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i | Page 7 th AUGUST, 2017 KIJUNU HOTEL REPORT ON THE PROCEEDINGS OF THE HOIMA DISTRICT ADVOCACY TO ACTION FOR FAMILY PLANNING MEETING

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7th AUGUST, 2017

KIJUNU HOTEL

REPORT ON THE PROCEEDINGS

OF THE HOIMA DISTRICT

ADVOCACY TO ACTION FOR FAMILY PLANNING MEETING

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Table of Contents

Acronyms ....................................................................................................................................................... i

1.Background ................................................................................................................................................ 3

2. Objective ................................................................................................................................................... 3

3. Methodology ............................................................................................................................................ 3

4. Introductory Remarks………………..…………………………………………………………………………………….………………….4

4.1. Opening Prayer ............................................................................................................................. 4

4.2. Introductions and Expectations .................................................................................................... 4

4.3. Welcome Remarks from CAO ....................................................................................................... 6

4.4. Welcome remarks from DHO ........................................................................................................ 6

4.5. Welcome remarks from NPC ........................................................................................................ 6

4.6. Video ............................................................................................................................................. 7

4.7. Objectives...................................................................................................................................... 7

4.8 Opening remarks from RDC. ......................................................................................................... 8

5. Official Opening and Program ................................................................................................................... 8

5.1 Presentation: Demographic Dividend and Rationale for FP Investments .................................... 8

5.2 Presentation on FP Status in the District. ..................................................................................... 8

5.3 Presentation on Using Reality Check to Set District Level Goal and Holistic Programming to

Achieve Results ................................................................................................................................ 9

5.4 Discussion on meeting the FP needs of Young people: the key to the future District Youth

leader……………………………………………………….………………………………………………………………………………10

5.5 Discussion ...................................................................................................................................... 10

6. Call to Action ..................................................................................................................................... 11

7. Closing remarks ................................................................................................................................ 12

Annex 1: Agenda ......................................................................................................................................... 13

Annex 2: Registration Forms. ...................................................................................................................... 14

Annex 3: Pictures of the Meeting ............................................................................................................... 18

Annex 4: Detailed Meeting Presentations ................................................................................................ 191

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ACRONYMS

ACAO Assistant Chief Administration Officer

ADHO Assistant District Health Officer

CAO Chief Administrative Officer

CBO Community Based Organizations

CDO Community Development Officer

CYP Couple Years of Protection

DHI District Health Inspector

DHO District Health Officer

FP Family Planning

HCD Hoima Central Division

HDLG Hoima District Local Government

HF Health Facility

HMC Hoima Municipal Council

HMIS Health Management Information Systems

HMNCH Hoima Maternal Newborn Child Health

IPs Implementing Partners

LARC Long Active Reversible Contraceptives

LC III Local Council 3

mCPR Modern Contraceptive Prevalence Rate

MoH Ministry of Health

NPC National Population Council

NPO National Population Officer

RDC Resident District Commissioner

RDC Residential District Commissioner

RHU Reproductive Health Uganda

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RMNCH Reproductive Maternal Newborn Child Health

SAS Senior Assistant Secretary

SEED Supply Enabling Environment Demand

SMF Samasha Medical Foundation

SRH Sexual Reproductive Health

TC Town Clerk

UPMB Uganda Protestant Medical Bureau

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1. Background The Government of Uganda has made two commitments regarding family planning (FP) as part of their national FP2020 Goal: 1) to increase the modern Contraceptive Prevalence Rate (mCPR) for women of reproductive age to 50% and 2) to reduce unmet need for FP to 10% by 2020. The National Population Council (NPC) and the Ministry of Health have partnered with EngenderHealth in improving the uptake and utilization of FP data for advocacy. This process began in June 2017 with a national stakeholders meeting. The meeting served to orient key decision makers to FP messages and data usage for FP. After this meeting, it was recommended that the activity be carried out at a district level, as districts are important contributors to the national FP2020 Goal. The purpose of these meetings, known as “Advocacy to Action” meetings, is to introduce the use of the RealityCheck tool, and to orient stakeholders to the project goal of scaling up access and use of quality family planning services in Hoima district. Samasha Medical Foundation (SMF) was tasked by EngenderHealth to support the National

