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1st AUGUST, 2017
BROVAD HOTEL, MASAKA
Submitted by: Samasha Medical Foundation
REPORT ON THE PROCEEDINGS
OF THE MASAKA DISTRICT
ADVOCACY TO ACTION FOR FAMILY PLANNING MEETING
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Table of Contents
Acronyms ........................................................................................................................................ 3
1. Background .............................................................................. Error! Bookmark not defined.
2. Objective .................................................................................. Error! Bookmark not defined.
3. Methodology ........................................................................................................................... 5
4. Proceedings of the Meeting .................................................................................................... 6
4.1 Introductions and Expectations ....................................................................................... 6
4.2 Welcome Remarks from the ADHO ................................................................................. 7
4.3 Welcome remarks from the ACAO ................................................................................... 8
4.4 Welcome remarks from the NPC ..................................................................................... 8
4.5 Welcome remarks from the Deputy RDC and introductory video show ......................... 9
4.6 Objectives ....................................................................................................................... 10
4.6 Official Opening by the LC 5 Chairperson ...................................................................... 10
4.7 Opening video show ....................................................................................................... 11
5. Presentations…..…………………………………………………………………………………………………………………….9 5.1 Presentation on Demographic Dividend and the Rationale for FP investments ........... 11
5.2 Presentation on FP goal midpoint update ..................................................................... 11
5.3 Presentation on FP status in the district ........................................................................ 12
5.4 Presentation on Using Reality Check to Set District Level Goals and holistic
programming to achieve results ............................................................................................... 12
6. Group Sessions
6.1 Discussion on meeting the FP needs of Young people: the key to the future .............. 12
6.2 Discussion ....................................................................................................................... 13
6.3 Call to Action ................................................................................................................... 14
6.4 Gap Analysis (Group Work) ............................................................................................ 15
6.5 Closing remarks .............................................................................................................. 16
Annex 1: Agenda. .......................................................................................................................... 18
Annex 2: List of Participants ......................................................................................................... 20
Annex 3: Pictures of the Meeting. ................................................................................................ 23
Annex 4. Meeting Presentations .................................................................................................. 24
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ACRONYMS
ACAO Assistant Chief Administrative Officer
ADHO Assistant District Health Officer
CBOs Community Based Organizations
CBS Central Broadcasting Service
CSOs Civil Society Organizations
DHE District Health Educator
DHO District Health Officer
DLG District Local Government
DRDC Deputy Resident District Commissioner
FP Family Planning
GoU Government of Uganda
HCII Health Center Two
LC 3 Local Council 3
LCV Local Council 5
M&E Monitoring and Evaluation
MC Municipal Council
MCH Maternal Child Health
mCPR modern Contraceptive Prevalence Rate
MDLG Masaka District Local Government
MMR Maternal Mortality Rate
MOH Ministry of Health
MSIU Marie Stopes International Uganda
MSU Marie Stopes Uganda
NBS National Broadcasting Service
NPC National Population Council
NPO National Program Officer
NRM National Resistance Movement
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S/C Sub County
SAS Senior Assistant Secretary
SATC Senior Assistant Town Clark
SMF Samasha Medical Foundation
SNPO Senior National Program Officer
STIs Sexually Transmitted Infections
TBAs Traditional Birth Attendants
TFR Total Fertility Rate
UDHS Uganda Demographic Health Survey
UHMG Uganda Health Marketing Group
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1. Background The Government of Uganda has made two commitments regarding family planning (FP) as part of their national FP2020 Goal: 1) to increase the modern Contraceptive Prevalence Rate (mCPR) for women of reproductive age to 50% and 2) to reduce unmet need for FP to 10% by 2020. The National Population Council (NPC) and the Ministry of Health have partnered with EngenderHealth in improving the uptake and utilization of FP data for advocacy. This process began in June 2017 with a national stakeholders meeting. The meeting served to orient key decision makers to FP messages and data usage for FP. After this meeting, it was recommended that the activity be carried out at a district level, as districts are important contributors to the national FP2020 Goal. The purpose of these meetings, known as “Advocacy to Action” meetings, is to introduce the use of the RealityCheck tool, and to orient stakeholders to the project goal of scaling up access and use of quality family planning services in Hoima district. Samasha Medical Foundation (SMF) was tasked by EngenderHealth to support the National Population Council to plan, support and document results of two Advocacy to Action meetings, in Masaka and Hoima. In this regard, SMF supported EngenderHealth to organize for the “Advocacy for Action stakeholders meeting” in Masaka district, which took place in the Brovad Hotel in Masaka on the 1st of August 2017. Participants included, among others:
Political leaders: Deputy Resident District Commissioner, District Local Council 5 Chairperson, District Speaker, Town Clerk, Several Division Chairpersons, Secretary for Health
Technical leaders: Assistant Chief Administrative Officer, Assistant District Health Officer, other members of District Health Team, District Education Officer, District Youth Coordinator
Youth representatives
See Annex 2 for full list of participants
2. Objective The general objective of the meeting was to build momentum for support from the highest levels of decision makers in the district in order to model the improvement plans for family planning uptake as a contribution to the national mCPR target.
