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#SupportTheUGBloodBank #SaveLives

Saving lives through greater investment in safe blood transfusion services

#SupportTheUGBloodBank #SaveLives #WeAreRHU

Join the conversation on social media,using #SupportTheUGBloodBank #SaveLives #WeAreRHU

Did you know: It is not enough to just donate blood? See why it is important to donate and get on board. Change starts with you, you never know when you will need the blood.

 Background and context

The Government of Uganda has made significant strides in providing access to safe and sufficient blood to Ugandans who need it. Data from Uganda Blood Transfusion Services (UBTS) shows that the total units of blood collected annually has increased from 131,226 in 2007/2008 to 274,308 in 2018/19 Financial Year. Regional blood banks have been established in 7 locations; blood collection centres have also been set up in 9 other locations and the national blood bank at Nakasero has been revamped to provide better services. Government has gradually increased funding for blood, especially following the exit of PEPFAR in 2017 e.g. from Uganda Shillings 23.815 billion in FY 2016/17 to 46.94 billion in FY 2019/2020. The Ministry of Health Annual Report of 2017/2018 shows that 87 (48%) of the country’s 187 HCIVs were offering Comprehensive Emergency Obstetric Care (CEmOC) in 2018, having increased from 44.6% in 2016/17 FY and blood transfusion is a key requirement in the provision of CEmOC. Increased access to blood has contributed to a reduction in maternal mortality from 418 per 100,000 live births in 2006 to 368 in 2016; and a reduction in child mortality rates between 1995 and 2016 from 156 to 64 per 1,000 live births among others.


Cause for concern?

Despite the aforementioned progress, significant challenges persist. Recent engagement between UBTS and selected Civil society organisations highlighted a number of teething challenges:  such as inadequate funding i.e. if UBTS is to collect 495,030 Units of blood (as per WHO requirement of 1% of the Uganda population) at 80.8[1] USD a unit, it will need Uganda Shillings 156 billion in 2021[2]. This is 3 times more than the current funding of Uganda Shillings 46.94 billion (Exchange rate of MoF-3900 Ugx/1USD)[3]. There is inadequate infrastructure- e.g. inadequate storage facilities for blood and medical supplies in many of the Regional Blood Banks; inadequate transport and staffing to meet the desired collection and supply target among others;

 


The catch?

Indeed, Uganda will not attain the goal of universal health coverage without addressing the myriad of challenges associated with supply and distribution of blood at all levels of the health system. Data from UBTS shows that a total of 274,308 Units of blood was collected in 2018/19 representing approximately 60% of the country’s total blood requirement during the year. UBTS estimates that Uganda will require 495,030 Units of blood in 2021 and 510,030 in 2022 based on current population growth projection. Currently, 29% of the total blood collected is used for treating people with severe malaria; 17% is for treating pregnant women with anaemia and complications of child birth; 17% for treating people with sickle cell anaemia, 15% for treating cancer cases, 6% for accident cases and 16% for treating other cases (burns, surgical operations) (UBTS).

Ensuring affordable, accessible, acceptable and good quality health care for all Uganda’s will reduce the inequality gap but also ensure that key programmes like UBTS are efficient in tackling the persistent service delivery challenges in the health sector.

Our plan!

The national policy dialogue on availability and accessibility to safe blood for improved maternal health outcomes in Uganda is being organised against the backdrop of persistent media reports of blood shortage in some public health facilities which has led to avoidable maternal deaths at such facilities. This situation has been exacerbated by the COVID 19 pandemic which has brought severe restrictions on gatherings like schools and other community mobilisations which were the major platforms for blood donation drives. In the recent past, MoH has sought additional 20.5 billion shillings in supplementary budget allocation to fund blood collection during the COVID-19 lock down. While this is a welcome relief especially if it’s approved and the funds made available to the Ministry, it does not address the recurring problem of under funding of blood collection and maternal health services generally. There is need for significant and sustainable financing for UBTS and blood transfusion services beyond the firefighting approach through the supplementary allocations.

This dialogue will build on and reinforce the ongoing civil society campaigns led by CEHURD which calls for increased government funding for blood and blood transfusion services, especially following the exit of PEPFAR in 2017. The dialogue which will be held on mass media (TV, Print/online, and social media) is being organised by Reproductive Health Uganda (RHU) and Makerere University School of Public Health (MakSPH) under the SETSRHR project in collaboration with Centre for Human Rights and Development (CEHURD).

Objectives of the dialogue

Organized under the theme: Saving Lives through greater investment in safe blood transfusion services, the national policy dialogue seeks to mobilize support for and increase commitment towards the achievement of universal access to safe blood transfusion services and improve health outcomes in the country.  To that end, the policy dialogue aims to achieve the following specific objectives:

  1. To highlight the persistent challenge of blood shortage and access to blood in our health system and how these are undermining national efforts to address maternal morbidity and mortality.
  2. To provide opportunity for policy makers, practitioners and beneficiaries to examine the underlying issues underpinning blood shortage and blood access in our health system and how these can be addressed in a sustainable manner;
  3. Advocate for adequate and sustainable financing for blood transfusion services and maternal health services generally;
  4. Strengthen partnerships between relevant government agencies (at national and sub-national levels), civil society organisations and private sector for effective and efficient delivery of blood transfusion services in the country.