Population Council and the Ministry of Health to plan, support and document results Advocacy

to Action meetings in both Hoima and Masaka districts. In this regard, SMF supported

EngenderHealth to organize for the “Advocacy for Action Stakeholders Meeting” in Hoima

District, which took place in Kijungu Hotel (Hoima) on the 7th of August 2017. Participants

included, among others:

Political leaders: Representative for Resident District Commissioner, Representative for

District Local Council 5 Chairperson, District Speaker, Town Clerk, Several Division

Chairpersons, and Secretary for Health

Technical leaders: Assistant Chief Administrative Officer [ACAO], Assistant District Health

Officer [ADHO], other members of District Health Team, Hoima District Local

Government (HDLG) District Education Officer, District Youth Coordinator

Youth representatives

Cultural leaders

See Annex 2 for full list of participants

2. Objective The objective of the meeting was to build momentum and support from high-level district decision makers in order to carry out the improvement plans for family planning uptake, which contributes to the national mCPR target.

3. Methodology This meeting was structured using participatory methods to allow participants to actively engage and voice their opinions. Presentations enabled participants to understand the concept of family planning at a district, national, and worldwide level. Discussions clarified expectations, allowed participants to share their opinions, and generated ideas.

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4. Introductory Remarks

4.1 Opening Prayer

The Rev. Kiiza Kafe, Chaplain, led the opening prayer.

4.2 Introductions and Expectations SMF led this activity. Participants introduced themselves and shared their expectations from the meeting. The following is the list of participants’ expectations.

Expectation Achieved?

To get deeper understanding of what FP is. Achieved through the opening videos. Dr. Nicholas, the ADHO, further explained the different FP methods.

To know what I don’t know Achieved through the presentations done by the facilitators and discussion.

To learn more on rational for FP and how data can be captured and used in the district

Achieved through presentation of SEED model.

To learn about how to improve on FP uptake Achieved through developed “Call to Action”

To be able to make personal judgment regarding FP (mainly on pills) because message “at the ground roots” say pills are not good.

Achieved through video that explained different methods of FP

To understand key FP issues in Hoima District Achieved through discussion and presentation by the ADHO on FP status in the district

For all the leaders in the meeting to agree on how to take FP forward.

Met through development of Call to Action

To learn strategies on how population issues could be integrated to FP

Partially achieved through presentation dividend

To learn the role of a leader in regard to FP Achieved through development of Call to Action for Hoima district

To learn how to include men as equal partners in FP

Achieved through development of Call to Action for Hoima district

To learn about categories of FP based on age, and side effects of FP

Partially achieved through discussion and presentations.

To enhance partnership with the district and MoH

Achieved through the developed Call to Action

To learn about issues surrounding FP utilization and provision in Hoima

Achieved through discussion, presentation and Call to Action

To learn about FP methods that are socially and morally acceptable

Achieved through opening video about different methods of FP and explanation given by ADHO about FP methods

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To learn about strategies that can be used to reduce the unmet need of FP in Hoima.

Achieved through presentation on FP goal on midpoint uptake by MoH

To learn new policies that have come up on FP.

Achieved through presentation on FP goal and midpoint uptake by MoH

To learn how to package FP service better

To receive explanation from Marie Stopes regarding FP for pupils in primary, and clear statistics of FP in Bunyooro sub-region.

Met through the explanation that was given by the Hoima district branch manager of Marie Stopes Hoima who said that they give appropriate sexual information about methods to the adolescents from 15 and above

To learn facts about myth and misconceptions that community have about FP methods.

Achieved through discussion, video, and explanation of different methods of FP and by Dr. Nicholas, ADHO.

