Ugandan Grandmothers Programme

The overarching aim of the Ugandan Grandmothers programme (UGP) is to develop integrated supports for grandmothers in Uganda who are caring for children and grandchildren affected by HIV/AIDS and poverty. An additional objective of this programme is to educate grandmother headed households about topics such as a healthy lifestyle, nutrition and disease prevention. We all know that grandparents have vital roles in families and communities around the world. Their absence in the lives of families and particularly children, due to cocooning restrictions as a result of the cover-19 pandemic, was acutely felt over the past year. In Uganda grandmothers are often left with the sole responsibility of rearing grandchildren with little or no support, and they struggle to feed, clothe and pay school fees for the children.

 Progress to date:
The kernel of the UGP was the formation of groups of grandmothers in rural villages in the greater Kasese area and the delivery of an integrated programme of health, education support and livelihood support. To date we have raised over €10,000 for the programme. The programme commenced in 2018 with 30 grandmother-headed households and has since been expanded to include 205 grandmothers and taking in more villages in the Kasese district. All Households in the programme received 7kg of seeds for planting while 85 households have received a goat. All have received advice on kitchen gardens and on maintaining their own health.

 

New programme 2021
The planned programme for 2021 will enable the other 120 grandmothers who have received seeds to receive a goat. Each recipient will be asked to donate the first-born goat to the next grandmother on RCRA’s waiting list. The UGP will also be integrated with another programme – the 1000 Women’s Gardens programme for which RCRA has received separate funding. The Gardens project aims to help and empower female households to cultivate 7 local vegetables so they have access to healthy nutrition and an avenue to generate income for their families. The programme has a target that 25% of the beneficiaries will be grandmothers.
The UGP will also be integrated with a Villages Savings programme to help families to save and improve the material and sanitary conditions of every household. A portion of the funds raised will be used to purchase jerry cans to keep drinking water safe and uncontaminated. In keeping with an important aim of the UGP to support children’s education, monies raised will be used to purchase scholastic materials and menstrual pads for female students. This will encourage grandmothers to send children back to school after closure due to the Covid Pandemic.

 

Integrated COVID19 Awareness and Community Engagement in Kasese District by June 2020.

The project aims to prevent and control morbidity and mortality due to COVID19 in Busongora North and South Counties, Kasese

Specifically, by increasing public awareness on COVID19; Ensuring the district task force budgets and workplans includes continued delivery of sexual reproductive, maternal and Child health plus Nutrition services.

Procuring and distribution of personal protective Equipments to keep front line health workers safe.

 

GFF Hub  support RMNCAH budget advocacy at Sub-national level, Uganda

The overall objective of this project is to improve the delivery of women, children and adolescent (WCAH) services in the Kasese district.

In addition to this objective, the project also focuses on successfully accomplishing two sub-targets.

Firstly, the RCRA aims to increase evidence and understanding surrounding the impact of global financing facility (GFF) funds on the quality of WCAH services.

The second sub-target of this project is to strengthen the RCRA’s linkages with other Reproductive Maternal Newborn Child and Adolescent Health plus Nutrition (RMNCAH+N) partners working in the Kasese district communities.

 Accelerating Epidemic Control Project in Fort region;

  • The main objective of this project is to accelerate HIV/AIDS epidemic control in the Fort Portal region.
  • This project also strives to achieve the UNAIDS 95-95-95 goals. These goals state that by 2022:
  • 95% of all people living with HIV will know their HIV status.
  • 95% of people with diagnosed HIV infection will receive sustained antiretroviral therapy.
  • 95% of people receiving antiretroviral therapy will have viral suppression.

Activities include:                                            

  • Identifying people living with HIV/AIDS and tuberculosis.
  • Index client contact tracing.
  • Linking individuals to antiretroviral therapy (ART) services.
  • Supporting adherence to and retention on ART.
  • Support children, youth and their caregivers with 4 core OVC service packages.

