PROGRAM NAME

Global Financing Facility Accountability at Sub-National Level

Funded By

Population Action International

STATUS

Ongoing

TIMEFRAME

July 2019 – Present

POPULATION

120 people

CHALLENGE & OBJECTIVE

The overall objective of this project is to improve the delivery of Women, Children and Adolescent Health (WCAH) services in the Kasese district. In addition to this objective, the project also focuses on successfully accomplishing two sub-targets:

  • To increase evidence and understanding surrounding the impact of Global Financing Facility (GFF) funds on the quality of WCAH services.
  • To strengthen RCRA’s linkages with other Reproductive Maternal Newborn Child and Adolescent Health plus Nutrition (RMNCAH+N) partners working in the Kasese district communities

ACTIONS TAKEN BY RCRA

  • In 2019, RCRA produced and published the first scorecard on Global Financing Facility and results-based financing implementation in the Kasese district
  • 20 civil society organizations were trained at a sub-national level in budget advocacy. This training strengthened their capacity to engage in expanded district health management teams
  • Engaging in budget advocacy and expenditure tracking to improve financing for women, children and adolescent services in order to sustain Kasese community interventions

RESULTS & ACCOMPLISHMENTS

60 young mothers have been trained in a saloon as coiffeurs and later supporting them with start-up kits

PROGRAM NAME

Ugandan Grandmothers Programme

Funded By

70 individual global donors

STATUS

Ongoing

TIMEFRAME

January 2019 – Present

POPULATION

355 women (grandmothers)

CHALLENGE & OBJECTIVE

This program develops integrated support for grandmothers in Uganda who care for children and grandchildren affected by HIV/AIDS and poverty. Additionally, it provides education for grandmothers caring for HIV positive children in 100 households on living a healthy lifestyle, nutrition and disease prevention.

ACTIONS TAKEN BY RCRA

  • Facilitating informative discussions surrounding the topics of hygiene, HIV prevention, nutrition, children’s health, parenting skills
  • Executing workshops to train grandmothers in agricultural input for kitchen gardens

RESULTS & ACCOMPLISHMENTS

  • All households in the program 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
  • Each recipient will be asked to donate the first-born goat reared through the program to the next grandmother on RCRA’s waiting list

PROGRAM NAME

Mobile Day Clinics for Family Planning in Hard-to-Reach Rural Communities

Funded By

Community Health and Sustainable Environment Africa UK

STATUS

Ongoing

TIMEFRAME

March 2019 – Present

POPULATION

177,080 people

CHALLENGE & OBJECTIVE

Our principal objective is to accelerate the uptake of various family planning methods in isolated rural communities in the Rwenzori Region

ACTIONS TAKEN BY RCRA

Delivered by a team comprised of 60 Community Health Workers (CHWs) / Village Health Teams (VHTs), 6 Clinicians, 6 Midwives and 2 RCRA technical staff:

  • Meetings with the District Health Office to identify locations and mobilize in-charges
  • Sourcing family planning supplies from the Ministry of Health and development partners (i.e. Uganda Protestants Medical Bureau, Marie Stopes and Reproductive Health Uganda)
  • Training for 60 community health workers to conduct community level mobilization outreaches
  • Convening meetings between local leaders, health workers, the Ministry of Health and communities to dispel myths surrounding family planning and create awareness of the different types of family planning
  • Overseeing nine 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 be managed on site

RESULTS & ACCOMPLISHMENTS

  • 257,080 people have been reached with the health services in the clinic
  • 17,056 women have received family planning services
  • 560 information sessions on family planning have been held with young mothers

PROGRAM NAME

1,000 Women’s Gardens for Health and Nutrition

Funded By

Individual Donors on GlobalGiving.org
Collaborative research with University of California, Berkeley and Mountains of the Moon University

STATUS

Ongoing

TIMEFRAME

March 2019 – Present

POPULATION

6000 Women

CHALLENGE & OBJECTIVE

The program 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. In Kasese District, 85% of households make a living as subsistence farmers on degraded land and hunger and malnutrition are chronic issues. Over 40% of children 5-59 months old are stunted and 13% are wasted (lose their lives). Women are the main farmers of food but need support to improve crop diversity and productivity. Other women lack access to land but can garden collectively. Better nutrition is essential for improving the health status of children and school performance.

ACTIONS TAKEN BY RCRA

  • Establishment of kitchen gardens practicing regenerative agriculture
  • Nutrition education and assessment
  • Graduation of better preforming households and enrolment of new beneficiaries
  • Procurement of seedling and project tools/vehicle
  • Training and continuous household mentorship on the kitchen garden maintenance and sustainability

RESULTS & ACCOMPLISHMENTS

  • Provided a partnership model of effective support for home and community gardens for replication and scaling-up throughout Uganda
  • Women-managed gardens empower women to feed their families, earn income, reduce domestic tension and, eventually, command community respect

PROGRAM NAME

Grace Community Hospital

Funded By

Fundraising ongoing

STATUS

Ongoing

TIMEFRAME

Construction in 2021 and Operation in 2022

POPULATION

1,000,000 people in Rwenzori region

CHALLENGE & OBJECTIVE

The vision for this project is to address high maternal and child mortality rates through construction of a community hospital providing some of the country’s most advanced maternal and pediatric care directly to rural residents, allowing them to follow up on local clinic referrals. The hospital will provide a blueprint for improving care in rural Uganda generally, critical to improving maternal and child health outcomes in the country.

