NORTHERN KARAMOJA MSU PERFORMANCE REPORT FOR 3RD

QTR 2012

INTRODUCTION • Partner of Marie Stopes International.• MSI Works also in 42 countries globally.• MSI vision is to ensure that all births are

wanted.• Achieved through the provision of high

quality family planning and reproductive health care services to men and women.

• MSU been in Uganda since 1990.

WORK IN KARAMOJA REGION• Started work in Karamoja in September 2010.• Our work involves the provision of short term,

long term and permanent methods of FP. • Work in consultation with the respective District

Health Teams and health facilities.• Two Teams, 1 funded by UNFPA and the other

funded by USAID.• Two teams each comprising;

a) 1 Medical Officer,

b) 2 Service Providers (nurses/midwives)

c) 1 Transport Assistant.

SERVICE DELIVERY APPROACH• MSU work in the region is primarily through

outreaches to health facilities.• We use schedules that are aired on radio and

shared with VHTs who are responsible for mobilization of FP clients within the communities and referring for services at the nearest facilities.

• In each of the facilities, we work with at least 1 health workers to ensure mentoring and skills transfer and with 8 VHTs.

• We move with all our supplies and equipment in the vehicle, all we need is space and an examination bed in the health facilities to qualify for service delivery.

Performance 2010

District MSV MSL IUD JAD IMP DEPO PILL TOT %

Moroto 0 2 11 87 87 49 18 254 22

Napak 1 8 7 101 67 27 23 235 20

Kotido 1 5 8 150 119 20 33 353 30

Kaabong 0 4 20 143 94 35 27 333 28

Total 2 19 48 471 363 128 84 1175 100

District MSV MSL IUD JAD IMP DEPO PILL TOTAL %

Moroto 0 0 0 18 5 4 1 28 78

Napak 0 0 0 2 5 0 1 8 22

Total 0 0 0 20 10 4 2 36 100

Performance 2011PERMENENT LONG TERM SHORT TERM

PERMENENT LONG TERM SHORT TERM

Performance 3RD QTR FY 2011/2012

District MSL MSV IUD JAD IMP DEPO PILL TOT

NTFP NTLPM

Moroto 0 0 4 21 37 23 9 94 52 57

Kotido 1 0 2 13 20 0 0 36 10 17

Napak 2 0 0 2 13 2 0 19 13 17

Kaabong 3 0 0 17 28 9 0 57 39 47

Total 6 0 6 53 98 34 9 206 114 138

PERMENENT LONG TERM SHORT TERM

TOTAL UPTAKE OF MSU FP SERVICES PER DISTRICT IN NORTHERN KARAMOJA 3RD QTR

UPTAKE OF MSU FP SERVICES PER DISTRICT IN NORTHERN KARAMOJA 3RD QTR

UPTAKE OF FP SERVICES IN MSU IN MOROTO DISTRICT 3RD QTR

UPTAKE OF FP SERVICES IN MSU IN NAPAK DISTRICT 3RD QTR

UPTAKE OF FP SERVICES IN MSU IN KOTIDO DISTRICT IN 3RD QTR

UPTAKE OF FP SERVICES IN MSU IN KAABONG DISTRICT IN 3RD QTR

Challenges• There is still a low uptake of FP due to the huge

knowledge gap, strong cultural and religious beliefs against artificial FP in the community.

• Lack of spouse support when a partner takes up a method .

• Inadequate reporting of FP activities by HC.• VHT issues i.e. training, and poor attitudes

towards FP services and 5000/= incentive.• Health centers in need of services do not have

space and the examination bed.• Some areas are too far from health facilities to

qualify for our service delivery.

Opportunities • Training health staffs on FP & its documentation

on the HMIS. Training of VHT on FP.• Social mobilisation for FP.• Need to review the 5000/= to VHT in the

presence of the current inflation.• New module for FP service delivery(mobile

outreach services). Still being discussed with the DHO’s offices.

• Still working on how to open up a centre(special clinic) to offer high quality FP and sexual reproductive services at an affordable cost.

Conclusion

• With continuous community access to FP information and constant accessibility to free FP services, we expect the negative attitudes towards FP services to reduce and as a whole male involvement in FP services especially as clients and as supportive spouses to improve.

Thank you