Thursday, 17 September 2015

Civil Society Health Manifesto 2016-2021- Launch in Pictures



Dr. Hanifa Kasule, Dr. Hanifa Kasule- National Professional Officer for Non Communicable diseases together with representatives of Civil Society Organisations launch the Civil Society Health Manifesto 2016-2021.

Dr. Hanifa Kasule, Dr. Hanifa Kasule- National Professional Officer for Non Communicable diseases together with representatives of Civil Society Organisations launch the Civil Society Health Manifesto 2016-2021.

Dr. Hanifa Kasule, Dr. Hanifa Kasule- National Professional Officer for Non Communicable diseases together with representatives of Civil Society Organisations launch the Civil Society Health Manifesto 2016-2021.

Dr. Hanifa Kasule, Dr. Hanifa Kasule- National Professional Officer for Non Communicable diseases giving a speech on behalf of the World Health Organisation before the launch the Civil Society Health Manifesto 2016-2021.

Dr. Hanifa Kasule, Dr. Hanifa Kasule- National Professional Officer for Non Communicable diseases together with representatives of Civil Society Organisations launch the Civil Society Health Manifesto 2016-2021.

Dr. Hanifa Kasule, Dr. Hanifa Kasule- National Professional Officer for Non Communicable diseases together with representatives of Civil Society Organisations launch the Civil Society Health Manifesto 2016-2021.

Mr. Joshua Wamboga, Executive Director of UNASO giving a speech on behalf of CSOs before the launch of the Civil Society Health Manifesto 2016-2021


Ms. Dorah Kiconco Executive Director of UGANET



Ms. Dianah Nanjegho, Senior Advocacy and Communications Officer of UGANET

Mr. William Kidega-Deputy Chief of Party PATH/USAID.

Mr. Jude Bigirwenkya-Regional Advocacy and Community Empowerment Officer-PATH USAID.

Ms Rachael Nandelenge of International Community of Women Living with HIV East Africa

Add caption

Mr. Moses Super Charger requested governement to make it possible for all People Living with HIV to easily access Viral Load Testing.



Dr. Hanifa Kasule, Dr. Hanifa Kasule, Dr. Hanifa Kasule- National Professional Officer for Non Communicable diseases giving a speech before launch the Civil Society Health Manifesto 2016-2021.



Mr. Patrick Kamara of NTV

Ms. Ruth Sempa of Sicklecell foundation




Andrew Masinde of New Vision

Ms.Halima Athuman- Journalist




Photos|Esther Namrimu | Communications Officer of UNASO.

Civil Society Health Manifesto Launch- Press Release

Civil Society Calls on Candidates to Put Health Services at the Heart of Uganda’s 2016 Election Campaigns: #NoHealthNoVotes!
Health Sector Manifesto defines 10 Actions Candidates Must Commit to in Order to Rebuild the Health Sector
A nation of sick Ugandans cannot benefit from economic development

(Kampala) A coalition of civil society organizations working for access to essential health services in Uganda today launched the “Uganda Election 2016 Health Manifesto,” a platform demanding all parties and candidates commit to correcting massive failings of the health sector in Uganda to deliver essential, quality prevention and treatment services.This marks the first time civil society organizations will join together to leverage Uganda’s general elections in order to prioritize the health needs and health rights of the Ugandan electorate.

“Access to prevention and treatment are literally life-and-death political issues that should be taking center stage during our 2016 elections,” said Joshua Wamboga, Executive Director of UNASO. “As voters we will not stand by and allow candidates and political parties to be silent about the most vital issue facing our country—our health and our health rights. 

Using this Health Manifesto, we are demanding that all candidates commit themselves to investing in sufficient medicines, health workers, and in the political required to stop the epidemic of preventable death and disease in our communities.”

