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UNICEF Uganda 2011 Statement

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vation(s) 2011

UNICEF Uganda Inno

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2011 | Funding | Results | Challenges

ALIVE

»» Inadequate and decreasing financial allocation to the health sector:

2011 Budget: USD 26,653,250 (USD 10,725,250 RR; USD 15,928,000 OR) 2012 Budget: USD 26,905,250 (USD 10,725,250 RR; USD 16,180,000 OR) 2012 Funding gap (as of May 2012): USD 11,301,601

Nutrition ÖÖ18,954 children across Uganda reached with

acute malnutrition interventions. ÖÖ12,660 children with severe acute malnutrition treated in Karamoja and Acholi sub-regions. ÖÖ473 health workers trained on IMAM ÖÖ2,968 Village Health Team members in Karamoja trained on nutrition screening. ÖÖ80 per cent of all VHTs in Acholi, Karamoja sub-regions and Western region reached with nutrition skills and information, thus strengthening community-based interventions. ÖÖMicronutrient supplementation provided to children, including Vitamin A. ÖÖNutrition policies and guidelines strengthened, including those enforcing the code of marketing milk substitutes. National Guidelines on Integrated Management of Acute Malnutrition (IMAM) launched in December. ÖÖMobilization work carried out with FBOs and youth groups.

Maternal and Neonatal Care

UNICEF support strengthened maternal and newborn care at the national, facility and community levels. ÖÖIntegrated in-service training package developed on newborn care covering the topics such as “Helping Babies Breathe” and Essential Newborn Care. ÖÖTraining provided to 14 national and 20 regional trainers. ÖÖ1,464 VHT members reached with community newborn care package, helping to improve newborn care at the community level. ÖÖ139 level-3 health centre workers trained on focused antenatal care, and 115 health facility workers conducted monthly outreaches to lower health units and communities ÖÖSupported two pilot programmes enabling expectant mothers to reach antenatal care sessions, through Boda-boda (motorcycle taxi) vouchers and motor-tricycle ambulances.

2011 Budget: USD 7,067,669 (USD 3,454,529 RR; USD 3,613,140 OR) 2012 Budget: USD 7,166,239 (USD 3,454,529 RR; USD 3,711,710 OR) 2012 Funding gap (as of May 2012): USD 3,627,596

Birth Registration

Female Genital Mutilation and Cutting (FGM/C)

Reaching Zero Violence against Children in Schools

Water, Sanitation and Hygiene (WASH)

UNICEF and partners improved access to safe water and sanitation, and promoted hand-washing. ÖÖ116 boreholes and 24 gravity flow scheme tap stands constructed. ÖÖ101 latrine stances in 19 health centres, and renovation of 24 health facilities with improvements to water and sanitation facilities. ÖÖ51,600 people newly provided with access to safe water in focus districts. ÖÖ10,000 children newly provided with safe water in Karamoja and Western-region schools. ÖÖPilot ‘bio-gas’ project implemented in three schools in Jinja district. ÖÖUNICEF supported the development and implementation of national-level policies on WASH. ÖÖNational hand-washing campaign held in 30 districts. Uganda won the 2011 AfriSan Award for scaling up hand-washing campaigns.

253 stakeholders, including children, policy makers, law enforcers, district officials, and civil society actors from across Uganda participated in UNICEF-supported Future Search workshops toward Creating a Safe Future for Children: Zero Violence in Schools, resulting in a common agenda for reaching the goal of zero violence. 35 out of 112 districts in Uganda adopted Action Plans for reaching zero violence in schools, and remaining districts will adopt actions plans within the next year. ÖÖVillage health teams (VHT) expanded in 18

focus districts. ÖÖOver 18,000 VHT members trained on basic course of health. ÖÖ2,234 VHT members trained on community newborn care. ÖÖ6,300 VHT members trained in integrated Community Case Management (iCCM), which is expanding and improving the diagnosis and treatment of malaria, pneumonia, and diarrhoea at the community level.

outbreak communication, including district officers, VHTs, religious and cultural leaders, and others. ÖÖSupport to the Red Cross during an Ebola outbreak in Luweero reached 70,000 people with critical information.

UNICEF and partners launch the Mobile Vital Records System (MobileVRS) innovation, that uses mobile phone technology to quickly register a child’s birth. We aim to increase the percentage of Ugandan children under five who are registered to over 80 per cent by 2014. Partnerships with faithbased organizations raised awareness and increased demand for registrations in Western and Northern subregions of Uganda. 144,070 persons had their birth registered in 2011 through a mass campaign.