3. Methodology All the sessions of the meeting were made highly interactive to ensure interest and active participation of participants. Presentations were made to help stakeholders understand the current status of family planning at district level and at national level. Group discussion and plenary discussions were also conducted to facilitate problem solving and gap analysis.
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4. Proceedings of the Meeting The morning session that run up to break tea was chaired by Mr. Gordon Mayanja, District Secretary for Health. It covered the following activities:
4.1 Introductions and Expectations
SMF led this session. The following is the list of participant’s expectations:
Expectation Achieved or Not
Active participation Met
Learn more about EngenderHealth and what is expected from the Town Clerk
Met. Town Clerk was expected to participate in determining Call to Action for Masaka and he ably fulfilled this task.
Come up with a realistic and achievable Call to Zction
This was achieved and is reflected below.
Use statistics of Masaka to plan for FP This was partially achieved through the development of the Call to Action for Masaka.
Come up with solutions on how to improve FP at facilities and at community level and get more assistance in the areas of the district that are not performing well.
This was partially achieved through the development of the Call to Action for Masaka. More assistance can only be attained through more district advocacy efforts for further assistance.
Come up with innovative interventions to address FP gaps
This was partially achieved through the development of the Call to Action for Masaka.
Issues of advocacy well-articulated This was partially achieved through introductory presentations and plenary discussion.
District leadership to participate in planning for FP services in the district.
Political leadership re-affirmed the commitments made by the participants (decision makers in Masaka district) under the “Call for action” and vowed to work with the technocrats and district leaders to address the issue of FP.
Find out how to involve males in FP intervention
This was not done because it was not among the set objectives for the
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meeting.
Learn from other stakeholders on how we have been able to achieve 40% and how we shall reach 50%
This was achieved through the Assistant District Health Officer’s (ADHO) presentation and Call to Action for Masaka that was developed.
What sustainable models will EngenderHealth bring to Masaka for the good of the families
This was not covered because it was not a key deliverable from the objectives of the meeting.
How to engage the education sector in advancing FP in the district.
Education sector is already involved since FP has already been addressed by the primary and secondary school curriculum through information provision to the pupils. This point was highlighted during discussions that were held in the meeting.
Learn more on how to prevent population explosion in view of the fact that there are minimal resources for the country
NPC addressed this through their presentation on demographic dividends and further clarification.
4.2 Welcome Remarks from the Assistant District Health Officer (ADHO)
The ADHO gave remarks on behalf of the District Health Officer (DHO), delivering the following highlights:
She thanked Ministry of Health (MOH), National Population Council (NPC) and EngenderHealth for the support provided to the district on FP as a whole.
Thanked other implementing partners in the district and Civil Society Organizations (CSO) that support FP service provision.
Emphasized that Masaka District Health Sector's Goal is "To provide good quality services to the people of Masaka District and make them attain a good standard of health so that they can live a healthy and productive life".