The demands contained in the Manifestoinclude a demand to scale up per capita health financing from current levels (only USD 10.50) to the minimum recommended by WHO (USD 44) by 2021. Other priorities include increasing the remuneration of health workers and the budget for essential medicines as well as confronting high-level corruption that robs Ugandans of life saving health service delivery. 

“Lack of focus on our health needs by politicians is a disgrace, and we are here to say, ‘no more,’ “ said Rachel Nandelenga of the International Community of Women Living with HIV/AIDS Eastern Africa (ICWEA). “All candidates seeking elective positions should pronounce themselves on these 10 points. 

We commit to empowering citizens to choose leaders whose manifestos speak to these demands—we will hold them accountable from the national level right down to the grassroots.”

The coalition pointed out that the most repeated excuse—lack of funding—is not credible, since other priorities receive funding when considered politically beneficial. For example, Parliament received 2 billion shillings to debate during a recent 2-day special sitting; State House spends more than 600 million shillings each day. 

“As citizens of Uganda our fate is in our hands—every five years we have a special power to raise the bar on health service delivery by making our demands known and making use of our vote. We pledge to do that now,” said Lilian Mworeko, Executive Director of ICWEA.

“We are tired of politicians prioritizing infrastructure and telling us health must wait,” said William Kidega of PATH. “Health cannot wait—not when our public health facilities routinely report stock outs, pregnant women suffer and die of totally preventable causes, and drug-resistant TB is on the rise. 
Investing in health service delivery means investing in social infrastructure that is the only path to equitable economic development for ordinary Ugandans. This is non-negotiable.”

A recent poll conducted in August 2014 by Columbia University reported that healthcare is the most important issue for Ugandan voters. Across two large public opinion surveys conducted in 2011 and in 2014, voters said healthcare was the most important issue for Parliament to address of these data showed that health, according to voters, is far more important than joblessness, education, or crime (Source: Columbia University 2014).

Uganda’s general election campaigns start October 25. “Between now and the start of general elections we expect all candidates to adopt these 10 points in their manifestos,” said Dennis Odwe of AGHA Uganda.

 “We will meet with each party individually as well as Independent candidates to deliver this demand.” Civil society members intend to work in key constituencies to support grassroots health rights activists to demand accountability from political candidates, and engage on health crises that have too long gone ignored.

ENDS



Mpigi appeals to government for more CD4 Count Machines

People Living with HIV and AIDS in Mpigi have appealed to the government of Uganda to give them more CD4 count machines. This took place during a stakeholders meeting held at 

Mpigi district main hall to come up with solutions on clotting of CD4 test blood samples.
Fred Sewanyana, Secretary of Mpigi Network of AIDS Service Organisations, said that clients from 20 ART sites depend on one machine based at Mpigi health center IV.
Sadat Ssemand, Laboratory Technician explaining the need for more CD4 machines. Photo|Esther Namirimu

“The number of clients in ART care who need to get their CD4 tests before they can access antiretroviral therapy is overwhelming and many times blood samples clot before they are tested,” he added.

Sadat Ssemanda, Laboratory Technician at Mpigi HC IV, said that on average there are 100 blood samples to be tested for CD4 count but the machine can only work on 50 samples daily.

“The huge number of blood samples overwhelms the hub which results into blood clotting due to failure to run all the CD4 tests within the required 24 hours,” he added.

Ssemanda noted that the sometimes blood clots due to poor transportation, or lack of lack electricity at health facility and requested the government give the district more machines.

Mpigi Woman Member of Parliament

David Ssebisubi, Program Coordinator of Muduma Health Initiative Association, said that the whole of Mpigi district has only two machines; one at Mpigi health center IV and Nkozi hospital and one mini CD4 machine at Buwama health center III.

“At Buwama health center III, 40 clients take CD4 test but the mini machine can only do 9-15 tests per day. All remaining samples are transferred to Mpigi health center,” he added.

Ssebisubi said that if more machines are given to the district more people will get their CD4 counted and get eligible for ART.

