Kagumu Development Organization (Kado)
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KAGUMU DEVELOPMENT ORGANIZATION (KADO) P.O BOX 260, PALLISA PROJECT GRANT CLOSURE REPORT PROJECT: MALARIA NEW FUNDING MODEL PROJECT 2015-2017 FUNDER: GLOBAL FUND FOR MALARIA PRINCIPLE RECIPIENT: THE AIDS SUPPORT ORGANISATION (TASO) FEB, 2018 COMPILED BY: APPROVED BY: Yonah Nduga Namwoyo Samson Project Officer Executive Director 1 Table of Contents ACKNOWLEDGEMENT ............................................................................................................................. 3 EXECUTIVE SUMMARY ............................................................................................................................ 4 INTRODUCTION ....................................................................................................................................... 5 PROJECT GOALS AND SPECIFIC OBJECTIVES ........................................................................................... 5 Goals ....................................................................................................................................................... 5 Specific Objectives .................................................................................................................................. 5 PROJECT ACTIVITIES ................................................................................................................................ 6 IMPLEMENTED PROJECT ACTIVITES: ....................................................................................................... 6 TRAINING OF PRIVATE SECTOR HEALTH WORKERS IN IMM (INTEGRATED MALARIA MANAGEMENT) .............................................................................................................................. 6 TRAINING OF PRIVATE SECTOR HEALTH WORKERS IN HMIS (HEALTH MANAGENT INFORMATION SYSTEM) .............................................................................................................................................. 7 TRAINING TEACHERS AND STUDENTS ON MALARIA PREVENTIN SKILLS ............................................ 9 ADVOCACY CAMPAIGN BY DISTRICT TECHNOCRATS ON MALARIA PREVENTION............................ 10 DISTRIBUTION OF LONG LASTING INSECTICIDES TREATED NETS (LLINS) ................. 11 COMMUNITY SOCIAL MOBILIZATION- EVENTS .................................................................. 12 MONITORING THE DISTRIBUTION OF LONG LASTING INSECTICIDES TREATED MOSQUITO NETS (LLINS) TO CHILDREN LESS THAN 5 YEARS AND PREGNABT MOTHERS AT HEALTH FACILITY LEVEL .......................................................................................................................................................... 13 SUPPORT SUPERVISION OF PRIVATE SECTOR HEALTH FACILITIES ............................... 13 BI-ANNUAL DISTRICT LEVEL MEETINGS WITH THE PRIVATE SECTOR ............................................... 14 DISTRICTS TO MONITOR AND REPORT ON BEHAVIOR CHANGE COMMUNICATION (BCC) .............. 15 LESSONS LEARNT ................................................................................................................................... 16 CHALLENGES ENCOUNTERED ................................................................................................................ 17 CONCLUSION ......................................................................................................................................... 17 RECOMMENDATIONS ........................................................................................................................... 17 2 ACKNOWLEDGEMENT Kagumu Development Organization acknowledges Global Fund for the financial support to the Government of Uganda to fight malaria which has claimed many lives of people and leading to poor standards of livingin the most vulnerable communities. KADO further acknowledges The Aids Support Organization (TASO) the principal recipient of Global Fund in Uganda for the Grant management and technical support to KADO as a Sub Recipient of Global Fund that enabled the realization of the programme objectives. KADO also thanks the District Local Governments of Pallisa, Kibuku, Budaka, Butaleja, Iganga, Namutumba, Kaliro, Luuka, Buyende, Kamuli and Mayuge for their contribution and effective involvement in the implementation of the programme particularly through provision of staff, trainings, mobilization, supervision, monitoring and evaluation of the project. Appreciation further goes to Pilgrim Africa for the financial and technical support to implement Integrated Community Case Management of malaria (ICCM) in Pallisa district. Lastly, appreciation goes to the Board of Directors for the good policies and regulations and KADO staff for their commitment to the Project and Organizational activities thatfacilitated the realization of the project success and report writing. 