KHC - FAMILY PLANNING PROJECTProject progress report

Reporting period: January – March 2018

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Kawempe Home Care

P.O Box 337 Kampala, Uganda

Tel: +256 414 530414

Admin@kawempehomecare.org

www.kawempehomecare.org

Table of Contents

Abbreviations.......................................................................................................................................2

1 INTRODUCTION.............................................................................................................................2

2 PROJECT ACTIVITIES.....................................................................................................................2

2.1 HAIR DRESSER TRAINING AND SENSITIZATION...............................................2

2.2 COMMUNITY EDUCATION .............................................................................................2

2.3 FAMILY PLANNING SERVICES ....................................................................................2

2.3.1 Community based family planning services........................................................................2

2.3.2 Facility based family planning.............................................................................................2

2.5 STRATEGIES TO REACH PEOPLE IN THE COMMUNITY .............................2

3 CHALLENGES AND WAY FORWARD ...............................................................................2

4 CONCLUSION............................................................................................................................ 2

5 PROJECT PROGRESS...........................................................................................................2

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Abbreviations

FP Family Planning

HIV Human Immunodeficiency Virus

HTS HIV Testing Services

IDI Infectious Disease Institute

IUD Intrauterine device

KHC Kawempe Home Care

M&E Monitoring and Evaluation

TB Tuberculosis

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1 INTRODUCTION

The collaboration of Kawempe Home Care and Sustain Health Partnerships to strengthen family

planning services in the community of Kawempe started in January 2017, the third project phase is

currently ongoing. The present report reflects the achievements of the first quarter (January –

March 2018) of this third phase.

The goal of this project is to increase access to family planning services for 500 vulnerable girls and

women in the community of Kawempe within 6 months.

2 PROJECT ACTIVITIES

The project aims at achieving three objectives:

Objective 1:

To increase family planning knowledge of 10 hair dressers and ensure 200 women are referred for

family planning services

Objective 2:

To sensitize 1,200 men and ensure 300 women are referred for family planning services

Objective 3:

To provide community based family planning services to 200 girls and women

The project targets girls, women and men in the community of Kawempe. Men are a special group

within the project; they receive sensitization, education and referral forms to refer their partners to

a community volunteer or the health facility for FP services. Women and girls are educated and

offered FP services at the same time. Particular attention is paid to referrals with the aim of offering

appropriate FP services.

2.1 HAIR DRESSER TRAINING AND SENSITIZATION

The training was planned to be refresher training for hair dressers who were trained in August

2017, but only two are still active and interested. Apart from these two, eight newly identified hair

dressers participated.

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The training program included

· Definition and reasons for family planning

· Types of family planning and comparison

· Different methods (pills and the mini pills, injectables, male and female condoms. implants and IUD, female sterilization, vasectomy, breast feeding method, standard days method, withdrawal)

· Emergency contraceptive pills and special situations

· Assessing for pregnancy, assessment made before giving the method

· Practical training and demonstrations

Because of our experiences from the previous project phase,

we emphasized on close contact between hair dressers and

community volunteers. Airtime for hair dressers is given out

monthly to facilitate the communication and referral.

Hair dressers mainly participate in informing their clients about

family planning methods and free services at health facilities

and in the community. The hair dressers explain family planning

methods and provide condoms. They stay in contact with

Community volunteers for referral and further management.

Picture 1: Hair dresser educating a client

During the reporting period, 412 women were referred for FP methods by trained hair dressers

especially for injectables and pills.

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2.2 COMMUNITY EDUCATION

Sensitization and education in the community is done by five community volunteers. They see men

and women in their homes and at meeting points for example, hair salons and bars, garages, stages

for boda-boda riders (motorbike, taxi driver).

Community volunteers and members of the medical team include FP sensitization in all theirs

activities like HIV testing services (HTS) and dialogue meeting for men within the ongoing project

with Infectious Disease Institute (IDI). The 14 ambassadors, identified in 2017, continue to sensitize

people for FP services.

Picture 2: Community Coordinator sensitizing people in the community

A total of 1701 people were sensitized in the community: 945 men and 756 women. The graph

below shows the number of sensitized people per month.

79% of the six-month target (1200 sensitized men) is already achieved. During monthly meetings of

the Community department, activities, achievements and challenges are discussed. It is most

probably that the presented achievements for January and February (60% achieved) led to a drop

of the numbers for the month of March.