She further noted that the health sector objective is “To reduce the morbidity and mortality from the major causes of ill health and premature deaths and disparities therein”.
She went on to inform the participants that family planning is one of the pillars that will help the district reach the above goals and objectives.
She indicated that there would be a need for support from all stakeholders, including political leadership, CSOs and district administration
She concluded by mentioning her intention of presenting the FP status of the district later on during the meeting. She then invited Mr. Hood Seremba, the district Assistant Chief Administrative Officer (ACAO), to make his remarks.
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4.3 Welcome remarks from the Assistant Chief Administrative Officer (ACAO)
Mr. Hood Seremba, the district ACAO, welcomed everyone to the meeting and remarked that it was his pleasure to be here with his District Chairperson. He further noted that it was not normal in the local government setting to have the District Chairperson in the midst of technocrats. He further observed that they expected a lot of ideas from the meeting regarding how to organize the youth on FP. He however informed the meeting that he had a different opinion on the subject that he would share later on so that he takes the message to the people that he represents in order to do something on family planning.
4.4 Welcome remarks from the National Population Council (NPC)
Welcome remarks from the NPC were delivered by Stella Kigozi, Director of the NPC. She was glad to note that the process, which started with national stakeholders’ workshop at which several organizations (like MoH, EngenderHealth, Samasha, NPC and others) came up with the national level “Call to Action”, had continued. She noted that it was developing into a much more interactive process through the engagement of Masaka district, that the process would culminate in a realistic goal for FP. She reported that two months prior to this meeting, EngenderHealth approached NPC to facilitate the process of deriving a realistic goal at a national level on how the country can take FP forward. That process led to drafting of the “Call to Action” by stakeholders of FP at national level. She expressed her gratitude for the fruits that were yielding in Masaka. She had high hope that this meeting would result in realistic action and a way forward, as well as pave the way for the next process through which EngenderHealth could continue to provide support. She oriented the audience on what NPC is about by informing them that NPC was still a “baby”, having been created by an Act of Parliament about two years ago. It transitioned from the National Population Secretariat (PopSec) and is starting from where PopSec had stopped. She indicated that their mandate was to guide implementation of the National Population Policy and programs throughout the country. As she shared the population-related indicators at the national level, she focused on the recently released 2016 Uganda Demographic Health Survey (UDHS) findings, namely:
Total Fertility Rate (TFR): The average number of children that a woman will bear in her life time. She reported that for a long time, the TFR had remained at 6-7 children per woman but as of 2016, the rate had reduced to 5.4; indicating a
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reasonable improvement. It showed, however, that there was still some work to be done.
Population growth rate: The population growth rate in relation to the fertility rate is declining. She reported that the Population growth rate had reduced from 3.2 to 3.0 by 2016. She observed that Uganda still had the highest population growth rate in the world, although NPC felt that with more work and support from stakeholders, this rate could be reduced. In response to the District Local Council 5 Chairperson’s views on maintaining a big population size in order to improve the economy of the country, she emphasized that “It is not the quantity of the population that matters; it is the quality of the population”.
Maternal Mortality Ratio (MMR): She explained that this is number of mothers that die during pregnancy or while giving birth per 100,000 live births. She further reported that MMR had reduced from 438 deaths per 100,000 live births in 2011 to 336 deaths per live births in 2016-17. This was a good decline, but still translated into a large number of women— equal to 14 mothers dying every day.
Teenage pregnancy rate: The percentage of girls between ages 15-19 who get pregnant. In 2016, 25% of women girls age 15-19 have begun childbearing.
Modern Contraceptive Prevalence Rate (mCPR) had increased from 26% to 35%. She went on to inform the participants about the Global Summit on Family Planning, which was held in London in July this year. This was a follow-up to the 2012 London summit on FP2020, at which heads of States, including the one for Uganda, made commitments on FP. The Government is working on these goals, which are to be achieved by 2020. She was glad that NPC was in Masaka to oversee this process and learn what is happening in this area. She responded to the participants’ expectation on “learning how to control the population explosion vis-a-vis minimal resources”, by assuring them that in the course of the discussions, related solutions would come out strongly. She then finished by re-assuring them that NPC would continue to provide guidance on how the population can grow in relation to social economic development, with FP being a strong driving factor.
