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ACCESS 2018 ANNUAL REPORT EXECUTIVE SUMMARY EXECUTIVE SUMMARY EXECUTIVE Executive Summary

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ACCESS 2018 ANNUAL REPORT EXECUTIVE SUMMARY EXECUTIVE SUMMARY EXECUTIVE Executive Summary ACCESS 2018 ANNUAL REPORT EXECUTIVE SUMMARY EXECUTIVE SUMMARY EXECUTIVE Executive Summary 2 3 he African Community Centre for With additional support from our Working with international partners, Social Sustainability (ACCESS) is partners, we have been able to ACCESS has been able to set up T a community-based organisation graduate 24 preschool children and income generating projects, and in the rural district of Uganda called maintained the number of preschool established three patient-centered care Nakaseke. It was founded on the children at 62. We have provided clinics for non-Communicable diseases premise that everyone has a right to scholastic materials for 320 OVCs (NCD) serving over 400 patients. Our a healthy life. Our mission is to work in primary and secondary schools. model has been presented to Uganda with vulnerable people in resource- We held our first graduation for the Ministry of Health and has been limited settings through provision of nurses and midwives in our school, adopted by several partners in the NCD medical care, education and economic 98% passed their national exam with field in Uganda. empowerment to create long lasting excellence, and most of them are change that is owned by the entire employed. We have been able to maintain our community. connection with the community Our medical care services have greatly through training and empowering 122 For the year 2018, we focused on improved. In this year, we treated community health workers who provide strengthening the activities of ACCESS over 3,196 patients and provided support to all our projects. We have in the areas of support for orphans family planning services to 29,614 welcomed new partners and have and other vulnerable children (OVCs), clients including 8,884 youths aged worked on new areas of need based on nursing and midwifery education, 15-24 years in and out of school. The the research findings with our partners. medical care, family planning, number of clients has thus more Our work has been recognized through infrastructure and human resource than quadrupled from 7000 last year. International and local awards. development. ACCESS is now the leading provider of FP services in the Nakaseke district This report details the achievements and provides support for 19 other and lessons learned in the journey of centers in the district. ACCESS through 2018. Executive Summary 3 Content 4 Foreword 5 1 Background 7 2 Activities done in 2018 8 2.1 Support for orphans and other vulnerable children 8 2.2 ACCESS Pre-school program 9 2.3 Education, Medical Care and Income Generation to OVCs 11 2.4 Providing vocational training for OVC 14 Key outputs for OVCs 15 Key outputs for Nurses and midwifery School 17 2.5 Provision of Health care services to rural communitiesn 18 Global Health Education 20 Research fellows 21 CONTENT Pioneering Non-communicable disease care 22 FOREWORD in Nakaseke and Uganda Content Foreword 4 5 3 Other Activities 24 s 2018 ended, we have had ACCESS has since its inception strived On behalf of the entire ACCESS Board 3.1 The Jajja initiative 25 an opportunity to evaluate to establish sustainable programs that of Directors, I take the opportunity to 3.2 Nurturing Local and International Global Health leaders 26 A what was planned for the specifically focus on children and the appreciate our funders for entrusting us 3.3 The Borehole and Solar projects 27 year. Iam very excited to note that our youths who are often disadvantaged with the resources that we use to reach Story from the community: Peace 28 programs have continued to address by their environment. Based on the out to our clients, our clients, staff and the real needs of individuals within the 2018 State of Uganda Population other partners for their contributions community that is served by ACCESS. Report, 52% of the estimated 39 million toward these successes. 4.0 Future Plans 29 Ugandans are children aged less than 5.0 Conclusion 29 The ACCESS School of Nursing and 15 years. The report also shows that My hope and desire is that as you read Midwifery has grown over the years, nearly one quarter of the population this report, you will be encouraged to and continues to provide a unique are youths aged 18-30 years, and that contribute more, if already engaged, or ACCESS in Pictures 30 opportunity for trainees to constantly many of the youths have no meaning- be motivated to contribute to this noble The Graduation 30 interact with the community throughout ful employment. These facts have cause in some way. The Children’ Party 30 their training. This approach exposes consistently pushed us to build strong Meet some of our staff 32 trainees to the entire spectrum of dis- and sustainable programs for children I hope you will enjoy reading the report. ease presentation and enables train- and the youths. Our efforts are bearing ees to participate in health