Transcript Uganda Red Cross HIV and AIDS/TB Strategy 2008-2010

UGANDA RED CROSS SOCIETY
National Headquarters: Plot 551/555 P.O. Box 494, Kampala. UGANDA
URCS MASS MEASLES SOCIAL MOBILIZATION
CAMPAIGN
MAY/JUNE 2012
Presenter: Dr Baguma Bildard
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
most vulnerable.
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
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INTRODUCTION
The 2012 measles campaign major aim was to increase the number of
children under 5years of age vaccinated, regardless of vaccination status and
disease history
The Uganda Red Cross used her experiences from past successful
measles campaign in 2006 and 2009 to promote community awareness
about the 2012 mass measles campaign
The 2012 campaign covered the whole country composed of 112
districts, but URCS with AMCROSS support covered only 14 districts
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
most vulnerable.
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
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95%
90%
90%
89%
87%
85%
85%
83%
80%
77%
75%
70%
65%
64%
63%
61%
59%
55%
%
Proportion of districts with <50%
coverage
63%
60%
Proportion of districts with 50% 69%coverage
50%
45%
Proportion of districts with 70% 89% coverage
40%
35%
30%
Proportion of districts with
coverage 90% and above
25%
20%
National Measles Coverage
15%
10%
5%
0%
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
Year
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
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GOALS/OBJECTIVES
The overall goal of the campaign was to contribute in sustaining reductions in
measles morbidity and mortality by raising community awareness, acceptance
and demand uptake for measles and polio immunization in these 14 districts in
Uganda
Objectives
To raise community awareness on the 2012 Mass Measles and polio
Campaign and benefits of its interventions in the 14 selected districts in Uganda
To raise community awareness on benefits of routines immunization of
under-five children in the14 selected districts
To ensure that at least 95% of eligible children receive Measles, Polio
vaccinations, vitamin A and Albendazole during the 2012 Mass campaigns and
in addition support in mop up Campaigns were its deemed necessary .
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
most vulnerable.
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
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IMPLEMENTATION
MECHANISM/METHODOLOGY
Holding advocacy meetings with religious and other key people in
the community- District Stakeholders
Use of local TVs and Radios to disseminate information
One to one encounter during house to house visits
Registration of all eligible children and provision of card for
identification/ verification
Dissemination /distribution of IEC materials
Use of mega phones to announce about the campaign in the
communities.
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
`
IMPLEMENTATION
MECHANISM/METHODOLOGY
URCS Volunteers doing community mobilization and IEC material
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
`
SUMMARY OF URCS PRE-CAMPAIGN
INTERVENTIONS ACHIEVEMENTS
Trained and oriented 36
staff/focal persons
 290 sub county supervisors as
TOT for the campaign
 343 Local supervisors
(divisional/Parish coaches) and
2,917 village level URCS
volunteers participated in social
mobilization techniques in the 14
districts
URCS volunteers attending the TOT training for district in Eastern
Uganda
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
`
SUMMARY OF URCS PRE-CAMPAIGN
INTERVENTIONS ACHIEVEMENTS
Planned jointly with the MOH and
district health office on strategic
issues
URCS conducted 19 advocacy
meetings with key local religious and
community representatives notably
the Chief Administration Offices
(CAOs), District Health Officers
(DHOs), Residence District
Commissioners (RDCs) Local
Councils and others in the 14
districts
Mr. Bob Davis and URCS Kampala city team planning for the rapid convenience
survey in Kampala.
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
`
SUMMARY OF URCS PRE-CAMPAIGN
INTERVENTIONS ACHIEVEMENTS CONTINUED
Disseminated simple key
messages developed jointly
with the MoH and other
members of the Social
Mobilization Committee
through distribution and
strategic placement of 100,000
stickers, 325,000 fliers and
70,000 posters
Poster strategically placed in a place of worship and
video/cinema hall for the campaign respectively
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
`
SUMMARY OF URCS PRE-CAMPAIGN INTERVENTIONS
ACHIEVEMENTS CONTINUED
The trained volunteers were able
to mobilize parents and care givers
in 941,609 households
1,242,602 children under five
(72.3% of the targeted 1,772,085
children) who were eligible for the
vaccination campaign were
registered.
This made it possible for URCS
to provide basic information on
missed and defaulting children
within their community some of
whom were later tracked and
immunized.
A volunteer registering a child during a house to
house mobilization at Kasana Kavule in Luwero
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
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Pho
SUMMARY OF CAMPAIGN INTERVENTIONS
ACHIEVEMENTS
URCS assisted and supported
campaign activities at sites in over
5,700 vaccination posts.
URCS Volunteers helped the
health workers to tick the names of
vaccinated children on their preregistration lists composed of
1,242,602 children they had
registered during house to house
campaign
 The volunteers also did home
follow up on defaulters to ensure
that they are immunized.
URCS volunteers assisting health workers during the
Measles and polio immunization campaign at the
vaccination posts.