4.5 Welcome remarks from the Deputy Resident District Commissioner (RDC)
The Deputy RDC thanked everyone who made it to this meeting and gave particular thanks for the support provided by Ministry of Health, National Population Council and EngenderHealth to Masaka district.
He explained that National Resistance Movement (NRM) government and its leadership, along with the president of Uganda, have over time emphasized wealth creation to get everyone out of poverty. However, the large youth population is not skilled enough to get good jobs and is very sexually active, producing children. Therefore, there is a need
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to have the youth focus on income generation and saving money to invest, rather than making money to spending all on family expenses.
He further explained that another issue is big families sharing land that it is no longer viable to plant crops on even an acre. He therefore advised participants to stop dividing family land and have a number of children that can be taken care of—parents should be able to ensure schooling, provide food, and have some money to save for income generation.
In his conclusion, he requested the district leadership support the course of family planning by educating people about the need to have the number of children that you can take care of. This is important as the country strives to move to a middle income country.
4.6 Objectives
This was delivered by Tom Lawrence from EngenderHealth who explained objectives of the meeting. These include:
To review progress made by Masaka district in implementing FP services
To assess what is required to continue the advancement towards achieving Uganda’s goals for family planning and maternal health.
To dialogue about options to increase access to and use of a wide range of services in order to meet the reproductive intentions of Ugandans and resolutions made at the district level.
To support Masaka district to set the goal for reaching the 2020 modern Contraceptive Prevalence Rate (mCPR) target of 50% and to come up with “Call to Action” plan to attain this goal.
4.7 Official Opening by the LC 5 Chairperson
Official opening of the meeting was conducted by Mr. Jude Mbabaali, Local Council 5 Chairman. As a local government leader, he argued that the district needs healthy people who can be productive. He also said that decentralization is a system of governance that takes away power from central level and gives more power to the district levels (the district, municipality, Local councils and the lower levels). He pronounced that the roles carried out by the LC V do not commensurate with the funds available. He highlighted that FP is an important aspect of life, but also controversial. Being President of the Uganda Catholic Society, he noted that he is a staunch Catholic. The teaching of the Catholic Church is that controlling birth is un-Godly. He therefore advised that those promoting FP must be very strategic in order to promote FP at village level where there are also staunch Catholics and Moslems.
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He concluded by pointing out that the organizers of the meeting should take note of the following:
Government has intentions of abolishing HC II. For Masaka this is going to badly affect health service delivery. Masaka district will reject this.
Government of Uganda intends to declare Traditional Birth Attendants (TBAs) illegal. The fact is that TBAs are very influential at the village level. That means that GoU must find a way to deal with this issue, because it is related to controlling population.
Upon declaration of this, he requested MOH representatives to react to the above-mentioned issues, before the end of the meeting.
4.8 Opening video
The NPC Director gave a brief explanation on a video showing how countries (developed and developing) had evolved in relation to the introduction of population policies and FP in general. It was then played for the audience.
5. Presentations
5.1 Presentation on Demographic Dividends and the Rationale for FP investments
Mr. John Ampaire, National Population Officer, gave a presentation on demographic dividends and the rationale for FP investments (see Annex 4 for complete presentation). He informed the participants that evidence exits that shows that the religious (e.g. Catholic) sector is in support of use of family planning. They focus on the natural method—namely, the Standard Day Method, the two-day method based on the increase in vaginal secretion and the Lactational Amenorrhea Method (LAM). He elaborated on the impact of large families on environmental degradation and urban-based slum creation. He also explained the health impact of use of family planning, i.e. averting unintended pregnancies, abortions, stillbirths, child deaths. In addition, he presented the impact of use of FP on the individual income status. He explained that the longer a girl stays at school, the longer it takes her to start child bearing. Therefore, she has an opportunity to complete her education and have an income-generating occupation. This all leads to a reduction in Maternal Mortality Ratio.
