irs project - baseline survey report€¦ · irs project - baseline survey report december, 2015...

IRS Project - Baseline Survey Report December, 2015 Project Title: Improving Access to and uptake of integrated, acceptable and sustainable sexual and reproductive health services by women of reproductive age in seven districts of Central Uganda

Published by:

Dr. Rita Nakigudde Wadimba Dr. Ronald Khamasi Executive Director Project Coordinator +256701 849 480 +256772 597 465 [email protected] [email protected]

Contacts us

PO Box 257769, Kampala, Uganda

+256414266147/+256414266132

[email protected], www.prefa.or.ug

mailto:[email protected]

mailto:[email protected]

Healthy Mothers, Healthy Children, Health Families

Baseline Survey – IRS Project, January, 2016 Page i

EXECUTIVE SUMMARY

PREFA is currently implementing a project funded by Global Poverty Action Fund (GPAF) through

UKAID Direct/DFID. This is a three year project that commenced in October 2015 titled, “Improving

access to and uptake of integrated, acceptable and sustainable sexual and reproductive health services

by women of reproductive age in seven districts of central Uganda”. It is being implemented in the

districts of Buikwe, Kalungu, Luweero, Lwengo, Masaka, Nakasongola and Wakiso.

PREFA administered a baseline survey in the area where the project was to be implemented with the

objectives of describing the extent of adolescent and youth friendly service delivery, the challenges in

staffing and equipment for quality SRHR service delivery and to identify priority gaps for

Adolescent/ youth friendly SRH services in the districts prior to the project. The survey

questionnaires were designed for the district health team and also for each health facility. A team led

by an M&E officer / assistant from PREFA and comprising four more people: - PREFA community

Officer, PREFA Program officer and two district officials:- the Biostatistician and HMIS FP

administered the questionnaires.

A total of 146 health facilities (5 hospitals, 19 HCIVs, 92 HCIIIs and 30 HCIIs) participated in the

survey and these are in seven districts. The results showed that only 28% (41) of the 146 health

facilities surveyed had youth peer groups that met regularly at the health facility. All the HCIVs and

hospitals that were surveyed had antibiotics for management of puerperal sepsis and a uterotonic for

active management of the third stage of labour but not the same could be observed for Caesarean

section services, postabortal care with Manual vacuum aspiration and possession of basic equipment

for newborn resuscitation or gloves for manual removal of the placenta. This was worsened by the

low coverage of ambulances in the districts whereby 3 of the 5 hospitals; 9 of the 19 HCIVs and 8 of

the 92 HCIIIs had functional ambulances. Even where there were functional ambulances, they were

rarely used because they had to be fuelled by the clients and often they couldn’t afford.

The baseline survey results provided a reference point for this three year project and its

implementation will boast Uganda’s efforts towards the achievement of the SGDs targets thus

realizing our goal of healthy mothers, healthy children and healthy families.

Healthy Mothers, Healthy Children, Healthy Families

Baseline Survey – IRS Project, December, 2015 Page ii

TABLE OF CONTENTS

EXECUTIVE SUMMARY .................................................................................................................................................... i

LIST OF ACRCONOMS ...................................................................................................................................................... iii

LIST OF TABLES ................................................................................................................................................................ iv

LIST OF FIGURES ................................................................................................................................................................v

CHAPTER ONE .....................................................................................................................................................................1

INTRODUCTION ..................................................................................................................................................................1

1.1 Background ...................................................................................................................................................................1

1.2 Baseline survey .............................................................................................................................................................1

CHAPTER TWO ....................................................................................................................................................................3

METHODOLOGY .................................................................................................................................................................3

CHAPTER THREE ................................................................................................................................................................4

RESULTS ...............................................................................................................................................................................4

3.1 Demographic Characteristics ........................................................................................................................................4

3.2 AYFSRH service delivery ............................................................................................................................................5

3.3 Sexual and Reproductive Health and Rights service delivery ......................................................................................6

3.4 EMONC service delivery .............................................................................................................................................6

3.5 Fostering Facility deliveries........................................................................................................................................ 10

