REPUBLIC OF UGANDA NAPAK District Family Planning - Costed Implementation Plan 2018/19 - 2022/23 JUNE 2018 NAPAK 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 Napak District Health Office. This project was funded by UK aid from the UK government. Copyright ©: Napak District Local Government Ownership: Reproduction of this plan for educational or other non-commercial purposes, is authorized without permission from the Napak District Local Government, provided the source is fully acknowledged. Recommended Citation: Napak District (2018). District Family Planning Costed Implementation Plan, 2018/19 – 2022/23. Napak, Uganda Copies available from: Napak District Health Office iv Foreword Napak District Family Planning Costed Implementation Plan 2018/19 - 2022/23 focuses on ensuring that the resources envelope is increased to support women and men raise manageable families. The plan will be able to guide the district family The district pledges continued unity to uplift and planning program so that more women and men respect the reproductive health and family planning access the services, consequently improving health needs of the sexually active women and men to and wellbeing of families, promoting maternal and reduce the unmet need for family planning. The child survival, reducing fertility, dependency and District FP- CIP is both an implementation plan and thereby, transforming the economy of the district. a resource mobilization tool. The District Council and the Technical Planning Committee will bolster The district greatly acknowledges the role of the the coordination efforts and call upon Development health development partners and the Community and Implementing Partners to work with the district Based Organizations that have supported the district in the implementation of this FP CIP in order to to promote better health and transform the lives of improve the quality of life and well-being of the the population. Of particular mention are UNICEF, people of Napak. UNFPA, WFP, CUAMM, Catholic Relief Services (CRS), TASO, RHU, AMICAAL and NAFOPHANU. This FP CIP sets a blueprint in the district’s attempt to improve access to accurate information about The District FP CIP addresses key challenges, family planning, improved access to high quality and provides practical options agreed upon by family planning services and in general, strengthen key stakeholders between March and May 2018. and scale up provision of integrated family planning The plan is also in line with the Ministry of Health services by multi-stakeholders in the district. The National FP Costed Implementation Plan, Vision district will support the mobilization of resources to 2040, the FP2020 commitments and the District implement the plan. Development Plan. The plan is therefore, premised For God and My Country on the six thematic areas of the National FP-CIP namely; • Demand Creation • Service Delivery and Access • Contraceptive Security • Financing Hon. Joseph Lomonyang • Policy and Enabling Environment DISTRICT CHAIRPERSON • Stewardship, Management and Accountability NAPAK DISTRICT LOCAL GOVERNMENT v Preface This District FP CIP 2018/19- 22/23 originates from the authority the Decentralisation Policy has granted district leaders to be able to plan and prioritize their needs. The MoH with support from health development Great appreciation to the members of the District partners developed the National Family Planning Health Team, the District Planning Unit, and all Costed Implementation Plan. The FP-CIP calls upon departments for their technical input during the all sectors to cooperate and implement a family costing of the interventions, and their commitment planning program in a multi-sectoral approach. This to review the drafts to ensure that the local priorities therefore, implies that all districts should incorporate are taken care of. family planning issues into their respective departmental plans. The district technical planning committee and all stakeholders should prioritize implementation of The development and fi nalization of this document this FP CIP so that no one is left behind. I also take was a consultative process that engaged different the opportunity to call upon development partners stakeholders from the national to district level. to support district efforts of accelerating universal Input from all the individuals that participated in the access to family planning services. I pledge total consultative meetings and review process at various commitment and support through coordinated multi stages of the development of this plan is greatly sectoral approach in delivering this plan. acknowledged. Special appreciation goes to UNFPA For God and my