The road map

    • Special report: under the headline “no woman should die giving life”, the special report will be based on observations at selected health facilities and experiences of/interviews with health policy makers, service providers, opinion leaders and end users. It will highlight the issues related to availability and access to safe blood from the perspective of policy makers, service providers, blood donors and end users. The report will be aired on NBS Television and preceding the talkshows.
    • Television talk Shows: a total of 3 talk shows will be conducted on NBSTV. It will build on the investigative stories. Each talk show will examine the issue of availability and access to safe blood from different perspectives.
  1. The first talk show will focus at the macro-level looking at the national requirements, current provisions, enabling policies, gaps and challenges in human resources, financing, partnerships, technical support and opportunities for improvements
  2. The second talk show will delve into the technical and operational challenges faced by frontline service providers in ensuring adequate, timely and quality blood transfusion services and the opportunities for addressing identified gaps
  • The third and last talk show will look at the demand side constraints focusing on the experiences of end users and how these can be addressed. The talk shows will be simultaneously relayed on selected radio stations.
    • Newspaper publications: newspaper articles will be based on data and information from field interviews (policy and decision makers, service providers and end users) and review of secondary data from published sources. The articles will be published in the 2 leading dailies-New vision and Daily Monitor. The newspaper articles will be published during the same week as the TV talk shows and will mirror the themes addressed by the TV talk shows. The newspaper articles will be written by leading journalists from New vision and Monitor publications.
    • Promotional adverts: the adverts will run on NBS for a period of 1 month and will aim at promoting blood donation in the country and mobilising communities for this.
    • Social media engagements: The 3 TV talk shows discussions and corresponding donation drive adverts will be highlighted on different social media platforms; Twitter: @nbstv; @SolomonSerwanjj; @RHUganda; @cehurduganda; @SETSRHRUg. Facebook: @rhuganda; @CehurdUG. This will give the public an opportunity to contribute to the discussions at hand and also be involved in the donation drives.

 

  1. Participants for the Talk Shows
    • Talk show moderator: The talk shows will be moderated by Solomon Serwanja, a seasoned investigative journalist and news anchor with NBSTV. In 2019 Serwanjja was awarded the Komla Dumor Award, an annual award given by the BBC to celebrate African journalists. He is also very passionate and vocal about the issue of access to blood and issues around maternal and reproductive health. Solomon will also lead the TV investigative story coverage.

5.2 First Talk Show Panellists

  • In the Studio: The Chair of the Parliamentary Committee on Health – Michael Bukenya, Permanent secretary MoH – Dr. Diana Atwine, and Executive Director, UBTS, Dr. Dorothy Kyeyune.
  • Via Zoom: Executive Director RHU, Mr. Jackson Chekweko, and Executive Director CSBAG.

5.3 Second Talk show Panellists

  • In the studio: Director Health Services, Ministry of Health, Charles Olaro, Relevant Technical Officer from UBTS – TBC, Director Arua regional Referral Hospital –Dr. Philbert Nyeko
  • Via zoom: Executive Director CEHURD – Moses Mulumba, and Representative from Uganda Red Cross Society and Rep. from Mengo Hospital.

5.3 Third Talk Show Panellists;

  • In the Studio: Director Obstetrics and Gynaecology Mulago Hospital – Professor Annet Nakimuli, representative of health Consumers, Representative of UBTS
  • Via Zoom: someone with extensive relevant research, President of the Uganda Obstetrics and Gynaecology Association -TBC, Private sector

On social media, the conversation will use #SupportTheUGBloodBank #SaveLives #WeAreRHU

Tips for working from home successfully

Following the outbreak of the Novel Corona virus world wide, most of us have been forced to work from home. We have come up with a few tips to help you work efficiently and effectively from home. Click here to learn more RHU-ICT-COVID-19 WFH

Not ready to get pregnant yet? Here are a few things you could do

These are very unprecedented times. We are no longer dealing with the same challenges as we were before. Times where we knew how not to spread HIV/AIDS or at least contain it. We could easily treat or prevent Sexually Transmitted Infections and disease (STDs/STIs). And now? Chlamydia, Gonorrhoea, Syphilis and even THE HIV/AIDs itself are no match for the Novel Corona virus.

These are indeed very uncertain times, with governments all over the world taking drastic measures to lock down, restrict movements and yet with diminutive hope or certainty that things will go back to normal soon.

Take caution :

With most people working from home or on forced leave and movement restrictions, loneliness, boredom with the so much time is paramount. For those staying with their partners the idea of sex must be flaunting. I mean ‘things’ are freely available on full time basis right?

Please note: Even if you are under self or institutional  quarantine, having unprotected sex will still expose you to STIs and STDs and unplanned pregnancies.

But since abstinence is a complicated subject even without the CORONA virus, how can one enjoy their things without fear of getting pregnant or contracting STDS or STIs?

How do i not get pregnant?

Using contraceptives allows people to attain their desired number of children and determine the spacing of pregnancies. They are also very helpful in times such as these where one wouldn’t want to get pregnant.

There are however  two methods one can use to delay pregnancy; Traditional and modern methods these are broken down below;

Reproductive Health Uganda clinics remain open across the country You can call any of the clinics in charges for appointments and or questions

What are the Modern methods?

PS: We recommend using modern methods because of their accuracy. They can easily be relied on without fear. These methods are available at any of the Reproductive Health Clinics countrywide. Give us a call to make an appointment

