ORIENTATION OF NEW STAFF OF ORIENTATION OF NEW STAFF OF UNFPAUNFPA

WORK OF THE REPRODUCTIVE HEALTH TEAMWORK OF THE REPRODUCTIVE HEALTH TEAM

UNFPA UGANDA COUNTRY OFFICEUNFPA UGANDA COUNTRY OFFICE

August 2010August 2010

RH team: Priorities and ActivitiesRH team: Priorities and Activities

Improve RH Improve RH StatusStatus

Improve RH Improve RH StatusStatus

MappingMappingevidenceevidenceMappingMappingevidenceevidence

TestingTestinginterventionsinterventions

TestingTestinginterventionsinterventions

Applying Applying technologiestechnologiesApplying Applying

technologiestechnologies

Support for development of policies, Support for development of policies, tools, guidelines and strategiestools, guidelines and strategies

Support for development of policies, Support for development of policies, tools, guidelines and strategiestools, guidelines and strategies

Technical support to sectors/districtsTechnical support to sectors/districts

Technical support to sectors/districtsTechnical support to sectors/districts

Mapping EvidenceMapping Evidence

Midwifery:– Midwifery Needs Assessment– Evaluation of Enrolled Comprehensive Nurse

Programme– Review of Midwifery Act

Mapping EvidenceMapping Evidence

Family Planning:– RHCS Situation Analysis– Best Practice documentation in FP (CBD and

LTPM)– Adding It Up: Benefit of Investing in FP– Operational Research on Female Condom– Condom Mapping

Mapping EvidenceMapping Evidence

Adolescent Health:– ASRH in schools

– ? National Survey of SRH for adolescents in schools

Mapping EvidenceMapping Evidence

HIV Prevention:– BCC/CSC mapping for new generation

messages– Situation Analysis on Integration of HIV/AIDS

with SRH– RH Choices for PHAs– ? MMR attributable to HIV/AIDS

(1) Midwifery:• Sponsorship programme for midwives

• Strengthening midwifery education, regulation and associations

• Institutionalising MPDR at district hospitals and HCIVs

• Increasing coverage for skilled birth attendants up to HCIIIs

• Increasing coverage for EmONC at District Hospitals & HCIVs

• Expanding access to PAC services in District Hospital & HCIVs

• Expanding access to fistula management at Regional Hospitals

Testing Innovations and Expanding Testing Innovations and Expanding Access to interventionsAccess to interventions

Testing Innovations and Expanding Testing Innovations and Expanding Access to interventionsAccess to interventions

(2) Family Planning:• Support for RHCS at national, district and facility levels

• Increasing resource commitment and favourable policies for FP

• Institutionalising MTC at national and district levels, at in health facilities

• Increasing coverage for FP services up to HCIIIs levels and in communities

• Increasing coverage for LTPM through scheduled and event specific outreaches within existing public health facilities using NGO services

• CBD of FP using VHTs

• Mobilizing political, civic and social support for FP services

Testing Innovations and Expanding Testing Innovations and Expanding Access to interventionsAccess to interventions

Testing Innovations and Expanding Testing Innovations and Expanding Access to interventionsAccess to interventions

(3) Adolescent Sexual and Reproductive Health:

• Strengthening youth structure and participation in national and sub-national decision making processes

• Integrating youth sexuality education and school nurse programmes in all secondary schools with clinic facilities

• Institutionalizing youth sexuality education in curriculum, school health policies, EMIS, etc.

• Increasing coverage for youth friendly services for in-school and out of school youth

Testing Innovations and Expanding Testing Innovations and Expanding Access to interventionsAccess to interventions

Testing Innovations and Expanding Testing Innovations and Expanding Access to interventionsAccess to interventions

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(4) HIV Prevention:

• Re-institutionalizing HIV prevention for uniformed forces (defence, police) and sex workers/IDPs (MOGLSD) within sectors and CSO networks

• Strengthening national capacity for communication for individual and social change.

• Strengthening national capacity for integration of HIV/AIDS with SRH.