3 EXECUTIVE SUMMARY This is a grants closure report for Malaria New Funding Model programme funded by TASO- Uganda the Principle recipient of Global Fund for Malaria, HIV/AIDS and TB in partnership with Ministry of Health Uganda. The implemented activities and their outputs were: 627 teachers & students were equipped with in malaria prevention skills, 273 private sector health workers trained in Integrated Malaria Management (IMM), 198 health workers from the private sector were trained in Health Management Information Systems (HMIS), 451,231 Nets distributed in both PNFP & public health facilities, 72 Support supervision were conducted, 66 Bi-annual meetings conducted, 33 Social Behavior Change Communication (SBCC) conducted, 23 Community Social mobilization events were conducted, LLINs monitoring was done and 11 Advocacy campaigns (1 per district) were conducted as well. As regards ICCM project, 1052 VHTs were trained in Pallisa district. This report is disseminated to all stakeholders to inform them on the effectiveness and efficiency of the programme. In addition, the report was meant to facilitate stakeholders to adopt best practices of programme implementation in order to improve on performance of activities of Global Fund in future. The report is also located on our website www.kagumudevelopment.org for the general public consumption. The report is presented under the following headings; Introduction, Purpose of the Report, Project Activities, Goals and Specific Objectives of the activities, General Work plan, Constraints and Challenges, Lessons Learned, Recommendations, Conclusion and Appendices. 4 INTRODUCTION Malaria being the leading cause of illness and death in Uganda, it accounts for 100,000 deaths every year. With the development of new anti- malarial drugs in response to the increasing resistance pattern to the available anti- malarial, guidelines on the management of malaria have kept changing with the latest revision in the guidelines by WHO and adopted by the Uganda ministry of health in 2012, there is need to train private sector health workers on the new guidelines as they are equally highly involved in the management of the epidemic. Busoga Region (Kibuku, Butaleja, Pallisa, Budaka, Namutumba, Kaliro, Iganga, Luuka, Kamuli, Buyende and Mayuge) are one of the districts with the highest prevalence of malaria. The above background is the basis for the need to empower private health workers with the knowledge and skills in Integrated Management of Malaria and Health Information Management System. However, this report was compiled with support from all stakeholders that include; District officials, project staff, participants of all trainings and facilitators using the information they provided during and after the implementation of project activities. PROJECT GOALS AND SPECIFIC OBJECTIVES Goals To reduce the spread of malaria in communities To contribute to the provision of quality disease prevention, care, treatment and support services in Uganda Specific Objectives To create demand for increased uptake of malaria prevention and control intervention To equip PFP professionals with knowledge and skills on all aspects of malaria case management and integrated management of malaria To justify the beneficiaries of Long Lasting Insecticides treated mosquito Nets (LLINs) and the mode of distribution To ensure proper storage of LLINs, allocation of LLINs to various health facilities in Districts and promote districts involvement in monitoring of LLINs distribution To reduce malaria infections among pregnant mothers and children To enable the Sub recipient to pick the LLINs monthly reporting tools from health facilities To enable the Sub recipient give support supervision to the health workers in the distribution of LLINs 5 To create awareness about the government malaria prevention programs in the country and in their districts in particular PROJECT ACTIVITIES The following activities were planned for and implemented in the project period; Advocacy campaign with district technocrats on malaria prevention Training of private sector health workers in IMM Training of private sector health workers in HMIS Bi-annual district level meeting by the private sector Support supervision for the PFPs Districts to monitor and report on SBCC Planning for the distribution of Long Lasting Insecticides treated mosquito Nets with Districts Distribution of Long Lasting Insecticides Treated Nets (LLINs) Community Social Mobilization-Drama Shows and School Mobilization Events Monitoring of Long Lasting Insecticides treated mosquito Nets (LLINs) distribution at Health Facility Level and tracking of Long Lasting Insecticides treated mosquito Nets (LLINs) distribution