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Acts 1:7-8

Uganda Protestant Medical Bureau’s
Contributions to Family Planning
Dr. Tonny Tumwesigye
Executive Director
3 December 2013
UPMB Background
• Founded in 1957 as an NGO to manage mission hospital
grants & serve as liaison between the facilities & government
• Currently a network of 278 health facilities affiliated with
Protestant Churches
• Together with the Catholic, Muslim & Orthodox Medical
Bureaus - account for around 45% of health care service
delivery in Uganda
• Key Mandate as Technical Arm of the Protestant Churches :
– Institution Capacity Development
– Advocacy & Networking
– Coordination
– Patient Safety & Quality Assurance
– Reproductive Health & HIV/AIDS
Reproductive HealthPast Experience
FHI Funded Project
• To strengthen the capacity of
Ugandan health networks in
integrated maternal health & sexual
reproductive health services (SRH) in
rural communities
• Duration: 2002 - 04
• 10 districts facility & community based
• Focused on Sexual and Reproductive
Health (SRH) Information Education
and Communications (IEC) & service
provision, post-abortion care,
treatment of STIs, FP counseling &
provision of commodities

Funded by Big Lottery Fund
(BLF)/Interact World Wide-UK
• Reaching women & girls with
quality SRH education, counseling
& services
• Duration: 2006-09
• 10 Districts
• Facility & community- based
Strategic Project on Maternal &
Neonatal Health (MNH)
•
•
•
•
•

Funded by Big Lottery Fund
Duration: 2009-13
31 health facilities in 20 districts
Facility and community-based
Use of Village Health Teams (VHTs) &
Community-Based Volunteers (CBVs)
• FP integration in nation-wide PMTCT roll out
• VHTs & CBVs are still active
Packard Foundation Funded FP Project
• Africa Christian Health Associations (ACHA) FP
Project
– 2013 – 2015
– Facility and community-based
– 2 health facilities in 2 districts-low uptake of FP
– Objective: To strengthen capacity of church-run
health facilities to develop & implement quality FP
programs on a larger scale, serving difficult to
reach clientele & improving rural health services
Packard Foundation Funded FP Project
• Capacity building of health workers & CBVscommunity based volunteers
• Strengthening community referrals for FP
services
• Community mobilization & sensitization
• Conduct integrated FP outreaches
• Development & printing of IEC materials
FP Integration
• A total 150 VHTs & CBVs trained in partnership
with FHI 360 to give commodities
• Through this network, more than 1000 clients
access FP services a month
• Integrates FP into HIV & postnatal clinics
• Family Planning Camps –
•
•
•
•

Hard to reach facilities,
Communities mobilized,
Share critical knowledge & skills.
Tubal ligation being utilized
Parents receiving education in FP, nutrition
and general care after delivery
Lessons : FP Messaging
• Example of a message that works: “plan a
small manageable family for a better life”
• Be simple, clear & easy to understand
• Local language most preferred for
packaging information/messages
• Consistent messaging makes people
appreciate messages better
• Involvement of local political leaders &
community elders
Lessons: Working with
Religious Leaders
• Using religious leaders as agents of change
in Busoga-East Central Region around Lake
Victoria, rural to semi urban, high fertility
rate (about 8 percent), highly polygamous,
poor communities
• Good uptake of natural methods by religious
leaders
– Peer education a powerful tool for training
religious leaders on FP
Success story – Peer Education for
Religious Leaders of All Faiths
Lessons: Working with Men
• Husbands/men play a dominant role in
decision making regarding Reproductive
Health services
• Most available RH services are not male
friendly
• Addressing the RH care of couples would
increase male engagement in FP
Scale Up Strategies
• FP integration into existing RH services like

PMTCT & cancer screening
• Increased use of CBVs to increase access &
utilization for FP services at community level
• Use of religious leaders to promote & create
demand for services related to child spacing
Acts 1:7-8

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Uganda Protestant Medical Bureau Contributions to Family Planning

  • 1. Acts 1:7-8 Uganda Protestant Medical Bureau’s Contributions to Family Planning Dr. Tonny Tumwesigye Executive Director 3 December 2013
  • 2. UPMB Background • Founded in 1957 as an NGO to manage mission hospital grants & serve as liaison between the facilities & government • Currently a network of 278 health facilities affiliated with Protestant Churches • Together with the Catholic, Muslim & Orthodox Medical Bureaus - account for around 45% of health care service delivery in Uganda • Key Mandate as Technical Arm of the Protestant Churches : – Institution Capacity Development – Advocacy & Networking – Coordination – Patient Safety & Quality Assurance – Reproductive Health & HIV/AIDS
  • 3. Reproductive HealthPast Experience FHI Funded Project • To strengthen the capacity of Ugandan health networks in integrated maternal health & sexual reproductive health services (SRH) in rural communities • Duration: 2002 - 04 • 10 districts facility & community based • Focused on Sexual and Reproductive Health (SRH) Information Education and Communications (IEC) & service provision, post-abortion care, treatment of STIs, FP counseling & provision of commodities Funded by Big Lottery Fund (BLF)/Interact World Wide-UK • Reaching women & girls with quality SRH education, counseling & services • Duration: 2006-09 • 10 Districts • Facility & community- based
  • 4. Strategic Project on Maternal & Neonatal Health (MNH) • • • • • Funded by Big Lottery Fund Duration: 2009-13 31 health facilities in 20 districts Facility and community-based Use of Village Health Teams (VHTs) & Community-Based Volunteers (CBVs) • FP integration in nation-wide PMTCT roll out • VHTs & CBVs are still active
  • 5. Packard Foundation Funded FP Project • Africa Christian Health Associations (ACHA) FP Project – 2013 – 2015 – Facility and community-based – 2 health facilities in 2 districts-low uptake of FP – Objective: To strengthen capacity of church-run health facilities to develop & implement quality FP programs on a larger scale, serving difficult to reach clientele & improving rural health services
  • 6. Packard Foundation Funded FP Project • Capacity building of health workers & CBVscommunity based volunteers • Strengthening community referrals for FP services • Community mobilization & sensitization • Conduct integrated FP outreaches • Development & printing of IEC materials
  • 7. FP Integration • A total 150 VHTs & CBVs trained in partnership with FHI 360 to give commodities • Through this network, more than 1000 clients access FP services a month • Integrates FP into HIV & postnatal clinics • Family Planning Camps – • • • • Hard to reach facilities, Communities mobilized, Share critical knowledge & skills. Tubal ligation being utilized
  • 8. Parents receiving education in FP, nutrition and general care after delivery
  • 9. Lessons : FP Messaging • Example of a message that works: “plan a small manageable family for a better life” • Be simple, clear & easy to understand • Local language most preferred for packaging information/messages • Consistent messaging makes people appreciate messages better • Involvement of local political leaders & community elders
  • 10. Lessons: Working with Religious Leaders • Using religious leaders as agents of change in Busoga-East Central Region around Lake Victoria, rural to semi urban, high fertility rate (about 8 percent), highly polygamous, poor communities • Good uptake of natural methods by religious leaders – Peer education a powerful tool for training religious leaders on FP
  • 11. Success story – Peer Education for Religious Leaders of All Faiths
  • 12. Lessons: Working with Men • Husbands/men play a dominant role in decision making regarding Reproductive Health services • Most available RH services are not male friendly • Addressing the RH care of couples would increase male engagement in FP
  • 13. Scale Up Strategies • FP integration into existing RH services like PMTCT & cancer screening • Increased use of CBVs to increase access & utilization for FP services at community level • Use of religious leaders to promote & create demand for services related to child spacing