WORK OF THE REPRODUCTIVE HEALTH TEAM
UNFPA UGANDA COUNTRY OFFICE
August 2010

Mapping evidence
Testing interventions
Applying technologies
Support for development of policies, tools, guidelines and strategies
Improve RH
Status
Technical support to sectors/districts

– Midwifery Needs Assessment
– Evaluation of Enrolled Comprehensive Nurse
Programme
– Review of Midwifery Act

– 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

– ASRH in schools
– ? National Survey of SRH for adolescents in schools

– 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

Testing Innovations and Expanding
Access to interventions
•
(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
Access 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
Access 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
Access to interventions
(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

Applying Technologies
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

Developing policies, norms, tools, guidelines and strategies
(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 strategies
(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 Reintroduction of Female Condoms
● Development of National Condom Distribution
Plan

Developing policies, norms, tools, guidelines 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, guidelines 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)

Technical Support to Sectors & Districts/CSOs
(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

Linkage with SRO/RO/Global Office
At 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

Assistant Representative
(RH & HIV/AIDS)
NPO - HIV JPO - HIV
NPA –
Youth
Networking
NPA – G7
NPO – RH in
Emergency
RH Adviser
NPO – MH
& FP
CMA
NPO – Fistula &
YFS
NPA (G7)
RH
Associate