SEXUAL REPRODUCTIVE HEALTH RIGHTS UMBRELLA PROGRAM HOIMA AND KIKUUBE DISTRICTS QUARTERLY NARRATIVE PROGRESS REPORT January-March, 2019 KISEMBO MONICA APEER EDUCATOR CONDUCTS CONDOM EDUCATION AND DISTRIBUTION TO SEX WORKERS AT FOFO LANDING SITE ON 18TH FEBRUARY 2019 1 NAME OF CEDO-UGANDA (CHILD RIGHTS EMPOWERMENT AND ORGANIZATION DEVELOPMENT ORGANIZATION) REPORTING PERIOD January-March 2019 EXECUTIVE SUMMARY CEDO-Uganda with funding from the International HIV/AIDS Alliance through Community Health Alliance Uganda (CHAU), is implementing a Five (5) years Sexual Reproductive Health Rights Umbrella Program (SRHRU2016-2021) in seven (7) sub counties of Hoima district and five (5) sub counties of Kikuube district. The project is currently implemented in the nineteen (19) health facilities of which eight (8) are in Hoima and eleven (11) health facilities are in Kikube district. The project targets priority populations; 10-14, 15-19, and 20-24, vulnerable children that include; street children, slum dwellers, orphans, disabled children, Young People Living with HIV/AIDS (YPLHIV). It also targets young key populations including; Sex Workers, MSM, truckers, and Fisher folks. The overall goal of the 2016-2021 Programme is to contribute to improved health of Ugandans and the HIV/AIDS and SRHR response under the four (4) outcomes indicated below; i. Expanded access and increased use of quality, inclusive and integrated HIV and SRHR services among the vulnerable and key populations. ii. Increased adoption of safer sexual practices among vulnerable and key populations. iii. An enabling HIV and SRHR environment for vulnerable and key populations. iv. Strengthened institutional capacity of implementing organization (s) to deliver quality and inclusive HIV and SRHR program. During the reporting period (January-March 2019), CEDO-Uganda Trained 40 peer educators, Mentored health workers, Conducted thirty (30) integrated SRHR and HIV outreaches and 15 Moon light activities, Conducted radio promotion activities including radio talk show, Conducted a stakeholders review meeting, conducted a quarterly review meeting with peer educators, Conduced condom education and distribution in partnership with health facilities and peer educators, and conducted dialogues with gatekeepers to discuss the socio-cultural/gender based/structural drivers of HIV epidemic that may hinder access to SRH services as a result of the above interventions, CEDO was in position to achieve the following per each indicator; With number of people reached with SRHR/HIV services, 7143 young people (4,072males 3071females) were reached with SRHR/HIV information, HCT, FP, PAC, Post SGBV counselling, SMC, condom education and distribution. During the quarter, 2983 young people (1637males 1346females) number of people were reached with HCT & received their test results. This was done through partnership with government health facilities during outreaches and moonlight activities for KPs With Number of WRA reached with modern FP method, 253 females were served with FP services. This was done during the integrated outreaches and moon light activities throughout the quarter in the districts of Hoima and Kikuube district. 2 During the quarter, only 33 young women received PAC services. This was done through direct and indirect referrals to Marie stopes blue clinics by peers. Throughout the quarter, 251 number of males were reached with SMC services in both districts of Kikuube and Hoima. 118 males reached in Hoima and 133 reached in Kikuube. All these were mobilized by peer educators and referred to IDI for Circumcision and were treated as complete referrals under the umbrella program With STI screening services, 2372 young people (1292males and 1080females) were reached with STI services. This was done through outreaches and moonlight activities throughout the quarter. For beneficiaries who tested positive for STIs, they were given treatment and referrals were documented for follow up and management of the infection Throughout the quarter, 16 clients were reaches with post SGBV services especially counselling by health workers from the supported facilities. During the quarter, 26 Health Workers were mentored in provision of adolescent friendly SRH and HIV services. This covered issues like; Privacy being maintained at the facility, Confidentiality is honoured, Youth are welcome regardless of marital status, Boys and young men are welcome, Service providers are attentive to youth needs. Convenient hours, Convenient location, Adequate space, Sufficient privacy and Comfortable surroundings. For number of completed referrals, 298 referrals were complete out of the 305 referrals made during the quarter. These 251 referrals for SMC, 33referrals for PAC and 14 referred for ART