planning has
been positioned as a key intervention in lowering fertility and
mortality rates. The Government of Uganda/UNFPA Country
Programme Action Plan (2010 – 2014) sought to address the
mounting challenges of rapid population growth. Specifically,
efforts were focused on strengthening midwifery training and
service delivery systems for skilled attendance.
1 UBOS National Housing and Population Census, 2014
2 Uganda Costed Implementation plan 2015
UNFPA’s commitment to support and strengthen institutional
development and capacities of FP providers in Uganda is
reflected in the “Capacity building for family planning providers
withanemphasisontheimmediatepostpartumperiodproject”,
ajointeffortwiththeMinistryofHealthandJhpiego.Theproject
was implemented in partnership with 18 midwifery training
institutions, and district health offices in 15 target districts over
an 18 months period. The project sought to increase access
to and utilization of long-acting reversible contraceptives
(LARCs), introduce and promote uptake of PPFP, and prepare
participating facilities to ably provide FP services.
This project sought to ensure that health workers have the
right knowledge and skills and that facilities have the essential
equipment to provide FP services, and that district support
supervision teams have the skills to monitor and support trained
staff as well as the necessary tools to facilitate peer learning
and practice at all facilities. Additionally, the project focused
on sustainability, through training tutors in 18 midwifery
institutions, so that graduating students can join work places
with these newly introduced skills.
Initial data suggests that the interventions implemented in this
project are improving access to LARCs for Ugandan women. In
order to improve access to FP and scale up FP planning services,
continued comprehensive interventions that support current
and future health care providers and the systems in which they
work will be required.
4. 4 END OF PROJECT REPORT 2015
Project deliverables
Strengthen the capacity of the 15 districts to provide quality
and timely PPFP services to the population.
Health workers and midwifery graduates will possess
improved knowledge and skills in modern family planning
methods.
Project Approaches
Training providers from the ANC and delivery units in
PPIUD.
Training providers that were from the existing FP units in
Implants and Interval IUDs.
Pre-service approach that targeted midwifery teachers,
tutors, preceptors and clinical training sites.
80,190COUPLE YEARS OF PROTECTION
Geographic Location
15 districts across Uganda:
Mubende (Central Region)
Katakwi (Eastern Region)
Abim, Amudat, Nakapiripirit, Moroto, Kotido and Kaabong
(Karamoja Region)
Oyam, Gulu and Kitgum (Northern Region)
Bundibugyo and Kanungu (Western Region)
Arua and Yumbe (West Nile Region)
THOUSAND
160 Health
Facilities reached
15 districts
5. 5END OF PROJECT REPORT 2015
MUBENDE
YUMBE
ARUA
OYAM
GULU
KATAKWI
KAABONG
MOROTO
NAKAPIRIPIRIT
ABIM
KOTIDO
KITGUM
AMUDAT
BUNDIBUGYO
KANUNGU
REPUBLIC OF SOUTH SUDAN
KENYA
TANZANIA
DEMOCRATIC REPUBLIC OF CONGO
N
S
EW
7. 7END OF PROJECT REPORT 2015
CPR Contraceptive Prevalence Rate
CYP Couple Years of Protection
FP Family Planning
LARC Long Acting and Reversible Contraceptives
MER Monitoring Evaluation and Research
MMR Maternal Mortality Ratio
MOH Ministry of Health
PPFP Postpartum Family Planning
PPIUD Postpartum Intrauterine Device
TFR Total Fertility Rate
UNFPA United Nations Population Fund
USAID United States Aid for International
Development
VHT Village Health Team
ACRONYMS
8.
9. 9END OF PROJECT REPORT 2015
STRENGTHENING HEALTH SYSTEMS
The project directed efforts to provide technical assistance to build capacities of key systems and strengthened local health
institutions in a number of areas.
Trainee in Kodonyo HC II, Moroto district demonstrating Interval IUD insertion.
Scaling-up Access to LARCs
Jhpiego’ s training targeted health workers from 14 hospitals,
17 health centers IVs, 83 health center IIIs, 46 health center
IIs as well as students in pre-service training at 18 midwifery
institutions. Jhpiego used three approaches, targeting different
categories of health providers:
1. The postpartum family planning approach focuses on
health workers working in obstetric and gynecology units
providing antenatal care, labor and delivery services and
postpartum care. Special emphasis was placed on the
Postpartum Interuterine Contraceptive Device (PPIUD).
2. The combined implant and interval intrauterine
contraceptive device (IUD) approach targeted providers
from existing family planning units who were already
competent in counseling and provision of short-acting
contraceptives.
3. The pre-service approach focused on midwifery teachers,
tutors, preceptors and clinical training sites.