Method Description How it works Effectiveness to prevent pregnancy Comments
Combined oral contraceptives (COCs) or “the pill” Contains two hormones (estrogen and progestogen) Prevents the release of eggs from the ovaries (ovulation) >99% with correct and consistent use Reduces risk of endometrial and ovarian cancer
92% as commonly used
Progestogen-only pills (POPs) or “the minipill” Contains only progestogen hormone, not estrogen Thickens cervical mucous to block sperm and egg from meeting and prevents ovulation 99% with correct and consistent use Can be used while breastfeeding; must be taken at the same time each day
90–97% as commonly used
Implants Small, flexible rods or capsules placed under the skin of the upper arm; contains progestogen hormone only Thickens cervical mucous to block sperm and egg from meeting and prevents ovulation >99% Health-care provider must insert and remove; can be used for 3–5 years depending on implant; irregular vaginal bleeding common but not harmful
Progestogen only injectables Injected into the muscle or under the skin every 2 or 3 months, depending on product Thickens cervical mucous to block sperm and egg from meeting and prevents ovulation >99% with correct and consistent use Delayed return to fertility (about 1–4 months on the average) after use; irregular vaginal bleeding common, but not harmful
97% as commonly used
Monthly injectables or combined injectable contraceptives (CIC) Injected monthly into the muscle, contains estrogen and progestogen Prevents the release of eggs from the ovaries (ovulation) >99% with correct and consistent use Irregular vaginal bleeding common, but not harmful
97% as commonly used
Combined contraceptive patch and combined contraceptive vaginal ring (CVR) Continuously releases 2 hormones – a progestin and an estrogen- directly through the skin (patch) or from the ring. Prevents the release of eggs from the ovaries (ovulation) The patch and the CVR are new and research on effectiveness is limited. Effectiveness studies report that it may be more effective than the COCs, both as commonly and consistent or correct use. The Patch and the CVR provide a comparable safety and pharmacokinetic profile to COCs with similar hormone formulations.
Intrauterine device (IUD): copper containing Small flexible plastic device containing copper sleeves or wire that is inserted into the uterus Copper component damages sperm and prevents it from meeting the egg >99% Longer and heavier periods during first months of use are common but not harmful; can also be used as emergency contraception
Intrauterine device (IUD) levonorgestrel A T-shaped plastic device inserted into the uterus that steadily releases small amounts of levonorgestrel each day Thickens cervical mucous to block sperm and egg from meeting >99% Decreases amount of blood lost with menstruation over time; Reduces menstrual cramps and symptoms of endometriosis; amenorrhea (no menstrual bleeding) in a group of users
Male condoms Sheaths or coverings that fit over a man’s erect penis Forms a barrier to prevent sperm and egg from meeting 98% with correct and consistent use Also protects against sexually transmitted infections, including HIV
85% as commonly used
Female condoms Sheaths, or linings, that fit loosely inside a woman’s vagina, made of thin, transparent, soft plastic film Forms a barrier to prevent sperm and egg from meeting 90% with correct and consistent use Also protects against sexually transmitted infections, including HIV
79% as commonly used
Male sterilization (vasectomy) Permanent contraception to block or cut the vas deferens tubes that carry sperm from the testicles Keeps sperm out of ejaculated semen >99% after 3 months semen evaluation 3 months delay in taking effect while stored sperm is still present; does not affect male sexual performance; voluntary and informed choice is essential
97–98% with no semen evaluation
Female sterilization (tubal ligation) Permanent contraception to block or cut the fallopian tubes Eggs are blocked from meeting sperm >99% Voluntary and informed choice is essential
Lactational amenorrhea method (LAM) Temporary contraception for new mothers whose monthly bleeding has not returned; requires exclusive or full breastfeeding day and night of an infant less than 6 months old Prevents the release of eggs from the ovaries (ovulation) 99% with correct and consistent use A temporary family planning method based on the natural effect of breastfeeding on fertility
98% as commonly used
Emergency contraception pills (ulipristal acetate 30 mg or levonorgestrel 1.5 mg) Pills taken to prevent pregnancy up to 5 days after unprotected sex Delays ovulation If all 100 women used progestin-only emergency contraception, one would likely become pregnant. Does not disrupt an already existing pregnancy
Standard Days Method or SDM Women track their fertile periods (usually days 8 to 19 of each 26 to 32 day cycle) using cycle beads or other aids Prevents pregnancy by avoiding unprotected vaginal sex during most fertile days. 95% with consistent and correct use. Can be used to identify fertile days by both women who want to become pregnant and women who want to avoid pregnancy. Correct, consistent use requires partner cooperation.
88% with common use (Arevalo et al 2002)
Basal Body Temperature (BBT) Method Woman takes her body temperature at the same time each morning before getting out of bed observing for an increase of 0.2 to 0.5 degrees C. Prevents pregnancy by avoiding unprotected vaginal sex during fertile days 99% effective with correct and consistent use. If the BBT has risen and has stayed higher for 3 full days, ovulation has occurred and the fertile period has passed. Sex can resume on the 4th day until her next monthly bleeding.
75% with typical use of FABM (Trussell, 2009)
Two Day Method Women track their fertile periods by observing presence of cervical mucus (if any type color or consistency) Prevents pregnancy by avoiding unprotected vaginal sex during most fertile days, 96% with correct and consistent use. Difficult to use if a woman has a vaginal infection or another condition that changes cervical mucus. Unprotected coitus may be resumed after 2 consecutive dry days (or without secretions)
86% with typical or common use. (Arevalo, 2004)
Sympto-thermal Method Women track their fertile periods by observing changes in the cervical mucus (clear texture) , body temperature (slight increase) and consistency of the cervix (softening). Prevents pregnancy by avoiding unprotected vaginal sex during most fertile 98% with correct and consistent use. May have to be used with caution after an abortion, around menarche or menopause, and in conditions which may increase body temperature.
Reported 98% with typical use (Manhart et al, 2013)

Traditional methods

Traditional Method Description How it works Effectiveness to prevent pregnancy Comments
Calendar method or rhythm method Women monitor their pattern of menstrual cycle over 6 months, subtracts 18 from shortest cycle length (estimated 1st fertile day) and subtracts 11 from longest cycle length (estimated last fertile day) The couple prevents pregnancy by avoiding unprotected vaginal sex during the 1st and last estimated fertile days, by abstaining or using a condom. 91% with correct and consistent use. May need to delay or use with caution when using drugs (such as anxiolytics, antidepressants, NSAIDS, or certain antibiotics) which may affect timing of ovulation.
75% with common use
Withdrawal (coitus interruptus) Man withdraws his penis from his partner’s vagina, and ejaculates outside the vagina, keeping semen away from her external genitalia Tries to keep sperm out of the woman’s body, preventing fertilization 96% with correct and consistent use One of the least effective methods, because proper timing of withdrawal is often difficult to determine, leading to the risk of ejaculating while inside the vagina.
73% as commonly used (Trussell, 2009)

 

What if I am already pregnant?