As community partners, where we have not done well, so looking for a way forward to improve on those areas

Achieved through presentation for FP midpoint uptake by Ministry of Health and development of “Call to Action”

To learn about how to network better to improve the FP services delivery

Achieved through developed “Call to Action” for the district.

Dr. Moses Muwonge added that there are a lot of misconceptions and curiosity about FP. Therefore there is a need to educate leaders on what FP means, and FP methods and effects. During discussion, he asked Mariestopes and Ministry of Health to respond on their position regarding FP and health policy for adolescents, which the Ministry of Health is developing. He further explained the difference between adolescents, young people, and youth: He defined adolescents as those aged 10-19 years, and young people as those aged between 10-24 years. Youth can be defined differently by politicians. He introduced the National Population Council as a high-level organization in the government that works on policy issues and focuses on leadership, system strengthening, and how we should be moving forward as a nation regarding population growth. He pointed out that by 2040, Uganda’s population will be 93,000,000 people, according to Uganda Vision 2040 population projections. He said that Uganda’s population will naturally increase with or without FP, yet the land and resources will remain the same. Currently Hoima has 617,000 people and the population growth rate is at 4.2% (higher than the national population growth rate of 3.0%). Therefore everyone needs to plan for his/her children and question whether we are increasing schools, HF, and water sources in the same rate. Dr. Moses Muwonge concluded by inviting Mr. Insingoma, the District Speaker representing the Sec. for Health, to moderate the first session.

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4.3 Welcome Remarks by Chief Administrative Officer (CAO) The CAO recognized the presence of participants from varying roles in government. He said that this meeting would be an extra dose to what they knew, and what they did not know. He added that many of the participants’ expectations were to learn about methods of FP. He argued that matters of reproductive health should be addressed to the adolescents to add value, even though the meeting looked to be targeting only the adults. He shared the experience of the previous meeting he attended, which was about FP for young people. To his surprise, young people aged 13 have more knowledge than expected about reproductive health. He noted that there is a challenge of cultural norms, adding “I heard from the radio where man who had 154 children was recognized by the king of Bunyooro”. This can make it hard to advocate for FP in the communities. He concluded by advising the leaders that they have a duty to ensure that quality life is attained in the district.

4.4 Welcome Remarks by the District Health Officer

DHO remarks were delivered by the representative. He thanked the organizers of the workshop. He mentioned the few challenges that they face in the community, including: High rate of reproduction, increased unsafe abortions in health centers that has cause side effects in womens’ birth canals. Therefore, he said there was a need to come up with policies to prevent this act and lack of male involvement on FP activities. He went on to advise the stakeholders to always involve youth and men in FP programs to create awareness. He said that this meeting will be a guide on how to improve on FP. From this meeting, we will be able to come up with the resolutions to the above-mentioned challenges and to partner with Ministry of Health towards achieving FP goal.

4.5 Welcome remarks from the National Population Council Stella Kigozi delivered remarks for National Population Council, who was glad to be in home district. She explained that there is reservation from political leaders about population growth where they think reducing population means killing people. She experienced a similar issue being raised in the previous meeting in Masaka and she affirmed that it’s not NPC goal to kill people. We are concerned with the quality, since the population of Uganda is bound to grow and that is why we are here. She further explained that PopSec transitioned into National Population Council. It was birthed in order to able to address emerging population trends and development in a manner that is multi-sectoral. She oriented participants on the core work of NPC, which includes: 1) advocacy trainings at the national level where we were able to go through the tools (Reality Check Tool) that will be shown to you, 2) capacity building: NPC was able to hold meeting with the local leaders as in Masaka and today in Hoima to integrate population growth into development and working with leaders at different levels. She shared information on Uganda’s current population size as per the census of 2014, which is 34.6 million. By the end of the year 2017, it will be approximately 38 million people, with young people under 30 years making up 78% of the

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population. This creates a challenge for both the government and community. This high population growth is due to high fertility rate. Uganda has developed a road map of how to take advantage of young people and National Population Policy, which is still on review, to ensure quality of life. She elaborated on the key indicators of population that include:

Fertility rate, which is defined as is the average number of children that a woman can produce in her reproductive age. The fertility rate in Uganda is currently 5.4 per woman, which is the higher than Rwanda (4.5 children per woman) and Kenya (3 children per women).