10. 10 END OF PROJECT REPORT 2015
Enhancing skills for in-service health providers
“I have greatly benefited from the PPIUD trainings
and my confidence in carrying out IUD insertions has
increased. My colleagues and I have trained other
midwives and nurses from Gulu, Kitgum and Oyam
districts. This year alone I have been able to convince
over 35 mothers to use the PPIUD family planning
method.”
Amwine Margaret, Ngai Health Centre III, Oyam
Jhpiego empowers frontline
health workers by designing
and implementing effective
low cost hands-on solutions
that strengthen health care
delivery services.
Training health workers currently providing antenatal care,
labor and delivery services, and family planning units was one
key aim of this project. During the year, these workers were
trained in LARCs and PPFP with special emphasis on PPIUD
using humanistic models and by gaining supervised practical
experience in their workplaces to ensure that they could
perform the procedures not only in a classroom, but at their
work stations; where they would be serving clients.
Continuous skills development among the health care providers
is necessary to equip them with the relevant knowledge and
skills to ensure that desired competencies are achieved for
them to offer quality PPFP services. In order to motivate
health workers to use their updated and new skills, recognition
ceremonies were held for district trainers and providers to
publicly acknowledge those that excelled in performance and
built support for family planning across the 15 target districts.
Jhpiego Country Director Emily Katarikawe recognizing health workers in
Katakwi district.
12. 12 END OF PROJECT REPORT 2015
Jhpiego targeted midwifery teachers, tutors, preceptors and clinical
training sites. The training sites identified were used for both in-service
and pre-service trainings. Additionally, trainees were followed up with
support supervision to ensure that knowledge and skills acquired were
adequately applied. Before graduation, midwifery students undergo
clinical placement and are supervised by midwives who have already
been trained by Jhpiego.
Jhpiego trainees demonstrating on the PPIUD.
“Jhpiegoemploysaholisticapproach
to capacity building in a sense that it
trains the tutors at the school, the
health care providers at the health
centers and goes on to provide us
with equipment and models that
enable us to give practical lessons
to our students. Initially we were
only taught about family planning
in theory and our students only
practiced what was taught when
they went into the field. We can now
offer practical lessons at schools and
all midwifery students are required
to do a placement in the surrounding
health center IIIs and IVs before
graduation. This reinforces their
training and confidence at offering
family planning services.”
Tumwesigye Richard, Tutor, Nyakibale School of
Nursing, Rukungiri
Integrating new skills
13. 13END OF PROJECT REPORT 2015
“Our partnership with Jhpiego and UNFPA has
been fundamental in ensuring an increase of highly
skilled health workers offering family planning
services. Our hope at the ministry is that this
capacity building program is scaled up to all referral
hospitals and health centers country-wide, so that
we have many more women accessing postpartum
family planning.”
Dr. Mihayo Placid, Family planning focal person, MOH
Introducing Postpartum family planning
The government of Uganda is dedicated to improving access to
and utilization of family planning services. The five-year National
Development Plan (2010/11–2014/15) acknowledges that
limited access to family planning (FP) services hinders overall
development of society in general and women in particular. One
of the goals outlined in the plan is to reduce unmet need for
family planning by ensuring access to family planning services,
especially in rural areas. Jhpiego shares this goal and through
this project sought to bring contraceptive methods and other
essential FP services closer to the women who need them with
particular emphasis on the postpartum period.
Postpartum family planning provides an especially powerful
platform for re-positioning FP as a key approach to lowering
fertility and mortality. While this project enhanced providers’
skills in all long-acting reversible contraceptives (LARCs),
including traditional methods such as implants and interval
IUDs, it also introduced the Postpartum IUD (PPIUD) to Uganda.
PPIUDsareinsertedwithin0-48hoursafterawomangivesbirth.
They are cost effective, offering up to 10 years of protection
from pregnancy, and can be inserted by a mid-level skilled
birth attendant. PPIUDs are the only postpartum FP method
for couples requesting a highly effective and reversible yet
long-acting method that can be initiated during the immediate
postpartum period in lactating women. Training health care
workers to insert the PPIUD is the first step in improving access
to this intervention.
Raising the profile of PPFP, including PPIUD, within Uganda
requires a holistic approach with multiple interventions, such
as continued provider training, administrative and political
support from supervisors, and demand creation.
