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YUMBE DISTRICT Family Planning Costed Implementation Plan 2018/19 - 2022/23

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YUMBE DISTRICT Family Planning Costed Implementation Plan 2018/19 - 2022/23 REPUBLIC OF UGANDA YUMBE DISTRICT Family Planning Costed Implementation Plan 2018/19 - 2022/23 OCTOBER 2018 YUMBE DISTRICT LOCAL GOVERNMENT ii iii 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 Yumbe District Health Office. This project was funded under the UNFPA Supplies Programme and UK aid from the UK government. Published by: Yumbe District Local Government Ownership: Reproduction of this plan for educational or other non-commercial purposes is authorized without permission from the Yumbe District Local Government, provided the source is fully acknowledged. Preferred Citation: Yumbe District (2018). District Family Planning Costed Implementation Plan, 2018/19-2022/23. Yumbe, Uganda Copies available from: Yumbe District Health Office iv Table of Contents List of Tables v List of Figures v FOREWORD vi PREFACE vii ACKNOWLEDGMENT viii ACRONYMS ix EXECUTIVE SUMMARY x SECTION ONE: INTRODUCTION AND BACKGROUND 1 1.1 Introduction 1 1.2 Background 2 1.3 SWOT Analysis for Family Planning Services 17 1.4 Process of Developing the District FP CIP 18 SECTION TWO: THE CASE FOR YUMBE DISTRICT FP COSTED IMPLEMENTATION PLAN 19 2.1 Introduction 20 2.2 Demand Creation 20 2.3 Access to Service Delivery and Yumbe District Family Planning Uptake 20 2.4 Contraceptive Security 20 2.5 Policy and Enabling Environment 21 2.6 Financing 21 2.7 Stewardship, Management and Accountability 21 SECTION THREE: DISTRICT STRATEGIC PRIORITIES 21 3.1 Introduction 22 3.2 Vision, Mission, Core Values and Goal 22 3.3 District Strategic Priorities in FP 23 3.3.1 Demand Creation 23 3.3.2 Service Delivery and Access 24 3.3.3 Contraceptive Security 25 3.3.4 Policy and Enabling Environment 25 3.3.5 Financing 26 3.3.6 Stewardship, Management and Accountability 26 v SECTION FOUR: DISTRICT INSTITUTIONAL ARRANGEMENTS 27 FOR IMPLEMENTATION OF THE PLAN 4.1 Introduction 28 4.2 Management, Coordination, and Accountability Structure 28 4.3 Roles and Responsibilities of Key Actors (District Level) 28 4.4 Coordination Framework 28 4.5 Resource Mobilization Framework 29 4.6 Performance Monitoring and Accountability 29 4.7 Routine Data Collection 31 4.8 Data Management 31 SECTION FIVE: COSTING OF THE PLAN 32 5.1 Introduction 32 SECTION SIX: DISTRICT IMPLEMENTATION FRAMEWORK AND ACTIVITY DETAILS 34 REFERENCES 41 List of Tables Table 1.1: Yumbe District Population as per 2014 Census by Sex and Sub-county 14 Table 1.2: Health Service Providers in Yumbe District. 15 Table 1.3: Health Partner Mapping in Yumbe District. 16 Table 1.4: SWOT Analysis. 17 Table 4.1: Illustrative list of National Indicators to Inform the District FP CIP 29 Table 5.1: Cost for implementing the FP CIP. 32 Table 5.2: Summary costs per thematic area per Financial Year (Millions, UGX) 32 List of figures Figure 1.1: District map and location in Uganda 12 Figure 1.2: Location of health facilities and refugee population in Yumbe District 16 vi Foreword The Yumbe District Family Planning Costed Implementation Plan 2018/19 – 2022/23 development process was premised on the overall aspirations of the Health Sector Development Plan (2015), Vision 2040 and the FP2020 commitments as well as the National Development Plan (2015) in having a healthy and productive population. Effort was made to align the plan to the six I call upon the Technical Planning Committee in thematic areas elucidated in the Uganda FP CIP charge of implementing the District FP CIP to namely; Demand Creation, Service Delivery and prioritize its provisions in order to address the high Access, Contraceptive Security, Financing, Policy levels of poverty occasioned by large family sizes. and Enabling Environment, and Stewardship, Management and Accountability. As a district leadership, we The development of this plan was a concerted effort commit to support all family of many family planning stakeholders including the planning interventions aimed technical and political leadership in the district. Consultations were made with the different at addressing the currently stakeholders to help identify district family planning high fertility rates of 7.9 and priorities which were the basis for costing the plan. unmet needs for family planning The vision of the district which is “An improved estimated at 34%. community from a peasant to a modern and prosperous district within the national planning continuum of 30 years” and the mission “To serve the Finally, I would like to thank all those who provided community through coordinated delivery of services input to develop the District FP CIP especially the which focus on national and local priorities and Ministry of Health and UNFPA