5.2 Presentation on FP goal midpoint update
This presentation was delivered by Juliet Tumuhairwe, from the Ministry of Health. She gave a brief update on the existing national policies and strategies, as well as status of
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attainment of the FP2020 national commitments at mid-point (2017). Please refer to the attached presentation in Annex 4.
5.3 Presentation on FP status in the district
The presentation for the District Health Office was delivered by Brenda Kiyingi, ADHO. She presented the status of service delivery in regard to FP for Masaka district. She reported that on facilities offering the various methods of FP, FP interventions that the district had implemented, existing partnerships, examples of “success stories”, and challenges. See the attached presentation in Annex 4 for more information.
5.4 Presentation on Using Reality Check to Set District Level Goals and holistic programming to
achieve results
This presentation was conducted by Leah Jarvis, Senior Program Associate of EngerenderHealth based in New York. Highlights of her presentation included information from the RealityCheck Tool on the Uganda (national and regional level) set goals and projected goals for FP, previous trends for mCPR, unmet need for FP, and health facility caseloads. This was intended to provide statistics to the District authorities and stakeholders in order for them to make informed decisions while setting the Masaka Goal for the next 3 years in order to attain the mCPR projected for 2020.
6. Group Sessions
6.1 Discussion on meeting the FP needs of Young people: The key to the future
The District Youth Coordinator summarized ongoing issues and needs of youth in the district, as well as youth-focused initiatives that are being implemented on an ongoing basis:
Unintended pregnancies arising from poor access to contraceptives especially among youth in school. There is a need to mobilize youth in the communities for FP services
Access by the youth to information about FP to prevent unintended pregnancies and dropping out of school. This is being addressed through outreaches. Politicians participate in these outreaches. This is a success story.
Advising youth to abstain from unprotected sex in order to prevent unintended pregnancies.
Community dialogue meetings to pass on knowledge about FP.
Calling upon Parliament to do their part in guiding youth on how to abstain from sex and how to use FP methods so that they can acquire their education.
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Encouraging parents to advise youth to abstain and take education as their priority
Carry out counseling youth in the community to prevent unwanted pregnancies
Do monthly radio talk shows to give information on FP
Give guidance to parents about FP
Call upon health workers to help youth leaders to pass on information on FP and guide the youth in the community.
6.2 Discussion
ISSUES
Issue Response
All efforts to learn about FP are hampered by husband’s attitude towards this. How do we deal with this situation especially in view of having more than one wife?
If you empowered a lady, this will contribute towards right decision in producing children. Empowering a lady is a key to making FP decisions
Use of the words such as “Sterilization” for men or women, creates misunderstood interpretation
To use “vasectomy” for men and “Tubal Ligation” for women instead of sterilization
PREFA: It is a challenge in using the word “Contraceptives”. People think FP is contraceptives therefore the need of its clarity
Need to explain more of family planning versus contraceptives.
Using FP as a way to reduce financial challenges yet there are many families who have few children but have more challenges
Compare your earning and the expenditure with the number of the children
Concern that all the presentations capture about women but men involvement is not recorded
Gender equity begins with men involvement and communication
Gender equity (women are unable to make decisions on FP methods, sometimes men are against their choice) need to identify the interventions for women on their right
Youth programs do not reach the villages to the last person who suffers
The district has been conducting outreaches and dialogues and meetings in villages to reach the community.
A lot of preaching on the negative effects of FP (men claim women do not perform well when she is on FP) need clarification on this
Any research as to why men cannot take vasectomy?
Solution for those who have already big families and had not yet used FP?
What is the target set for Masaka prior to “Call to Action” intervention? And what is their projection?
Data that was presented needed more clarification on how and where it was obtained.
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RECOMMENDATIONS
Work of the government to make provision of the services to be available in every health facility
Need of more time and political will to achieve the target
Statistics should show wanted vise vie unwanted pregnancy
Engender Health to work with other IPs to avoid duplication of work.