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Figure 1: Number of people sensitized in the community

Community volunteers give out referral forms to men during the sensitization sessions and to their

female clients, who need services from the health facility (IUD, implant)

During the reporting period,

- 356 women were sent by their sensitized male partner for any FP service

- 5 women were sent by community volunteers to clinicians at the facility

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Picture 3: Community volunteers sensitizing in a bar

2.3 FAMILY PLANNING SERVICES

A total number of 994 women received family planning services during the reporting period both,

in the community and at the health facility. The graph below shows the number of the

administered methods per month. Our records of this reporting period show that girls and women

who received FP services from the community were between 15 and 50 years old; while women at

the facility were between 18 and 43 years old.

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Figure 2: Total number of FP methods

2.3.1 COMMUNITY BASED FAMILY PLANNING SERVICES

846 women received methods from five Community volunteers, including injectables, pills and

emergency pills. The number of different methods administered at the Community is shown in the

graph below.

Figure 3: Number of FP methods administered in the community

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Emergency pills have been out of stock during the

whole reporting period. Male and female

condoms were given out, especially at the

occasion of sensitization, but they aren’t counted

into the total number of FP methods.

Picture 4: A Community volunteer injecting a client

2.3.2 FACILITY BASED FAMILY PLANNING

All clinicians at Kawempe Home Care health facility sensitize clients daily about family planning

methods and assess, if there is need.

During the reporting period, 148 women received family planning services at the facility. The graph

shows number and types of FP methods. For permanent methods, women are referred to Mulago

hospital.

Figure 4: Total number of FP users at the facility

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The graph above shows, that the most often administered method at the facility is injectable,

followed by implants. Emergency pills have been out of stock for the last 4 months.

2.5 STRATEGIES TO REACH PEOPLE IN THE COMMUNITY

- The Community and Medical Department of Kawempe Home Care work closely together to

ensure quality services in the community and at the health facility.

- Community volunteers, Counselors and Health workers combine efforts and integrate

family planning information and services in all offers (e.g. community based HIV services,

outreaches for female sex workers, TB health education).

- Community volunteers ensure the low threshold access for FP services through community

outreaches.

- Hair dressers are in direct and daily contact with women and girls, who may be in need of

family planning information and services.

- Men sensitization supports the induction of the topic of FP in the family and society.

- Community volunteers try to reach men at their usual meeting points, e.g. motorcycle

stages, soccer fields, bars and local cinema halls.

3 CHALLENGES AND WAY FORWARD

Emergency pills have been out of stock for the whole reporting period. Community

volunteers referred women in need of it to other health facilities.

Community volunteers don’t have pregnancy testing kits to make sure that no pregnant

woman receives any family planning method. In case of doubt, women are sent to a

pharmacy to buy the pregnancy test.

4 CONCLUSION

The training, renewed agreements and airtime for follow up phone calls greatly improved the

collaboration between hair dressers and Community volunteers.11

During this phase of the family planning project girls, women and men have been sensitized,

referred and provided with family planning methods. Community members are grateful for the

mobile services.

The very good results are due to the training and reviewed collaboration as well as the opportunity

to integrate family planning activities within HIV testing services.

Community volunteers reached a total of 1701 people (men and women) in the last quarter of the

project to raise awareness and educate the communities. 846 girls and women benefited from the

offered FP services.

Kawempe Home Care thanks Sustain Health Partnerships for the support in the realization of family

planning project.

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5 PROJECT PROGRESS

The following table shows achievements of the first quarter of the current project (January – March 2018) of the project.

Objective 1: To increase family planning knowledge of 10 hair dressers and ensure 200 women are referred for family planning services.

Activities Targets Achievement

-One week refresher training

workshop for hair dressers.

-sensitization of women and girls

in hair saloons by hairdressers.

-10 (100%) of hair dressers dispose increased knowledge

and skills in family planning counseling, methods and

referral.

-200 girls and women of reproductive age are referred

for FP services

-10 (100%) hair dressers

-412 (206%) referrals through sensitization by hair dressers

Objective 2: To sensitize 1,200 men and ensure 300 women are referred for family planning services.

Activities Targets Achievement

-Community Sensitization -1200 men are sensitized

-300 women are referred by their male partners for FP

services

-945 (79%) men in the community sensitized

-356 (119%) referrals through sensitization of men

Objective 3: To provide community based FP services to 200 girls and women.

Activities Targets Achievement

-Community Sensitization and

FP services

-200 target population receive FP services -846 (423%) girls and women received FP services in the

community

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