3.6 Ability to provide Cervical Cancer screening services ............................................................................................... 10

3.7. Key populations in the district ................................................................................................................................... 11

3.8 Health communication using media ........................................................................................................................... 12

3.9 Health Information Management ................................................................................................................................ 12

CHAPTER FOUR ................................................................................................................................................................ 14

DISCUSSION ....................................................................................................................................................................... 14

CHAPTER FIVE .................................................................................................................................................................. 16

CONCLUSION .................................................................................................................................................................... 16

APPENDICES ...................................................................................................................................................................... 17


Baseline Survey – IRS Project, December, 2015 Page iii

LIST OF ACRCONOMS

AIDS Acquired Immune Deficiency Syndrome

AYFSRH Adolescent and Youth Friendly Sexual Reproductive Health

CSWs Commercial Sex Workers

EMOnC Emergency Obstetric and New born care

EMTCT Elimination of Mother to Child Transmission

GPAF Global Poverty Action Fund

HIV Human Immune Virus

HMIS Health Management Information Systems

M&E Monitoring and Evaluation

MOH Ministry Of Health

MVA Manual Vacuum Aspiration

NGO Non-Governmental Organization

PMTCT Prevention of Mother to Child Transmission

PNFP Private Not For Profit

PREFA Protecting Families Against HIV/AIDS

SOPs Standard Operating Procedures

SRH Sexual Reproductive Health

SRHR Sexual Reproductive Health Rights

UKAID United Kingdom Aid for International Development

VIA Visual Inspection with Acetic acid


Baseline Survey – IRS Project, December, 2015 Page iv

LIST OF TABLES

Table 1: District staff that are Trainers of Trainers (TOTs) for AYFSRH service delivery .................. 5

Table 2: Peer support groups or clubs in each district ............................................................................ 6

Table 3: TOTs for SRHR service delivery per district ........................................................................... 6

Table 4: EmONC service delivery capacity presented per district ......................................................... 8

Table 5: PNFP health facilities willing to accept delivery vouchers .................................................... 10

Table 6: Cervical cancer screening service delivery per district .......................................................... 11

Table 7: Estimated populations of Key populations per district ........................................................... 11

Table 8: Popular radio stations in the project area ................................................................................ 12

Table 9: Health facilities with functional computers ............................................................................ 12


Baseline Survey – IRS Project, December, 2015 Page v

LIST OF FIGURES

Figure 1: Facilities surveyed by service delivery level ........................................................................... 4

Figure 2: Ownership of implementing health facilities that participated in the survey .......................... 4

Figure 3: Facilities with peer groups / clubs for adolescents and youth ................................................. 5

Figure 4: EmONC service delivery at HCIVs and Hospitals that particpated in the survey .................. 7

Figure 5: Health facilities with functional ambulances .......................................................................... 9

Figure 6: Alternatives used for emergency transfers .............................................................................. 9

Healthy Mothers, Healthy Children, Health Families

Baseline Survey – IRS Project, January, 2016 Page 1

CHAPTER ONE

INTRODUCTION

1.1 Background

Protecting Families against HIV/AIDS (PREFA) is an indigenous Non-Governmental Organization

registered by the Uganda NGO Board whose work focuses on improving maternal and child health in

Uganda. The PREFA vision is “Healthy Families living with Hope and Dignity in the era of

HIV/AIDS”. The PREFA mission is to contribute to Uganda’s efforts in enhancing access to quality

HIV/AIDS prevention, care, treatment and support to families with emphasis on PMTCT of HIV as

the entry point to these services. PREFA core values are: accountability, integrity, non-

discrimination, and child protection through health promotion.