6.3 Call to Action
The NPC gave a brief on “Call to action” recommendations of the national level after which he spearheaded the discussion on the Masaka specific “Call to action”. The latter was as follows:
Masaka “Call to Action”
We, the political and technical leadership of Masaka, gathered here at Brovad Hotel in Masaka, on the 1st day of August, 2017, having noted that Uganda has reached an acceleration phase in the modern Contraceptive Prevalence Rate, (mCPR) and having noted that the policy environment is conducive for the continued growth of Reproductive Health programs, commit to increase mCPR at an annual rate of not less than 3% by doing the following: 1. Support quality family planning interventions in Masaka District at all levels.
2. Scale up the number of facilities that are offering family planning services on a daily
basis, by training more providers, and ensuring that facilities have the necessary
equipment and supplies.
3. Promote the coordination among FP Implementing Partners in the district.
4. Ensure that we mainstream FP activities in our budget and plans.
5. Integrate FP services into other services that are being implemented in the district (e.g.
prevention and curative services, STIs, HIV, and others), as well as social, economic, and
religious programs.
6. Lobby Central Government and FP Implementing partners to provide adequate and
timely supply of essential FP equipment and supplies.
7. Sensitize communities (Women’s Councils, Young Mothers’ Organizations, Male
Involvement Organizations, Religious Leaders, CBOs, Community leaders, schools) in
order to increase support of family planning.
8. Improve the quality of data capture, management, and utilization for informed
planning, through support supervision, coaching, and mentorship.
9. Strengthen health education and life skill programs in schools.
10. Strengthen the existing community structures to support family planning services.
11. Promote natural and modern Family Planning methods.
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12. Use harmonized, culturally and religiously sensitive and age appropriate Family
Planning messages.
Mr. Jude Mbabaali, the district LC5 Chairperson re-affirmed that, given the commitments made under the “Call to Action” and that leaders had been sensitized about FP during the meeting, it’s his duty as a political head to work with the technocrats and district leaders to address the issue of FP.
6.4 Gap Analysis (Group Work)
The meeting participants were broken into three groups and asked to use a questionnaire from the SEED Assessment guide to discuss strengths and weaknesses of the family planning environment. Each of the three groups – supply, enabling environment, and demand – focused on the corresponding portion of the questionnaire. Each group then reported out the main points of discussion.
Supply
Modern FP, through the district
Permanent and temporary, some through MSI, all levels of health center
Other services: Fistula Care
Strengths: we have trained health workers, IPs, integration of FP with other services
Contraceptive security is there but is a challenge, stock outs are common
Financial support: voucher system not available
o Voucher system has been done by an organization but it’s not enough
Challenges: inadequate infrastructure, starting from level II and some level III
o Poor coordination of FP IPs
o Absenteeism of FP HWs
o SOPS not followed
o Supply and logistic stock-outs
o Inadequate supervision by the district in the management of these areas
o Poor documentation – some clients not documents
o Poor referral linkages
o Poor engagement of the community
Strategies for improvement
o Routine sensitization of communities
o Free commodities to private facilities so they can subsidize or provide for
free to clients
o Voucher systems for mothers
o Strengthening referrals and linkages, including using VHTs
o Frequent supply supervision by the DHT
Some people fear going to services because of payment
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Some people question quality of services
The MOH is not actively supporting private facilities in planning – many do not have
registers or other things needed to track services
Motivated to become a player because of adolescents – high part of the population
in Uganda
Demand
Difference in opinions that different stakeholders have about FP methods
Uncoordinated messages being given out by different people and this makes people
perceive FP differently
Myths about FP
Communication methods:
o Mass media, radio talk shows
o Posters
o Community dialogues
o Social media
Need adequate handling of messages
o Using local languages
Peer educators conduct outreaches
Have always used radio for most groups
Providers are trained in FP
Support postpartum FP by doing gatherings for new mothers?