ACTIONS TAKEN BY RCRA

  • Reviewed plans and received approval from local and national authorities
  • Worked with an experienced local contractor to provide a quantity survey for the hospital
  • Received support from The Community Hospital Association in the UK

RESULTS & ACCOMPLISHMENTS

We are still in the early stages of fundraising

PROGRAM NAME

Bi-directional Community-Facility, clinical Linkages and Referral service delivery.

Funded By

Baylor College of Medicine and Children’s Foundation

(CDC funded project)

STATUS

Completed

TIMEFRAME

2017-2018

POPULATION

40,000 people

CHALLENGE & OBJECTIVE

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 households

ACTIONS TAKEN BY RCRA

  • 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 & ACCOMPLISHMENTS

  • 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 health facilities 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

PROGRAM NAME

Health of People and Environment Project (HoPE) Phase III in Maliba and Kyabarungira

Funded By

Margareti A Cargill Foundation

STATUS

Completed

TIMEFRAME

February 2017 – July 2019

POPULATION

19,000 people

CHALLENGE & OBJECTIVE

The project aimed to:

  • Improve the uptake of essential sexual, reproductive and Maternal, Neonatal and Child Health (MNCH) services
  • Integrate HIV and malaria services for populations living in the Lake Victoria Basin (LVB) project sites
  • Increase the capacity of communities to sustain the management of natural resources in an attempt to increase food security and improve livelihoods in HoPE-LVB project sites
  • Utilize the emerging PHE (Population Health and Environment) policy framework to support health system strengthening, natural resource management and scale up the HoPE-LVB model for PHE integration in Kasese project sites

ACTIONS TAKEN BY RCRA

Integrated PHE model in the Kasese

RESULTS & ACCOMPLISHMENTS

  • A total of 3009+ referrals (family planning, HIV testing, immunization, antenatal, nutrition, other facility services) from the community to government health centres were made and 2791+ clients have been able to receive a service. Similarly, 291+ referrals from the facility to the community were made and completed
  • 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 service
  • 900+ Fruit trees planted with 300 PHE Model Households, with households trained in alternative livelihoods
  • 560 information sessions on family planning 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

 

PROGRAM NAME

COVID-19 Personal Protective Equipment (PPE) Assistance
(NOTE: Staff are socially distanced and removed masks for the photo only)

Funded By

CHASE Africa

STATUS

Ongoing

TIMEFRAME

March 2019 – Present

POPULATION

40,000 people

CHALLENGE & OBJECTIVE

During the COVID-19 pandemic, protecting the vulnerable in the Rwenzori region has been an important challenge for RCRA. The project aims to prevent and control morbidity and mortality due to COVID-19 in Busongora North and South Counties.

ACTIONS TAKEN BY RCRA

  • Providing personal protective equipment including sanitizers, hand wash shops, facemasks, and aprons to health care workers
  • Training and risk communication were provided to 20 Village Health Team leaders through door-to-door sensitization by village health teams in the entire Busongora North sub-counties

RESULTS & ACCOMPLISHMENTS

Educated over 40,000 people on COVID-19 prevention

PROGRAM NAME

Accelerating Epidemic Control Project in Fort Region

Funded By

Baylor College of Medicine and Children’s Foundation

(A 5 year CDC funded project)

STATUS

Ongoing

TIMEFRAME

March 2019 – Present

POPULATION

1604 children (orphans)

CHALLENGE & OBJECTIVE

RCRA serves over 1604 orphans and vulnerable children living with HIV in four core program areas through USAID’s Accelerating Epidemic Control in the Fort Region program. The main objective of this project is to accelerate HIV/AIDS epidemic control in the Fort Portal region and achieve the UNAIDS 90-90-90 goals. These goals state that by 2022:

  • 90% of all people living with HIV will know their HIV status
  • 90% of people with diagnosed HIV infection will receive sustained antiretroviral therapy
  • 90% of the people receiving antiretroviral therapy will have viral suppression

ACTIONS TAKEN BY RCRA

  • Identifying people living with HIV/AIDS and tuberculosis
  • Indexing client contact tracing
  • Linking individuals to antiretroviral therapy (ART) services
  • Supporting adherence to and retention on ART
  • Forming community drug distribution groups to keep clients undergoing treatment and achieving viral load suppression by facilitating ART clinics
  • Health/psychosocial support and basic care
  • Economic strengthening through vocational training and apprenticeship (i.e. income generation activities)
  • Food and nutrition security
  • Educational support through scholarships
  • Support children, youth and their caregivers with 4 core OVC service packages

RESULTS & ACCOMPLISHMENTS

Supported 1,604 vulnerable children with scholastic materials & food relief