PREFA is currently implementing a project funded by Global Poverty Action Fund (GPAF) through

UKAID Direct/DFID. This is a three year project that commenced in October 2015 titled, “Improving

access to and uptake of integrated, acceptable and sustainable sexual and reproductive health services

by women of reproductive age in seven districts of central Uganda”. It is being implemented in the

districts of Buikwe, Kalungu, Luwero, Lwengo, Masaka, Nakasongola and Wakiso. The project was

designed to contribute to the following MDGs in the stated ranking of potential impact:-

MDG 5: Improve maternal health

MDG 6: Combat HIV/AIDS, malaria and other diseases

MDG 4: Reduce child mortality

1.2 Baseline survey

PREFA administered a baseline survey in the area where the project was to be implemented. The

objectives of the survey were:-

To describe the extent of adolescent and youth friendly service delivery in the districts prior to

the project

To document the challenges in staffing and equipment for quality SRHR service delivery in

the districts prior to the project


Baseline Survey – IRS Project, December, 2015 Page 2

To identify priority gaps for Adolescent/ youth friendly SRH services in the districts prior to

the project



CHAPTER TWO

METHODOLOGY

The survey was meant to be conducted at three levels:- district, health facility and school. The school

survey was not done because of the national presidential elections that affected the school schedule.

The schools were closed during the time we proposed to do the survey.

District survey: All the seven districts were included in the survey. The survey questionnaire was

administered to the District Health Officer (DHO) or a delegated official.

Health facility survey: All the 147 health facilities that were to participate in this project were

included in the survey. The survey questionnaire was administered to the health facility in-charge or a

delegated official.

The questionnaires for the survey were administered by a team led by an M&E officer / assistant from

PREFA and comprising four more people: - PREFA community Officer, PREFA Program officer and

two district officials:- the Biostatistician and HMIS FP. All targeted respondents were surveyed.

The collected data was checked for completeness and entered into Epidata 3.1. It was later analyzed

using Microsoft Excel and Stata 12.

Ethical considerations: While conducting the survey, care was taken to respect human dignity and

secure informed consent from the respondents. Also, the information acquired was kept confidential

and used for the project work only.

Limitations: Some of the limitations included;

The schools were closed during this time and thus we have had to reschedule the schools

survey and do it independently. This makes it more costly and there will be some delay in

implementation of school activities.



CHAPTER THREE

RESULTS

3.1 Demographic Characteristics

A total of 146 health facilities participated in the survey.

Figure 1: Facilities surveyed by service delivery level

Majority, 92 (63%) of the health facilities were HC IIIs, 30 (21%) were HC IIs, 19 (13%) were HC

IVs and the remaining 5 (3%) were hospitals. Majority, 112 (77%) were government facilities, 32

(22%) were PNFPs while the remaining 2 (1%) were PFP as shown in graph 2 below

Figure 2: Ownership of implementing health facilities that participated in the survey



3.2 AYFSRH service delivery

a) Presence of TOTs for AYFSRH service delivery

During the survey, the districts and health facilities were assessed for presence of capacity to provide

training for Adolescent and youth friendly SRH (AYFSRH) services. Three out of the seven districts

had at least one staff that was a Trainer of Trainers for AYFSRH services as shown in Table 1 below.

Kalungu, Lwengo and Wakiso had no TOTs for this service delivery area. In all the districts, there

were 16 TOTs known to the districts.

Table 1: District staff that are Trainers of Trainers (TOTs) for AYFSRH service delivery

Buikwe Kalungu Luwero Lwengo Masaka Nakasongola Wakiso Total Percentage

Presence of at least

1 staff that has

done a TOT in

AYFSRH

X X Yes X Yes Yes X 3 42.9%

Number of staff 0 0 05 0 10 01 0 16 N/A

b) Presence of peer support groups / clubs

At health facility level, the baseline survey assessed for presence of peer support groups / clubs for

the adolescents and youth. Out of the 146 health facilities implementing this project, 41 (28%) had at

least one peer support groups / clubs as shown in Fig. 3 below.

Figure 3: Facilities with peer groups / clubs for adolescents and youth



It should be noted that facilities that had peer groups had a range of 1-2 groups as indicated in the

table below.

Table 2: Peer support groups or clubs in each district

Buikwe Kalungu Luwero Lwengo Masaka Nakasongola Wakiso

1

Wakiso

2

Overall

No. of health

facilities with

youth groups

8 3 7 2 3 3 8 7 41

% of facilities

with youth

groups

32% 23% 28% 15% 23% 25% 35% 32% 28%

Majority of the health facilities that were surveyed did not have established youth peer groups / clubs.