There are IEC materials, job aids available
Enabling Environment
Strengths: policies have budgets and work plans
Policies do not dictate number of children or methods
But are not culturally sensitive or appropriate for different age groups
There’s inconsistency in the communication given out by some leaders
Funding is needed, sensitization of the community, empowerment, vertical and
horizontal
Social culture and gender norms, low literacy levels, women who are more educated
use FP more
Lack of involvement by leaders
Lack of male involvement – create awareness to move toward collective support
6.5 Closing remarks
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Mr. Achilles Mawanda, the District Speaker, in his closing remarks re-emphasized that the district would give full support to the Government towards achieving its commitment on mCPR, in order to achieve a better and fruitful life of Ugandan citizens.
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Annex 1: Agenda
Program of Advocacy to Action for Family Planning Meeting
Ugandan District Stakeholder Meetings Masaka: August 1st, 2017
Brovad Hotel
Time Activity Person Responsible Facilitator
8:30am Registration EngenderHealth
9:00 - 9:05am Introductions and Expectations Dr. Jennifer SMF
Secretary for Health
9:05 - 9:10am Welcome Remarks DHO
9:10 - 9:15am Welcome remarks CAO
9:15 - 9:20am Welcome remarks NPC
9:20 - 9:25am Welcome remarks and video intro RDC
9:25 - 9:30am Video
9:30 - 9:35am Objectives Tom EngenderHealth
9:35 - 9:45am Official Opening LC5 Chairperson
9:45 - 10:00am Opening video Stella Kigozi NPC
10:00 - 10:30am Break
10:30 - 10:40am Presentation on Demographic Dividend and the Rationale for FP investments
Mr. John Ampire NPC
Juliet Tumuhairwe
10:40 - 10:50am Presentation on FP goal midpoint update
Juliet Tumuhairwe/Dr. Moses Muwonge
10:50 - 11:05am Presentation on FP status in the district
ADHO
11:05 - 11:20am Presentation on Using Reality Check to Set District Level Goals and holistic programming to achieve results
Leah Jarvis. EngenderHealth
11:20am - 12:00pm Discussion
12:00 - 1:00pm Call to Action John Ampire NPC $ Juliet Tumuhairwe MoH
1:00 - 2:00pm Lunch
2:00-2:30pm Discussion on meeting the FP needs of Young people: the key to the future
Youth District Coordinator
DHO
2:30 - 3:15pm Gap Analysis (Group Work) NPC
3:15 - 3:45pm Tea break
3:45 – 4:45pm Group presentations and plenary Juliet
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discussion. Tumuhairwe
4:45 - 5:00pm Closing remarks District Chairman
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Annex 2: List of Participants Name Designation Organization Email Address Telephone No.
1 John Ampeire
NPO NPC [email protected] 0782399369
2 Juliet Tumuhairwe
Track20 M&E FP
MoH-Family Planning Programe
[email protected] 0782659257
3 Ruth Amuge Programe Assistant
SMF [email protected] 0706722981
4 Jennifer Wanyana
Director Operations
SMF [email protected] 0750414842
5 Keefa Kaddu District Youth Coordinator
Masaka District [email protected] 0702683663
6 Charles Musana
SNPO NPC [email protected] 0772972491
7 Fred Mukiibi Drive NPC [email protected] 0783002182
8 Stella Kigozi Director NPC [email protected] 0776460917
9 Gordon Mayanja
Secretary for health
Masaka District [email protected] 0702006009
10 Brenda Kiyinngi Batengi
ADHO MCH MDLG [email protected] 0704432468
11 Jacinta Bwanika
Reporter Vision Group [email protected] 0705974308
12 Jude Mbabaali
LC5 Chairman Masaka District [email protected] 0772444668
13 Farish Magembe
Press NBS TV farish 0701370655
14 Edward G.Kiwanuka
Deputy Town Clerk
Masaka M.C [email protected] 0776773377
15 Eddie Ssenyomo
SAS Masaka LG [email protected] 0758554005