Teenage pregnancy at 25%, meaning every 1 of 4 girls under 19 years gets pregnant. This is a challenge to the country and we need to come up with the solution on how to address this problem.

She concluded by asking members present to forward the message that improving quality of life is important and thanked everyone for attending the meeting.

4.6 Video Video introducing the various types of contraceptives available to women who may not be able to use or may choose not to use traditional methods. Created by Johns Hopkins Medicine. http://www.hopkinsmedicine.org/johns

4.7 Objectives Tom from EngenderHealth delivered the objective and the rational for the meeting. He shared that the idea was to create awareness on what other stakeholders are doing on reproductive health, taking note of maternal child health as a key factor. Then, stakeholders will know the role that you have to play regarding maternal child health. For example, in ongoing district planning, what will the district contribute towards maternal health? It’s on this idea that NPC and MoH, in collaboration with EngenderHealth, realized the need for the previously-held national meeting. It was agreed that this program be rolled out to district level, and that is why we are here today in Hoima district

4.7.1 Objectives

To review progress made by Hoima district in implementing FP services

To assess what is required to continue the advancement towards achieving Uganda’s goals for family planning and maternal health.

To dialogue about options to increase access to and use of a wide range of services in order to meet the reproductive intentions of Ugandans and resolutions made at the district level.

To support Hoima district to set the goal for reaching the 2020 modern Contraceptive Prevalence Rate (mCPR) target of 50% and to come up with “Call to Action” plan to attain this goal.

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4.8 Opening remarks from Resident District Commissioner .

He was happy to be in the meeting and he believes that through this meeting, key issues will be discussed and resolutions attained. He told the participants that RDC had lost his brother, therefore it was mourning day for the most of the leaders, but protecting mothers from maternal death remains a key aspect that needs intervention. Concluded by thanking organizers for organizing this workshop.

5. Official Opening and Program The Official Opening was done by the district speaker who represented the LC5 Chairperson and welcomed everyone to the meeting. He commented the participant’s expectations that showed knowledge gap about FP methods, and that it is a serious issue if even the LC3 does not know what FP is. These knowledge gaps could be due to lack of information or interest on FP, therefore there is a need to educate participants about FP methods. He also raised an issue of the increasing number of people at the border yet the actual population of Bunyooro is small. The community believes that those with many children will take advantage of those with few children and grab their land—how will this be addressed?. He went on to comment on the video about family planning methods saying, “For us men we are not able to understand this video, we can only see pictures”. He concluded by declaring the meeting officially opened.

5.1 Presentation on Demographic Dividend and Rationale for FP investments This presentation was delivered by Juliet Tumuhairwe from MoH. She elaborated on Uganda’s participation in the FP2020 London Summit, where Uganda was among the countries that were involved in FP2020 commitment. The president of Uganda made commitments that include reducing unmet need to 10% and increasing mCPRto 50% by 2020. She explained how the country has been performing at a national level. She further explained that FP is important to this country, therefore stakeholders at the district should carry it forward as momentum. In addition, she mentioned the four documents that have been developed in relation to FP. This includes: Costed implementation plan, SRH guidelines, Implementation plan for LARC, and RMNCAH investment case. These will be guides on setting a goal that is achievable as district. She advised the health workers to promote the uptake of Long Acting Methods to be able to achieve the goal. Then she questioned the leaders: “What will you do as political leaders of Hoima in contribution to national CYP? Do you lobby for finance? Do you include it in your district performance indicators?” She concluded by advising leaders to pass on information and support FP in their district.