3.3 Sexual and Reproductive Health and Rights service delivery

The baseline survey assessed for the presence of TOTs in the district for SRHR service delivery.

Table 3: TOTs for SRHR service delivery per district

There were a total of 10 TOTs in all the implementing districts, majority of whom were in Luweero.

3.4 EMONC service delivery

Pregnant women faced with an emergency situation must have access to Emergency Obstetric and

Newborn Care (EmONC), as it is essential to saving lives everywhere in the world. During the

survey, all 24 HC IVs and hospitals were assessed for their ability to provide EmONC. The results are

shown in Figure 4.

Buikwe Kalungu Luwero Lwengo Masaka Nakasongola Wakiso Total Percentage

Presence of at least 1

staff that has done a

TOT in SRHR

Yes X Yes X Yes X X 3 42.9%

Number of staff 1 0 7 0 2 0 0 10 N/A



Figure 4: EmONC service delivery at HCIVs and Hospitals that particpated in the survey

Where Description

PS Presence of antibiotics for puerperal sepsis

AM Presence of uterotonic for active management of third stage of labour

MR Gloves for manual removal of the placenta

MVA MVA facilities

AVD Equipment for assisted vaginal delivery (Vacuum extractor, Forceps etc)

NR Equipment for basic newborn resuscitation (bulb syringes, bag and mask)

CS Facility for Caesarean section

BT Facility for safe blood transfusion

LB Ability to manage sick and Low birth weight babies

All HCIVs and hospitals that were surveyed had antibiotics for management of puerperal sepsis and a

uterotonic for active management of the third stage of labour. There were 15 (63%) of these health

facilities with gloves for Manual Removal of the Placenta while 18 (75%) were able to conduct a

Caesarean section. 75% (18) of these HCIVs and hospitals had MVA facilities for Post abortal care.

Basic newborn care and resuscitation equipment were available in 58% (14) of the 24 HCIVs and

hospitals while only 29% (7) health facilities were able to manage sick and low birth weight babies.



Table 4: EmONC service delivery capacity presented per district

Buikwe Kalungu Luwero Lwengo Masaka Nakasongola

Wakiso

1

Wakiso

2 Overall

No of HC IV &

Hospitals Surveyed 3 2 3 3 3 3 3 4 24

Presence of

antibiotics for

puerperal sepsis

100% 100% 100% 100% 100% 100% 100% 100% 100%

Presence of

uterotonic for active

management of

third stage of labour

100% 100% 100% 100% 100% 100% 100% 100% 100%

Gloves for manual

removal of the

placenta

67% 50% 67% 67% 67% 67% 67% 50% 63%

MVA facilities 33% 100% 67% 100% 100% 33% 67% 100% 75%

Equipment for

assisted vaginal

delivery (Vacuum

extractor, Forceps

etc)

33% 50% 33% 0% 100% 67% 100% 25% 50%

Equipment for basic

newborn

resuscitation (bulb

syringes, bag and

mask)

67% 50% 67% 67% 33% 100% 0% 75% 58%

Facility for

Caesarean section 67% 100% 100% 33% 100% 33% 67% 100% 75%

Facility for safe

blood transfusion 67% 100% 33% 67% 100% 0% 0% 25% 46%

Ability to manage

sick and Low birth

weight babies

67% 50% 33% 33% 33% 33% 0% 0% 29%

The above deficiencies in EmONC service delivery at HCIV and hospital level are bound to further

cripple efforts by lower level health units in saving lives at birth for both mother and baby. This is

because the lower level health units refer mothers that are having emergencies in pregnancy and



labour to the the higher level units which seem incapacitated to provide the necessary emergency

services.

Availability of ambulances for emergency transfer

The baseline survey showed that 20 (14%) of the 146 health facilities that participated in the survey

had functional ambulances. These included 3 of the 5 hospitals; 9 of the 19 HCIVs and 8 of the 92

HCIIIs (Figure 5).

