In June, Kapchorwa district council approved a framework developed entirely by local community stakeholders to monitor and track family planning supplies to the last mile. The first of its kind, the plan does not require funding and involves all stakeholders in the commodity supply chain to ensure that each one safeguards access to family planning and reproductive health commodities.
Ministry of Health reports incidents of stock-out—many service delivery points go without receiving commodities for as long as six months. Meanwhile, some facilities face stock accumulation, which leads to commodities expiring before making it to users. These issues speak to delivery inefficiencies in the supply chain rather than a lack of commodities in the country.
Through the Opportunity Fund, with support from Advance Family Planning (AFP), Reproductive Health Uganda consulted Access Global Ltd and community members in Kapchorwa district to develop community-based strategies to address the supply chain bottlenecks. The Opportunity Fund, administered by PAI with the support of AFP, is a funding mechanism enabling advocates to seize opportunities to strengthen Family Planning 2020 commitments and their implementation at the local, national, and regional level.
In December 2017, RHU and Access Global Ltd facilitated training sessions on social accountability and health rights using the CARE International Community Score Card—a guide that empowers communities to participate in providing essential information and constructive feedback. Fifteen select community members attended: representatives from the village health team, women, youth, and health unit management committees. As active members of community, all participants in turn mobilized their networks and engaged duty bearers.
The trained community members and Access Global Ltd conducted key informant interviews and community dialogues and researched archival records to collect detailed data on stock-outs, accumulations, and expiries; key bottlenecks in the supply chain; and power centers in private and public health facilities.
After months of research, in April 2018, RHU and Access Global facilitated a workshop to discuss the findings with the trained community members and partners from the district family planning advocacy working group. Based on the data, they developed a framework for the district to track and monitor supplies. The framework includes:
Between April and June, the advocacy team presented their outputs to the district health team, the social services committee, and the district executive committees—all of whom endorsed the ask for the local government to adopt and approve the community-led oversight framework. In June, the secretary for social services presented it to the Kapchorwa district council. With the endorsement of key committees, the strategies were approved by the council with no objections.
Going forward, RHU will continue working with the district health office on roll-out. They are documenting the process with the aim of replicating in other districts.
The Ministry of Education and Sports launched the National Sexuality Education Framework at Kampala Parents’ School. The Framework is Uganda’s first ever guideline on sexuality education which seeks to create and overarching national direction for response in respect to sexuality education in the formal setting of educating young people in Uganda.
To date, young Ugandans are continuously exposed to sexual and reproductive health challenges, such as high cases of early marriages, teenage pregnancy, sexually transmitted diseases including HIV/AIDS, and sexual and gender-based violence.
In the last decades, sexuality education has been a controversial issue in Uganda, often portraying inaccurate information about sexuality through mass media outlets and traditional beliefs. The development of the National guideline, therefore, is a blueprint in guiding teaching of age appropriate and cultural and religious sensitive sexuality education in schools.
“The Framework will guide on sexuality education for Uganda’s youthful population. It is important to note every young person will one day have life-changing decisions to make about their sexual and reproductive health,” said Ms. Rosa Malango, the UN Resident Coordinator in Uganda.
During the launch event, First Lady and Minister of Education and Sports Hon. Janet Museveni stated that “We owe our children a holistic education that goes beyond academic, but empowers children with life skills, values and builds character.”
The Education minister, Ms. Janet Museveni also said that the government has formulated the National Sexuality Education framework which will now guide the teaching of sexuality education in institutions of learning
The National Sexuality Education Framework will promote and facilitate the development and delivery of sexuality education programmes in the educational system in Uganda that will go a long way in promoting the achievement of the Sustainable Development Goals and Uganda Vision 2040.
Ms Patricia Rutiba, a mother of three, said she is comfortable as a parent to be the one to introduce sexuality education to her three -year-old child.
Representing the Inter-Religious Council, Rev Can William Ongeng, the Church of Uganda Provincial Secretary, appealed to government to work hand in hand with religious bodies in developing the material and implementing the framework so that the country’s values are recognized.
“We support the framework but it must be guided. Nobody should do it with selfish motives. It should be done with guidance from parents as well. The teaching must be guided by the religious faith to see that each child is helped,” Rev Ongeng said.
Ms Museveni said teachers would be trained on the new policy
About the framework
With the framework now in place, the messages have been grouped into five categories.
The early childhood group between the ages of three to five will be introduced to knowing themselves, recognize forms of unacceptable body touch to develop self- awareness and refusal skills.
The lower primary level has children between six to nine years and will learn and discover their talents, understand unacceptable body touch and appreciate the changes in male and female body during puberty.
Upper primary with pupils aged between 10 and 12 year are expected to be able to define purpose of one’s life, maintain personal hygiene and commit to sexual abstinence.
The fourth group looks at lower secondary with students of 13 to 16 years. Here, the document proposes that a child should be able to cope with risky behavioral vulnerability during puberty and be able to identify where and when to seek appropriate reproductive health services.
The last group has considered those children who are 17 years old and above.
The emphasis in the framework is put on the role of gender and power in relationships, how to apply personal values, commit to pre-marital abstinence and marital faithfulness and to be able to appreciate the role of strong marriages and families in national development.
Day 3 #UDecideMbra activities started off with a peer review meeting at Kinoni health Center 4 together with Reproductive Health Uganda and our peer educators chaired the meeting which started off with a prayer led by Comfort. The purpose of the meeting was to review the reports made by the peers and also note the challenges being faced and how they can addressed.
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The World Health Day is a global health awareness day celebrated every year on April 7, under the sponsorship of the World Health Organization (WHO), as well as other related organisations.
WHO is calling on world leaders to live up to the pledges and commit to concrete steps to advance #HealthForAll. The Organization will maintain a high-profile focus on UHC via a series of events through 2018, starting on World Health Day on 7 April with global and local conversations about ways to achieve health for all
Everyone has a part to play, stimulating conversations and contributing to structured dialogue towards policies that help your country achieve and maintain UHC.
WHEN: March 8, 2018 all-day
WHERE: Busuubizi Core Primary Teachers college Mityana District.
On Thursday 8th March 2018 RHU will join the rest of the world and fellow Ugandans to commemorate the International Women’s Day under the theme; “Empowerment of Rural women and Girls: opportunities and challenges.”The day’s activities will be held at Busuubizi Core Primary Teachers college, Mityana District.