5.2 Presentation on FP status in the district Annette Grace Mutageyi, ADHO introduced herself as a champion for FP in Hoima district. She requested for any other champion amidst the participants to testify to others. One of the participants testified as being a polygamous man with four women. He had advised all of them to go for tubebalisation (female sterilization). The ADHO advised everyone to live as example. She elaborated on the FP status in Hoima district. She explained the unmet need in Bunyooro region, highlighting the unmet need for FP at 28.8% based on UDHS 2016, teenage pregnancy at 29% between 15 – 19 years, and 64 deaths per1000 live birth occurred among children under

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five. She went on to say that there only 4 health facilities providing comprehensive FP service due to insufficient space, equipment, and training and the lack of an operational theatre. In addition, 55 health facilities provide short term methods apart from catholic based health facilities due to knowledge gap about FP. She appreciated the support from EngenderHealth and the support towards training health workers in Hoima, which has built clinical skills in the district. She concluded by recommending the implementing partners (IPs) bridge the knowledge gap among the stakeholders.

5.3 Presentation on using Reality Check to set district level goals and holistic

programming to achieve results

This presentation was delivered by Dr. Moses Muwonge, SMF, who oriented the participants on SEED Model. He further explained that that SEED stands for Supply, Enabling Environment and Demand, where the three are integrated together to improve sexual reproductive health. He went to explain “supply” as supporting staff in delivering services, in ways such as on the job training. Supply also includes availability of FP methods and others necessary items. Enabling environment means policies, and social and gender norms that would support FP. He gave the example that if the DHO or any political leader is not supportive for FP, then it becomes a bad environment. “Demand” is when both man and woman have awareness of FP and are able to demand it. He also shared information from the RealityCheck Tool on the Ugandan (national and regional level) goals for FP, previous trends for mCPR, unmet need for FP, and health facility caseloads. This was intended to provide statistics to the district authorities and stakeholders in order for them to make informed decisions while setting the Hoima goal for the next 3 years in order to attain the mCPR projected for 2020. He defined CYP and LARC: CYP refers to women between 15 - 49 using contraceptives, and Long Active Reversible Contraceptives (LARC) are long term methods that are active for the period between 5 years to 10 years. Permanent methods are those that are not changeable, bit for lifetime. Unmet need is the number of women of reproductive age who do not want to have a child within the next two years but do not use any FP method. He advised the leaders that to succeed in FP goal, there should be supply, demand and enabling environment. Cultural and religious leaders should help advocate for FP in Hoima if the district is to improve to achieve the national target.

5.4 Discussion on meeting the FP needs of Young people: the key to the future District

Youth leader. Presentation was delivered by Francis, Youth Chairperson. He affirmed that he uses FP and also tells people the advantages of FP whenever he is given opportunity to speak to the audience. On

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this remark, he advised political leaders that, whenever given a platform to talk to people, they should use this chance and talk about FP. He argued that the leaders and implementing partners should include the young people in whatever they plan, and that they should accelerate information to the young people on sexual reproductive health. He posed the question to the leaders of what they will do for the community if IPs projects on FP and SRH have phased off. He concluded by thanking the partners i.e. IDI, EngenderHealth, World vision, RHU, Marie Stopes Uganda and others for work they have done

5.5 Discussion

Issues Response

What is the trends of Hoima from 1969 census and how can we engage the leaders?

How can we come up with the policy that will stop other people intruding on our land because we the Banyooro are few in number?

Family planning is not about reducing the number of people but it’s to help families to decide in the number of children they can take care of and when to have them

What is the ideal fertility rate for Hoima Dr. Mihayo MoH explained that at national level, total fertility rate is 5.4 children rounding to 6 children per woman in reproductive age as per UDHS report 2016. Hoima district is estimated at three to four children for each woman in reproductive age

What is the equivalent of mCPR for men

Define the small family Defined as having a family that you are able to take good care in terms of basic necessities

Based on presentation about demographic dividend and Thailand is an example of a country that has developed because of reduced population yet it developed because of investments from other countries.

John Ampeire from NPC explained that when you have few children, you incur few costs hence able to save and the same applies to the whole country

Why should we practice FP yet population of Muslims are few compared to other religions in the world

Dr. Muwonge projected a bar graph showing total number Muslims in different countries in the world.1

1https://rankingamerica.files.wordpress.com/2009/01/chart-of-muslim-population.jpg

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He further explained that FP is not to reduce the population but rather quality population in the country.

