"Community Based Rehabilitation (CBR) is an evolving concept. Its effectiveness depends on continuous reflection, debate and learning. This book aims to facilitate this process through the stories of five CBR programmes in Africa, told by those involved with the programmes and reflected on with honesty...Each of the five programmes has been invited to document their work, describing how its programme started and assessing the effectiveness of the approach it has chosen. They were asked to identify their successes and challenges, and to reflect on how difficulties are being overcome. Life stories illustrate the impact each approach can have on individual lives. The book offers itself as a reflective tool, to be used by practitioners. Each chapter asks specific questions of its readers, inviting them to draw comparisons with their own programme. The concluding section of the book outlines ideas for evaluating and developing their CBR programmes"
This guide promotes better accessibility for persons with physical disabilities in Uganda by providing information for constructors or developers to build accessible environments. It presents information about how to construct standard ramps, toilets, lifts, road in addition to wells, furniture and more. These accessibility standards are useful for Architects, policy makers and implementers on accessibility requirements during the design and implementation of construction projects
This report examines national AIDS and HIV strategic plans (NSPs) in eastern and southern Africa and includes findings, discussions and best practice examples on the integration of disability throughout the countries. "Generally, the findings of the report show that less than 50% of the countries in Eastern and Southern Africa recognise disability as an issue of concern, or specifically recognise the vulnerability of people with disabilities to HIV and AIDS within their NSPs. Furthermore, it found that even where countries have recognised disability as an issue, there is limited specific guidance within the NSP on HIV-related service provision to meet the needs of people with disabilities. Only one country, South Africa, showed extensive integration of disability into the various focus areas of its NSP." The report concludes with recommendations and provides detailed appendices of national reports for each country surveyed
The local manufacturing of pharmaceuticals is a hotly contested issue in many countries. It runs to the heart of key concerns such as quality, availability, and price of medicines. Some of the arguments of the local manufacturers are set out in this article by one of the co-chairs of the Medicines Transparency Alliance Uganda Council and Chairman of the Uganda Pharmaceutical Manufacturer's Association (UPMA)
This report focuses on three of 10 sub-Saharan countries that were covered by a study examining the quality of key antimalarial medicines. A total of 491 samples of anti-malarial medicines (both artemisinin-based combination therapy and sulfadoxine-pyrimethamine products) were collected from the public sector, the regulated private sector and the informal market in these three countries. The study revealed a high failure rate among sampled antimalarials in all three countries, based both on Minilab and full-compendial or quality control laboratory testing
This project briefing presents key findings and policy recommendations from a study conducted in the East and Southern African region that aimed to improve understanding on how these households cope during emergencies. A literature review was followed by country case studies in Northern Uganda and Zimbabwe in which members of self-help group households, both older people and children, and organisations involved in the emergency response were interviewed. Recommendations are provided on how emergency preparedness and response can better meet the needs of such households in the region
Project briefing, No 33
This research report considers the challenges faced by a local pharmaceutical firm - Quality Chemicals - in Uganda, which was started up as a 'solution' to reducing the high cost of medicines and improving access to medicines. "...many burdens and barriers to access continue to seriously hinder the success of such enterprises. Indirect government subsidies to exporters selling into African markets, and pressure by donors and lobbyists on innovator producers to offer developing countries subsidised prices, actually undermine the competitiveness and viability of these nascent firms. Furthermore, the focus on drug pricing and local production can actually undermine the overall aim to increase access to medicines"
This report surveys landmine survivors’ opinions on assistance. The survey includes questionnaires and data from 1,645 survivors in 25 affected countries. The report finds that survivors are rarely included in decisions and activities destined to benefit them and subsequently more than two-thirds think that their needs are not taken into account when their governments makes plans to assist them. This document is useful for people interested in landmine survivor's opinions about governments supporting and reintegrating landmine survivors into society
This report looks at how four specific gender strategies are being used in HIV and AIDS intervention programmes, how they are working, and how people are learning from and sharing their experiences toward strengthening programmes and expanding successes. A number of programmes in 11 African countries, as well as multi-country programmes are examined. The four gender strategies are: - Reducing gender-based violence; - Increasing women‘s legal protection; - Addressing male norms and behaviours, and - Strategies to increase women‘s income and productive resources.
