CONNECT UNFPA UGANDA ANNUAL REPORT 2016 UNFPA ANNUAL REPORT 2016 2 $5.2m 764 1.2m Invested in Village Health Teams trained Female condoms Family Planning distributed 158,373 39, 081 595 Unplanned Unsafe abortions maternal deaths averted pregnancies averted prevented 1,501 24 5,501 Women who underwent surgery Fistula Surgeons Survivors of gender-based to repair obstetric fi stula trained violence supported 86 38,084 867,4 0 4 Districts using gender-based People reached through Young people accessed violence database female genital mutilation/ sexual and reproductive health cutting events services 22,259 60,000 637 Marginalised girls Members of most-at-risk Schools strengthened to trained in life skills populations accessed sexual provide HIV/sexual and and reproductive health reproductive health services information UNFPA ANNUAL REPORT 2016 3 Contents Small is beautiful 7 Saving mothers…and those who love them 11 Enough is enough 16 Young, gifted and ...everything 22 Finding synergies 31 Borders no more 34 Getting the numbers right 38 UNFPA ANNUAL REPORT 2016 4 1 My Life with UNFPA 2 1. When I was born, I was wrapped in a blanket, my 3 mother received one of the many items in the UNFPA dignity kit 2. In order for me to be given the best chance for a 4 healthy start in life, my mother opted for one of family planning methods offered by UNFPA 3. My parents, infl uenced by UNFPA’s campaign 5 on gender quality and the importance of girls’ education, encouraged me to excel in school and achieve my full potential 4. At school, I received sexuality education, approved as a result of UNFPA’s inputs into the 6 government process 5. During my teens I attended a heath centre where a midwife, trained by UNFPA, taught me about delaying my sexual debut and protecting myself 7 against HIV 6. At the age of 19, during my fi rst sexual encounter, I used a condom, probably one procured by UNFPA 7. I became a peer educator at one of UNFPA’s 8 partner organisations, where I was taught to champion against child marriage, gender-based violence and female genital mutilation in my community 9 8. But when my boyfriend hit me, I was able to use one of UNFPA’s innovative platforms for young people to report the crime 9. The offence was captured on the GBV database, 10 functional because of UNFPA’s support to the Ministry of Gender, Labour and Social Development 11 10. When I knew I wanted to have children only after university, I opted for UNFPA’s supported 12 injection contraceptive 13 11. When I eventually chose to get pregnant, I made sure to attend my ante-natal visits, something UNFPA advocates for ENOUGHFor these reasons, is ENOUGHI, and all other women, 12. When I gave birth, I had a skilled birth attendant, Fearless, multi-pronged effortsmen, to rid young gender-based people violence and children, (GBV) from are Ugandan grateful society have supported by UNFPA, at my side resulted in concrete achievementsthat 2016 we can marked all be proud the beginning of. Through of UNFPA’s the financial and technical support to the Ministry of Gender, Labour and Social Development (MGLSD), the Government of Uganda and UNFPA’s 8th 13. I wrapped my baby in a blanket and knew, with National Elimination of GBV Policy and Action Plan 2016 was launched by the President of UNFPA at our side, life would be okay Uganda in November 2016.Country The Policy Programme champions human (2016-2020). rights, gender equality, male involvement, community participation, among other principles. UNFPA ANNUAL REPORT 2016 5 SMALL IS BEAUTIFUL As a result of our continued family planning efforts and increasing access to contraception for the general public, the size of Uganda’s families has decreased in the last decade. They are still however, large, and therefore slow down efforts to reduce poverty across the country. UNFPA ANNUAL REPORT 2016 6 Efforts to ensure family planning methods are accessible to all who need them have resulted in a decrease in fertility from 6.2 in 2002 to 5.4 in 2016, meaning the average Ugandan family has one child less than in 2011. Uganda’s population increased from 24.2m in 2002 to 34.6m in 2014, representing a 43% increase. This is a reality that puts The 2016 visit of Denise Van a strain on health facilities, schools, as well as the environment. Dijk, manufacturer of the female condom, contributed to a sharp UNFPA Uganda has integrated family planning into various other social and economic initiatives that ensure the overall well-being rise in uptake. Ms Dijk advised on of individuals and communities becomes a reality. During 2016, we a distribution system that targets integrated family planning into agricultural extension activities, as hot spots, rather than the general well as livelihoods and youth empowerment programmes. In addition, population. and as a result of UNFPA’s support, nine major cultural institutions and seven