Figure 5: Health facilities with functional ambulances

Alternative means of transport for emergency services

The baseline also assessed for available alternatives for emergency transfer of patients in the district

Majority, 60% of the respondents suggested motorcycles as an alternative to an ambulance.

Figure 6: Alternatives used for emergency transfers



3.5 Fostering Facility deliveries

Voucher system: During the baseline survey, PNFP facilities were assessed for their willingness to

accept delivery vouchers for pregnant mothers that lived within their catchment area and could not

afford a safe delivery at the PNFP site.

Table 5: PNFP health facilities willing to accept delivery vouchers

Voucher system Buikwe Kalungu Luwero Lwengo Masaka Nakasongola Wakiso

1

Wakiso 2 Overall

# of facilities that

are PNFPs

4 5 5 3 4 2 2 8 33

# of PNFPs that

are willing to

accept vouchers

4 2 5 3 4 2 2 7 29

% of PNFPs that

are willing to

accept vouchers

100% 40% 100% 100% 100% 100% 100% 88% 88%

Results showed that majority, 29 (88%) of the PNFPs in all districts are willing to accept the delivery

vouchers (Table 4 below). Kalungu and Wakiso 2 were the only clusters that had PNFP facilities that

would not accept to use such vouchers for service delivery.

3.6 Ability to provide Cervical Cancer screening services

The baseline survey assessed for the capacity of the implementing health facilities to conduct cervical

cancer screening for women of reproductive age.

Only 56 (38%) of the 146 surveyed health facilities reported that they were able to do cervical cancer

screening. This meant that they had people trained in delivery of the service and they also had some

of the necessary equipment.

The baseline survey also assessed for availability of a speculum and a reliable light source for

cervical cancer screening in the health facilities. Only 20 (14%) had a reliable light source while 63

(43%) had a speculum in the health facility. The results per district are shown in Table 5.



Table 6: Cervical cancer screening service delivery per district

Buikwe Kalungu Luwero Lwengo Masaka Nakasongola Wakiso

1

Wakiso

2

Overall

No. of health

facilities able

to do Ca Cvx

Screening

10 4 8 6 2 1 22 3 56

% of ealth

facilities able

to do Ca Cx

Screening

40% 31% 32% 46% 15% 8% 96% 14% 38%

No. with

reliable light

source

2 3 3 2 2 3 1 4 20

% with

reliable light

source

8% 23% 12% 15% 15% 25% 4% 18% 14%

No. with

Speculum

13 8 17 7 4 5 4 5 63

% with

Speculum

52% 62% 68% 54% 31% 42% 17% 23% 43%

3.7. Key populations in the district

The baseline survey assessed for the presence of key populations in the districts where the project is

to be implemented and the findings are shown in Table 7.

Table 7: Estimated populations of Key populations per district

Districts Commercial

sex workers

Fisherfolk Long

distance

truck drivers

Buikwe Not known 700 Not known

Kalungu Not known Not known Not known

Luweero Not known Not known Not known

Lwengo 200 104

Masaka Not known Not known Not known

Nakasongola Not known 448 Not known

Wakiso Not known Not known Not known



As noted from the table, the population estimates of these groups are not known to the district health

office. It is generally difficult to estimate their number because of the sensitivity involved in

addressing them however through the planned activities some estimates may be arrived at.

3.8 Health communication using media

The baseline survey assessed for the popular radio stations in the area in order to guide the choice of

stations on which to place behaviour change messages. Results are shown in Table 8 per district and

in order of popularity.

Table 8: Popular radio stations in the project area

Districts 1st 2nd 3rd

Lwengo CBS Buddu Top radio

Kalungu CBS Buddu Buladde

Nakasongola Bululi Simba Beat

Buikwe Kaboozi Baba CBS

Luwero Musana Simba CBS

Wakiso CBS Kaboozi Bukedde

Masaka CBS Buddu Ssubi

The peak hours for listening were 7-9pm everyday.

