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Reproductive Health Uganda (RHU) is a national, voluntary, non-discriminatory and not-forprofit, non-government organisation. It is affiliated to the International Planned Parenthood Federation, a leading International NGO promoting and providing sexual and reproductive health and rights services with a membership of 152 Associations in 182 countries. RHU, formerly known as the Family Planning Association of Uganda, is the pioneer of family planning services in Uganda and has since remained the lead NGO in the provision of family planning services in the country. The change of name to Reproductive Health Uganda represents a strategic shift and redirecting of focus, from vertical Family Planning programs to integrated sexual and reproductive health and rights services.

OUR VISION RHU envisages a Ugandan society where everyone has access to sexual and reproductive health and rights information and services they need and in which their sexual and reproductive health and rights choices are respected.

OUR MISSION RHU is committed to promoting high quality, high impact and gender-sensitive sexual and reproductive health and rights information and services for vulnerable and most at risk population of young people (15 – 30 years) in Uganda through capacity building, specialised service delivery, issue-specific advocacy and strategic partnerships. bout RHU Projects RHU subscribes to the International Planned Parenthood Federation (IPPF) strategic framework which hinges on five priority areas: access, AIDS/HIV, abortion and post abortion care, adolescents, and advocacy

ACCESS PROJECTS Access is all about increasing access to family planning and other reproductive health services. Promoting Access to Value-added SRHS (PAVES) Implemented in Kampala, Iganga, Kapchorwa, Mityana, Kabarole, Luwero, Tororo, and


Gulu, the project’s overall objective is to promote the utilization of high quality, high impact and gender sensitive sexual and reproductive health and rights (SRHR) information and services among young men and women. The project seeks to reposition RHU to become a builder of capacity in the area of sexual and reproductive health and rights. The main activities include delivery of long term and permanent family planning service services and information through static clinics, community based reproductive health agents and outreaches. The project is funded by the International Planned Parenthood Federation (IPPF). Increasing availability of comprehensive reproductive health services This project contributes towards the government of Uganda/UNFPA country programme and is implemented in the districts of Kanungu, Yumbe, Mubende, Kaabong, Kotido, Moroto, Katakwi and Oyam. The outputs include mobilizing political, cultural, religious, social and donor support for family planning interventions, strengthening institutional and technical capacities of health systems and increasing healthy lifestyle choices related to sexual and reproductive health for young people and vulnerable groups. Under the project, UNFPA and RHU work in partnership with government health workers to strengthen the approach of improving access to sexual and reproductive health services, especially to the marginalised and hard-to-reach. This is a three way partnership whereby UNFPA works with RHU to increase the capacity of government health workers to offer RH services to the population in hard to reach areas, and in accordance with the MDGs .Programme and Institutional Performance Enhancement at Reproductive Health Uganda (PIPER) The project seeks to support initiatives that promote outputs and services with a focus on value for money and enhanced value addition. The project is implemented in clinics in Kampala, Kapchorwa, Mityana, Kabarole, Luwero, Tororo, Mbale, Bushenyi and Gulu. Main activities include building the capacity of community based reproductive health agents to deliver sexual and reproductive health information and services, conducting service delivery outreach camps for long term and permanent family planning services, stocking of RHU service delivery points with reproductive health commodities and promoting professional development of RHU staff. This project is intended to increase communities’ participation and ownership of reproductive and maternal health services and is funded by IPPF

HIV/AIDS PROJECTS Reaching the Hard to Reach: Strengthening Prevention of HIV among vulnerable youth in Mbarara Municipality- An SRHR Approach to HIV Prevention This is a five-year project that runs until December 2012. It aims to reduce the incidence of HIV infections, sexually transmitted infections and unwanted pregnancies amongst vulnerable young men and women aged 15 to 29 years engaged in transient trades (bar tenders, boda boda cyclists, shoe shines) in Mbarara using a sexual and reproductive health and rights approach. Specifically, the project seeks to increase adoption of safer


sex behaviour and increased utilization of HIV and reproductive health services, increase community leaders’ support and commitment to prioritise reproductive health issues and the needs of young people. The projects also aims to strengthen RHU and partners’ capacity to offer high quality, gender sensitive information and skills, counselling and health services tailored to the preferences and needs of the young people. Key activities include: interpersonal, group and mass behavior change communication; orientation and deployment of peer educators; equipping the outreaches, clinic and youth centre to provide quality youth friendly information and services and advocacy. The project works with the district health office to secure supplies such as VCT kits, condoms and technical guidance. The project is funded by DANIDA and implemented in partnership with the Danish Family Planning Association (DFPA).

