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AMUDAT District Family Planning - Costed Implementation Plan 2018/19 - 2022/23

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AMUDAT District Family Planning - Costed Implementation Plan 2018/19 - 2022/23 REPUBLIC OF UGANDA AMUDAT District Family Planning - Costed Implementation Plan 2018/19 - 2022/23 JUNE 2018 AMUDAT 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 Amudat District Health Office. This project was funded by UK aid from the UK government. Copyright ©: Amudat District Local Government Ownership: Reproduction of this plan for educational or other non-commercial purposes is authorized without permission from the Amudat District Local Government, provided the source is fully acknowledged. Recommended Citation: Amudat District (2018). District Family Planning Costed Implementation Plan, 2018/19- 2022/23. AMUDAT, Uganda Copies Available from: Amudat District Health Office. iv Table of Contents LIST OF TABLES vi LIST OF FIGURES vi FOREWORD vii ACKNOWLEDGMENT viii ACRONYMS ix OPERATIONAL DEFINITIONS x EXECUTIVE SUMMARY xi SECTION ONE: INTRODUCTION AND BACKGROUND 1 1.1 Introduction 2 1.2 Background 2 District Location and Population structure 2 Administrative and Political Structure 3 1.3 Socio Economic Activities 4 1.4 Demographic Data 4 1.5 District Fertility Rates and FP indices 5 1.6 District Human Resources for Health (HRH) 6 1.7 Health Facilities in the District 6 1.8 Development Partners in the District as at the End of 2015 7 SECTION TWO: THE DEVELOPMENT PROCESS OF THE DISTRICT FP-CIP 8 2.1 The process followed to develop the FPCIP 8 2.2 SWOT Analysis for Family Planning Services in Amudat District 9 SECTION THREE: TRANSLATION OF KEY ISSUES INTO STRATEGY 10 3.0 Introduction 11 3.1 Demand Creation for Family Planning Services 11 3.2 Service Delivery and Access 12 3.3 Contraceptive Security 12 3.4 Financing 13 3.5 Policy and Enabling Environment 13 3.6 Stewardship, Management and Accountability District Leadership 14 v SECTION FOUR: COSTED IMPLEMENTATION PLAN 15 4.1 Introduction 16 4.2 Amudat District Vision, Mission and Goal Vision 16 4.3 District Strategic Priorities in FP 17 SECTION FIVE: COSTING OF THE PLAN 20 5.1 Introduction 20 SECTION SIX: DISTRICT INSTITUTIONAL ARRANGEMENTS FOR 22 IMPLEMENTATION OF THE PLAN 6.1 Introduction 23 6.2 Management, Coordination, and Accountability Structure 23 6.3 Roles and Responsibilities of Key Actors (District Level) 23 6.4 Coordination Framework 24 6.7 Routine Data Collection 24 6.8 Data Management 26 SECTION SEVEN: DISTRICT IMPLEMENTATION FRAMEWORK WITH FULL 27 ACTIVITY DETAIL REFERENCES 34 vi List of Tables Table 1: Population distribution and growth over the census years 1991 – 2014 4 Table 2: Amudat District Population Distribution by Sub-county 4 Table 3: Social economic Indicators – Health Social Economic Indicators 5 Table 4: Selected Regional/National Figures for FP 5 Table 5: Selected Demographic Health Indicators 5 Table 6: District Human Resources for Health (HRH) 6 Table 7: Health Facilities in the District 6 Table 8: Partner Mapping 7 Table 9: SWOT Analysis 9 Table 10: FP User Statistics for 2015 and 2016 12 Table 11: District Funding and Projected Allocation to Health 13 Table 12: CIPImplementationCost 21 Table 13: Illustrative List of National Indicators to Inform the District FP-CIP 24 List of Figures Figure 1: Amudat District Map and Location in Uganda 3 Figure 2: Coordination Framework 24 vii Foreword Ugandan population growth rate is at 3.02% according to the Uganda Demographic and Health Survey (2016). This rate is among the highest in the world and attributed to the high Total Fertility Rate of 5.4 births per woman, low contraceptive prevalence rate of 47% among married women and unmet FP need of 28% among married women. While these national population indices are poor, the The Amudat District Family Planning Costed situation in the Karamoja region is worse. It has the Implementation Plan (FP CIP) was guided by the six lowest CPR for modern methods at just 6.5 and 7.3 thematic areas as indicated in the Uganda National for all methods. Yet achievement of a 50% CPR can FP CIP 2015-2020 which include Demand Creation, lead to a 25% reduction in maternal deaths (Salfudin Service Delivery and Access, Contraceptive Security, Ahmed). Financing, Policy and Enabling Environment, and As the population in the greater Karamoja region Stewardship, Management and Accountability. moves towards a less nomadic lifestyle with increased These are all in line with the National Health Sector number of cattle and a reduction in rustling activities Development Plan (2015) and the FP2020 Uganda as well as the prevalent peaceful environment which commitments. contribute to improved health services, there is a high likelihood of a population explosion. This may result Through this