Well no need to panic at all, Babies indeed are a blessing. Make sure to take good care of yourself and avoid stress. Reproductive Health Uganda clinics are open and you can visit at any working time, Monday- Saturday or better still, call ahead and set yourself an appointment with our well trained doctors.

Our prices are subsidised and are affordable. RHU boosts of over 60 years experience in providing quality and exceptional reproductive health services.

 

 

FROM PROTECTING TEETH TO A SAVINGS GROUP

Chunga meno. Swahili for, protect your teeth! In Pajulu Sub County, Arua district, Driwala parish, to be specific is a phrase associated with success. Bizarre, right? True, Chungameno is a name of a saving’s group started by the women vendors of Driwala market. Besides the success harnessed therein, the genesis of this initiative leaves quite the tale.

 

Women were loosing their teeth to violent Husbands. So they formed a retaliation group to save their teeth! See how this group changed their lives forever!

The charged males would storm the market to grab whatever measly money their wives had made for the day and while at it, beat them up. Or worse, they would wait for them at home, alone, then beat them up to a point that they would lose teeth. A particular group women, about 12, noticed that this was first getting out of hand.

“Women were not settled, there was total chaos!” Harriet Afetia, a leader of the saving’s group, and among the 12 women, narrates. “At least every week, one or two women would have a bruise or lose teeth, it was terrible!” The men wanted to control their money and were frustrated that their wives wouldn’t let them, so they beat them. “We got tired, we decided to do something about it!” Interestingly, it was that decision that started the journey that would later attract a project called prevention plus.

Harriet Afetia, Savings group leader

 The story

It was a little over 10 years ago when the women made the decision to take matters into their own hands. See, that afternoon, one of them came to the market bleeding from her mouth and the teeth were just about to come out. She had come to close down her stall and leave the village and her marriage all together. These women gathered together, concerned really, and asked what the issue was this time round. “My husband came back and didn’t find lunch ready, he pounced on me, hit my mouth and left my teeth shaky and gum bleeding,” the woman responded. Puzzled, her fellow women asked, “Lunch, couldn’t he cook it too?”

And just like that, one woman burst out: “We must protect ourselves and protect our teeth!” And these market women, locked in this bitter moment, many of whom didn’t have front teeth, agreed that they would start a group and the name would be, Chungameno! Not two words, but one word.  “Chungameno came to arrest the situation!” Afetia exclaims.

But it wasn’t just the violent men that they sought to deal with, even within themselves, they insisted no one better be the perpetuator of violence. They didn’t lay a hand on anyone, but with up to 12 women, matching and chanting towards your home, most men had no alternative but go where the own wanted them to go, a police station. The Sub County leadership was impressed, and they asked police to work with the women.

“As soon we heard that one of us had been beaten, quickly we went as a group and arrested that man,” she recalls. They had become a mob! These women became each other’s keepers, but try as they may, they knew they needed a better strategy, dragging man after man to police was not going to be enough. They were in luck, news of their little group had reached Reproductive Health Uganda (RHU). Soon, their leader, Afetia would be called for a Prevention Plus training, by RHU, a thing they learnt gave their group just the backbone it needed.

Prevention plus impact felt

“During the training, we dealt with the root of all this violence,” Afetia starts. “It was not enough to just keep matching our husbands to police, we needed to find a way to work with them.” Instead of treating the symptom, the Prevention plus training sought to deal with the cause. After sessions of dialogue, training and discussions, she learnt that if money and how money was spent was indeed the cause of most of the bickering, didn’t it make sense to then deal with that issue?

“That training helped me understand this problem properly,” she recalls. The first suggestion was that But first they would need to start a saving’s group! See, while they had been occasionally saving, it was not as comital, and the highest amount many saved was shs500. “I came back also and encouraged the group to first of all start putting more money aside,” she says. The goal was first to make sure no one had all their money on them; so they decided to put the minimum weekly savings at shs2000. They would save all year and only distribute at the end of the year.

But before all of this, they needed to discuss how to include their husbands in this growth. “After distributing the money like this, we always ask these women what they are going to do with the money,” she tells of how the discussion to include men begun. But also, the group attracted the RHU camp; the Prevention Plus team came to offer their services but also preach unity and inclusiveness in families, as opposed to just dealing with the culprits.

Soon, wives begun encouraging their husbands to attend the group meetings and save together. “During these meetings, the people from RHU would come and also teach couples about dangers of violence,” she recalls. This group that started out with just 12 members was now at nearly 200 members, with large number of couples jointly saving and many not even vendors.

Unity and inclusiveness

Rophin Agamile his wife Christine Bako and their family

Rophin Agamile, the area Local Councilor was the first male to join the group, and more than just save, his wife Christine Bako says he has become a better man. Agamile tells of how a session he attended that had guests from South Africa left him a changed man. “I was called as LC1 to welcome the visitors to the Chunagmeno group to talk about Prevention Plus,” he recalls. “These were guests from South Africa who had come to talk to the women’s group, I was impressed by what they said!”

The topic around Father’s Legacy hit a raw nerve. “As a father, what kind of example was I setting?” he remembers asking himself. Agamile used to abuse alcohol, return home in the wee hours to start fights. “When I was around the compound, the children were all quiet!” he narrates regretfully. “As a man, I used not to give chance to my madam to say a word; my words in fact were final in the home.” On a good note, Bako says that man is long gone. “My husband is good to me and my children,” she starts. “Can you believe we save together, we clean and cook food together, and he plays with the children?”