A trainer demonstrating on implants insertion
14. 14 END OF PROJECT REPORT 2015
Community Referral
Demand CreationOn-job training
Mentorships
Support supervision
VHTsIn Service
Training
Pre-service training,
and inclusion for PPFP
in training curriculum
Quality Improvement
Technical Skills
Development
Data Collection (M&E)
Provision of FP
Equipment
Midwifery
Institutions
Health
Facilities
Jhpiego’s Capacity Building Framework
APPROACHES
15. 15END OF PROJECT REPORT 2015
Akwiya Consi, is a 30 year old mother of seven, married to a
polygamous husband. Over a year ago, her husband who had
been living with his second wife came home unexpectedly,
and she remembered that she had no protection whatsoever.
Knowing that her husband was against family planning, she
sneaked away from him and rushed to the health center to talk
to a nurse about available contraceptive options. Little did she
know he had followed her to see exactly why she had gone
to see the nurse. He was very upset and asked her to leave
immediately or else he would divorce her if she used any family
planning method. Distraught and feeling desperate, she went
back home and promised herself to return to the health center
after a few days which she didn’t. She discovered she was
pregnant a month later and had her 7th baby early 2015.
“During my antenatal trips at
Angaya health center III in Gulu,
the midwife advised me to try
the PPIUD family planning which
would offer me protection from
unwanted pregnancies and my
husband would not know about
it. She counseled me and as soon
as i delivered my baby, the PPIUD
was inserted. I am delighted
to say that it has not given me
any problems and as a farmer,
I am now able to work all year
round, tend to my crops and sell
my produce. I can now afford to
take care of my children better.”
MAKING THE CHOICE TO ADOPT A LONG TERM
FAMILY PLANNING METHOD AGAINST ALL ODDS.
17. 17END OF PROJECT REPORT 2015
INCREASING FUNCTIONALITY
Equipment and supplies
During the course of project implementation, most health
facilities were found to be lacking the appropriate tools and
equipmenttocarryoutthePPFPservices.Jhpeigotogetherwith
UNFPA provided equipment (PPIUDs kits, Mama Natalie and
Mama U models) to 160 health facilities so that health providers
hadtherequiredtoolstoinsertPPIUDsand18midwiferyschools
for continuous practice following the training in PPFP, in order
to build on their competences and confidence.
Additionally, Jhpiego facilitated health facilities in the targeted
districts to bridge stock-outs by tapping into alternative
distribution channels.
Director of Programs- Dr Tonny Kapsandui with Mama Natalie model
as one of the equipment distributed in Abim, a hard-to-reach district in
the Karamoja region.
“Jhpiego has been very instrumental in building capacity
of our health workers and has gone ahead to provide
the necessary tools required to provide family planning
services effectively. Initially due to limited resources,
family planning services were only available at the
regional referral hospitals and health center IVs but we
have now scaled them up to health center IIs with at
least one health care provider trained in long-acting and
reversible methods hence improving access and uptake
of these services. ” Dr. Sebudde Stephen, DHO Kanungu.
18. 18 END OF PROJECT REPORT 2015
UNFPA Mama Us and PPIUDs Kits Distribution Matrix
No. District / School Mama U
Complete
Mama U
Basic
PPIUD Total
Sch RRH Hosp HC IV HC III HC II
1 Abim 2 1 0 0 10 0 9 4 26
2 Amudat 2 1 0 0 10 0 9 4 26
3 Arua 2 1 0 0 20 12 48 2 85
4 Bundibugyo 2 1 0 0 10 8 12 0 33
5 Gulu 2 1 0 15 30 8 18 24 98
6 Kaabong 2 1 0 0 10 4 18 2 37
7 Kanungu 2 1 0 0 10 8 27 2 50
8 Katakwi 2 1 0 0 10 4 9 6 32
9 Kitgum 2 1 0 0 10 0 9 6 28
10 Kotido 2 1 0 0 0 4 18 0 25
11 Moroto 2 1 0 15 0 0 6 12 36
12 Mubende 2 1 0 15 0 8 15 0 41
13 Nakapiripirit 2 1 0 0 0 8 18 2 31
14 Oyam 2 1 0 0 0 4 9 20 36
15 Yumbe 2 1 0 0 10 4 3 16 36
16 Arua School Of Comprehensive
Nursing
2 2 10 0 0 0 0 0 14
17 Ibanda School Of Midwifery 2 2 10 0 0 0 0 0 14
18 Jinja School Of Nursing And Midwifery 2 2 10 0 0 0 0 14
19 Kabale School Of Comprehensive
Nursing
2 2 10 0 0 0 0 0 14
20 Kagando School Of Nursing And
Midwifery
2 2 10 0 0 0 0 0 14
21 Kalongo School Of Midwifery 2 2 10 0 0 0 0 0 14
22 Kamuli School Of Midwifery 2 2 10 0 0 0 0 0 14
19. 19END OF PROJECT REPORT 2015
No. District / School Mama U
Complete
Mama U
Basic
PPIUD Total
Sch RRH Hosp HC IV HC III HC II
23 Kibuli School Of Nursing And
Midwifery
2 2 10 0 0 0 0 14
24 Lacor School Of Nursing 2 2 10 0 0 0 0 0 14
25 Lira School Of Comprehensive Nursing 2 2 10 0 0 0 0 14
26 Matany School Of Nursing And
Midwifery
2 2 10 0 0 0 0 0 14
27 Mulago School Of Nursing And
Midwifery
2 2 10 0 0 0 0 0 14
28 Mulago Tutors College 2 2 10 0 0 0 0 14
29 Mutolere School Of Nursing 2 2 10 0 0 0 0 0 14
30 Public Health Nurses College 2 2 10 0 0 0 0 0 14
31 Soroti School Of Comprehensive
Nursing
2 2 10 0 0 0 0 0 14
32 Virika School Of Nursing 2 2 10 0 0 0 0 0 14
33 Nyakibale School Of Nursing And
Midwifery
2 2 10 0 0 0 0 14
Grand Total 66 51 180 45 130 72 228 100 872
755
755PPIUD kits distributed.