pro­­motion fruit, but more is needed, as you will Sponsors & Partners 33 interventions. A recent graduation of read in the report. ACCESS-Uganda Community Healthworker/ 34 our pioneer trainees is a clear testimony VHT centred care model of the high standards of our training program. Dr. Fred C. Semitala Chairman, Board of Directors. Note from the Managing Director, ACCESS ACCESS has walked a This year, has been a year of Though the walk to In 2003, ACCESS-UGANDA Our mission is to work Our nursing and midwifery journey best told in it’s vision: big discoveries, especially economic empowerment opened its doors to treat with vulnerable people in school continues to narrow To be a center of excellence after the overall country has been rough, the sky is Orphans and other resource-limited settings the gap in the care provided in training and medical care popu lation description the limit come 2019. vulnerable children (OVCs) through provision of to rural communities in Uganda. This addressed was reported to have a big and offer follow up to medical care, education and compared to their urban in three dimensions inluding number of young people Estherloy Katali Abaliwano People Living with HIV- economic empowerment counterparts. Our graduates edu cation, health and below the age of fifteen Managing Director-ACCESS AIDS (PLWAs) within the to create long lasting have taken up jobs in the economic empowerment. years. This not only reflectis community of Nakaseke change that is owned by health sector and over 60% Many strategies have been the high dependence rate, district. The clinic receives the entire community. have remained in rural areas, introduced over the years to but also calls for innovative on average 230 patients consistent with the goals of address the problems of the ways to teach and extend per month including an We have continued to the program. community. financial sustainability to the average of 80 children who be true to our mission of families and beneficiaries come in for immunisations being responsive to the ACCESS provides services supported by ACCESS. and vaccination community needs and have throughout the lifespan been joined by a host of of our community: caring like-minded people who for OVCs, rejuvenating the Note from the Managing Director, ACCESS have supported us in youth, empowering women reaching out to even more and supporting the elderly ACCESS through the years. they face get resolved. We I want to appreciate our beneficiaries. (jaajas) who have fallen Having lost my father at a have empowered the CHWs donors, collaborators, board through the cracks of a weak tender age of 8 years, I know with knowledge and tools of directors, staff and friends social support system. BACKGROUND exactly what it means to be to provide the best services and who have been very in need! At ACCESS, we have that we can offer. They are instrumental for the growth LETTER FROM THE CHAIR OF THE BOARD OF DIRECTORS. OF THE BOARD THE CHAIR OF LETTER FROM purposed to pro vide holistic supported by a robust team of ACCESS. We are happy to care to our beneficiaries. of medical doctors and be part of the solution to the 1 Background We believe in the breadth of nurses (health), social work numerous challenges faced our services rather than in (social and spiritual welfare), by rural communities. All 6 numbers. We aim to change health educators (disease this would not be possible 7 lives rather than ‘touch’ prevention and early detec- without your support. In 2006 a Nursing Assistant This report offers a glimpse them. Our model of support tion) as well as financial Thank you! Training Program was estab- Even though Nakaseke into our work for the year consists of a community advisors (income generation). lished with 8 students, and by remains a very impoverished 2018, our accomplishments, health worker (CHWs) who Nakibirige is a good example Dr Robert Kalyesubula 2011, 280 Nursing assistants district, ACCESS has helped lessons learned, challenges identifies those who are most of what we do. Please read Founder and President had been trained to work to bring positive impact to faced and synthesized in need and follows them up her story in the stories ACCESS, Uganda in 28 districts of Uganda the lives of the beneficiaries recommendations for future to ensure that the problems section. including Southern Sudan. touched. We have progress. transformed lives of OVCs In 2009, a partner that would have otherwise What the International Community can do; Partners for ACCESS (PFA), USA organisation called Partners dropped out of school. We for ACCESS (PFA) was have taken girls who have Here in the United States economic, educational, and We are grateful that so established in USA to been side-lined by the social our team has been im- preventive care, whereas many generous donors and help support ACCESS in construct of the community pressed with the magnitude ACCESS offers more holistic institutions recognize the generating and managing and given them practical life and quality of support that services that address the integrity of ACCESS’ mission.
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