Siana Nakazibwe, Finance Manager of the Uganda Network of AIDS Service Organizations, advised the participants to use the opportunity of the political period and start a strong campaign so that they can get the machines.
Ms. Siana Nazibwe Finance Manger of UNASO together with Ms. Cathy Nanyanzi(purple t-shirt) advised people of Mpigi to utilize the political period to get the machines from politicians. Photo|Esther Namirimu


“You can make those politicians pledge to contribute to buying the machines,” she advised.

According to the Health Management Information System report (July 2014-March 2015) the number of clients on ART care in Mpigi increased from 7051 to 7777.
Those initiated on ART increased by 1514 from 6063. Out of those active on ART only 3467 were tested for CD4.


The report also indicates that HIV prevalence rate of Mpigi is at 8% way above the national rate of 7.3%; with people living in Buwama, Nkozi, Kammengo and Mpigi town council being at a high risk of getting HIV because most people are risk like fisher folks and trucker drivers live in these areas. 


BY Esther Namirimu|Communications Officer of UNASO.

Wednesday, 29 July 2015

UNASO facilitates Community Dialogue at Ochero HC III,Kaberamaido

With financial support from UNDP, UNASO facilitated a community dialogue at Ochero Health Center III. The dialogue was a follow up on the Community Scorecard that was done in the area in 2013. The meeting was attended by community members, area leaders and health workers. Participants raised concerns about issues still challenging them;Inadequate staff housing,few staff, no room for laboratory,lack of transport means,not received Primary Health Care funds for a year,inadequate water supply, lack of beds in the general ward, lack of funds to fuel motorcycle.


Achievements
1. Two staff houses were built
2. The construction of the general ward is complete
3.Hon. Kenneth Omona donated a tri-cycle (Ajegere) to act as an ambulance
4.Home based care with support from Baylor College of Medicine
5.Communities access condoms from the Health Center and Village Health Teams
6.Safe Male Circumcision camps every month


General ward of Ochero Health Center III. Photo| Esther Namirimu

 Priest Church of Uganda, Eyimu Elijah translating from Kuman to English. Photo |Esther Namirimu

Ms. Sylvia Nakasi, Senior Policy and  Advocacy Officer of UNASO addressing participant. Photo|Esther Namirimu

Health workers were among the participants in the Community dialogue held at Ochero Health Center III.
Photo|Esther Namirimu

Patrick Ojok, working with Baylor College of Medicine at Ochero Health Center III. Photo|Esther Namirimu.

Community Health Advocates at Ochero Health Center III. Photo|Esther Namirimu

This tricycle locally nicknamed Ajegere meaning old woman is the only ambulance at Ochero Health Center III. Photo | Esther Namirimu

Old kitchen at Ochero Health Center III. Photo |Esther Namirimu

New kitchen at Ochero Health center III. Photo by Esther Namirimu

Old staff house at Ochero Health Center III. Photo | Esther Namirimu

New staff house which accommodates two health workers. Photo |Esther Namirimu



Written by Esther Namirimu | Communications Officer |UNASO

UNASO facilitates a Stakeholders dialogue in Kaberamaido

UNASO with financial support from UNDP held a stakeholders meeting to discuss issues that were raised during the Community dialogues at Ochero Health Center III and Kaberamaido Health Center IV.

Ms. Sylvia Nakasi, Senior Policy and Advocacy Officer of UNASO, informed the participants about issues affecting the quality service delivery in Ochero and Kaberamaido health center. The issues included lack of safe water, lack of transport, no Primary Health Care funds at Ochero Health Center for a year, inadequate accommodation for staff, no uniforms for health workers and sign posts at Kaberamadio health center IV, lack of beds in Ochero general ward and many others.
Ms. Sylvia Nakasi, Senior Policy and Advocacy Officer of UNASO reminding participants about the Community Scorecard that was done in 2013. Photo/Esther Namirimu
Mr. Francis Oluka, Chief Administrative Officer, said that the district leaders are doing their best to improve health service delivery in Kaberamaido; medical equipment was procured and 8 beds will be delivered to Ochero health center III in two weeks time. 

