Increasing access to quality health care since the 1980s.
- Use of Jhpiego’s Helping Mothers Survive package resulted in a 62% reduction in newborn deaths, 47% reduction in retained placenta, 34% reduction in fresh stillbirths and 17% reduction in postpartum hemorrhage (all per 1,000 births and comparing the six-month intervention period to the nine-month post-intervention period).
- 15 districts and 160 facilities have an increased capacity to deliver high-quality postpartum family services, resulting in over 80,000 couple years of protection for women.
- Based on Jhpiego’s successful implementation of the low-dose, high-frequency (LDHF) learning approach, the Ugandan Ministry of Health adopted LDHF as the preferred alternative training approach. With the Ministry, Jhpiego adapted the nutrition curriculum to use LDHF and helped roll out the process of cascading training from national to facility levels.
- In one year, the provision of intermittent preventive treatment of malaria among pregnant mothers at Jhpiego-supported sites increased from 4% to 37%, ensuring the health of pregnant women and their unborn babies.
Our Work in Uganda
Malaria Action Program for Districts
The goal of this five-year initiative, funded by the U.S. Agency for International Development, is to improve the health status of the Ugandan population by reducing childhood and maternal morbidity and mortality due to malaria. To achieve this goal, the program will ensure: 1) implementation of effective malaria prevention programs in support of the National Malaria Control Strategy; 2) implementation of effective malaria diagnosis and treatment activities in support of the strategy; and 3) capacity-building of the National Malaria Control Program, Regional Performance Monitoring Teams and District Health Management Teams to effectively manage and sustain malaria activities.
The Challenge Initiative
The Challenge Initiative (TCI), which is funded by the Bill & Melinda Gates Institute for Population and Reproductive Health, focuses on scaling up the success in increasing family planning (FP) access under the Tupange Urban Reproductive Health Initiative. TCI aims to assist Kenya, Uganda and Tanzania to scale up FP services to reach additional women and girls over the next three to five years. TCI is breaking ground in developing a technical assistance model that incentivizes governments and local and global donors to buy into the most successful and high-impact FP interventions, rapidly adapt these interventions to the local context and support counties and districts to efficiently scale them up through targeted technical assistance. For more information, visit here: https://tciurbanhealth.org.
Operationalization of District Cost Implementation Plans
Following the success of the Tumaini project, a health demonstration project that used a multi-faceted approach to meet adolescent population needs, Jhpiego is working to operationalize a cost implementation plan for The Challenge Initiative (see description above) to provide insights on budget plan and costs. Through this activity, Jhpiego is working closely with family planning (FP) stakeholders in Uganda to ensure continued and improved investment in FP at the district level, ultimately resulting in increased resources to implement FP activities. The anticipated outcome is an increased uptake by women of modern contraceptive methods, which is turn will contribute to the achievement of Uganda’s FP2020 commitment. Financial support for this activity is being provided by the Opportunity Fund for Family Planning Advocacy, managed by Population Action International as part of the Advance Family Planning Program.
Performance Management and Action Project (PMA)
This four-year project, funded by the Bill & Melinda Gates Foundation, builds on the PMA2020 project, which used innovative mobile technology to support low-cost, rapid-turnaround surveys monitoring key health and development indicators. PMA is enhancing this survey platform to generate high-quality data and ensure that governments, donors, managers and advocates use this data to make decisions regarding family planning programs. In addition to scaling up the survey platform for more widespread use, this project supports expanding it to include additional technical areas. Co-led by Jhpiego and the Bill & Melinda Gates Institute for Population and Reproductive Health, this project is operational in several African and Asian countries, including Uganda.
Analysis of Insufficient Availability of Essential Family Planning Consumables and Equipment
The Reproductive Health Supplies Coalition (RHSC) is supporting Jhpiego to examine the extent to which consumable and equipment unavailability affect achievement of global family planning goals. In collaboration with RHSC’s Systems Strengthening Working Group, Jhpiego is conducting a comprehensive examination of the insufficient availability of essential family planning consumables and equipment, including exploratory consultations in Nepal and Uganda, and developing a transformational white paper based on results. The white paper will facilitate the design and implementation of innovative solutions by providing clear analysis, documentation and meaningful understanding of the challenge. The analysis brings together fragmented global knowledge and perspectives to establish a shared evidence base and generate a collective urgency for action to address supply-related inequities, including ways in which consumable and equipment shortages disproportionately affect marginalized groups.
Improving Quality of Care for Maternal, Newborn and Child Health (IMPROQ)
Under this one-year, UNICEF-funded grant, Jhpiego is working to strengthen the national capacity to deliver improved health and nutrition outcomes for children, adolescents, pregnant women and other vulnerable groups and contribute to sustained improvements in population dynamics in Uganda. This initiative promotes a life-cycle approach and focuses on four areas: 1) reproductive, maternal, newborn, children and adolescent health; 2) HIV/AIDS and adolescent health; 3) nutrition; and 4) water, sanitation, and hygiene. Early childhood care and adolescent programming elements are integrated into all four of these areas. This initiative targets five regional referral hospitals, three urban referral hospitals in Kampala and 12 district hospitals, primarily in Karamoja and West Nile regions.
Health Workforce for the 21st Century
The Health Workforce for the 21st Century (HW21) project, funded by the Health Resources and Services Administration, supports country programs in accelerating progress towards addressing key human resources for health (HRH) systems barriers to achieving their 95-95-95 goals (i.e., 95% of people living with HIV knowing their HIV status, 95% of people who know their status on treatment, and 95% of people on treatment with suppressed viral loads). In Uganda, Jhpiego is providing technical and implementation assistance to the Government of Uganda, HRSA and the U.S. Centers for Disease Control and Prevention (CDC) to reach the health workforce with expert knowledge and skills that will enable providers to counsel and enroll more men and women into care, properly provide antiretroviral therapy and maintain clients in care. Utilizing a customized technology platform for learning will also enable rapid transmission of real-time best practices to reach more health workers than would be possible with traditional in-person methodologies, thus building a critical mass of trained health workers that will enable Uganda to realize its 95-95-95 goals.