initiation. With number of condoms distributed to end users/young people, 37,874 condom pieces were distributed to fisher folks, sex workers YPLHIV and other adolescents and young people. This was affected by condom stock outs at the facilities especially from January to February 2019 For number of copies of IEC materials distributed, 379 (299 T-shirts and 80 Caps) IEC materials were distributed 80 T-shirts and 40 Caps to peer educators, 259 T-shirts and 40 Caps to health workers district officials and project staff. This increased feasibility of the project in both Hoima and Kikuube 1. Performance progress on outcome 1: expanded access and increased use of quality, inclusive and integrated SRHR and HIV services among vulnerable and key populations 1.1 What were the main outcome 1 planned activities implemented and key achievements obtained during the quarter? 1.1 Support provision of integrated SRHR and HIV services through health outreach delivery points: During the reporting period, 30 outreaches and 15 moon light activities were conducted, reaching 2983 young people (1637males 1346females) with HCT, 2372 young people (1292males and 1080females) with STI screening, 253 females were served with FP services, and through 3 referrals 251 number of males were reached with SMC services and 33 young women received PAC. 12 people tested positive and were referred and linked to other service providers for care and support. Nabutundu Racheal a worker from Kyehoro HC III screening a client during an integrated targeted outreach at Panyamuru landing site on 21st January 2019 A health worker from to Kigorobya HC IV conducting HIV and STI screening exercise at Hanga th Hotspot on 16 February 2019 during an integrated targeted outreahe 1.2 Mentorship of health workers During the quarter, 26 Health Workers were mentored in provision of adolescent friendly SRH and HIV services. This covered issues like; Privacy being maintained at the facility, Confidentiality is honoured, Youth are welcome regardless of marital status, Boys and young men are welcome, Service providers are attentive to youth needs. Convenient hours, Convenient location, Adequate space, Sufficient privacy and Comfortable surroundings, Youth are involved 4 in program design, Both boys and girls are welcomed and served, Unmarried clients are welcomed and served, Group discussions are available, Parental involvement is encouraged but not required, Affordable fees are available, A wide range of services is offered or necessary referrals are available, An adequate supply of commodities is available, Drop-in clients are welcome, and appointments are arranged rapidly, Waiting times are short, Educational material is available on-site, Services are well promoted in areas where youth gather, Linkages are made with schools, youth clubs, and other youth-friendly institutions as well as Alternative ways to access information, counseling, and services are provided Sunday Kenneth CEDO Staff (standing) during mentorship of health workers on 06th March 2019 at Kyehoro Health centre III 1.3 Trained 40 peer educators on sexual reproductive health During the quarter, 40 (21male 19female) peer educators selected and identified from 19 mapped health facilities in Hoima and Kikuube district were trained on Training Methods of Interactive Approaches with Young People, Peer Education, Group Dynamics, Key Growth and Development Changes During Adolescence, Child Marriages and Having Sex with Older People, Teenage Pregnancy and Abortion, Pregnancy Prevention, Sex and Sexuality, Gender and Gender Stereotypes, Gender Based Violence, Life Skills, Sexual & Reproductive Health Services & Rights, Drug & Substance Use, Healthy Relationships and Safer Sex. The peer educators included all risk categories such as; Slum dwellers, orphans, disabled children, Young People Living with HIV/AIDS (YPLHIV), Sex Workers, MSM, truckers, and Fisher folks. The training was aimed at enhancing capacities of 40 Peer Educators (PEs) on Sexual Reproductive Health 5 and wanda tool used in data collection under the SRHR Program 6 Dr Kwikiriza Nicolus DHO Kikuube district giving opening remarks before the training kicked off on day one 16th January 2019 at Kijungu Hill hotel Hoima district Nakazzi Grace CHAU staff taking peer educators through a session on day one during peer educators training at Kijungu Hill Hotel 17th January 2019 1.2 What are the main implementation challenges met during the quarter and how were they addressed? • Un able to record all project beneficiaries during outreaches remains a challenge Peer Educators, Drama group, and CEDO staffs offered generic SRHR information to the attendees but only those that received the one on one services were actually tracked and recorded in the daily record books.