Almost instantly, their little child runs into Agamile’s hands, the peace in their homestead is visible, but is what Afetia said that made this even better. “Rophin is just one example, there are many men who came to save money, but instead became good fathers and husbands,” she says. “We invited the Prevention Plus team to train us on how to keep peace in our homes, and now no single member of our group has lost a tooth since.”

‘We’re not baby factories’: the refugees trying injectable contraceptives

‘We’re not baby factories’: the refugees trying injectable contraceptives- Article from the Guardian.com 

Women who’ve fled South Sudan to Uganda are overcoming social stigma to explore new family planning options.

Christine Lamwaka fled South Sudan and now lives in the Palabek refugee settlement in Uganda. Photograph: Samuel Okiror

 

Christine Lamwaka and her husband gathered their six children and fled. It was April 2017 and their town in South Sudan had just been attacked. They walked for two days from Eastern Equatoria before crossing the border into Uganda.

“It was hard to flee with the young children. We struggled to run. I thought we couldn’t make it alive,” says Lamwaka, who was 22 at the time of the attack.

“We suffered a lot. I had given birth just a few months before and was breastfeeding. The children were crying. We are lucky to be alive.”

As well as ensuring her children were safe and the family had food and shelter, Lamwaka wanted to make sure she didn’t have any more children. But she was unable to access family planning services.

many children is very hard. We don’t have money for treating them, feeding and providing basic necessities,” says Lamwaka, from the safety of Palabek refugee settlement in Lamwo, northern Uganda. “We couldn’t afford to add more children.”

Research conducted by the Liverpool School of Tropical Medicine last year found that more than 40% of women in refugee settlements in northern Uganda who wanted to use contraceptives were unable to obtain them.

“Many health facilities in refugee camps are out or under-stocked,” said Simon Richard Mugenyi, advocacy and communications manager at Reproductive Health Uganda (RHU). Those seeking services often have to wait for organisations such as RHU to provide them.

South Sudanese refugees in the Palabek camp in Lamwo, northern Uganda. Photograph: James Akena/Reuters

 

Last year, however, Lamwaka enrolled in a pilot programme for a single-use, self-injectable contraceptive, Sayana Press. The contraceptive is being rolled out by the NGO Path Uganda, with support from the UN population fund (UNFPA), to promote increased uptake of family planning among refugees.”

In South Sudan, deep-rooted socio-cultural factors discourage family planning. The inevitable upshot is larger families. On average, women in South Sudan have 4.6 children. Among women aged 15 to 49 who are married or in a relationship, only 10% use any form of contraception. According to the UNFPA, this is the lowest rate in east and southern Africa, and many women have their first child while in their teens.

“I started giving birth while still a teenager. I was giving birth almost every year. There was no time to rest or for child spacing,” says Lamwaka.

“They need you to produce more children. Women are looked at as factories for babies. Men expect women to be producing a child every year.

“Women are not allowed to decide the number, timing and spacing of children.”

Uganda now hosts more than 1.3 million refugees, more than 850,000 of whom are from South Sudan.

About 75% of the more than 50,000 South Sudanese refugees at Palabek are women and children.

Lamwaka was pleased when she found out about the self-injectable contraception, which is taken every three months. It means she won’t have to seek out a health worker when she needs it, which is not always straightforward in a refugee camp.

 

Christine Lamwaka and her husband Solomon Olum decided that Christine should enrol in the Sayana Press programme. Photograph: Samuel Okiror

She and her husband, Solomon Olum, decided she should enrol in the programme. “We are struggling to raise these children. I don’t have a job. I am a farmer. But I don’t have enough land to farm here. I have to burn charcoal and do hard labour to get money to support the family,” says Olum.

More than 9,000 women began taking Sayana Press, a variation on the established contraceptive Depo-Provera, between April and November last year.

Edson Twesigye, a programme officer for Sayana Press, says the pilot scheme resulted in 43% more women accessing contraceptive services.

“This is a big achievement,” he says. “These are refugee women who had never used any family planning method in their lives because of cultural beliefs, lack of access, or other reasons. Reaching 43% is a great milestone.”

Julitta Onabanjo, the UNFPA regional director for east and southern Africa, says: “This is something we can take as a lesson learned as we look at how to introduce it into [our] programmes in other countries.”

Millions of women still don’t have access to contraceptives – report

 

There were social stigmas to overcome before the rollout of the new contraceptive, says Twesigye. His team had conversations with community and religious leaders, to position family planning “not as a way of stopping having children, as they thought, but as a way of planning how many children you want, when to have them and when to stop,” he explains.

He adds that men in village health teams in the area were also talking to other men to help them better understand family planning.

“Many women in these settings have a desire to plan their families and don’t have any method that suits them. Therefore being able to give them any option of [family planning] method is very important,” says Onabanjo.

Mugenyi says the Ugandan government must spend more on contraceptives, starting with the allocation of the $5m (£3.8m) it committed to provide each year at the family planning summit held in 2017.

“If the government honored this commitment, this would help to stock family planning commodities in public facilities, including those in refugee camps,” he says

 

WE SHOULD LEARN THE FEELINGS OF EACH GENERATION- REVEREND GIDEON BYAMUGISHA

Reverend Gideon Byamugisha joins a panel discussion at the IGD

Recently, Reproductive Health Uganda (RHU) joined a horde of stakeholders for the intergenerational dialogue under the theme; Expanding Possibilities: Lifestyle, Innovation and Power. The Intergenerational Dialogue (IGD), an annual one-day high-level advocacy platform looks to fosters structured conversations on Sexual Reproductive Health and Rights (SRHR) issues affecting adolescents and young people in Uganda.