 

Accelerating uptake of numerous Family Planning Methods in hard to reach rural communities through Mobile Day Clinics

The principal objective of this project was to accelerate the uptake of various family planning methods in isolated rural communities in the Rwenzori Region. Delivered by a team comprised of 24 CHWs/VHTs, 2 Clinicians, 6 Midwives and 2 RCRA technical staff.

Activities included:

  • Organizing meetings with the District Health Office to identify the locations and mobilization of the in-charges including selection of clinicians , Midwives and Nurses.
  • Sourcing family planning (FP) supplies from the Ministry of Health
  • Training community health workers to conduct community level mobilization outreaches
  • Carrying out meetings between local leaders, health workers, the Ministry of Health and the communities to dispel myths surrounding FP and to create awareness surrounding the different types of FP.
  • Oversee mobile outreach day-clinics and Backpack Nurse clinics in Busongaora North, Bukonzo and Busongola South sub-counties of the Kasese district.
  • Referring critical patients who could not have been managed on site.

Results:

A total number of 177,080 people have been reached with the health services in the clinic of which 10,056 women received family planning services securing CYP 5925.

 

 

Health of People and Environment Project (HoPE) Phase III in Maliba and Kyabarungira, Kasese, Uganda:

Objectives:

This project is focused on achieving four specific objectives:

    1. To improve the uptake of essential sexual, reproductive and MNCH (maternal, neonatal and child health) services.
    2. To integrate HIV and malaria services among populations living in the Lake Victoria Basin (LVB) project sites.
    3. To increase communities’ capacities to sustainably manage natural resources in an attempt to increase food security and improve livelihoods in HoPE-LVB project sites.
    4. To utilize the emerging PHE policy framework to support health system strengthening, natural resource management and the scaling up of the HoPE-LVB model for PHE integration in Kasese project sites.

Results:   

                                                                                                                                                                                                                                                                                                                                                                                                     

  • A total of 3009+ referrals (Family Planning, HIV testing, Immunization, Antenatal, Nutrition, other facility services) from the community to the facility were made and 2791+ clients have been able to receive a service making effective referral. Similarly, 291+ referrals from the facility to the community were made and completed making it 100%.
  • A total of 708+ pregnant mothers have been mapped, referred and linked for appropriate services like ANC and elimination of Mother to Child Transmission (eMTCT) and have successfully received the service.
  • 450+ Fruit trees planted with 70 PHE Model Households, and trained in alternative livelihoods.
  • 560 information sessions on Family planned held with young mothers groups and model village households
  • 70 Smoke free -energy cooking stoves, 70 kitchen gardens and 70 drying racks constructed.
  • 60 Hand washing kits given out to schools and health facilities
  • 60 young mothers trained in saloon hair making skills
  • 6 PHE clubs were formed in 6 primary schools

 

Community Facility Linkages and Referral Intervention in Kasese, Uganda;

The objectives of this intervention were to strengthen the linkage and referral process for individuals suffering from HIV/AIDS and to ensure equitable access and service delivery to those orphan and vulnerable children (OVC) households.

 

Activities included:                                               

  • Working alongside linkages and referral assistants to identify previously undetected HIV-positive individuals through contact tracing and highly targeted community based testing.
  • Linking those who do test positive to care services such as ART.
  • Carrying out home visits or phone calls to those individuals who missed their appointments.

Results:

  • 669 HIV positive/TB clients who missed medical appointments were identified and each case was followed up with a phone call or home visit and returned to care
  • 2717 referrals from the community to the health facility were made. Of these, 2412 clients received a service, making effective referral completion 89%.
  • 35 individuals who were newly identified as being HIV positive were successfully linked and enrolled in care.
  • 293 pregnant mothers were mapped, referred and linked to appropriate services such as antenatal care (ANC) or elimination of Mother to Child Transmission (eMTCT).
  • 44 Community Client Led ART distribution groups were formed from the 218 HIV positive clients identified as eligible.