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

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MOROTO District Family Planning - Costed Implementation Plan 2018/19 - 2022/23 REPUBLIC OF UGANDA MOROTO District Family Planning - Costed Implementation Plan 2018/19 - 2022/23 JUNE 2018 MOROTO 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 Moroto District Health Office. This project was funded by UK aid from the UK government. Copyright ©: Moroto District Local Government Ownership: Reproduction of this plan for educational or other non-commercial purposes is authorized without permission from the MOROTO District Local Government, provided the source is fully acknowledged. Recommended Citation: Moroto District (2018). District Family Planning Costed Implementation Plan, 2018/19- 2022/23. Moroto, Uganda Copies available from: Moroto District Health Office iv Foreword The Ugandan population is growing at a rate of 3.03%. This growth rate is among the highest in the world and is attributed to among others the high Total Fertility Rate of 5.4 births per woman and low contraception prevalence rate of 47% among married women and unmet need for FP of 28% among married women. While the national population indices are not good at It is upon this background that the MoH with all, the situation in greater Karamoja is worse with the partners felt it imperative that Moroto district is region having the lowest CPR for modern methods supported to develop a Family Planning Costed at 6.5 and 7.3 for all methods (Uganda Demographic Implementation Plan (FP CIP) that details activities and Health Survey 2016). It should be recalled that and costs for achieving the national FP goals and also the achievement of a 50% CPR can lead to a 25% address the challenges of providing FP services. reduction in maternal deaths (Ahmed S, Li Q, Liu L, The Moroto FP CIP was guided by the six thematic Tsui AO; 2012) areas as indicated in the Uganda National FP CIP 2015-2020 which include Demand Creation, Service As the population in the greater Karamoja region Delivery and Access, Contraceptive Security, moves towards a less nomadic lifestyle with the Financing, Policy and Enabling Environment, and reduced number of cattle and the return of peace, Stewardship, Management and Accountability there is likelihood of a population explosion. This which is in line with the National Health Sector may result from the prevailing situation where the Development Plan (2015) and the FP2020 Uganda husband and wife are more likely to stay together commitments. much longer now that there are fewer cattle to Through this FP CIP, Moroto District Local rear. The prevalent HIV infection may also limit the Government leadership commits to support the polygamous lifestyle that is part of the Karamojong strengthening of partnerships in the delivery of culture. FP services and will strive to work together with the Central Government and partners in the As a country, Uganda is committed to reducing achievement of the National FP goals in order for the the unmet need for family planning to 10% (from country to have a healthy and productive population. the current 28%) and increasing the modern contraceptive prevalence rate to 50% by 2020 (from the current 47%). The Uganda government has set goals in terms of population indicators in order for the country to achieve the sustainable development goals. To achieve these targets, all districts and support partners need to be brought on board. v Preface The development of Moroto district FP CIP (2018/19- 2022/23) is a timely development for this community. It is an exciting project expected to change lives by improving the health of not just women and girls but the whole family and communities in the district. This will be achieved through having manageable and The district leadership reaffi rms its support to planned families. As a result, young girls will be able the technical team to implement this plan and also to avoid early pregnancies and stay in school. The engage the partners in resource mobilization and any district looks forward to fi ve life changing years of form of support to ensure that the targets set in the partnership with the United Nations Population Fund plan are realized by 2022/23 as scheduled. (UNFPA) and the people of Moroto district in the area of family planning. The United Nations Population Fund and other development partners should mobilize more The district pledges total support and leadership to resources to support, especially capacity building for ensure that all women and men who need modern human resources for health to ensure skilled service family planning methods can access them anywhere delivery for the development of Moroto district. within the district as a strategy of improving the For God and my country district