3.9 Health Information Management

The baseline survey assessed for the presence of computers for managing health information at the

health facility. 67 (46%) of the 146 implementing health facilities have computers for health

information management.

Table 9: Health facilities with functional computers

Buikwe Kalungu Luweero Lwengo Masaka Nakasongola Wakiso

1

Wakiso

2

Overall

# of facilities

with Computer

9 7 21 10 7 1 6 6 67

# with functional

computers

6 7 13 7 7 1 4 3 48

Of those with

computers, %

with functional

computers

67% 100% 62% 70% 100% 100% 67% 50% 72%



Of those that had computers, 48 (72%) had functional computers. Some of the reasons for non-

functional computers included lacking a skilled person or records officer and computers having

mechanical problems including lacking key parts like the keyboard, the mouse among others.



CHAPTER FOUR

DISCUSSION

The progress towards improvement of maternal health in the proposed project area falls short of the

MDG 5 targets and the targets of the Uganda Health Sector Strategic and Investment Plan 2010/11 –

2014/15 (HSSIP). The estimates of maternal mortality ratio from the different Uganda Demographic

and Health Survey (UDHS) reports are as follows: 527 in 1996, 505 in 2001, 435 in 2006, 438 in

2011 and 356 in 2014 (UDHS Reports 1996, 2001, 2006, 2011, 2014) against a target of 131 per

100,000 live births by 2015.

The slow progress noted in reducing the maternal mortality ratio is coupled with a high teenage

pregnancy rate, low institutional deliveries rate and a low contraceptive prevalence rate. The survey

provided further insight into the situation.

The results showed that only 28% (41) of the health facilities have peer groups that meet regularly.

Districts such as Buikwe and Wakiso had over 30% of the health facilities with youth peer groups.

These findings are similar to the service assessment and readiness assessment (SARA) survey done in

2013 which showed that only 59% of health facilities were offering adolescent health services.

Specifically, 71% of these were offering contraceptives to adolescents while 60% would offer HIV

counselling and testing to adolescents (HSSIP MTR 2013). Lack of AYFSRH services impedes the

ability of adolescents and youth to access SRH services.

The survey results showed that all the 24 HCIVs and hospitals that were surveyed had antibiotics for

management of puerperal sepsis and a uterotonic for active management of the third stage of labour.

This is important because it covers for at least two of the major causes of maternal death. However,

no more than three quarters of the 24 HCIVs and hospitals could provide Caesarean section services,

postabortal care with Manual vacuum aspiration or had basic equipment for newborn resuscitation or

gloves for manual removal of the placenta. This was worsened by the low coverage of ambulances in

the districts. Three of the 5 hospitals; 9 of the 19 HCIVs and 8 of the 92 HCIIIs had functional

ambulances. Even where there were functional ambulances, they were rarely used because they had to

be fuelled by the clients and often they couldn’t afford.



As a means of improving the rate of institutional deliveries, a voucher system was proposed. The

baseline survey showed that overall 88% (29) of the 33 PNFP health facilities supported it and were

willing to partner with PREFA in it. It also showed that the project plan to purchase equipment and

supplies for cervical cancer screening would go a long way in covering the gap of 86% health

facilities that do not have a reliable light source and 57% health facilities that did not have a

speculum.



CHAPTER FIVE

CONCLUSION

The baseline survey results provided a reference point for this three year project which is designed to

address the gaps highlighted in the survey. During implementation, change will be measured and an

evaluation will be done at the end of the project to determine the impact of the interventions.

In Uganda’s efforts to achieve the targets of the MDGs which are now described as SDGs, every

player is welcome, every effort is necessary towards safe motherhood, reduced maternal morbidity

and mortality and reducing the unmet need for contraception.



APPENDICES

Baseline survey tools

BASELINE SURVEY TOOL FOR HEALTH FACILITIES

Health Facility

District HSD

Date surveyed _______/_______/________ Subcounty

AYFSRH service delivery

1) Are there youth peer support groups / clubs at this health facility? Yes No

2) If yes, how many groups / clubs are they?

