Effective and sustainable health interventions are coordinated, multifaceted, and multisectoral, and leverage the resources and expertise of the public, faith-based, and private health sectors. This is especially the case with family planning activities, for which partnerships across health and non-health sectors have great potential to create demand for and improve delivery of family planning services.
APC in Uganda aims to ensure that all Ugandans have access to high-quality, voluntary family planning services. Over the last five years, APC Uganda’s activities have increasingly focused on improving the capacity of Ugandan religious leaders to convey family planning information to their congregations—including youth—and communities while ensuring that faith-based health facilities are equipped with family planning products and knowledgeable staff.
Community-based family planning (CBFP) is a high-impact practice for extending reproductive services to women, especially those who live in hard-to-reach places. Condoms, oral contraceptive pills, injectable contraceptives, and even self-injection are provided by community health workers through family planning programs. Yet many of these programs do not include emergency contraceptive pills. APC grantee WellShare International started researching why a method with no medical contraindications was excluded from the CBFP method mix in Uganda.
Since May 2018, APC has been implementing activities in three sub-counties of Buyende District. Interventions have included community-based family planning; teaching cultural leaders about the role of improved parenting and school attendance in preventing teen pregnancy; convincing faith-based institutions to endorse and promote FP uptake; and making grants to local organizations.
APC grantee, WellShare International, is piloting an important contraception initiative in six sub-counties of Iganga and Bugweri Districts, Uganda. In July 2018, 70 village health team members and 12 health workers were trained to teach clients to self-inject subcutaneously administered depot medroxyprogesterone acetate (DMPA-SC).
WellShare International is integrating DMPA SC self-injection in six sub-counties of Iganga and Bugweri Districts, Uganda in the context of a full and informed choice family planning program. Community Health Workers, known as Village Health Team (VHT) members in Uganda, and health workersoffered injectable contraceptives within youth-friendly community-based family planning services.
To help ensure that all Ugandans have access to quality, voluntary FP services, USAID’s Advancing Partners and Communities Project (APC) — led by JSI Research & Training Insitute, Inc. and implemented by FHI 360 in Uganda — supports the Ministry of Health (MOH) to implement a comprehensive approach to community-based family planning (CBFP).