Advice to women who have tried FP method and it has failed

This was not explained by the Dr. Nicholas ADHO and Dr. Mihayo on different methods of FP

What program do you have for the young people

Call upon other IPs to partner with us the leaders Recommendation to the participants

What plans do leaders have in case the programs of IPs come to end

Secretary for Health reaffirmed that HDLG leaders will implement developed “Call to Action”

How to increase access to FP “Call to Action”

Dr. Mihayo from Ministry of Health discussed to the participants that FP is a practice of voluntarism— not force. This was explained in the video by Dr. Muwagaba, an economist. The video said that if the economy is to match the population growth, it will have to grow to 4 times its current size He noted the aspect of enabling environment, from the SEED presentation, which is mainly on policy and political will, therefore male involvement is needed. “Both parties should discuss on how they want to space their children and make choice with their wives to avoid domestic violence and cases like a woman’s hand being cut because she inserted Implanon”. He concluded by advising providers to always give all the information about different types of FP methods and the side effects for proper choice making.

6. Call to Action

Hoima Call to Action We, the political, religious, cultural and technical leadership of Hoima, gathered here at Kijungu

Hotel in Hoima, on the 7th day of August, 2017, having noted that Uganda has reached an

acceleration phase in the modern Contraceptive Prevalence Rate, (mCPR) and having set an

overall goal of reducing by 10% the proportion living in extreme poverty. By the end of 2020 to

ensure a health, well-educated productive society with a high quality of life and having note

noted that the policy environment is conducive for the continued growth of Reproductive Health

programs, commit to increase mCPR at an annual rate of not less than 2.6% by doing the

following:

1. Support quality family planning interventions in Hoima District at all levels.

2. Scale up the number of facilities that are offering family planning services on a daily basis, by

training more providers, and ensuring that facilities have the necessary equipment and

supplies.

3. Promote the coordination among FP Implementing Partners in the district.

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4. Ensure that we mainstream FP activities in our budget and plans.

5. Integrate FP services into other services that are being implemented in the district (e.g.

prevention and curative services, STIs, HIV, and others), as well as social, economic, and

religious programs.

6. Lobby Central Government and FP Implementing partners to provide adequate and timely

supply of essential FP equipment and supplies.

7. Sensitize communities (Women’s Councils, Young Mothers’ Organizations, Male Involvement

Organizations, Religious Leaders, CBOs, Community leaders, schools) in order to increase

support of family planning.

8. Improve the quality of data capture, management, and utilization for informed planning,

through support supervision, coaching, and mentorship.

9. Strengthen health education and life skill programs in schools.

10. Strengthen the existing community structures to support family planning services.

11. Promote natural and modern Family Planning methods.

12. Use harmonized, culturally and religiously sensitive and age appropriate Family Planning

messages.

13. We shall take these interventions and customize them in our councils

7. Closing Remarks

Closing remarks were made by Mulindwa Muura Mugeyi, Secretary for Health (HDLG), who thanked

NPC, MoH and EngenderHealth for organizing this meeting. He lamented that though unmet need

still exists, this workshop has enlightens us on how we can plan ahead to develop. Based on the

presentations, if Uganda is to move to the next level, to get out of poverty, then we should plan for

our families. Therefore, family planning starts at the household level. He emphasized that as we are

thinking in terms of slowing population increase, there is an aspect of having quality population.

Therefore when we leave the room, we should all be committed to take-up the challenges in our

communities, though there is still need for more engagement of leaders.

In his conclusion remarks, he advised all participants that they should move out of meeting room

when they are converted. We should improve on the level of education, because increased level of

education increases the level of FP, which leads to utilization of resource, hence improvement of

household income and productivity, thus economic development.

He affirmed that “We the technical team, religious leaders, district heads will take this call and start

acting towards it now”.