CPR from the current 0.4% to 10% during the fi ve-year course of this great partnership. Martin Jacan Gwokto CHIEF ADMINISTRATIVE OFFICER MOROTO DISTRICT LOCAL GOVERNMENT vi Acknowledgement Moroto District Local Government acknowledges the technical contribution by Ministry of Health and the fi nancial support from UK aid from the UK government, through the United Nations Population Fund (UNFPA) in developing this FP-CIP. Additional appreciation goes to the District Health Moroto district local government is specifi cally Team (DHT) and Family Planning (FP) implementing acknowledged for the cooperation, participation partners (IPs) for their invaluable input towards and the wonderful coordination that enabled timely shaping this FP-CIP for Moroto district. completion of the assessment and costing exercise. Last but not least, special appreciation to MoH Moroto District Local Government also takes the and UNFPA technical teams for offering technical opportunity to appreciate the lead consultant guidance and review of the report. who steered the process for a job well done. Commendation too, to all the other stakeholders in the district who contributed in one way or another through provision of valuable information, time, resources without which it would have been diffi cult to accomplish this FP-CIP. The district is proud Illukol Andrew Rews to work with multiple partners to ensure that the AG. DISTRICT HEALTH OFFICER aspirations of this plan is achieved in an effort to MOROTO DISTRICT LOCAL GOVERNMENT contribute to the realization of the national goals of reducing unmet need of FP to 10% and increasing modern contraceptive prevalence rate to 50% by 2020. vii Table of Contents FOREWORD iv PREFACE v ACKNOWLEDGEMENT vi LIST OF TABLES ix LIST OF FIGURES ix ACRONYMS x OPERATIONAL DEFINITIONS xi EXECUTIVE SUMMARY xii SECTION ONE: INTRODUCTION AND BACKGROUND 1 1.1 Introduction 2 1.2 Background 2 1.3 Socio Economic Activities 4 1.4 Demographic Data 5 1.7 Health Facilities in the District 7 Development Partners in the District as at the end of 2015 9 SECTION TWO: The process and formulation of District FP-CIP 10 2.1 The development process 11 2.2 SWOT Analysis for Family Planning Services in MOROTO District 11 SECTION THREE: TRANSLATION OF KEY ISSUES INTO STRATEGY: 12 A CASE FOR MOROTO DISTRICT FP COSTED IMPLEMENTATION PLAN 3.0. Introduction 12 3.1 Demand creation of Family Planning services 12 3.2 Service Delivery and Access 13 3.3 Contraceptive Security 14 3.4 Financing 14 3.5 Policy and Enabling Environment 15 3.6 Stewardship, Management and Accountability 15 District Leadership 15 Family Planning Partnerships 15 Data Collection, Analysis and Use 15 viii SECTION FOUR: DISTRICT IMPLEMENTATION PLAN 16 4.1 Introduction 17 4.2 Vision, Mission and Goal of MOROTO district 17 4.3 District strategic priorities in FP 17 4.3.1 Demand creation 18 4.3.2 Service Delivery and Access 19 4.3.3 Contraceptive security 19 4.3.4 Policy and enabling environment 19 4.3.5 Financing 19 4.3.6 Stewardship, Management & Accountability 20 SECTION FIVE: COSTING OF THE PLAN 21 5.1 Introduction 21 SECTION SIX: INSTITUTIONAL ARRANGEMENTS FOR 24 IMPLEMENTATION OF THE PLAN 6.1 Introduction 24 6.2 Management, Coordination, and Accountability Structure 24 6.3 Roles and Responsibilities of Key Actors (District Level) 25 Chief Administrative Office 25 District Health Officer (DHO) and Assistant DHOs 25 Civil society and nongovernmental organizations 25 6.7 Routine Data Collection 27 6.8 Data Management 27 Data Quality Assurance Mechanism 27 Capacity Building 27 Information Dissemination and Use 27 SECTION SEVEN: DISTRICT IMPLEMENTATION FRAMEWORK 28 WITH FULL ACTIVITY DETAIL REFERENCES 34 ix List of tables Table 1: Selected demographic indicators for Moroto District 4 Table 2: Selected Regional/National figures for FP (UDHS 2016) 5 Table 3: Population distribution and growth over the census years 1991-2014 5 Table 4: Selected Demographic Health Indicators 5 Table 5: MOROTO District population distribution by Sub-county and Health facility coverage 8 Table 6: Partner Mapping 9 Table 7: SWOT Analysis 11 Table 8: FP user statistics for the FYs 2014/15 to 2016/17 in MOROTO District 14 Table 9: Cost for implementing the CIP 22 Table 11: Illustrative list of national indicators to inform the District FP-CIP 23 Table 12: Implementation framework with full activity detail 26 List of figures Figure 1: Moroto District Map and Location in Uganda 3 Figure 3: District Profile: Current HRH by health facility 6 Figure 4: District Human Resources for Health (HRH) staffing levels by cadre of staff 7 Figure 5: Coordination Framework 25 x Abbreviations ANC Antenatal Care HC Health Centre BEmONC Basic Emergency Obstetric and HMIS Health Management Information System
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