Hosted by Reach A Hand Uganda (RAHU) in collaboration with other partners like RHU, IT brought together young people, government officials (ministry technocrats), policymakers, leaders (opinion, religious, cultural and political leaders) development partners, media and civil society among others to deliberate on a range SRHR issues, policies and campaigns. We thought therefore, for purposes of continued discussion, we would highlight some of the conversations that stood out, starting with the Question and Answer session we had with Reverend Gideon Byamugisha. (more…)

WHY WOULD GIRLS LEARN ABOUT CANADIAN PRAIRIES AND NOT ABOUT THEIR BODIES- RAYMOND MUJUNI

Raymond Mujuni
(Facebook Pic)

Re-known NBS investigative journalist, Raymond Mujuni joined a panel discussion in the just concluded Intergenerational Dialogue. We decided to not just pay attention but bring you some of the highlights from his panel discussion. (more…)

We are Hiring:

Reproductive Health Uganda (RHU) is a Member Association of the International Planned Parenthood Federation (IPPF), and its core mandate is to champion, provide and enable universal access to rights-based Sexual and Reproductive Health and Rights (SRHR) information and services to vulnerable and underserved communities and to young people.  The role of the engagement with RHU and its partners is to ensure that SRHR are respected, protected and fulfilled as a goal in itself, and as a fundamental means to gender equality, human well-being and sustainable development.

RHU, in partnership with Frontline AIDS (FA), seeks to recruit highly-skilled, experienced and motivated persons to fill the following positions;

 

Job Title:                               Program Coordinator – Sexual Reproductive Health and Rights (SRHR) Umbrella Programme (1 Post)

Duty Station:                       Kampala                                 

Job Reports to:                    Service Delivery Manager

Job Role:      

Responsible for coordinating and supporting a partnership of seven national Civil Society Organizations (CSOs) under the SRHR Umbrella Program, and provide regular technical support supervision to ensure effective delivery of the program in line with RHU’s strategic direction as well as Frontline AIDS and donor requirements.

Key Result Areas

  1. Provide strategic and operational oversight of the SRHR Umbrella Programme implementation in Uganda
  2. Liaise and work closely with Frontline Aids on all aspects of Umbrella project Management.
  3. Coordinate essential planning, technical support, monitoring, and reporting processes
  4. Ensure that the SRHR Umbrella Programme implementation is on track and provide support, where needed, in close collaboration with the RHU Senior Programme Management Team
  5. Work with the Senior Programme Management Team to ensure that the programme is in line with the RHU strategic plan as well as the Frontline AIDS global strategy, good practice programming standards and the overall programme framework and principles; and that it is of an acceptable quality, generates and uses available evidence, and produces tangible results.
  6. Support the functioning of the donor relations as required
  7. Ensure good communication, coordination and collaboration within the Core Team and with consortium partners. This includes the establishment of a sound programme communication system in consultation with Frontline Aids and RHU Senior Management Team.
  8. Perform any other professional duties as may be assigned by the supervisor

Training and Experience

  • A Bachelor’s degree in Medicine or any other health-related field from a recognized Institution
  • A relevant postgraduate qualification such as Public Health, Project Planning and Management, etc will be an added advantage
  • At least 4 years of relevant experience from a reputable organization in a similar role

Knowledge, Skills and Temperament

  • Knowledge of SRHR and HIV/AIDS Programming
  • Knowledge in Human Rights-Based Approaches
  • Familiar with the implementation of HIV/AIDS and reproductive health Programmes
  • Knowledge and experience of Key Population (KP) programming; and willingness to work with KP organizations and programmes
  • Knowledge of current policies and laws related to Reproductive Health and HIV AIDS.
  • A good communicator and team leader
  • Extensive knowledge and experience with the Project cycle management; partnership and stakeholder building
  • Networking and stakeholder management and advocacy
  • Partner capacity development
  • Documentation, information management, and reporting

Other Personal Attributes

  • Collaborative, analytical, and highly organised
  • The candidate must adhere to the safeguarding reporting and monitoring requirements of this role
  • The candidate must be pro-choice

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Job Title:       Monitoring and Evaluation Officer-SRHR Umbrella Program (I Post)

Duty Station: Kampala

Job Role:       Responsible for providing Monitoring and Evaluation (M&E) support across the SRHR-Umbrella Programme, ensuring timely and accurate submission of data and adherence to SRHR-Umbrella Program protocol, standards, and timelines.

Reports to:   Monitoring and Evaluation Manager

Key Result Areas

  1. Support programme Research, Monitoring, and Evaluation activities and ensure the strategy is on track and regularly updated
  2. Consolidate and analyze project service statistics and advise project partners about performance progress in relation to the program performance plan
  3. Consolidate and analyze program outputs, targets, and indicators and share them with RHU management, project partners and other stakeholders periodically
  4. Support the production, dissemination and utilization of evidence-based project research results
  5. Participate in monitoring and evaluation of project performance including routine analysis of field or partner reports and aggregation of the same for sharing with project stakeholders.
  6. Participate in Project and overall organizational programme planning and budgeting and production of periodic reports
  7. Participate in Project processes to develop new initiatives/ technologies in M&E ensuring project design builds on experience
  8. Perform any other professional duties as may be assigned by the supervisor.