Strengthening Child Protection Policies and Planning Justice for Children Programme

With UNICEF support, the Justice for Children Programme was launched by the Chief Justice of Uganda in September, with a call for systematic and consistent responses to children’s needs in the justice system. UNICEF is working to ensure Justice for Children indicators are included in the investment plans of the main law and justice sectors in the country, including the Police Force, Ministry of Justice, and others. Data on juvenile justice indicators will now be collected and reported officially for the first time in Uganda.

Further Support

ÖÖ256 frontline workers trained in disease

Challenges »» Child Protection: Limited capacity at district level for

Zero Violence - Preventing and Responding to Violence

HIV and AIDS

Increasing access to community-level care

in preparing for and responding to emergencies. 500 UPDF troops who operate in Central African Republic, Democratic Republic of Congo, and Southern Sudan trained in Standard Operating Procedures for handling cases of children who escape the Lord’s Resistance Army. UNICEF coordinates the Regional UN Focal Point system for reporting to Security Council Resolution 1612 on the serious violations committed by the Lord’s Resistance Army in Central African Republic, Democratic Republic of Congo, Southern Sudan, and Uganda.

SAFE

Expanding Immunization Coverage

ÖÖIn April of 2011, Uganda achieved Maternal and Neonatal Tetanus elimination. ÖÖUNICEF supported scaling up outreach services to 26 under-performing districts. ÖÖ547 health workers in newly formed districts trained on immunization service delivery. ÖÖ5.4 million children given polio immunizations.

160 district staff trained on child protection

Government expenditure on health decreased from 10% of the national budget in 2009/10 to 7.8% in 2011/12, which is markedly lower than the NDP target of 11.2%. »» Climate and environment-linked conditions pose serious challenges to service delivery and sustained health and well-being. »» Human resources constraints, such as a high level of absenteeism of health workers, pose critical challenges to improving the sector. »» Low capacity for implementation, supervision and monitoring of health interventions, particularly at the district and sub-district levels. »» Weak supply chain management of drugs and other supplies. »» Weak health data collection and reporting systems, constrained by poor funding.

Established District Alliances for the abandonment of FGM/C in three districts in northeastern Karamoja region where it is practised. 740 local council members, parish chiefs, religious leaders and youth leaders reached with community sessions about Uganda’s Act banning FGM/C. 40 community members in FGM/C “hotspots” in Amudat district trained as monitors to dissuade hidden practices. 317 girls deterred or rescued from undergoing cutting. 4,000 copies of Community Dialogue Manual printed and disseminated to trainers and community facilitators.

Direct UNICEF support went to increase access to and utilization of antenatal care (ANC) and prevention of mother-to-child transmission of HIV (PTMTC) services. ÖÖOver 1 million pregnant women attended the first ANC visit that offer PMTCT services, and over 961,000 received HIV counseling and testing, receiving their results the same day. ÖÖInfant and pediatric HIV testing and treatment services expanded, and over 60,000 HIVexposed children tested for HIV. ÖÖ24,141 children living with HIV received antiretroviral therapy.

Ensuring Child Protection is a Priority in emergencies, disasters, and conflicts

Challenges

Raising Awareness on Child Protection

1 million people reached with radio messages on child protection issues

56 community dialogues held in 20 subcounties of Acholi region

45 child rights clubs and 17 child parliaments organized and supported to increase child participation

Orphans and Vulnerable Children – National Strategic Plan

A new national strategic plan to identify and protect orphans and vulnerable children was launched in 2011 and disseminated in all districts of Uganda. An advocacy and communication strategy is currently being implemented to increase visibility and funding.

data collection, monitoring and reporting on child protection issues is a key constraint in planning and implementation efforts. »» Juvenile

justice system: A lack of separate detention spaces for children in contact with the law, as well as an inadequate number of magistrates handling cases, is resulting in a high number of cases not brought to court, and children being denied due process. In addition, a lack of unified data collection and harmonization in record-keeping of children in contact or conflict with the law means that important information (like a child’s age or sex) is not captured.

»» Birth Registration: Inadequate national statistics

on birth registration for children ages 0 to 5 is impeding efforts to monitor progress on registration numbers. This is likely to improve with a 2012 Population and Housing Census that will include a question on birth registration. »» Orphans

and Vulnerable Children: Inadequate statistical data on orphans and other vulnerable children in Uganda, as well as on women, poses a major constraint in the Government’s implementation of social protection policies and programmes. This is being addressed through the creation of registers of orphans and vulnerable children, as well as household registers associated with the cash transfer programme.