faith denominations have drafted and endorsed their own family planning messages as it relates to harmful cultural practices. In 2016, UNFPA invested US $5,237,878 in family planning Investment in programmes in Uganda. reproductive health commodities in 2016 764 Village Health Teams from Karamoja region were trained in the provision of sexual and reproductive health information, as well as the distribution of family planning commodities, including Sayana Press. UNFPA supported government of Uganda to USD procure 1.2 million female condoms 6.9m Government of Uganda – 2, 600, 000 UNFPA – 2, 835, 572 Other donors – 1, 477, 479 UNFPA ANNUAL REPORT 2016 A COMIC ABOUT POPULATION GROWTH I LOVE 7YOU LOVEAS ILLUSTRATED & POPULATION BY kWIZERA ALEX TOO, I WILL GIVE YOU A HOUSE FULL OF KIDS I LOVE YOU, I WANT A HOUSE FULL OF KIDS 10 YEARS LATER WHEN I SAID I OH, WANTED A HOUSE NEXT TIME, FULL OF KIDS, BE MORE I MEANT SPECIFIC! A BIGGER HOUSE! NEXT TIME??? @#$!!!?? UNFPA ANNUAL REPORT 2016 8 Family planning uptake on the The pastoralist communities are, however, still secretive about family planning. Many women opt increase in Kiboga for the injection and do not disclose to their partners that they are using family planning methods. This Probably because of her cheerful attitude, Robinah is because many men still object to family planning Nalubega looks younger than her 46 years. She methods such as the pill, IUDs or implants. The dropped out of primary school when she got female condom has been totally rejected in Kiboga pregnant but made sure all her well-spaced children because of the popular sex styles of the pastoralist attained higher school education. She has used communities, which involve non-penetrative several contraceptive methods over the years but has stimulation. now settled for the intra-uterine device (IUD). Her children range from 21 to 29 years of age. “I am only Ndibula Domiciliary carries out reproductive praying for the first two girls to get married but even health outreach programmes for partners including if they don’t, they are economically independent,” government and UNFPA. Although family planning Robinah says. She receives family planning services services are provided free in government health from Ndibula Domiciliary, a private health clinic in facilities in Kiboga, many women still prefer the Lwamata Village in Kiboga District. private clinics. This is because an injection that covers one for three months, can be bought for the Rosemary Nampola has been operating Ndubula equivalent of half a dollar, while ten years coverage Domiciliary for twenty years. “Because of wide public costs three dollars. UNFPA and its partners will education, women here have embraced modern birth continue to support the upward trend in family control methods,” says Rosemary, who has monitored planning in Kiboga as well as efforts towards getting the reproductive health trends for two decades. men more involved in discussions on family planning. UNFPA ANNUAL REPORT 2016 9 SAVING MOTHERS … AND THOSE WHO LOVE THEM There is suffi cient evidence to demonstrate that investment in midwives is a game-changer in reducing maternal mortality. UNFPA has supported the Government of Uganda to ensure that there are enough midwives in hard to reach districts in the country, and thanks the Government of Sweden’s Midwifery Scholarship Programme which has contributed hugely to this effort. The Uganda Demographic and Health Survey (UDHS 2016) reveals encouraging results in the fi ght to reduce maternal mortality. 74.2% of all deliveries in Fewer pregnant women, 336 out 73.4% of all deliveries in 2016 were attended to by of 100, 000 in 2016 as compared 2016, took place in a facility, a skilled birth attendant as to 438 in 2011, died as a result of as compared to 57% in 2011 compared to 58% in 2011 pregnancy and child-birth related complications UNFPA ANNUAL REPORT 2016 10 First Lady Janet Kataaha Museveni Champions Midwifery In April 2016, the First Lady of the Republic of Uganda, Janet Kataaha Museveni, hosted over 200 UNFPA- supported midwives at State House in the north eastern district of Napak, Karamoja region. At this colourful and high spirited ceremony, the First Lady Commissioned 90 of the midwives to specifically serve in the underserved districts of Karamoja Male midwives: and Eastern regions of Uganda. Strange concept or genius way to break down In her capacity as Champion for safe gender stereotypes? motherhood, the First Lady formed Tell us what you think? a Parliamentary champions group that drafted resolutions to advance maternal health, specifically through twitter handle strengthening midwifery services. @UNFPAUganda Through the Office of the First Lady (OAGFLA), 60 best performing Facebook page midwives all over the country unfpa – Uganda were recognized and awarded with www.uganda.unfpa.org certificates.