Touching the Forgotten Face of HIV/ AIDS: Adapting Culture to Prevention of HIV/ AIDS among People in Long Term Relationships In Mbale and Iganga districts, RHU with funding from the Civil Society Fund (CSF) through the Uganda AIDS Commission is implementing a project, targeting mainly people in long term relationships. The main activities include: capacity building for RHU staff, Community Based Reproductive Health Agents (CBRHAs) and Community Based Organisations (CBOs), recruiting and equipping CBRHAs with kits and bicycles, conducting peer to peer HIV prevention talks, and conducting outreaches to disseminate HIV/AIDS information and offer HIV counselling and testing services CT, management of sexually transmitted infections. At the clinic we provide family Planning information and methods, condom distribution, conducting music and drama shows, and conducting video shows with HIV/AIDS prevention messages. The project is implemented with several partners including government-run health facilities and local NGOs. The project has as its goal to contribute to a reduction in the prevalence of HIV among adults in marriage or long term relationships, by promoting positive behaviour change health practices. Community Based HIV/AIDS Prevention, Care and Support Services Project The project is implemented by a consortium of three organisations: RHU, Action for Children (AFC) and Capacity Systems Link (CSL)] with RHU providing leadership. This is a community-based project based on three inter-related models: the RHU integrated sexual and reproductive health service delivery model; AFC’s Family Preservation Model; and CSL’s Institutional Capacity Building model. The project operates through service delivery at RHU and partner static sites; weekly outreaches to the communities and home-based/ community-based service delivery including care and support of persons living with HIV/AIDS as well as orphans and vulnerable children. Activities include promotion of abstinence and/or being faithful; prevention of HIV infection including condom use; support to orphans and vulnerable children, HIV & AIDS care for adults including diagnostic tests, treatment of opportunistic infections and referrals where appropriate as well as paediatric care. The project is funded by USAID and the goal is improved quality of life for persons with HIV/AIDS (PHAs), orphans and


other vulnerable children (OVC) and their households in Lango and Kigezi . HIV/AIDS Work place policy The effects of HIV/AIDS are felt by employees and their families, the organisations they work for, and the economy of the country at large. Therefore the project goal is to prevent new HIV infections and reduce the burden of HIV/AIDS on RHU staff infected and affected by HIV/AIDS to contribute to more effective and inclusive health services, thereby ultimately to achieving the HIV/AIDS and health-related MDGs. The project has as its objectives to enhance access to HIV & AIDS information, skills and services for the prevention of infections (new & re- infection) for staff and their family members; access to HIV & AIDS information, skills & services for the treatment, care and support for staff and eligible family members. It also aims to reduce HIV/AIDS related prejudice, stigma & discrimination, and promote and protect the rights and dignity of RHU staff infected and affected by HIV/AIDS. Project activities are geared towards preventing risks and effects of HIV infections among service providers and clients at RHU service delivery points that include availing post exposure prophylaxis. The project also works to strengthen functional and supportive institutional mechanisms to facilitate the management of, and adherence to, RHU’s workplace HIV/AIDS policy.

SAFE MOTHERHOOD/ABORTION PROJECTS The SAVE project An estimated 297,000 abortions are carried out every year in uganda, and half of them result in complications including infection, infertility and death. Unsafe abortions are usually performed in secret due to Uganda’s restrictive laws. The SAVE project is developed on the premise that abortion is the third commonest cause of maternal deaths in Uganda and that the root cause of abortion is unwanted pregnancy. Project interventions will include: • Provision of family planning services especially emergency contraception and dual protection • Provision of post-abortion care services including counselling, manual vacuum aspiration, post-abortion family planning and treatment of infections. • Health education sessions conducted in and out-school targeting adolescents on prevention of unwanted pregnancies • Provision of safe motherhood services including antenatal care, clean and safe deliveries and postnatal care ADOLESCENTS PROJECTS Enhancing Access to SRH Information and Services to Underserved Young People in Uganda (Danida A + Project) Young people (10-24 years) constitute over 30% of Uganda’s population, with


significant impact on population momentum, structure and growth rate. Yet they carry the highest burden and unequalled challenges of SRH, partly caused by high risk behaviour, limited access to information and services. Traditional health programmes ignore youth because they are thought to be healthy. Further, there is limited involvement and participation of young people in governance, management and programme design, implementation, monitoring and evaluation. RHU with support from DANIDA is implementing this project designed to reach young men and women with information and services through skills development for young people, improve policy environment for young people’s programs, improving attitudes and skills of services providers in provision of YFS and improving services in the districts of Arua, Bushenyi and Hoima. In order to improve young people’s reproductive health, RHU service providers’ skills in identifying, analysing and addressing young people’s reproductive health issues for appropriate and more effective service provision (youth friendly services). At national level, the project is expected to contribute to the implementation of the National Health Policy whose overall goal is attainment of a good standard of health by all people in Uganda. The project has as its goal access to sexuality and reproductive health information and services to underserved young people in Uganda ensured.