16 Joseph Lutaaya
Education Officer
Masaka DLG [email protected] 0703843031
17 Ann Nanteza
Service Provider
MSIU [email protected] 0752680880
18 Sarah Namakula
Service Provider
MSIU [email protected] 0784935470
19 Alexander Afwono
Central Manager
MSU [email protected] 0759004038
20 Richard Ssebaka
Administrator Masaka MC [email protected] 0756512308
21 Dinah DHE MDLG [email protected] 0704399270
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Kakande
22 Muhamed Nfitumukiza
SATC Masaka MC [email protected] 0702275014/774194044
23 Isa Kayondo SAS Kyesiiga S/C [email protected] 0702238085
24 Francis Sebbula
LC3 Chairperson
Kabonera S/C [email protected] 0752452471
25 Claude Wandera
Medical Doctor
PREFA Buddu [email protected] 0703269575
26 Moses Sendiffa
RPC UHMG [email protected] 0701942312
27 Olma Nakawanga
For Planner MDLG [email protected] 0701641594
28 Micheal Mulindwa
Chairperson LC3
Nyendo [email protected] 0701349894
29 Denis Paul Kabugo
SAS Chief Mukungwe S/C [email protected] 0752442002
30 Beety Nanteza
Ass. Kabonera
Kabonera S/C [email protected] 0776157580
31 Timothy Kabyanga
Senior Ass. Town
Masaka MC [email protected] 0755414734
32 Hood Sseremba
ACAO Masaka DLG 0701316379
33 Faith Nandagi
Sec. Finance Bukakata 0757934984
34 Winni Juuko SAS Bukaya [email protected] 0702241744
35 Fahad Malile
Jornalist Daily Monitor [email protected] 0750321165
36 Gaude Namugera
Monitoring Officer
Masaka MC 0772607819
37 Denis Majwala
Division Chairperson
Masaka Minicipality
[email protected] 0752851186
38 Matia Kaaakora
Division Chairperson
Masaka Municipality
0750955211
39 Josephine Mirembe
Population Officer
Masaka DLG [email protected] 077438960
40 Francis Kimuli
LC3 Chairperson
Buwanga S/C 0703341990
41 Joseph Sekasamba
RDC Masaka 0700215361
42 Lillian Musis DLG Masaka [email protected] 0772449788
43 Abdala Kalibbala
Escort LC5 Masaka 0753525647
44 Jusius Escort DRDC Masaka 0771604996
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Bryarugaba
45 David Mukasa
Driver DRDC Masaka 0700174781
46 Katongole Driver Masaka 0776185915
47 Sarah Nandawula
SAS Bukakata [email protected] 0703901057
48 Mesach Ssebbula
LC3 Chairman Kyanamukaka 0752437951
49 Wilber Kalyango
LC 3 Chairman
Kyesiiga [email protected] 0752949073
50 Gerald Kawuma
LC3 Chairman Mukungwe 0758087061
51 Fatumah Betinah
Reporter Urban Tv [email protected] 0701420148
52 Prime Rose Nattimba
Reporter Bukedde Radio 0703373800
53 JF Nabukenya
Deputy Speaker
Masaka [email protected] 0757917698
54 Julian Nakato
Female Youth Councilor
Masaka [email protected] 0700329267
55 Janat Kisekka
Vice Masaka Masaka [email protected] 0703151719
56 Martine Mukulinda
Male Youth Councilor
Masaka 0751721257
57 Saudha Nakandha
New Vision Kampala [email protected] 0784865996
58 Achilles Mawanda
District Speaker
Masaka [email protected] 0401471018
59 Kayinja Tomusange
News Reporter CBS
Masaka [email protected] 0758577108
60 Sunday Ssempijja
Driver Masaka 0703690405
61 Emmanuel Mugisha
Senior Ass. Town Clerk
Masaka MC [email protected] 0704018167
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Annex 3: Pictures of the Meeting
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Annex 4. Meeting Presentations
Presentation 1: Demographic Dividend and the Rationale for FP investments
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Presentation 2: FP goal midpoint update
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Presentation 3: FP status in the district
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Presentation 4: Using Reality Check to Set District Level Goals and holistic programming
to achieve results
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