LEARNING 2011 Budget: USD 9,804,719 (USD 4,646,434 RR; USD 5,158,285 OR) 2012 Budget: USD 9,791,862 (USD 4,646,434 RR; USD 5,145,428 OR) 2012 Funding gap (as of May 2012): USD 3,198,019

Improving the Quality of Schools and Learning Basic Requirements Minimum Standards (BRMS)

UNICEF is helping make Uganda’s primary schools child-friendly through a mentoring programme that benefits from international (VSO volunteers) and national-level mentors and trainers. The mentoring programme helps schools implement and uphold BRMS, which are child-friendly standards, and focuses on improving teaching and learning, making schools safe, and engaging the community.

In 2011, the mentoring programme reached seven Primary Teacher’s Colleges, 150 in-service teacher educators (teachers of teachers), and 4,333 schools. In 2012, it will be rolled out to 15 PTCs reaching almost twothirds of the country.

Partnerships with Faith-Based Organizations (FBOs)

In 2011, UNICEF entered into partnerships with the Uganda Muslim Supreme Council, the Church of Uganda, and the Catholic Secretariat. As part of UNICEF’s alliance with these major faith-based organizations, a programme was rolled out in 17 districts across the country to prevent and respond to violence, and raise awareness on other child protection issues.

2011 Key Primary School Indicators and Results - National Level

The Uganda Girls’ Education Movement (GEM-U)

UNICEF supports GEM-U’s efforts to strengthen GEM clubs in existence and establish new ones. GEM activities inspire girls and boys to stay in school, and help children who’ve dropped out go back to classes. 5,019 girls and boys who’d dropped out returned back to school. GEM activities reached thousands of girls and boys in nearly 50 districts. 316 new GEM clubs established in primary schools, and 143 in secondary schools. 839 girls received GEM-U scholarships for secondary and vocational schools, in partnership with the UN-JPP. 568 pupils and teachers from 132 secondary schools in 14 districts were trained in the GEM concept, and a new GEM club was established in each school. 561 participants in 20 districts at primary school level trained in GEM concept and 22 new chapters formed, with the goal to establish GEM clubs in their districts.

Early Childhood Development (ECD)

UNICEF is a key partner supporting quality communitybased ECD for children ages 3 to 5 across Uganda, including for those children living in the most disadvantaged areas. One aim of ECD is to help young children develop the tools to be ready for primary school, and another is to ensure they enrol at the right age (6 years).

625 community-based ECD centres received UNICEF support, with a combined enrolment of nearly 80,000 girls and boys. 31,300 boys and girls accessed community-based ECD in 16 of the most disadvantaged districts in the country. 3000 caregivers and 10,000 ECD Centre Management Committee members trained. 7,000 local leaders and decision makers engaged in community dialogues about education and Early Childhood Development. 474 support and monitoring visits conducted in ECD centres and nurseries, revealing positive findings: most centres are using the ECD Learning Framework properly, have outdoor play spaces, and have constructed basic shelter facilities with latrine. With UNICEF support, an ECD Caregivers’ Training Framework was finalized and approved by the Government, and draft early learning development standards devised.

Music Dance and Drama

8,000 children participated in the district-level Music, Dance & Drama competitions, 3,000 in the Regional level competitions and 2,100 in the National level competitions supported by UNICEF in 2011.

Zero Violence Against Children in Schools

32,100 primary school teachers from 10,700 schools in 86 districts; 669 Primary Teacher College tutors; and 112 District Inspectors trained in safe school initiatives. Zero Violence in Schools Workshops held with children, decision-makers, teachers, and other stakeholders (read more about these workshops in the Safe section). Further Support

Campaigns and Communications Through Go to School; Back to School; Stay in School Campaigns and messages…  43,125 people reached through engagement with faith-based organizations. 9,000 people directly reached in 11 UNICEF focus districts. 1,500 girls went to school in Moroto as a result of campaigns.

Challenges

ÖÖLimited progress in reporting and

responding to cases of sexual abuse in schools. ÖÖLess than 7 per cent of children have access to ECD programme, highlighting both the need for expansion and the possible role certain partners, such as faith-based organizations, could have in bringing ECD to more communities. ÖÖGEM youth volunteers and ECD caregivers need more livelihood options to enable programme efforts to achieve sustainability. ÖÖReliable data on water, sanitation and hygiene in schools not easily collectable.