This manual is intended to help network support agents and other community workers be more effective in disseminating standardised information about HIV and AIDS. It "...emphasises the importance of the acquisition of knowledge, skills and the right attitude needed to identify the psychosocial needs of people of people infected and affected by HIV/AIDS and address these needs by giving information, counselling and appropriate referrals. Knowledge of counselling and psychosocial care, is combined as much as possible with prevention activities such as adopting HIV basic care positive prevention and adherence to treatment"
"The health worker shortage in sub-Saharan Africa derives from many causes, yet the dynamics of entry into and exit from the health workforce in many of these countries remain poorly understood. This limits the capacity of national governments and their international development partners to design and implement appropriate intervention programmes. This paper provides some of this information through the first systematic estimates of health worker inflow and outflow in selected sub-Saharan African countries"
"Traditionally, faith-based health organisations have been important health care providers in many remote and other under-serviced areas. Currently, these facilities bear the brunt of the competition for scarce human resources. It is important for faith-based organisations to learn from recent experiences and from the creative ways in which colleagues seek to retain their health workers and improve quality of human resource management. [As part of a]"...linking and learning programme, some faith-based umbrella organisations in Tanzania, Ghana, Uganda, and Malawi have joined forces to share their experiences in confronting the human resources crisis: by developing retention schemes, offering in-service training, task shifting, developing the planning and management skills of their staff, better coordination of salary and incentive structures with the public systems, and the development of lobbying instruments for national and international use"
This paper examines the community’s perspectives and perceptions on quality of health care delivery in two Uganda districts. The paper addresses community concerns on service quality. It focuses on the poor because they are a vulnerable group and often bear a huge burden of disease
This end of project report outlines the background, achievements and lessons learned during the life of the 'Networks model project' which helped to develop the capacity of people living with HIV and increase their access to HIV services and health facilities in the community
This booklet presents the challenging conditions faced by nurses in Uganda and how staff shortages make it difficult to deliver health services, particularly in rural areas. It also highlights how the Ministry of Health and the Uganda Nurses and Midwives Council, based in Kampala, are using data to support the country's health workers and improve health care in the districts
This picture story shows the involvement of grandparents in memory work in Uganda - either in writing memory books for their grandchildren or in reading and updating memory books created by their children, for their grandchildren
This learning paper looks at the experiences of applying memory work as part of broader strategies to mitigate the impact of HIV and AIDS in five African countries. It explores how six NGOs in sub-Saharan Africa established memory work as a key component of their community-based HIV programmes and draws on the experience of people living with HIV and AIDS, children and young people who participated in the initiative, partner organisations' own learning and analysis and the end of project evaluation report
This technical brief illustrates the breadth of pre-service and in-service health-care training offered by faith-based organisations in sub-Saharan Africa, with a focus on nursing and midwifery pre-service training in Malawi, Kenya, Tanzania, Uganda and Zambia
This video provides an overview of the Theatrescience involvement in the ‘Acting Against Worms’ educative drama project in East Uganda, which aims to raise awareness about bilharzia (or schistosomiasis) among school children and the community
This article reports from a pilot project in Uganda where the aim is to enable persons with disabilities to have access to mainstream microfinance services. Several lessons have already been learned: 1) entrepreneurs with disabilities are an untapped market opportunity for Micro Finance Institutions (MFIs); 2) to influence MFIs it is important to understand their business model and team up with key actors from the industry; 3) persons with disabilities are often misinformed about MFIs' terms and services and don't know how to tap these opportunities. Gradually a change in attitudes in MFIs and Disabled Peoples Organizations (DPOs) is observed. All MFIs participating in the project now report an increase in the number of clients with disabilities served. This is happening without the use of any economic incentives.
Source e-bulletin on Disability and Inclusion