Outputs and Outcomes

  • SRHR-Umbrella program outputs compiled
  • SRHR-Umbrella Project service statistics compiled and analysed
  • Research needs identified
  • SRHR-Umbrella project monitored, evaluated and outputs shared with relevant stakeholder
  • Data from relevant partners regularly validated and analysed
  • Partner Staff trained in M&E, and research methods
  • Periodic operational research conducted

Training and experience

  • Bachelor’s degree in Population and Reproductive Health, Statistics, or Computer Science.
  • Conversant with Computer packages such as SPSS, Epinfo, Stata, SAS etc. and with experience in qualitative as well as quantitative data analysis and dissemination.
  • At least three (3) years’ experience in implementing M&E activities for HIV/SRHR Programmes in Uganda
  • Proven success in designing, implementing and operating project M&E systems from project initiation to closeout stages
  • Experience with data management practices and procedures for large-scale programmes
  • Experience implementing procedures and practices to ensure data quality and verification, including data quality assessments
  • Experience using DHIS2 for data collection, reporting and visualization
  • Experience with using supportive approaches to building capacity of partner organizations (sub-grantees) to accurately record, document, report and use data
  • Experience in social research, database design and maintenance for at least three years.

Knowledge, skills, and temperament

  • Knowledge of major evaluation methodologies (e.g., qualitative, quantitative, and mixed-method) and data collection and analysis methodologies
  • Proven technical skills in data management including data collection, cleaning, analysis and use across complex, large scale Programmes
  • Skilled at and passionate about supporting the use of data for decision-making, strategizing and course correction

Other Personal Attributes

  • Collaborative, analytical, and highly organised
  • The candidate must adhere to the safeguarding reporting and monitoring requirements of this role
  • The candidate must be pro-choice

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Job Title:                               Senior Finance Officer-SRHR Umbrella Program (1 Post)

Duty Station:                       Kampala

Job Reports to:                    Director of Finance and Administration

Job Role:                              

Responsible for supporting the SRHR Umbrella Partner Organizations to have good financial planning and management as well as overall compliance with Frontline AIDS and RHU policies, donor and government rules and regulations. Also responsible for strengthening inter-departmental synergies between finance, programs and administration. He/ She is responsible for managing a system that ensures cost-effective use of human, financial and material resources of the SRHR-Umbrella Program.

Key Result Areas

  1. Support a Portfolio of Partner Organizations:
  • Supports a portfolio of SRHR-Umbrella Programme partner organizations, ensuring reported costs and balances are accounted for accurately, reviewed and reconciled in a timely manner
  • Further manage the budgets within the SRHR-Umbrella grant, ensuring these are captured accurately and managed according to agreed processes
  • Serve as an operational finance point of contact for all partners, providing the support needed to ensure that partners’ financial management is accurate and following SIDA requirements
  • Liaise directly with Frontline Aids finance team to ensure financial reporting and accounting is completed effectively and on time
  • Works proactively to identify and mitigate financial risk at all levels.

2. Reporting and Auditing: 

  • Ensures the completeness and accuracy of partner reports sent to Frontline Aids
  • Maintains sight of budget expenditures and supports partners in analysing and managing grant financial data
  • Maintains rigorous documentation of costs incurred at partner and Co-ordinating partner-level following the requirements of Frontline AIDS and SIDA
  • Support Frontline AIDS and RHU’s internal audit departments with grant audit processes and tasks.

3. Developing RHU’s culture:

Sets a good example for others, shows consistency in words and actions, learns from personal and organizational experience, strives for self-improvement, earns the trust and respect of management, colleagues and partner organizations, and treats others with respect.

Training and Experience

  • A Bachelor’s Degree in a Finance and Accounting related field from a recognized Institution, plus a full professional qualification in Accountancy such as ACCA, CPA, ACIS and CPE obtained from a recognized institution
  • Professional training in management and administration
  • Working knowledge of at least one accounting software is a requirement and practical knowledge of Navision, Quickbooks, etc will be an added advantage
  • Minimum of two (2) years working experience, preferably in a reputable Multi-donor, Non-Governmental Organization (NGO).

Knowledge, Skills and Temperament

  • The candidate should have a balance of financial management and accounting skills and the ability to work effectively with a range of civil society organisations in Uganda
  • Demonstrated ability in administration;
  • Problem solving, Decision making and a Team Player
  • Excellent communication, leadership and management skills, hands-on and interactive; an assertive strategic thinker
  • Focused on quality standards, and ethics and integrity.

Other Personal Attributes

  • The candidate must adhere to the safeguarding, reporting and monitoring requirements of this role
  • The candidate must be pro-choice

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Job Title:                              Project Coordinator –PITCH Project (1 Post)

Duty Station:                       Kampala

Reports to:                           Advocacy and Communications Manager

Job Role:

Responsible for coordinating Advocacy initiatives/activities in line with RHU’s strategic direction and thematic objectives and provide leadership for the Partnership to Inspire, Transform and Connect the HIV Response (PITCH) project implementation

Project Duration:   1 Year

Key Result Areas

  1. Coordinate and provide technical support to Frontline AIDS PITCH partners in Uganda
  2. Work closely with FRONTLINE AIDS in all aspects of project management and donor reporting
  3. Support and share timelines with PITCH Implementing Partners (IPs) to develop and submit quarterly and annual work plans, budgets and reports to RHU and FRONTLINE AIDS.
  4. Respond to and follow up information requests from FRONTLINE AIDS on PITCH and RHU Advocacy initiatives
  5. Consolidate Frontline AIDS PITCH work plans, budgets, and reports and share with FRONTLINE AIDS
  6. Review and advise/ recommend for approval expenditures against set budget lines for PITCH
  • Coordinate all implementing partners and ensure that their capacity is built to deliver on the project.
  • Work with the Country Focal Person (CFP) to monitor progress of PITCH project in Uganda.
  • Ensure availability of harmonized project implementation among the IPs and other stakeholder
  • Provide technical support and guidance to strategic planning processes on key Advocacy initiatives that RHU and PITCH partners could undertake.
  • Track trends in resource mobilisation and contemporary advocacy work, document and provide advice/ recommendations
  • Alongside the communications specialist, support PITCH and RHU IPs with development and implementation of the Communication strategy, documentation of programmatic best practices and case studies for dissemination to and utilization by relevant stakeholders
  • Ensure effective communication flow amongst PITCH Implementing Partners (IPS), within and outside RHU
  • Perform any other professional duties as may be assigned by the supervisor