EMONC service delivery

3) For HC IV and hospital: IS this health unit equipped to provide these services? Yes / No

a) Presence of antibiotics for puerperal sepsis

b) Presence of uterotonic for active managament of third stage of labour

c) Gloves for manual removal of the placenta

e) MVA facilities

f) Equipment for assisted vaginal delivery (Vacuum extractor, Forceps etc)

g) Equipment for basic newborn resuscitaion (bulb syringes, bag and mask)

h) Facility for Caesarean section

i) Facility for safe blood transfusion

j) Ability to manage sick and Low birth weight babies

4) For PNFPs, is this health facility willing to take on vouchers for delivery in the health unit?

Yes No

Cervical cancer screening

5) Is this health unit able to do cervical cancer screening? Yes No

6) Are the following equipment available for cervical cancer screening

a) Reliable light source Yes No

b) Speculum Yes No

Health unit information management system

7) Does this health unit have a computer for managing HMIS records? Yes No

8) If yes, is it functional? Yes No

9) If No, why?______________________________________________________________________________

________________________________________________________________________________________

PROTECTING FAMILIES AGAINST HIV/AIDS

(PREFA)

PREFA is implementing a project in seven districts in Central Uganda called "Improving Access to and uptake of integrated,

acceptable and sustainable sexual and reproductive health services by women of reproductive age in seven districts of Central

Uganda ".

This survey is being carried out in this district before the project starts in order to guide its implementation. All the information

that you provide is strictly confidential and will be used by PREFA to guide project implementation only.

Thank you for sharing this information with us - Page 1 of 1

BASELINE SURVEY TOOL FOR DISTRICTS

District Date surveyed ____/_____/______

1) Are there any staff in the district that have done a TOT in SRHR? Yes No

2) If yes, how many are they?

3) Are there any staff in the district that have done a TOT in AYFSRH? Yes No

4) If yes, how many are they?

5) How many schools/ learning institutions are in the district?

Institution Number

a) Tertiary institutions

b) Secondary schools

c) Primary schools

6) What are the estimated populations of the following people in this district?

Group Number

a) Commercial sex workers

b) Fisherfolk

c) Long distance truck drivers

7) Identify suitable locations for condom dispensers in the district

1.______________________________________ 6._____________________________________

2.______________________________________ 7._____________________________________

3.______________________________________ 8._____________________________________

4.______________________________________ 9._____________________________________

5.______________________________________ 10._____________________________________

8) Which health facilties in the district have ambulances?

Health facility

1

2

3

4

5

6

7

8

9

10

9) Please comment on any alternatives to ambulances being used in the district.

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

PROTECTING FAMILIES AGAINST

HIV/AIDS (PREFA)

PREFA is implementing a project in seven districts in Central Uganda called "Improving Access to and uptake of integrated,

acceptable and sustainable sexual and reproductive health services by women of reproductive age in seven districts of

Central Uganda ".

This survey is being carried out in this district before the project starts in order to guide its implementation. All the

information that you provide is strictly confidential and will be used by PREFA to guide project implementation only.

Are the ambulances

Functional?

Page 1 of 2

BASELINE SURVEY TOOL FOR DISTRICTS

PROTECTING FAMILIES AGAINST

HIV/AIDS (PREFA)

10)

Village Parish Reason

1

2

3

4

5

6

7

8

9

10

11) List the most popular radio stations in this district

1._____________________________________

2._____________________________________

3._____________________________________

12) When are the peak hours for radio listeners?

_________________________________________

13) What is the estimated population with radios in this district?

< 50% 50 % - 80 % > 80%

14) Which people in the district would be appropriate for the community advisory boards in each HSD?

Name Contact Position

1

2

3

4

5

6

7

8

9

10

15) Are there any bylaws in the district that address SRHR and SGBV issues? Yes No

16) If Yes, Please specify which ones

1._______________________________________________________________________________

2._______________________________________________________________________________

3._______________________________________________________________________________

Thank you for sharing this information with us.

Which villages in the district are likely to benefit from transport and delivery vouchers?

These include very remote hard to reach places.

Page 2 of 2

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