Family Planning (FP):Educating
men and women regarding FP options and increasing their accessibility
to such options. These include condoms, as well as long-acting and
permanent methods of contraception, such as IUDs and tubal ligation.
Prevention of Mother-to-Child-Transmission of HIV (PMTCT): Through increased screening and regular follow-up with patients who are taking ARVs.
Continuum of Care: Care and support for mother and child throughout pregnancy and the first month of a child’s life.
Deliveries and C-Sections at the Health Center (HC): To reduce risk of death and complications, such as obstetric fistulae.
Education: To encourage male participation, empower women, and improve health literacy regarding child survival, FP, HIV, etc.
tied to education of men and women, as women in rural Uganda are
required to get their husbands’ permission before seeking care.
Transportation: Currently there is no reliable/safe mode of transport to the HC.
The project will increase demand for these services by incentivizing
women and men with vouchers and/or conditional cash transfers.
HUMAN RESOURCES AND TRAINING
Health Professionals and Community Health Workers LfM
will engage civil society by training local residents to become
community health workers (CHWs), who will then provide education and
service delivery. Initially, LFM will recruit and train 50 CHWs, scaling
up to 300 during the first year.
the present time there are only nine health professionals at the HC,
none of whom is a physician. Midwives perform all deliveries without
anesthesia. Medical officers, who are able to perform Caesarean sections
and provide long-acting and permanent methods of contraception, will be
recruited as staff for the facility. Additional nurses and midwives
will supplement existing staff to provide 24/7 coverage.
project director will coordinate the training of CHWs with multiple
partners, including the World Health Organization, the Ministry of Health, and the Local District Government of Mityana .
Training will include maternal/neonatal/child health issues, family
planning strategies, HIV testing and treatment options, male partner
involvement in pregnancy and the role of gender equity in women’s
health. With this training, CHWs will deliver a wide array of critical
services that are currently almost non-existent, including:
Screening for medical/infectious diseases
Distribution/delivery of condoms, medications, immunizations, etc.
Identification of high-risk pregnant mothers
Ante/post-natal tracking of mothers and infants
Counseling women and men on family planning options
mHEALTH TECHNOLOGY One
of the core aspects of the LfM initiative is the use of mobile phone
technology to track health data in real time. By linking CHWs through a
cell phone network using mHealth applications, LfM can tackle the
communication gap between patients in the community and staff at the HC.
This will also enable the collection and transmission of health data in
real time and the delivery of care in the field. Additionally, real
data (not statistical estimates) will give LfM and policy makers the
chance to modify interventions over time and constantly improve health
THE NETWORK The
importance of creating a delivery network for healthcare services to
increase individuals’ access to better healthcare cannot be overstated.
Because of poor infrastructure in rural Uganda, it is essential to
provide healthcare through an outreach strategy. Specific benefits of an
established network include:
Systematic recording of births and deaths
Collection of baseline prevalence of infectious diseases/other health indicators
Transportation to the facility for both routine and emergency visits
Reliable delivery of medications and immunizations on a timely basis
Repeated screening for HIV and STDs during pregnancy for expectant mothers and their male partners.
one year, the data collection will enable LfM to determine which
interventions were efficacious in reducing morbidity and mortality. By
offering counseling and various services in the community rather than
at the HC, LfM will not only increase screenings and service delivery,
but also reduce costs and travel.
COMMUNITY PARTICIPATION The
role of the community in this project will be to reinforce the
activities of the health professionals and CHWs through increased
awareness of why maternal health matters to every Ugandan. The project
director will work with some of the same agencies providing CHW
training to develop lectures and workshops for the broader community.
Key issues to be addressed include:
factors such as HIV and related stigma, gender inequity, and
gender-based violence, high fertility rates, male partner involvement
health literacy, such as for testing and treatment of STDs and other
infectious diseases, giving birth in a health facility with a skilled
attendant present, etc.
Family planning education emphasizing condom usage and long-acting and permanent methods of contraception.
the project director will partner with the district parliamentarian to
enlist community elders, church leaders, and community council members
as advocates for family planning, male partner involvement, and lowering
Did you know?
Between 1990 and 2008, maternal mortality worldwide dropped by one third.
Source:The World Health Organization, 2010
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