Training and Experience

  • A Bachelor’s degree in Development Studies, Public Health, Social Sciences or any relevant degree.
  • A relevant postgraduate qualification such as Project Planning and Management, Training in Advocacy Research, Advocacy strategy and Analysis will be an added advantage
  • Knowledge in Human Rights-Based Approaches
  • At least 3 years of relevant experience from a reputable organization in a similar role

Knowledge, Skills and Temperament

  • Knowledge of SRHR and HIV/AIDS Advocacy work
  • Familiar with the implementation of HIV/AIDS and reproductive health Programs and Working with key Populations targeted organisations.
  • Knowledge of current policies and laws related to Reproductive Health and HIV AIDS.
  • Knowledgeable of priority populations for HIV interventions in Uganda.
  • Knowledge and experience with the Project cycle management
  • Networking and stakeholder management and advocacy
  • Partner capacity development
  • Documentation, information management, and reporting
  • A good communicator

Other Personal Attributes

  • Collaborative, analytical, and highly organised
  • The candidate must adhere to the safeguarding reporting and monitoring requirements of this role
  • The candidate must be pro-choice

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Job Title:                   Front Desk Assistant (1Post)

Duty Station:           Kampala

Reports to:               Administrative Officer

Job Role:                   Management of the reception, telephone records, message services and other general duties

Key Duties and Responsibilities:

  1. Operate RHU’s switchboard, handling all incoming and outgoing telephone calls in a professional manner including routing calls to appropriate staff according to RHU procedures.
  2. Greet and warmly welcome visitors to the Offices, ensuring they sign in the visitor’s book and informing the relevant member of staff of their arrival and keep their records.
  3. Develop and maintain a tracking system on all incoming & outgoing mails and courier items for the office
  4. Check and sign for deliveries, and actively distribute all incoming mails before informing the relevant member of staff/ offices of their arrival. Follow procedures and ensure security of valuables.
  5. Ensure that relevant notices are displayed on staff notice boards in an orderly manner and regularly update materials displayed.
  6. Monitor and ensuring that the reception/ front and rear entrances of the building are kept clean and tidy.
  7. Report telephone equipment and line faults to the IT coordinator.
  8. Perform any other professional duties as may be assigned by the supervisor.

Training and Experience

  • Bachelor’s degree in Office Management, Secretarial, or related field.
  • Experience working with a Non-Governmental Organization (NGO) not less than 2 years, will be an added advantage.

Knowledge, Skills and temperament

  • Knowledge about RHU’s core business
  • Excellent written and verbal communication skills
  • Competency in Microsoft office applications including Word, Excel, and Outlook.
  • Good time management skills, good memory, multitasking and visitor support
  • Experience with administrative and clerical procedures
  • Able to contribute positively as part of a team, helping out with various tasks as required
  • Positive and enthusiastic, Integrity, tact and diplomacy
  • Flexible, confident and polite attitude
  • Professional dress code and good telephone manners

How to apply

Submit by post, email or hand-deliver application letters and attach certified copies of academic transcripts, a detailed Curriculum Vitae and other relevant documents as well the contact addresses (e-mail) of 3 referees including their telephone contacts to:

The Executive Director, Reproductive Health Uganda, P.O. Box 10746 Kampala

Or hand-deliver at: RHU Head Office, Plot 2, Katego Road – Tufnell Drive, Off Kiira Road, Kamwokya – Kampala, Uganda.

 

Closing Date:  6th December, 2019. Only shortlisted applicants will be contacted

NB:  Female applicants are encouraged to apply

 

 

WHEN THE YOUNG PEOPLE MET AND DIALOGUED

It might have been a dump morning that morphed into a drizzly day, but it didn’t define the RHU-organised Inter-University Dialogue that happened over the weekend at Makerere University. Over one thousand students from a host of different institutions around the country thronged the Freedom Square in what would be an intense dialogue into sexuality, culture and religion. (more…)

THE INTER UNIVERSITY DIALOGUE (IUD) ON SEXUALITY EDUCATION

 

What we are up to!

We are dreaming of a Uganda where everyone’s SRHR are fulfilled and protected without discrimination! Reproductive Health Uganda (RHU) established in 1957, is continuing to champion, provide and enable universal access to rights based SRHR information and services to vulnerable and undeserved communities especially young people (15-30 Years).

As a Member Association of International Planned Parenthood Federation (IPPPF), the world largest SRHR organisation, RHU continues to advocate, accelerate access to priority integrated Sexual and Reproductive Health services amidst complementing government efforts to increase access to SRHR services and information.

What is the IUD?

Targeting over 1000 state and non-state actors in higher institutions of learning, the Inter University Dialogue (IUD) is an annual one-day Uganda National interactive Sexuality advocacy platform that brings together students, top academia, cultural, religious leaders, health professionals, media and policy makers in higher institutions of learning directly for a Sexual Health conversation in pursuit of safer spaces for all students.

#IUDUg19 aspires to promote Sexual health as a fundamental human right to all people without discrimination. It is tailored to move with the rest of the world to commemorate the World Sexual Health Day.

Our theme:

The #IUDug19 will be held under the theme “The Role of Culture and Religion in Promoting Better Sexual Health Outcomes.”

We also hope that the #IUDUg19 will increase awareness on the role of culture and religion in shaping positive discussions on Sexuality Education in Uganda today, be a listening and learning avenue for policy makers at different levels to Young people’s life experiences which can shape and promote responsive policies for addressing better health outcomes. We want to empower young people to progressively participate and share opinions regarding policy development and performance in Uganda will be realised

How do i register?

Click link to register for free Here