Projects

Family Health projects

FAM/IRH FAMILY PLANNING PROJECT

The Fertility Awareness Methods (FAM) and Fertility Awareness (FA) Education project is a partnership between Institute of Reproductive Health (IRH), George University with Uganda Protestant Medical Bureau (UPMB). The one-year (1st June 2021 to 30th June 2022) project targets women and men of reproductive age with family planning information and methods.

The project goal is to improve access and utilization of FAM services into UPMBs Local Family Planning (FP) Program. The intended objectives include;

  1. Improved coordination of Family Planning including FAM and FP Education at national and sub-national level.
  2. Improved capacity of UPMB facilities to integrate FAM and FA Education into local FP programs.
  3. Strengthened advocacy for FAM and FA Education services
  4. Enhanced use of icyclebeads mobile app to document and report on FAM outcomes.

The project will be implemented in 3 districts in central region targeting 8 health facilities.

KIBOGA DISTRICT KASANDA DISTRICT MITYANA DISTRICT
St. James Masiriba HC III Kitikolo HCII Namutamba HCIII
Nabwendo HC III Kyanamugera HCIII, Maama Norah HCII
Bamusuuta HCII Makonzi HCIII

 

The project is working with Health Workers, VHTs and Religious Leaders to implement the project in the above facilities, communities and Churches.

Family Health projects

DINU – LEWA

The Development Initiative for Northern Uganda (DINU) – Livelihood Enhancement for West Nile and Acholi (LEWA), is a development project funded by Uganda Government – Office of the Prime Minister with support from European Union (EU). The project is implemented in a consortium led by Lutheran World Federation a long side Uganda Protestant Medical Bureau (UPMB), Danish Church Aid (DCA), and Mukwano Group of Companies.

The overall objective of project is  to  improve Livelihoods in West Nile and Northern region through integrated complementary interventions of increased production, marketing, nutrition, and family planning programs.

UPMB contributes to Strong Nutrition and Family Planning Interventions across the five project implementing Districts of Arua, Maracha, Koboko, Madi-Okollo, Yumbe, and only Family planning in four districts of Obongi, Lamwo, Moyo and Adjumani . The project shall be implemented for thirty-six months (10 January 2020 to 31 December 2022).

Family Health projects

USAID UGANDA FAMILY PLANNING ACTIVITY

USAID Uganda Family Planning Activity is a five years (2020-2025) project  being implemented by Pathfinder in partnership with Uganda Protestant Medical Bureau (UPMB). The activity aims to address underlying social, cultural, and structural barriers to family planning access, particularly among adolescents, youth, first-time parents, and low-parity women in 11 districts across Uganda.

Objectives

  1. Through leadership and coordination strengthened to support voluntary Family Planning
  2. Positive social norms and behaviors enhanced to improve “Healthy Timing and Spacing of Pregnancy (HTSP)
  3. Access to quality, voluntary Family Planning increased.

Health Systems Strengthening Projects

HRH PROJECT-MILDMAY

The Mild May Human Resources for Health project is a partnership between Uganda Protestant Medical Bureau (UPMB) and Mild-May Uganda. The health sector  faces challenges of renumerations, retention,  capacity development and motivation.

The project manages payroll for select health workers from Namutamba HC III and Lulagala HC III in Mityana district. The project also ensured the recruitment and retention of supported staff at 100% by July 2021.

 

Table 11: Supported Health Workers By Cadre

Cadres Number No of facilities
Clinical officers 2 2
Enrolled midwives 1 1
Total 3 3

Health Systems Strengthening Projects

PEPFAR HRH SUPPORT- ACE FORT PROJECT

The Human Resource for Health is implemented by Uganda Protestant Medical Bureau under the Inter-Bureau Coalition (IBC) with the purpose of recruiting and retention of high caliber human resource; managing payroll and providing support to participating health facilities to institute human resources standards.

District Cadre
Clinical Laboratory Pharmacy Management Social service Lay Other Total
Bundibugyo 4 1  – 1 5 11
Bunyangabu 5 1 1 4 11
Kabarole 25 8 1 9 10 13 66
Kamwenge 6 2 3 7 18
Kasese 41 11 1 35 39 127
Kyenjojo 9 2 8 8 27
Kyegegwa 5 3 8
Kitagwenda
Ntoroko 3 2 5
Overall 98 25 1 10 58 81 273

Table 8: Number of PEPFAR Supported staff by cadre by the end of the year July 2020-June 2021.

Health Systems Strengthening Projects

COMMUNITY HEALTH INSURANCE (CHI)

UPMB recognizes that as an organization that serves those mostly in rural and remote areas, many of the people in these target areas are often unable to pay out of pocket for the services they need, and often make difficult decisions about accessing health care that perpetuate ill-health or result in poverty. UPMB intends to seek effective alternatives in order to provide rural households a permanent solution to the problem of accessing health care. UPMB facilities are currently working on a cost sharing basis where all clients that visit these facilities contribute a very minimal token in form of user fees for the services. Research has proved that this model is not effective in promoting access and utilization of health care services.

Through Community Health Insurance (CHI), communities contribute a premium fee (subscription, usually at flat rate) towards their medical treatment to a specified medial facility. These schemes allow funds to be pooled to reduce financial barriers for those who need to use services they could not otherwise afford. These CBHIs mainly offer emergency care but not chronic care. The CBHIs have helped to create community ownership and organized structures that facilitate the implementation of primary health care by incorporating public health and behavior change initiatives through these pathways. Additionally, the public health and health promotion activities are made possible and sustained through the CBHIs premiums. This is seen as a good investment in promoting health and well-being of communities while greatly reducing the burden of disease and improving health seeking behavior.

At the national level, UPMB is actively involved in advocating for the mainstreaming of CHIs into the NHIS with partners such Health Partners, Save for Health and other Medical Bureaus.  UPMB strives to improve access to health care among the poor; and protect the poor from indebtedness and impoverishment resulting from medical expenditures. CHI schemes involve prepayment and the pooling of resources to cover the costs of health-related events.

UPMB CHI schemes generally targets low-income and quite diverse populations, ranging from people living in the same town or district, to members of a micro-finance groups. These schemes are implemented by member health facilities, and target residents from the surrounding area. CHI initiatives are based on the following characteristics: voluntary membership, non-profit objective, linked to a health care provider (often a member health facility in the area), risk pooling and relying on an ethic of mutual aid or solidarity. This solidarity and trust stir up members who are susceptible to risk to put together their resources for common use.  Therefore, UPMB supports its member health facilities to identify and leverage on the already existing social capital in the communities it serves.

Overall goal: To increase access to affordable quality health services in communities through establishing functional Community Health Insurance Schemes in at least 80% of the Member Health Facilities.

 

Objectives:

  1. To make medical services accessible to the disadvantaged and less privileged people in the community
  2. To lessen the financial burden on medical bills for all the affiliated institutions as well as the local community.
  3. To ensure all patients access the prescribed drugs at the member health facilities throughout the year.
  4. To increase on the clientele base and ensure its sustainability
  5. To Increase on the quality of care and increase customer satisfaction

More than 42 facilities within the UPMB network have ongoing prepayment schemes in the form of Community Based Health Insurance schemes with a membership of 96,192 individuals enrolled. UMPB has a network of 302 health facilities. Majority (80%) of these are located in rural and remote areas and include 19 hospitals; 10 Health Training Institutions; 10 HC IVs; 263 lower-level health facilities.