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
`
SUMMARY OF POST CAMPAIGN INTERVENTIONS
ACHIEVEMENTS
URCS also provided logistical support
and deployed 17 vehicles that helped
during the campaign to move
vaccines/health workers.
Interviews with caregivers showed that
TV and radio, in both English and
Luganda, came in first as information
sources.
 House visits (by Red Cross and other
partners, such as the LDS Church)
reached some persons not accessible by
the mass media. The little used
megaphones did well.
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
Team of vaccinators arrive using URCS
vehicle
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
`
SUMMARY OF POST CAMPAIGN
INTERVENTIONS ACHIEVEMENTS
URCS conducted a rapid convenience survey which revealed that 71.9% of
children under five had been vaccinated in Kampala (57.1%) during mass
campaign and 14.8% mop up).
URCS supported in the mop up campaign in Kampala with the administrative
data only 54.38% coverage had been registered and improved the coverage by
13.75% to 68.13 %. The independent monitoring report data puts the coverage at
80% for Kampala city.
Other post campaign intervention included debriefing of the volunteers, report
writing, monitoring and evaluation.
URCS also attended the post campaign meeting with UNEPI, MoH, UNICEF
and other partners at Silver springs hotel. Results from various district and
branches where URCS operated, indicated that an overall 102.4% achievement in
mass measles vaccination was registered during the campaign as compared to the
national one which was at 100% for measles.
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
`
TABLE : PERCENTAGE TARGET OF
BENEFICIARIES REACHED WITH THE
MASS MEASLES VACCINE
100
90
87
80
70
60
Sub counties
50
% of Children Reached
40
30
20
16
17
13
19
18
19
21
19
15
13
12
12
9
10
101%
115%
99%
99%
100%
Kamuli
Luw ero
115%
103%
92%
97%
108%
101%
113%
111%
80%
0
Lira
Busia
Arua
Nebbi
Jinja
Hoima
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
Wakiso
Kabala
Mbarara
Tororo
Pallisa
Kampala
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
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CHALLENGES
Some household did not cooperate with volunteers during
house visits due to misinformation by some local leaders who were not
paid.
In Kampala vaccine delivery process delayed and some of the posts
which were identified as vaccination posts were found not open during the
SIA days. This made parents to wait for longtime with many going back
home.
In some parts of the country it rained during the 2nd day of the SIA days
which made the exercise to delay leading to low attendance of children.
Change of vaccination posts at the last minute. This happened especially
in Kampala where initially some of the Local council offices were planned
to be vaccination posts, however these posts were changed without prior
notification to parents and caretakers.
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
`
CHALLENGES CONTINUED
The number of days for the mass campaign was not sufficient
to cover all the children more especially in Kampala.
Fewer Volunteers were planned for Kampala city and hence not all the households
within the city could be reached
Fewer vaccination posts compared to the number of population leading parents and
caretakers to walk long distances to the vaccination posts.
The general turn up and demand for vaccination was good but in Kampala due to poor
logistics movement and the past experience of nonpayment to vaccinators in the previous
campaigns, the campaign was affected negatively.
The vaccinators with held results for Kampala due to non payment and hence the
administrative data for Kampala can not be relied on.
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
`
REASONS FOR UNDER ACHIEVEMENT IN
KAMPALA CITY
 Poor Immunization Material logistical movement
 Lack of motivation from the vaccinators due to the past experience of
nonpayment of their allowances hence the lowest coverage was registered.
 Poor micro planning by the Divisions health authorities in Kampala
 Delays in transfer and confirmation of funding support for the mass measles
campaign for Kampala City Authority.
 Withholding of tally sheets by the vaccinators due to non payment hence
affecting the coverage and credibility of the administrative data for Kampala.
 Fewer Volunteers were planned for Kampala city and hence not all the
households within the city could be reached with the campaign message in time
using the house to house approach.
 Fewer vaccination posts compared to the number of population leading parents
and caretakers to walk long distances to the vaccination posts.
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
`
LESSONS LEARNED FOR FUTURE PROGRAMS
Social mobilization for the mass measles and polio
immunization should be started a month earlier than
the immunization days
Involvement of both parents to participate and support
each other in issues pertaining to protection of their
children health is critical
Use of the media, House to house helped to reach the
unreached give good results.
Close collaboration with all partners involved in the SIA
campaigns from Division level to village level enabled Red Cross
Kampala Central branch volunteers to receive maximum
supervisory support throughout the campaign period.
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
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LESSONS LEARNED FOR FUTURE PROGRAMS
CONTINUED….
Partners need to plan adequately to support the
districts in the movements and pre-positioning of
immunization logistics if success is to be achieved
Kampala city alone needs a minimum of 1,000
volunteers for any future campaign if all the
households are to be reached with the immunization
campaign messages.
Future campaigns need more days in order to
reach all targeted children.
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
`
END OF PRESENTATION
OUR VISION
An empowered, healthy and self-sustaining
community that responds to the needs of its
OUR MISSION
http:/www.redcrossug.org
To be a leading humanitarian agency in Uganda in saving
lives, supporting livelihoods and promoting human dignity.
most vulnerable.
`