International Family Planning Conference Bali, Indonesia
28 January 2016
Leigh Wynne, Senior Technical Officer, APC/FHI360 Lisa Firth, Technical Advisor – Health, SAWSO
Integrating Community-based FP into an FBO’s Comprehensive Program for Vulnerable Families in Rural Uganda
T h e S a lvat i o n A r m y Wo r l d S e rv i c e O f f i c e
F P / OV C i n t e g r at i o n i n U g a n da
Context
• The Salvation Army Uganda’s SCORE (Sustainable, Comprehensive Response for vulnerable children and their families) Project.
• Based in Mbale, Eastern Uganda • Operating in 6 districts • Part of a 5-year consortium run by AVSI • < December 2015; one-year extension for 2016 • Funded by USAID
Organization Overview
• The Salvation Army (TSA) is a worldwide evangelical church, headquartered in London and with a presence in 127 countries.
• It has served the poor via its local “corps” (church and social service centers) throughout its 150-year history.
• The Salvation Army World Service Office (SAWSO) helps TSA territories identify needs and facilitates US resources to meet them.
• In 2014, SAWSO partnered with TSA in 62 countries.
F P / OV C i n t e g r at i o n i n U g a n da
Framework of Integration (Existing Project)
• SCORE’s objectives for vulnerable children’s households: • Improve socio-economic status • Improve food security • Increase access to protection and legal services • Increase capacity to access other services
• Program based on: • Family-centered, household-based approach • Facilitation of community partnerships • Gender mainstreaming • Service coordination & district ownership
F P / OV C i n t e g r at i o n i n U g a n da
Framework of Integration (Context and Rationale for Adding Community-based Family Planning)
• FP services requested by SCORE Project staff & beneficiaries • High fertility and large family size in service area • District (government) health personnel supportive • Existing network of health centers , but
• limited availability of FP commodities • Existing volunteer village health teams (VHTs) , but
• VHT members generally not trained in FP • Limited understanding & uptake of family planning • Openness to “healthy timing and spacing of pregnancies”
F P / OV C i n t e g r at i o n i n U g a n da
SAIFaP (Salvation Army Integrated Family Planning)
• Mbale based. 2-year project began May 2014 • Objectives
• Increase access to FP services • Increase knowledge of and interest in FP • Improve the quality of FP services
• Main activities • Service mapping and linkages with health centers • Training of VHTs and youth peer & ASRH educators • Male, community and church leader engagement • Home-based care & mobile outreach, with HC referrals
VHTs registering clients at the outreach services (Apr-June 2015)
Demonstration on how to roll down a condom by a youth Educator in one of the sessions (Apr-Jun 2015)
F P / OV C i n t e g r at i o n i n U g a n da
Results to Date
• 378 VHT members trained on FP and deployed • 375 youth peer educators, 65 teachers/ASRH mentors active • 83 male volunteer mentors engaged and trained • 130 Salvation Army officers and cadets trained on FP • Seven outreaches/quarter being conducted • Quarterly stakeholder and monthly coordination meetings • Engagement in national FP events
• CCIH conference • World Contraception Day
• Introduction of donated CycleBeads via Georgetown IRH
F P / OV C i n t e g r at i o n i n U g a n da
Successes
• Use of existing structures valuable • SCORE volunteers, VHTs and health centers • Church/TSA officers
• Public sector buy-in crucial • Local agencies engaged • Support at the national level
• Gender integration • Opportunities to broaden outlook of staff and leaders
• National CCIH conference for FBOs • Study visit and mentoring
F P / OV C i n t e g r at i o n i n U g a n da
Lessons Learned
• Approved by International Headquarters • US government project’s management requirements
• Documentation • Compliance • Associated costs
• Sufficient time for integration in existing project • Co-location & engagement of project manager(s) • Dependence on public sector
• Supplies • Referral capacity