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Annex 1: Agenda

Ugandan District Stakeholder Meetings

Hoima: 7th August 2017 Kijungu Hill Hotel

Program

Time Activity Person Responsible Facilitator

8:30am Registration EngenderHealth

9:00 - 9:05am Introductions and Expectations Dr. Moses Muwonge SMF

Secretary for Health

9:05 - 9:10am Welcome Remarks CAO

9:10 - 9:15am Welcome Remarks DHO

9:15 - 9:20am Welcome Remarks NPC

9:20 - 9:25am Welcome Remarks and video intro RDC

9:25 - 9:30am Video

9:30 - 9:35am Objectives Tom EngenderHealth

9:35 - 9:45am Official Opening LC5 Chairperson

9:45 - 10:00am Opening video Stella Kigozi NPC

10:00 - 10:30am Break

10:30 - 10:40am Presentation on Demographic Dividend and the Rationale for FP investments

Mr. John Ampire NPC

Dr. Mihayo

10:40 - 10:50am Presentation on FP goal midpoint update

Dr. Mihayo MoH

10:50 - 11:05am Presentation on FP status in the district

ADHO

11:05 - 11:20am Presentation on Using Reality Check to Set District Level Goals and holistic programming to achieve results

Dr. Moses Muwonge SMF

11:20am - 12:00pm Discussion on meeting the FP needs of Young people: the key to the future

District Youth Coordinator

12:00 - 1:00pm Discussion

1:00 - 2:00pm Lunch

2:00-2:30pm Call to Action John Ampire NPC & Dr. Mihayo MoH DHO

2:30 - 3:15pm Gap Analysis (Group Work) Innocent NPC

3:15 - 3:45pm Tea break

3:45 – 4:45pm Group presentations and plenary discussion.

Dr. Mihayo

4:45 - 5:00pm Closing remarks District Chairman

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Annex 2: Registration Forms

No Name Designation Organisation Email Telephone

1 Mihayo Placid Senior consultant

MoH [email protected] 0772658916

2 John Ampeire K

NPO NPC [email protected] 0782399369

3 Stella Kigozi Director NPC [email protected] 076460917

4 Innocent Owomugisha

NPO NPC [email protected] 0752290909

5 Kazini Francis District Councilor

HDLG 0772835691

6 Moses Muwonge

Director SMF [email protected] 0772537722

7 H.A Kissza CAO Hoima [email protected] 0772590078

8 Juliet Tumuhaiwre

Track20 M&E FP

MoH-FP [email protected]

0787659257

9 Ruth Amuge Assistant Program officer

SMF [email protected] 0706722981

10 Annet. G. Mugenyi

ADHO HDLG [email protected] 0782115629

11 Isingoma N.K For District Chairperson

HDLG [email protected] 0772874196

12 Elly.T. Mugumet

For SAS Kiziranfumbi Sub county

[email protected] 0772390408

13 Ann Muhawenimana

Centre Manager

Marie Stopes Uganda

Ann.muhawenimana@mariestopes .or.ug

0759004046

14 John Byakagaba

District Planner

HDLG [email protected] O772437940

15 Fanstino Twesigye

Statistician HDLG [email protected]

0701827868

16 Francis .K. Abitekaniza

SAS Kabnoya Sub county

[email protected] 0703598945

17 Fred Mukiibi Driver NPC [email protected] 0783002182

18 Lameck Kakooza

Driver MoH [email protected] 0772498033

19 Nebba Baruhanga

Chairperson Buhimba Subcounty

[email protected]