FP CIP, Amudat District Local from the prevailing situation where the husband Government leadership commits to support the and wife are likely to stay together longer now that strengthening of partnerships in the delivery of FP there are fewer cattle to rear. HIV prevalence may services and will strive to work together with the also limit the polygamous lifestyle that is part of the central government and partners in the achievement Karimojong culture. of the National FP goals in order for the country to have a healthy and productive population. The Uganda government has set goals in terms of population indicators in order for the country to For God and My Country achieve the Sustainable Development Goals (SDGs). As a country, Uganda is committed to reducing the unmet FP need to 10% (from the current 28%). It also plans to increase modern contraceptive prevalence rate to 50% by 2020 (from the current 47%). To achieve these targets, all districts and support partners need to be brought on board. It is upon this background that the MOH with partners supported Amudat District to develop a Family Planning Costed Implementation Plan that details activities and costs for achieving the national FP goals and also address the challenges of providing FP services. viii Preface Amudat District Local Government acknowledges the technical contribution by the Ministry of Health and the fi nancial support from UNFPA and in developing this FP- CIP (2018/19 – 2022/23). Additional appreciation goes to the district health Our appreciation to all stakeholders who contributed team (DHT) and Family Planning (FP) implementing in one way or the other through provision of valuable partners (IPs) for their contribution, both technical information, time, resources both human towards and otherwise, towards shaping this FP-CIP for the accomplishing this FP-CIP for Amudat.. district. It is our sincere commitment as the district leadership The development and fi nalization of this document that the aspirations of this plan will be achieved in was a consultative process that involved the district an effort to support the national goals of having a leadership, politicians, partners at all levels and the healthy and productive population. District Technical Planning Committee including the local community. The Amudat district local government and esteemed partners should prioritize the implementation of this FP-CIP. The development partners should support the district efforts of accelerating universal access to family planning services in the district. We pledge total commitment and support through a coordinated multi-sectoral approach so that the district increases modern contraceptive prevalence rate and reduces unmet need. ix Acknowledgement Amudat District Local Government acknowledges the technical contribution by the Ministry of Health and the fi nancial support from UNFPA in developing this FP-CIP. Additional appreciation goes to the district health I also convey my sincere appreciation to Amudat team (DHT) and Family Planning (FP) implementing district local government for the cooperation, partners (IPs) for their contribution, both technical participation and the wonderful coordination that and otherwise, towards shaping this FP-CIP. enabled timely completion of the assessment and costing exercise. Amudat District Local Government is further grateful to the team of consultants that worked on this Finally, we shall forever remain grateful to the UK project. for a job well done. Government through UK Aid for funding the MoH and UNFPA technical teams to offer technical The District Health Team (DHT) who worked guidance and review of the report. closely with the consultant to develop this plan deserve special recognition. The consultant who offered technical advice, the data collectors and the respondents from the different health facilities all played an instrumental role in developing this plan. x Abbreviations ANC Antenatal Care HMIS Health Management Information BEmONC Basic Emergency Obstetric and System New-born Care LLG Lower Local Government ACAO Assistant Chief Administrative Officer MARPS Most At Risk Populations CAO Chief Administrative Officer MoH Ministry of Health CEmONC Comprehensive Emergency Obstetric NGOs Non-Governmental Organizations and New-born Care NMS National Medical Stores CH Child Health OPD Out Patient Department CS Contraceptive Security PNFP Private Not for Profit CPD Continuous Professional Development PPFP Post-Partum Family Planning CPR Contraceptive Prevalence Rate RDC Resident District Commissioner CSO Civil Society Organization RH Reproductive Health DDP District Development Plan RHU Reproductive Health Uganda DHO District Health Office SBCC Social and Behavioural Change DHS Demographic Health Survey Communications DHT District Health
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