for their technical and contribute to the improvement in the quality of life fi nancial support. I strongly hope that Yumbe District of the people” all resonate with the aspirations of the Local Government will benefi t from implementing District FP CIP. this plan. As a district leadership, we commit to support all family planning interventions aimed at addressing the currently high fertility rates of 7.9 and unmet needs for family planning estimated at 34%. These parameters are contributed to by early onset of marriage and childbearing, religious and cultural beliefs, and preference for large family sizes as a source of sustenance and social security. vii Preface The Government of Uganda has for many years been faced with the challenge of a rapidly growing population with its attendant impact on the limited resources available to provide health care services in order to ensure quality of life and productivity. The Health Sector Development Plan (2015) goal of Plan presented an opportunity for the district local accelerating movement towards Universal Health government and different stakeholders to identify Coverage (UHC) is underpinned by the notion that strategic priorities and interventions that will address UHC makes it possible to ensure that all people the low uptake of family planning services. receive essential and good quality health services they need without suffering fi nancial hardship. Participation of district local government and family planning stakeholders will be an integral feature in In this respect, the Uganda Family Planning Costed fi nancing and monitoring the implementation of the Implementation Plan, 2015-2020 has its thrust District Family Planning Costed Implementation directed towards addressing the high population Plan. Furthermore, deliberate efforts will be directed growth rate through reducing unmet need for family at harnessing the contribution of implementing planning to 10 percent as a contribution towards partners, local political leaders as well as religious having a manageable healthy and productive and cultural leaders to the achievement of the population. To realize this, the plan aims to increase desired outcomes on a sustainable basis. I wish to the modern contraceptive prevalence rate among express my appreciation to all those who worked married and women in union to 50 percent by 2020. tirelessly to produce this document. I call upon the Consequently, these aspirations needed to be population, the district local government technical cascaded to the district local government level for and political teams to spare no effort in implementing operationalization. this District Family Planning Costed Implementation Plan 2018/19-2022/23. To this end, the Ministry of Health in partnership with UNFPA set out to support Yumbe District Local Government to develop its Family Planning Costed Implementation Plan in order to increase the modern contraceptive prevalence rate among married Mr. Jalwiny Silimani and women in union. The process of preparing the CHIEF ADMINISTRATIVE OFFICER District Family Planning Costed Implementation YUMBE DISTRICT LOCAL GOVERNMENT viii Acknowledgement The Yumbe District Family Planning Costed Implementation Plan 2018/19-2022/23 is a product of collaborative efforts of all technical, political, religious and cultural leaders, family planning implementing partners, as well as other stakeholders. I wish to acknowledge the input made by the District Finally, I wish to sincerely thank everyone who, in Health Team, the Planning Unit and members of the one way or the other contributed to the process of Statistical Committee, plus all other technical offi cers developing this plan but has not been acknowledged who gave valuable information during the plan above. As technical staff, we pledge to implement development process. this plan in order to contribute towards the social development of the district and Uganda at large. I wish to sincerely recognize the fi nancial support from UK aid from the UK government, through the United Nations Population Fund (UNFPA) and the UNFPA Supplies programme for developing this FP- CIP. Dr. Alfred Yayi Special recognition goes to the Ministry of Health DISTRICT HEALTH OFFICER and UNFPA for their technical support which made YUMBE DISTRICT LOCAL GOVERNMENT the plan development process successful. I also appreciate the role played by the consulting team which guided the entire process. ix Abbreviations ANC Antenatal Care LLG Lower Local Government BEmONC Basic Emergency Obstetric and New- MARPS Most At Risk Populations born Care MoH Ministry of Health CAO Chief Administrative Officer NGOs Non-Governmental Organizations CEmONC Comprehensive Emergency Obstetric NMS National Medical Stores and New-born Care OPD Out Patient Department CH Child Health PFP Private For
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