Kaberamaido Health center IV is going to be upgraded to Hospital status. The government gave the district Ugx700m to renovate and build more buildings at the facility. The facility is now fenced from the general community and more staff have been recruited.

 Mr. Francis Oluka, Chief Administrative Officer of Kaberamaido district.
Photo/Esther Namirimu
Salim Kumakech, Resident District Commissioner of Kaberamaido, said that he has been following the work done by Kaberamaido district network in the HIV response and he is proud of it.
He noted that district's prevalence is higher than the national prevalence. He appealed to concerned partners to work with government and fight HIV and AIDS.

"Health centers need to continuously support people working in ART clinics especially in Ochero, Arau and Otuboi," he added. 
Mr. Salim Kumakech, District Resident Commissioner of Kaberamaido district. Photo/Esther Namirimu
Emmy Ejuku, Deputy  Chief Administrative Officer, said that most people in Kaberamaido depend on subsistence farming and therefore there is a challenge of poverty. Young girls drop out of school at the age of 14 years and find themselves in trading centers like Otuboi selling their bodies to truck drivers.
Mr. Moses Odeke, Finance and Programme Coordinator of Kaberamaido District Network. Photo by Esther Namirimu
  
Regina Omolo- retired nurse addressing participants. Photo/Esther Namirimu

UNASO Team meeting the Chief Administrative Officer of Kaberamaido. Photo/Esther Namirimu.


Story written by Esther Namirimu | Communications Officer | UNASO

Friday, 12 June 2015

Health sector gets sh1.27 trillion

Uganda’s Finance Minister, Matia Kasaija, yesterday presented the national budget for the financial year 2015/16 at Kampala Serena. Kasaija who was a junior minister took over from Maria Kiwanuka in the March Cabinet reshuffle.

Hon. Kasaija said that an allocation of sh1.270.8 trillion out of shs24 trillion, has been approved to the health sector.


Uganda Minister of Finance, Hon Matia Kasaija arriving at Kampala Serena to present the national budget for the financial year 2015/16. Photo/NationFFM

He also noted that over a number of years, health service delivery has improved as a result of Government interventions with the support of our development partners. From 2006 to 2014 antiretroviral therapy coverage increased from 53 percent to 77 percent, and the Contraceptive Use Prevalence Rate has increased from 24 percent to 30 percent.  

The government has undertaken skills development for health workers. Under a Bursary scheme, training and bonding has taken place for 500 midwives, 200 health workers in medicines logistics management, 107 in data management and 296 in integrated diseases surveillance.  

He added that despite the progress being registered, Uganda’s high population growth rate, driven by the high fertility rate, poses challenges for health care delivery. Women and children remain the most vulnerable groups to diseases. In order to reduce the disease burden faced by Ugandans, Government has undertaken the following actions:-  

“Developed a rapid response mechanism outbreaks of epidemics such as Ebola, Marburg, Yellow fever, and Cholera, in addition to establishing a Laboratory for diagnosis of Viral Hemorrhagic Fever and an Emergency Operation Centre (EOC),” he said.  

He noted that the government implemented an aggressive Malaria Reduction Strategic Plan with a target to eliminate malaria deaths and reduce incidences of malaria to 30 cases per 1000 population, by 2020. 

Honorable Kasaija also said that there is a decrease in HIV/AIDS new infections from 147,000 in 2011 to 137,000 in 2013. HIV prevalence is now estimated at 7.3 percent.  

“Increased the number of health centers offering Prevention of Mother to Child Transmission (PMTCT) from 2,138 in 2013 to 3,248 facilities in 2014,” he said.  

He also noted that there is an increased the proportion of pregnant women living with HIV accessing Anti-Retro Viral treatment (ARVs) from 33 percent in 2007 to 87 percent in 2014 as a result of Increased testing for HIV in pregnant women from 30 percent in 2008 to 95 percent in 2014.  