Rising up for reproductive health and gender rights (RISE UP) RHU, with support from the Swedish International Development Agency (SIDA) through the Swedish Association for sexuality Education (RFSU) is implementing a project in Apac and Kapchorwa districts with the goal of ensuring access to sexuality and reproductive health information and services to underserved young people in Uganda. The project targets to increase knowledge and understanding of sexual and reproductive health rights and sexual and gender-based violence reduce incidence of sexual and gender based violence including female genital mutilation. In addition it aims to increase utilisation of sexual and reproductive health services and information by girls and young women and increase support by community and district leaders for reduction of violence against women, by increasing resource allocation and implementing policy to support the rights of women. The project also sets out train RHU and its partners to address issues violence against girls and young women and targets men as clients, advocates or as agents of change to create opportunities for increased male involvement in reproductive health rights promotion and reducing violence against women. The primary target audience is girls and young women aged 15-30 while the secondary target audience is men, community leaders and district leaders.

ADVOCACY PROJECTS Making the Maputo Plan of Action Work. Uganda is signatory to the Maputo Plan of action, one of whose action areas is improving young people’s sexual and reproductive health. However, young people still bear the brunt of reproductive ill-health including high pregnancy rates and HIV infection. The project’s purpose is to increase the capacity of RHU and partners to advocate for increased access to sexual and reproductive health services by young


people. Activities include dialogue with policy makers and school leaderships, building capacity of the Youth Action Movement (YAM) to engage in advocacy, dialogue with corporate companies and engagement with members of parliament and the ministry of health to ensure that young people can access the sexual and reproductive health services that meet their needs. The project is funded by the Hewlett Foundation through IPPF. Healthy Action: Empowering East African non-state actors to advocate effectively on health issues Uganda still faces poor health indicators disproportionably affecting the poor and the vulnerable and is plagued by low spending on pro-poor health. Furthermore, poor and vulnerable groups have tended to be excluded from participating in health decisionmaking processes that have a direct impact on their lives. Yet, their participation is key to bottom-up accountability and pro-poor health initiatives. RHU is therefore implementing a three- year project implemented in partnership with DSW to advocate for more effective and inclusive health policies, programs and budgets, increased recognition and resource commitment for SRHR at national and district level. The project empowers non-sate actors (NSAs) to become meaningful and inclusive participants in civic processes concerning pro-poor health policies by increasing their advocacy capacity to formulate policy priorities, monitor their implementation and hold decision-makers to account. Activities include civic education The Advance Family Planning project Advance Family Planning (AFP) is an evidence-based, three-year program designed to help developing countries achieve universal access to reproductive health (MDG 5b). The initiative aims to revitalize family planning (FP) programs through increased and more effective funding and improved policy commitments at the national, regional and global levels. AFP’s approach is to build on the past investments in family planning policy and program development and support the strong and sustainable structures needed to engender the momentum essential for contraceptive security in Uganda. AFP’s focus is to address issues of financing and policy for family planning from the government. AFP and the key advocacy partners that have already contributed to policy change and increased resources will engage government at all levels including legislators, relevant ministries, district leadership and top leadership. Working with a range of stakeholders, AFP has been successful in many areas including helping to secure $8.7 million for contraceptive supplies, Ministry of Health guidance to allow village health teams to provide contraceptive injectables and agreement from the National Medical Stores (NMS) to enable private family planning providers to access contraceptive supplies. At district level, AFP works with district coalitions for commodity security to influence policies and by-laws for family planning at that level. District meetings to engage district leaders to support family planning and put it on the district agenda are held and we work with districts to monitor family planning supplies at the district to reduce stock outs.


The Maternal Health Project This is a three- year (2011-2013) advocacy project focusing on empowering communities to take responsibility for their lives, promote demand, accountability and utilisation of maternal, sexual and reproductive health services. The project aims at contributing to the realization of MDG 5 through community empowerment, promoting access and utilisation of maternal, sexual and reproductive health services among rural communities in 8 districts of Uganda. Key activities undertaken include communityy sensitisation meetings on maternal sexual and reproductive health rights, dialogue meetings between duty bearers and communities, interface meetings between health workers and community, radio talk shows, as well as training of community-owned resource persons and Health workers.


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