Uganda

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Increasing access to quality health care since the 1980s.

  • Jhpiego reached 61,932 women with contraceptive method mix services, which translates to more than 61,000 delayed or avoided pregnancies in fiscal years 2020/21.
  • 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; LDHF was used to build the capacity of more than 1,000 health care personnel who attended more than 13,000 deliveries at Jhpiego-supported sites.
  • Jhpiego supported 453 health facilities to implement quality improvement activities, including strengthening malaria commodities’ supply chain and logistics management—resulting in reduction of treatment of malaria-negative cases from 47% in 2016 to 2% in 2020.
  • Jhpiego has established 10 hubs and over 270 spokes for ECHO (Extension for Community Healthcare Outcomes) tele-mentoring, supporting implementing partners to scale up the ECHO model and increasing the uptake of virtual learning, which is currently the backbone for continuation of health service delivery under COVID-19 lockdown/travel restrictions in the country.

Our Work in Uganda

The Challenge Initiative (TCI), which is funded by the Bill & Melinda Gates Institute for Population and Reproductive Health, focuses on scaling up proven family planning (FP) high-impact solutions under Tupange for Better Cities. 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. In Uganda, TCI is operating in Kampala district, (Kawempe division, Nakawa division, Makidye division and Kampala central division), Wakiso district (Wakiso DC, Kira division, Nansana Division and Entebbe), and the districts of Buikwe, Mukono, Iganga, Busia, Kabarole and Lira. For more information, visit here: https://tciurbanhealth.org

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. For more information, visit here: https://www.pmadata.org/countries/uganda.

With funding from the World Bank through Uganda’s Ministry of Health, the Uganda Reproductive Maternal Child Health Services Improvement Project prioritizes upgrading the skills and knowledge of health workers. Jhpiego coordinates reproductive, maternal, newborn, child and adolescent health (RMNCAH) mentorship in West Nile Region to improve health workers’ clinical skills in RMNCAH quality of care. The project is building a robust in-service training database through the HRIS Human resource management system, supporting utilization of data for clinical decision making, integrating mentorship into routine processes and improving infection prevention in health facilities. This mentorship has contributed to improved maternal and perinatal outcomes in West Nile region through specialist mentors from health professional associations who provide skills-based mentorship to frontline health workers.

Moving Integrated, Quality Maternal, Newborn and Child Health and Family Planning and Reproductive Health Services to Scale (MOMENTUM) is a suite of projects, funded by the U.S. Agency for International Development, that aims to accelerate reductions in maternal, newborn and child mortality and morbidity in high-burden countries by increasing host country commitment and capacity to provide high-quality, integrated health care. Each of the projects has a specific focus area; together they provide a comprehensive, flexible package of support for countries as they overcome context-specific health challenges towards sustainable development. The five-year, Jhpiego-led MOMENTUM Country and Global Leadership project focuses on: 1) providing targeted technical and capacity development assistance to our missions, partner countries and local organizations; and 2) contributing to global technical leadership and policy dialogue for improved maternal, newborn and child health, voluntary family planning and reproductive health outcomes. Jhpiego’s 12 sub-partners under this project are: Save the Children, Johns Hopkins University International Vaccine Access Center, The Manoff Group, Quicksand, Matchboxology, BAO Systems, Avenir Health, McKinsey and Company, PACT, Institute for Healthcare Improvement, Christian Connections for International Health and Ubora Quality Institute.

With funding from the World Health Organization (WHO), Jhpiego is providing technical assistance and coordinating logistical arrangements for a South-to-South learning exchange between Nigeria and Uganda. Jhpiego is also providing technical support to WHO country teams in monitoring the learning exchange plan and is documenting the experience and lessons learned on this initiative.

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.

Project ECHO, led by the University of New Mexico Health Sciences Center, aims to democratize lifesaving medical knowledge by linking experts at centralized institutions with regional, local and community-based workforces. Project ECHO is scaling up their proven virtual learning and tele-mentoring model to equip frontline clinicians and public health workers respond to COVID-19 in several countries, including Uganda.