"Significantly reduced the number of HIV infection in new born children from 28,000 in the year 2009 to a projected 8,000 as at the end 2014,” he added. 

The Finance Minister also said that there is an increased in the number of accredited health facilities that provide ARVs from 475 in 2011 to 1,603 by December 2014; This includes 100 percent of public hospitals, 91 percent Health Center IVs are providing ART and 87 percent of Health Centre IVs are also providing pediatric ART.  

Reduced by half the number of people dying from Tuberculosis (TB) from 9,900 in 1990 to 4,700, thereby achieving the Millennium Development Goal (MDG) Six target.  

Government is also strengthening the capacity of specialized health facilities such as the Uganda Heart Institute and the Uganda Cancer Institute to tackle the increasing cases of medical conditions that require specialized care, and reduce on the cost of referrals for medical treatment abroad.  

Hon Kasaija said that in the next year, an allocation of Shs. 1,270.8 billion has been approved to the Health Sector. Interventions in the Health will include construction of specialized Maternal and Neonatal unit in Mulago hospital with funding from the Islamic Development Bank (IDB).  

“Continue the construction, expansion, rehabilitation and equipping of Mulago Hospital will continue and expected to be completed by December 2016,” he added.

The government will procure ten (10) ambulances for the planned Ambulance System for Kampala metropolitan area.
 
He added that government will rehabilitate and upgrade Rukunyu, Maracha, Kansunganyanja, and Rwashamaire health centers;



An illustration of the budget allocation for 2015/16 . Courtesy of New Vision
Procure assorted essential medical equipment and furniture for ten (10) General Hospitals, 10 Health Centre IVs, 30 Health Centre IIIs and 20 Health Centre IIs countrywide;  

With support from the Italian Government, we shall construct 69 housing units at Health Centre IIIs in districts of Kaabong, Abim, Kotido, Moroto, Amudat, Napak and Nakapiripirit in the Karamoja region;

Continue rehabilitation of the following hospitals:-Adjumani, Kitgum, Kabarole, Kiboga. Kapchorwa, Kamwenge Pallisa, Itojo, Kitagata Bugiri, Atutur, Apac, Abim, Bundibugyo, Kaberamaido and Masindi. 

Reconstruct Kawolo and Busolwe Hospitals with the aid of a Spanish Debt Swap Grant; This will include extensions of Out Patient/Casualty units, building obstetric theatres, expansion of the delivery suites, and improvement of maternity wards;  

Rehabilitate expand and equip Yumbe and Kayunga Hospitals with support from the Saudi Fund/Opec Fund for International Development (OFID) and Arab Bank for Economic Development in Africa (BADEA). This will include construction of Staff houses and provision of ambulances.  

Enhance the treatment against Hepatitis B with an allocation of Shs. 10 billion.  

Government will directly seek to address the health of mothers and children. Providing comprehensive antenatal care and malaria prevention for pregnant women, in addition to HIV voluntary counseling and testing services and nutritional supplements will go a long way in this quest.

With the enhanced provision of Emergency Obstetric Care medical supplies, in addition to improving referral and support supervision, maternal mortality rates are projected to fall from 438 per 100,000 live births to 220 per 100,000 live births with these interventions. Government also aims reduce infant mortality rates from 54 per 1,000 live births to 44 per 1,000 live births.

 

Written by Esther Namirimu

Communications Officer of UNASO

 

Monday, 27 April 2015

Sexual Reproductive and Health Rights of Young people in Uganda.

Background to SRHR programming at UNASO.
UNASO has been enhancing access to SRH information and services to underserved Young People in Uganda. Young people (10-24 years) constitute over 30% of Uganda’s population, with significant impact on population momentum, structure and growth rate. Yet they carry the highest burden and unequalled challenges of SRH, partly caused by high risk behaviour, limited access to information and services.