•

Working with social structures (Religious and cultural institutions) to address the socio-economic drivers of HIV/AIDS

• Increasing capacity and coverage for Comprehensive Condom Programming, including female condoms

Testing Innovations and Expanding Testing Innovations and Expanding Access to interventionsAccess to interventions

Testing Innovations and Expanding Testing Innovations and Expanding Access to interventionsAccess to interventions

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Midwifery:– Expanding use of MVAs in district hospitals and HCIVs

Family Planning:– ?? Expanding use of uniject or depo injection by VHTs

Adolescents:– Promoting/expanding use of emergency pills for adolescents and

those in need for university students

HIV:– Expanding use of female condom 2 (fc2) in Uganda

Applying TechnologiesApplying TechnologiesApplying TechnologiesApplying Technologies

(1) Midwifery

● Midwifery Improvement Programme

● Review of midwifery curriculum

● Review of midwifery act

● Development of strategic plan for Uganda Nursing and Midwifery Council

● Development of strategic plan for Uganda Nursing and Midwifery Union

● Development of essential standards and services package for the prevention, management and re-integration of fistula.

● Development of National Strategy for Obstetrics Fistula.

● Roadmap, Roadmap Action Plan & Re-costing

Developing policies, norms, tools, guidelines and Developing policies, norms, tools, guidelines and strategiesstrategies

Developing policies, norms, tools, guidelines and Developing policies, norms, tools, guidelines and strategiesstrategies

(2) Family Planning

● Development of RHCS Strategic Plan

● Development of 5-Year Procurement Plan and Contraceptive Procurement Table for Uganda

● Development of guidelines for dealing with myths and misconceptions on FP

● Development of Operational Plan for Re-introduction of Female Condoms

● Development of National Condom Distribution Plan

Developing policies, norms, tools, Developing policies, norms, tools, guidelines and strategiesguidelines and strategies

Developing policies, norms, tools, Developing policies, norms, tools, guidelines and strategiesguidelines and strategies

(3) Adolescents

● Integration of policies on prevention, management and mitigation of teenage pregnancies and HIV/AIDS in the review of School Health Policy

● Integration of key ASRH indicators in the Education Management Information System

● Integration of sexuality education in secondary school curriculum

● Draft Adolescent Health Strategy

Developing policies, norms, tools, Developing policies, norms, tools, guidelines and strategiesguidelines and strategies

Developing policies, norms, tools, Developing policies, norms, tools, guidelines and strategiesguidelines and strategies

(4) HIV Prevention

● Development of National Strategy for the Integration of HIV/AIDS with SRH

● Development of National Guideline for BCC and CSC, including for discordant couples.

● Development of Operational Plan for MARPS in Uganda

● Development of strategic plans for HIV prevention in uniformed forces (Police & Army); sex work and disabled persons (MoGLSD) and fishing communities (MAAIF)

Developing policies, norms, tools, guidelines and Developing policies, norms, tools, guidelines and strategiesstrategies

Developing policies, norms, tools, guidelines and Developing policies, norms, tools, guidelines and strategiesstrategies

(1) TA Plan exists with MoH for 5-Year period:– Long Term TA Plan: RH Adviser; RH Associate; Country

Midwifery Adviser– Short Term TA Plan for:

Conducting strategic assessments; research; development of norms, standards and guidelines; etc.

(2) Providing expert opinion on RH/HIV/AIDS issues– Membership in TWG & Task Forces,

(3) Capacity building for sectors/districts/CSOs

(3) Mobilising new resources, with possible CSR with private sectors

(4) Fund management for efficient use of resources

Technical Support to Sectors & Districts/CSOsTechnical Support to Sectors & Districts/CSOsTechnical Support to Sectors & Districts/CSOsTechnical Support to Sectors & Districts/CSOs

Linkage with SRO/RO/Global OfficeLinkage with SRO/RO/Global OfficeAt the global level– Sharing of plans, reports and best practice documentation

when required– Participation in Working Group meetings, workshops,

expert group meetings– Translating/domesticating global commitments to national

level efforts (e.g. H4, Partnership with Care)

At the regional/sub-regional level– Sharing of plans, reports and best practice documentation

when required (e.g. MPDR; FP – LTPM & CBD)– Participation in Working Group meetings, workshops,

expert group meetings– Translating/domesticating regional commitments to

national level efforts– Participating in capacity building fora

The RH TeamThe RH Team