0772410653

20 Dr. M Mulowooza

For Director Hoima Regional

[email protected] 0772410653

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Referral Hospital

21 Athanance Kalyebara

Sub county chief

Bugambe Sub county

[email protected] 0782177870

22 Rebecca Mirembe

Project Coordinator

HMNCH World Vision

[email protected] 0755002547

23 Rev. Kafe Kiiza Chaplain Azur church

Hoima 0774585904

24 Dr. Charles Kajura

Medical Officer

HDLG [email protected] 0772640527

25 David. T. Kabagambe

District Biostatistician

HDLG dkabagambe @gmail.com 0782610069

26 Damu Kasangaki

Chairman LC III

Byahanika sub county

[email protected] 0775005951

27 Joseph Kasumba

Journalist Liberty FM [email protected] 0783164015

28 Dr. Nicholas Kwikliziza

ADHO Hoima District

[email protected] 0782783288

29 Patrick Byamukama

News Editor/Talk shows

Liberty FM [email protected]

0774657680

30 John Bosco Ruhweeza

Councilor Hoima [email protected]

31 Henry Kisembo Health mentor

HCD [email protected]

32 Patricia Asiimwe

HMIS- FP HDLG [email protected]

O775613213

33 Flaura Mabwiiz ACAO HDLG [email protected] 0775613213

34 Davis Tumuhairwe

SAS Buseruka sub county

[email protected]

0775105511

35 Ali Tinkamanyire

Chairman LC III

Buseruka Subcounty

0772410677

36 Dr. Gerald Asaba

In-charge Buhaguzi

HDLG [email protected] 0788391158

37 Esau.R. Muhumuza

Rev. Azur church

UPMB [email protected] 0772482471

38 John Bosco Tugume

Journalist Spice FM [email protected]

0774903485

39 Joseph Lubega Focal Person Maternal and Child Health

HDLG [email protected]

0772410639

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40 Iddi Mugenyi Public Relations Officer

Uganda Muslim Supreme Council

[email protected] 0788703308

41 Stephen Biiryahika

Chairperson LC III

Kabwoya sub county

0785844837

42 Mazirane Bwemera

Chairperson LC III

Kyangwali Subcounty

0777591607

43 Fredrick Byenume

DHI HDLG [email protected]

44 Stuart Muhanuzi

SAS KyabigumbiSub county

[email protected]

0772513928

45 Robert Atuhairwe

Reporter New Vision [email protected] 0773750191

46 Mkwaliramuda John

Chairperson LC III

Bugambe Subcounty

0782445185

47 Simon Kiiza SAS HDLG [email protected] 0782486856

48 Ismail Kasoohg Journalist Bukedde Television

[email protected] 0772076u87

49 Angela Kusiima Branch Manager

RHU Hoima [email protected] 0700574864

50 Stanley Mbmeki

Senior CDO HDLG [email protected]

0772574864

51 Alex Mwesigwa

Chairperson LCIII

Kyabigambire Sub county

[email protected] 0752822654

52 Aisha Kabarambi

Deputy Speaker

HDLG [email protected] 0772601111

53 Lydia Asiimwe Population Officer

HDLG [email protected]

54 Plan Bernadette

Secretary for Finance

HDLG [email protected] 0772473941

55 Everce Mungurya

Secretary Gender

HDLG [email protected] 0775061057

56 Muludamlaka Secretary for health

HDLG [email protected] 0773290721

57 Nelson Businge

Mayor Hoima Municipal council

[email protected] 0774770602

58 Mugano Felix Principle Health Inspector/MoH

Hoima Municipal Council

[email protected] 0772513574

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59 Ssenfuka Public Health Officer

HDLG [email protected] 0772462802

60 Francis Mugewra

Reporter Daily Monitor

[email protected]

0772883757

61 Philip Kyahurwa

For TC/HMC Hoima Municipal council

[email protected] 0782905120

62 Fred Mawann Provider Officer

Hoima [email protected] 0772682636

63 Peter Abanabasazi

News reporter

Red Paper [email protected]

0779120776

64 Habibu Mugisha

Chairperson Kitoba Subcounty

0779485631

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Annex 3: Pictures of the Meeting

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Annex 4: Detailed Meeting Presentations

Presentation 1: Demographic Dividend and the Rationale for FP investments

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Presentation 2: FP goal midpoint update

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Presentation 3: FP status in the district

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Presentation 4: Using Reality Check to Set District Level Goals and holistic programming

to achieve results

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