Current Research Highlights - Social Policy and Evaluation Uganda Child Poverty and Disparities Report While overall poverty rates are falling in Uganda, there exists little research illuminating the current situation of children and the impact of poverty on their lives. To fill this gap, UNICEF, the Government and partners are producing a Child Poverty and Disparities Report, to be published mid-2012. The Report will include an index for measuring child poverty and disparities that differs from current income poverty measures. It will also contain detailed information on inequalities children are facing in Uganda, and recommendations of concrete actions that can reduce child poverty. In addition, UNICEF and partners are publishing a corollary report of children’s perspectives, revealing, through their own voices, how children understand poverty and how it affects their dayto-day lives. Adolescent Girls Index (AGI) Globally there are more than 1.3 billion adolescents (aged 10 to 19) standing at the crossroads between childhood and the adulthood, and nine out of ten of these young people live in the developing world. They face profound challenges, from obtaining an education to gaining employable skills to simply staying alive – challenges that are even more magnified for girls and young women. In Uganda, adolescents make up more than 28 per cent of the population, underscoring the fact that investing in these young people today will have an important impact on the overall population tomorrow. Girls in particular face vulnerabilities in their adolescent years, yet they are also in a crucial position to break the poverty cycle at the household level. In light of this, UNICEF is working with the Government and the Population Council in New York to develop an easy-to-communicate index that captures vulnerabilities experienced by girls in this age group in Uganda and in East Africa. This work will include a data analysis to outline the situation of adolescent girls in Uganda, a programmatic and policy analysis, and a more general research report on the situation of adolescents in the region. Identifying Orphans and other Vulnerable Children (OVCs) UNICEF Uganda, along with USAID, local researchers and other partners, developed and is now testing a more efficient and accurate way to identify orphans and other vulnerable children. This streamlined process could ensure more OVCs are carefully reached through programmes and funding, while saving time and money in the identification process. One critical component of this work included reducing the number of core indicators for identifying OVCs from 12 indicators to 3 (child disability, orphanhood, and out-of-school). The initial results from tests in the field are positive: starting with a simplified survey and following up with a more detailed assessment of identified households, more vulnerable children can be identified than previous surveys, with a considerable increase in accuracy overall.


Summary of 2011 Approved Resources (all figures in USD) Regular resources (RR): 21,288,000

| Other resources (OR) / Regular: 26,999,425

Other resources / Emergency: ---

| Planned Total (RR and OR): 48,287,425

Summary of 2011 Available Resources TyPE Of fUnDInG OR DOnOR

Regular Resources

PROGRAmmAblE AmOUnT (USD)

23,288,000

Other Resources (listed below) Australia – AusAID Belgium Canada – CIDA Denmark

57,554 280,793 2,598,194 99,194

European Commission/EC

1,135,149

European Commission/ECHO

1,258,415

Ireland Italy The Republic of Korea

62,557 1,249,043 346,677

Netherlands

1,705,561

Spain

1,346,263

United States – USAID Austrian Committee for UNICEF

349,034 37,406

Danish Committee for UNICEF

684,850

Netherlands Committee for UNICEF

133,269

Norwegian Committee for UNICEF

657,880

Swiss Committee for UNICEF

154,843

United Kingdom Committee for UNICEF

160,459

United States Fund for UNICEF

750,197

Japan Committee for UNICEF Bill & Melinda Gates Foundation THEMATIC FUNDING UNDP – USA

47,298 206,874 2,950,583 696,734

UNDP – MDTF

2,334,499

UNFPA – USA

2,333,289

WHO – Geneva Shipping and Logistics Unit TOTAl Available Regular and Other Resources

212,297 45,136,912

© The United Nations Children’s Fund George Street, Plot 9 | P.O. Box 7047 Kampala, Uganda | Tel: +256 417 17 1000 www.unicef.org/uganda

Photo Credits: © UNICEF Uganda 2011 & 2012/ Sibiloni (Front); Znidarcic (Inner:Children on slide, handstand; Back); Tylle (Digital drum); Nakibuuka (Inner:Children in blue); 2011 Statement created by Jeremy Green/UNICEF Uganda; Designed by DESIGNiT Ltd., Uganda.


UNICEF Uganda 2011 Statement