20. 20 END OF PROJECT REPORT 2015
Data collection
Jhpiego facilitated the development of an online reporting mechanism using SMS, to enable collection of real time data from
health facilities in the project’s target districts. An online web portal was developed through which health care staff can submit
weekly reports on FP services provided through text messages. 29 messages were received within the first month of piloting the
project. Equipment to facilitate this process is based at Jhpiego and these messages are sent on a weekly basis and will continue
to be collected after the project. In future, Plans to enable an interface with the national HMIS will be executed.
21. 21END OF PROJECT REPORT 2015
District support supervision
Jhpiego trained members of the district support supervision
team, including trainers of trainers, to mentor service providers
and conduct supportive supervision visits to ensure that
current and future health care providers attain the desired
competencies that ultimately improve access to and utilization
of PPFP services.
To ensure mainstreaming PPFP in district health plans Jhpiego
trained district leaders in order for them to appreciate PPFP as a
new service that could improve the lives of women and families.
Support from district leadership is necessary to ensure that
PPFP supplies are included in supply requests from the National
Medical Stores (NMS), are included in district and national data
collections, and that services are monitored during support
supervision visits to facilities.
.
Health provider demonstrating Implant insertion at a mentorship workshop in
Kotido district.
160 Health Facilities reached
15 districts
4 Regional Referral Hospitals,
10 Hospitals, 17 HC IVs,
83 HC IIIs and 46 HC IIs
“My first encounter with Jhpiego’s clinical training on
PPIUD was last year and it has been very good for me
and my colleagues. We have gone on to mentor other
providers in health centers in Arua and constantly
supervise them to ensure they are providing these
services effectively. We hope that next time we can target
VHTs in order to reach more women in communities who
are not able to come to the health centers.” Jane Angucia,
Nursing officer, Arua Regional Referral Hospital (DToT)
23. 23END OF PROJECT REPORT 2015
AWARENESS AND DEMAND CREATION
Training of VHTs
Over the last year, Jhpiego strengthened systems in order to
link family planning services with consumer demand. We are
aware that even with well-trained providers, a lack of informed
client demand for PPIUD can undermine a PPIUD program. To
this end, Jhpiego trained VHTs, composed of two women and
two men from each project district, to provide information on
PPIUD and linkage services and to encourage male involvement
in family planning decisions.
158 VHTs trained in PPFP
Advocacy and linking to
service delivery points!
24. 24 END OF PROJECT REPORT 2015
Provision of Job Aids
and Tools
In addition to training health care
providers, Jhpiego supplies them with
job aids and other informational and
educational resources to support service
provision and assist with counseling
women and their partners on PPIUD.
These resources include: The Postpartum
Intrauterine Contraceptive Device (PPIUD)
Services: A reference Manual for Providers
(Jhpiego 2010); Performance standards for
establishing and managing PPIUD clinical
services (included in the manual); PPIUD
insertion kits and Copper T 380A IUDs
in sterile packages as well as anatomic
models (Mama U) for practicing PPIUD
insertion.
27. 27END OF PROJECT REPORT 2015
IMPACT
During the course of the project, Jhpiego’s training targeted health workers from 18 hospitals and 20 level-four health centers, as
well as students in pre-service training at 18 midwifery institutions.
A look at performance of districts/facilities showing promising trends, especially in PPIUD uptake.
