|Reporting Organization:||University of Calgary, Cumming School of Medicine|
|Total Budget ($CAD):||$ 3,489,421|
|Timeframe:||January 3, 2012 - August 14, 2015|
University of Calgary, Cumming School of Medicine
|Uganda - $ 3,489,421.00 (100.00%)|
|Health Promotion & Education (50 %)|
|Health Systems, Training & Infrastructure (25 %)|
|Law, Governance & Public Policy (25 %)|
This project aims to improve the health and survival rates of pregnant women, newborns, and young children living in the Bushenyi and Rubirizi districts in southwest Uganda. It focuses on strengthening district health systems, improving health centres’ delivery of services, community programming, and sharing project results and lessons learned. The project is designed to improve access for approximately 340,000 people, including 40,000 pregnant women and over 74,000 children under five to basic health services at more than 30 health centres, and train over 180 health centre staff and over 4,200 community health workers in preventive and critical care. Activities include: upgrading health centres’ equipment; training community and health centre workers; encouraging early treatment for acute illness; and analyzing the project’s results and sharing the Bushenyi model through the media and meetings with government planners. The University of Calgary is working in partnership with the Mbarara University of Science and Technology and the Bushenyi district local government to implement this project. This project is part of Canada’s Maternal, Newborn and Child Health commitment. The maximum CIDA contribution to this project includes $10,000 for monitoring purposes.
|Gender and age:||Adult women Adolescent females Under-5 children Newborns|
|Total Direct Population:||365,000|
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The expected intermediate outcomes for this project include: increased use of skilled birth attendants among expectant mothers; increased use of improved referral system for emergency birthing situations; and enhanced institutional environment to support sustainable, equitable and gender sensitive maternal health services.
Results achieved as of the end of the project (August 2015) include: District Health Systems Strengthening: (1) a five-year strategic plan on maternal, newborn and child health (MNCH) for Bushenyi district was developed; (2) 17 health centres had functional computers; (3) 24 data clerks (14 women and 10 men) were trained and 100% of them were better able to handle data and; (4) 85% of health centres used MNCH referral/transfer protocols
Health Centre, Maternal Newborn and Child Health Service Delivery: (1) 20 maternity health centres were equipped with newborn resuscitation bags; (2) 43 health centres were provided child scales; (3) 11 health centres offered immunization, family planning, antenatal and postnatal care; (4) 42 health centres offered growth monitoring; (5) 114 parishes conducted semi-annual Child Health Days; (6) 245 health workers (171 women and 74 men) were trained in obstetrics, newborn resuscitation, sick child care and; (7) 195 Health Unit Management Committee members were trained.
Community Maternal, Newborn and Child Health Programs: (1) 2626 Village Health Team (VHT) workers were trained (1803 women and 823 men) in basic community health worker skills, community development, nutrition, and MNCH; (2) 1817 VHTs (1204 women and 613 men) attended two or more meetings in the past year; (3) 95 VHT Trainer/Supervisors (57 women and 38 men) from health centres were trained; (4) VHTs self-report improved confidence in MNCH promotion; (5) VHTs self-report increased confidence in providing support to ill children/pregnant women; (6) 11 parishes developed a community emergency transport plan; and (7) over 17 new community initiatives were reported by VHTs.
This contributed to strengthening the ability of the Bushenyi and Rubirizi Health Districts to plan and deliver quality health services to improve the health of 365,000 people living in 859 villages which included 60,000 pregnant women and 75,000 children under the age of five years.