Traditional health programmes ignore youth because they are thought to be healthy. Uganda has the youngest population in the world, with over 78% below the age of 30 years and 52% is 15 years and below (UBOS 2012). Currently about 6.5 million Ugandans are between 18-30 years and the number of young people is projected to grow to 7.7 million by 2015.

Unfortunately this young population is faced with multiple sexual and reproductive health challenges including: early and unwanted pregnancies; unsafe abortion; STDs; HIV and AIDS and substance and sexual abuse. More so, these young people are faced with a challenge of limited access to integrated SRH services, and the effects of accelerated urbanization and poverty, meaning that many young Ugandans are potentially at higher risk of HIV and AIDS.

UNASO’s commitment to improving the impact of its work and to achieving greater efficiency and effectiveness in attaining that impact is anchored in her strategic plan. Our national accountability score card (2014) which revealed poor adol. Services has re-engineered our focus on SRHR.

UNASO SRHR Programming & Capacity
Against the above background, UNASO in her revised strategic plan (2012/13-2016/17) has embraced SRHR programming.This is premised in strategic objective 3: HIV & AIDS policies, legislation and programmes influenced by 2017.
The Intermediate Result 3.3 Capacity of ASOs to advocate for promotion and protection of sexual reproductive health rights (SRHR) strengthened. In 2013, UNASO with support from STOP AIDS NOW! had two of its staff trained as ToTs in Quality of Sexual and Reproductive Health Education and HIV Prevention Programmes for Young People. UNASO trained staff to coordinate and facilitate the SRHR among AIDS service organizations. UNASO through her trainers led SRHR trainings for CSOs in Kenya, Ghana, Senegal, South Africa, Malawi, Zambia and Tanzania. In partnership with Nurture Africa, UNASO is currently supporting over 10,000 adolescent youth to access friendly services (Supported by HIVOs).

Key SRHR interventions
At least 17 organizations have been trained and have action plans to integrate and / or improve SRHR programming with support from STOP AIDS NOW! Participating organizations were equipped with skills and utilize skills in planning processes and implementation of SRHR projects in their organizations.Organizations are supported to revise their strategic plans to integrate and effectively measure SRHR performance every after six months. UNASO advocates for adoption of SRHR approach in all HIV & AIDS programmes at national and local level through national and district level platforms.

Some Beneficiary Organizations;
  • National Community of Women Living with HIV/AIDs (NACWOLA),
  • Ugandan American Partnership Organization (UAPO),
  • Wakiso District Network of AIDS Service Organization (WADNASO),
  • Kitwe Charitable Initiative (KCI), World Education Bantwana,
  • Asiika Obulamu PHA Group,
  • Kayunga Orphans Education Care and Support Program,
  • Kiyita Family Alliance for Development (KIaFAD),
  • AIDS Care Education and Training (ACET),
  • Community Awareness and Response on AIDS (CARA)
  • Child Care and Youth Empowerment Foundation (CCAYEF)
  • Community Health and Information Network (CHAIN)
  •  HuysLink Community Initiative (HUYSLINU)
  • Integrated Family Care Support Ugand (IFACASU).
Lessons & Experiences
  • Use of local evidence to inform SRHR is vital to create lasting impact and change.
  • The demand for integration of SRHR among AIDS service organizations is enormous but capacity is still limited.
  • Advocacy to influence policies &and legislations that facilitate SRHR at all levels is still paramount.
Opportunities at UNASO for SRHR programming
  • UNASO organized a meeting for all trainers from the African region to chat a way forward on how to carry on this activity beyond 2015 (a plan exists).
  • Large membership at UNASO in need for SRHR.
  • Available human resources (ToTs) to facilitate knowledge transfer to others.
  • SRHR is a key and priority focus for the national SP.
  • UNASO is self coordinating Entity for young people in the country which facilitates coordination and scale up of intervention