Number of health workers trained under specific FP skills by Jhpiego
Skills Trained In No Of People Trained
MNH BEmONC 32
Effective teaching skills 42
Clinical training skills 44
Implants 120
PPFP (Emphasis on PPIUD updates &
Insertion)
439
Interval IUD 72
General FP updates, PPFP counseling,
advocacy and linkage facilitation to
SDPs
158 VHT Members
District leaders in PPFP advocacy,
sensitization and resource mobilization
34
TOTAL 941
28. 28 END OF PROJECT REPORT 2015
2015
13350
5170
694
46954
4785
15181
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
50,000
Jadelle Implanon Interval_IUD PPIUD Injectable Pills Comdom
Contraceptives use by method (Oct 2014 – Oct 2015)
29. 29END OF PROJECT REPORT 2015
Family planning service uptake for Jhpiego project target districts by method (Oct 2014 - Oct 2015)
31. 31END OF PROJECT REPORT 2015
• Male involvement is a critical issue that needs to be handled
perhaps at household level especially in communities where
cultures prohibit use of family planning methods.
• There’s a need to have all training resources ready before
commencement of the actual training. Training manuals
and references for the participants are crucial and greatly
improves the quality of the training and facilitates learning
and or transfer of knowledge and skills.
• There is a big disparity between FP knowledge and skills
required to provide services by health workers – therefore
regular Continuing Medical Education (CME) is critical
especially for pre-service health tutors.
• Health providers who are competent in a particular skill
should have the necessary supplies and equipment for them
to effectively provide the services.
• To get a critical mass of health providers trained in
postpartum family planning, it is essential to train district
trainers to cascade trainings together with targeting the
pre-service training institutions.
LESSONS LEARNED
• Mentorship and supportive supervision for health workers
on PPFP is critical in ensuring the desired competencies are
acquired but also to influence their attitudes in a positive
manner.
• Involving the community, through training of VHTs to
mobilize and promote postpartum family planning uptake
in the communities is critical for demand creation for PPFP
service uptake especially in the Karamoja region.
694 women provided
with PPIUD services
across the 15 targeted
districts.
33. 33END OF PROJECT REPORT 2015
Family planning has potential to reduce deaths and improve
health of women and their families by reducing maternal and
under-five mortality in several countries including Uganda. For
the past five decades gains in these areas have been made;
however, family planning (FP) uptake has been low in Uganda.
Uganda continues to have a large unmet need for
comprehensive FP services. Jhpiego has been privileged to
be among the champions promoting FP, especially Long-term
Reversible Contraceptives (LARCs) and Postpartum Family
Planning (PPFP). We have registered many achievements: 15365
women have received implants; 5170 interval IUDs; 4785 pills;
694 PPIUDs in a period of one year.
Through strategic partnerships with local governments,
the Ugandan Ministry of Health, and other family planning
stakeholders, Jhpiego expanded its collaboration with district
governments, health facilities, midwifery Institutions, and
communities to introduce new synergies and good practices for
scaling up family planning services. We are grateful to United
Nations Population Fund (UNFPA) for providing technical
support and financial resources which enabled us to provide
these critical services to women and families.
For the future, Jhpiego seeks to:
1. Strengthen more health facilities in Uganda to provide FP
services especially PPFP;
2. Partner with the United Nations Population Fund, Ugandan
Ministry of Health and district health officers to train a
critical mass of midwives to deliver quality PPFP services;
3. Mobilize communities and individuals to demand and utilize
PPFP services;
4. Scale up FP services uptake for adolescents and youths as
guided by the most recent World Health Organization’s
medical eligibility criteria.
We are poised to become the family planning
lead partner for MOH, and Jhpiego will draw
upon its knowledge and expertise in FP to
build capacity for LARCs and PPFP.
Together with key partners, including the Uganda Ministry of
Health, Jhpiego will seek to address the unmet need for spacing
and limiting pregnancies among Ugandan women.
GOING FORWARD
34. 34 END OF PROJECT REPORT 2015
Jhpiego Uganda would like to thank all the individuals and teams for their commitment, their innovative ideas and their hard work
to make this project a success. Special thanks go to our development partners, implementing partners – both institutions and
individuals working with us to achieve our mutual goals. Many thanks to our vital partners, the Government of Uganda through
the Ministry of Health, UNFPA and the Johns Hopkins University Bloomberg School of Public Health – Center for Communication
Programs.
Thank you to the individuals who agreed to share their personal stories and photographs for publication.
Photographs KATE HOLT, JOHN SPANGLER, GUIDO DIGEMANES
Booklet Editor BRENDA KABAGWERI
Design Special RACHEL KANYANA
ACKNOWLEDGEMENTS
