REPUBLIC OF UGANDA MOYO DISTRICT Family Planning - Costed Implementation Plan 2018/19 - 2022/23 OCTOBER 2018 MOYO DISTRICT LOCAL GOVERNMENT This District Family Planning Costed Implementation Plan has been made possible with the technical support from the Ministry of Health and the United Nations Population Fund through Moyo District Health Office. This project was funded under the UNFPA Supplies Programme and UK aid from the UK government. Published by: Moyo District Local Government Ownership: Reproduction of this plan for educational or other non-commercial purposes is authorized without permission from the Moyo District Local Government, provided the source is fully acknowledged. Preferred Citation: Moyo District (2018). District Family Planning Costed Implementation Plan, 2018/19-2022/23. Moyo, Uganda Copies available from: Moyo District Health Office iv Table of Contents List of Tables vi List of Figures vi FOREWORD vii PREFACE viii ACKNOWLEDGMENT ix ACRONYMS x EXECUTIVE SUMMARY xi SECTION ONE: INTRODUCTION AND BACKGROUND 2 1.1 Introduction 3 1.2 Background 3 1.3 SWOT Analysis for Family Planning Services 11 1.4 Process of Developing the District CIP 12 SECTION TWO: THE CASE FOR MOYO DISTRICT FP 13 COSTED IMPLEMENTATION PLAN 2.1 Introduction 14 2.2 Demand Creation 14 2.3 Service Delivery and Access 15 2.4 Contraceptive Security 17 2.5 Policy and Enabling Environment 17 2.6 Financing 17 2.7 Stewardship, Management and Accountability 18 SECTION THREE: DISTRICT STRATEGIC PRIORITIES 19 3.1 Introduction 20 3.2 Vision, Mission, Core Values and Goal 20 3.3 District strategic priorities in FP 20 3.3.1 Demand creation 20 3.3.2 Service Delivery and Access 20 v 3.3.3 Contraceptive Security 22 3.3.4 Policy and Enabling Environment 23 3.3.5 Financing 23 3.3.6 Stewardship, Management & Accountability 23 SECTION FOUR: DISTRICT INSTITUTIONAL ARRANGEMENTS FOR 24 IMPLEMENTATION OF THE PLAN 4.1 Introduction 25 4.2 Management, Coordination, and Accountability Structure 25 4.3 Roles and Responsibilities of Key Actors (District Level) 25 4.4 Coordination Framework 25 4.5 Resource Mobilization Framework 25 4.6 Performance Monitoring and Accountability 26 4.7 Routine Data Collection 28 4.8 Data Management 28 SECTION FIVE: COSTING OF THE PLAN 29 5.1 Introduction 29 SECTION SIX: DISTRICT IMPLEMENTATION FRAMEWORK 32 AND ACTIVITY DETAILS REFERENCES 39 vi List of Tables Table 1.1 Key Geographical Indicators 4 Table 1.2 Moyo District Population as per 2014 Census by Sex and Sub-county 5 Table 1.3 Selected Demographic Health Indicators 6 Table 1.4 Staffing Levels by Public Health Facility Level in Moyo District 7 Table 1.5 Health Service Providers in Moyo District 8 Table 1.6 Health Partner Mapping in Moyo District 9 Table 1.7 SWOT Analysis. 12 Table 2.1 FY 2013/14 and FY 2014/15 Comparative Analysis of FP Services Uptake 16 Table 4.1 Illustrative List of National Indicators to Inform the District FP CIP 28 Table 5.1 Cost for Implementing the CIP 30 Table 5.2 Summary Costs per Thematic Area per Financial Year (Millions, UGX) 30 List of Figures Figure 1.1 Moyo District map and location in Uganda 3 Figure 1.2 Map of Moyo District showing the location of health units, July 2007 8 vii Foreword Moyo District has the lowest population growth rate in Uganda estimated at -2.9% as indicated in the Uganda Bureau of Statistics 2015 census results. The district is however faced with high infl ux of refugees which poses a serious challenge to ensure that its local population receives quality healthcare and more so family planning services. Quality family planning services are essential in Implementation Plan, Vision 2040 and the FP2020 ensuring that Moyo District Local Government commitments. This plan is premised on six thematic attains the targets of the National Family Planning areas; Costed Implementation Plan (2014), the National • Demand Creation Development Plan (NDP) 2015 as well as the • Service Delivery and Access Sustainable Development Goals. • Contraceptive Security • Financing Moyo District Local Government mandate is to plan, • Policy and Enabling Environment develop and maintain an adequate and effective • Stewardship, Management and Accountability health care delivery system and to facilitate the provision of quality health services to its population. I would like to express my gratitude to the Ministry of Whilst better health services can ensure a healthy Health, UK aid and United Nations Population Fund population, they can, at the same time, expand (UNFPA) for providing the technical and fi nancial opportunities for productivity and contribute to resources to develop this plan and the district staff as national development. well as all stakeholders involved in the process. I now have the pleasure to present to you the Moyo District