country and MoH for technical support in the development of the District FP CIP. vi Acknowledgement This Napak District Family Planning Costed Implementation Plan 2018/19 - 2022/23 is a result of extensive consultations with stakeholders at all levels within the district, including key sector ministries, development partners, implementing partners, individual staff and consultants. We appreciate all the partners and groups, both at local government is specifi cally acknowledged for the district and at national level, who supported the cooperation, participation and the wonderful the development of this Family Planning Costed coordination that enabled timely completion of the Implementation Plan. assessment and costing exercise. Input from the District Health Team (DHT) who Finally, I want to extend our sincere thanks to the worked closely with the consultant to have the plan MoH and UNFPA technical teams for offering developed; the role played by data collectors, the technical guidance and review of the report. respondents from the different health facilities during the exit interview and the consultant who facilitated its development together with Ministry of Health and the district is greatly acknowledged. We express our sincere gratitude for the fi nancial support from UK aid from the UK government, through the United Nations Population Fund Dr. Lemukol James (UNFPA) for developing this FP-CIP, and MoH for the DISTRICT HEALTH OFFICER technical guidance and leadership. Napak district NAPAK DISTRICT LOCAL GOVERNMENT vii Table of Contents LIST OF FIGURES ix LIST OF TABLES ix ACRONYMS x OPERATIONAL DEFINITIONS xi EXECUTIVE SUMMARY xii SECTION 1: INTRODUCTION 1 1.0 Background 2 1.1 District Profile 2 1.2 Demographic Characteristics 4 1.3 Napak Health status 6 1.4 Family Planning 11 Section 2: District FP CIP Development Process 13 2.1 Process followed to develop the District CIP 14 2.2 SWOT Analysis 15 Section 3: Translation of Key issues into strategy 16 3.0 Introduction 16 3.1 Demand generation 17 3.2 Service delivery 19 3.3 Contraceptive security 21 3.4 Policy and enabling environment 23 3.5 Stewardship, management and accountability 24 3.6 Financing 24 3.7 Summary of the key issues, interventions and responsibility 24 Section 4: Costing of the plan 28 4.1 Summary Cost of the FP-CIP 29 4.2 Detailed cost of the FP-CIP 30 viii Section 5: Institutional arrangements for the District FP-CIP 32 5.1 Management, Coordination, and Accountability Structure 33 5.2 Roles and Responsibilities of Key Actors (District Level) 33 5.3 Resource Mobilization Framework 34 5.4 Performance Monitoring and Accountability 34 5.5 Family planning Data Collection 34 5.6 Data Management and use 35 5.7 Monitoring and Evaluation 35 Section 6: The District implementation framework with full activity details 36 REFERENCES 44 ix List of figures Figure 1: Map of Napak District Showing Location of Administrative Areas 3 Figure 2: Trends in family planning uptake in the last 3 years 11 Figure 3: Percentage Contraceptive method mix 11 List of tables Table 1: Distribution of Parishes and Villages by Lower Local Governments 4 Table 2: Demographic Characteristics of Napak District 5 Table 3: Total population by age group and sex; Napak District, 2014 5 Table 4: Economic Structure of Napak District 5 Table 5: District Demographic Indicators 6 Table 6: General Health Indicators for Napak District 7 Table 7: Categories and Number of Health Facilities in Napak District 7 Table 8: Services Provided in Health Facilities in Napak District 8 Table 9: Key Maternal Health Indicators in Napak District 9 Table 10: Health Staffing 11 Table 11: SWOT Analysis of Health Department 15 Table 12: Summary of the key issues, interventions and responsibility 25 Table 13: Summary costs per thematic area per Financial Year (Millions UG X) 29 Table 14: Detailed cost of the district FP-CIP 30 Table 15: Results Framework 40 Table 16: Summary of the FP-CIP Expected results against the interventions 42 x Abbreviations AMICAAL Alliance of Mayors and Municipal Leaders’ IGA Income Generating Activities Initiative for Community Action on Aids at KALIP Karamoja Livelihoods Programme the Local Level LLG Lower Local Government ANC Antenatal Care MARPS Most At Risk Populations BeMOC Basic Emergency Maternal and Obstetric MoFPED Ministry of Finance, Planning and Care Economic Development CAO Chief Administrative Officer MoH Ministry of Health CeMOC Comprehensive Maternal and Obstetric MUG Mild May Uganda Care NAFOPHANU National Forum for People Living with CH Child Health HIV/AIDS Network in Uganda CS Contraceptive Security NGOs Non-Governmental Organizations CPD Continuous Professional Development NMS National Medical