Accordingly, Moyo District Family Planning Costed Family Planning Costed Implementation Plan 2017- Implementation Plan 2017-2022 was developed in 2022 that sets a blueprint in our attempt to improve order to streamline family planning services delivery access to accurate information about family planning, in order to address the effects of population growth. improved access to high quality family planning The Moyo District FP CIP is aligned to the National services and in general to strengthen and scale up Family Planning Costed Implementation Plan (2014) provision of integrated family planning services by and focuses on ensuring that the resource envelope multi-stakeholders in the district. The District FP is increased to support women and men raise CIP will be a working document to advocate family manageable families. As a district, we will work with planning services. all key stakeholders to ensure that they promote For God and My Country family planning services as a matter of priority. The District Costed Implementation Plan (CIP) addresses key challenges, and provides practical solutions as agreed upon by key stakeholders on the 28th November 2017 and I want to note that it’s in line with the Ministry of Health National FP Costed viii Preface The family planning concerns of communities have hitherto taken centre stage in emphasizing the low contraceptive prevalence rate in Moyo District. This District Family Planning Costed Implementation all stakeholders in family planning to make special Plan 2017-2022 is an effort to highlight family consideration of this plan and its ideals in their planning issues and bring them into the mainstream day-to-day work. I recommend this plan to all actors of health and other social services. The District involved in supporting or implementing different Local Government has identifi ed family planning as a family planning activities that promote healthy and priority programme and increasing access to quality productive households. health services is one of the strategies to increase service uptake in the district. A manageable and health population is a critical national resource for today and their health is a worthwhile investment for future growth and development. Manageable household sizes have great potential to contribute to development processes for their own benefi t as well as the development of society at large. The understanding, adoption and implementation of this District Family Planning Costed Implementation Plan 2017/2018- 2021/2022 will contribute positively to the efforts to manage the fertility rate for the district in the face of infl ux of refugees from South Sudan. I call upon ix Acknowledgement The Moyo District Family Planning Costed Implementation Plan 2017-2022 is a product of concerted efforts and contributions by different stakeholders in the quest to ensure that the local population receives quality family planning services. Moyo District Local Government would like to take I wish to congratulate all stakeholders for their this opportunity to express its deep appreciation active participation in the development of the plan, and sincere thanks to all who participated in the and above all for their invaluable and continuous development of this plan. contribution to the efforts to improve family planning services delivery in the district. I strongly hope that The process of developing the District Family with well-coordinated efforts towards implementing Planning Costed Implementation Plan was highly this plan, the benefi ts accruing will see Moyo District participatory involving key stakeholders and interest Local Government realize the targets set in this plan groups including communities of family planning and be able to address the family planning challenges service users. Its development was supported by posed to its population. UNFPA, Ministry of Health and Moyo District Local Government would like to express its appreciation in this regard. I wish to sincerely recognize the fi nancial support from UK aid from the UK government, through United Nations Population Fund (UNFPA) and the UNFPA Supplies Project for developing this FP-CIP. x Abbreviations ANC Antenatal Care LLG Lower Local Government BEmONC Basic Emergency Maternal and MARPS Most At Risk Populations Obstetric Care MoH Ministry of Health CAO Chief Administrative Officer NGOs Non-Governmental Organizations CEmONC Comprehensive Maternal and Obstetric NMS National Medical Stores Care OPD Out Patient Department CH Child Health PNFP Private Not For Profit CS Contraceptive Security RDC Resident District Commissioner CPD Continuous Professional Development RH Reproductive Health CPR Contraceptive Prevalence Rate RHU Reproductive Health Uganda CSO Civil Society Organization SBCC Social and