Community campaigning for maternal health in Uganda

July 14, 2011

Posted by Enrique Restoy

Coordinator: Human Rights Advocacy and Campaigns

“Something is really changing inside communities in Uganda. They are realising that their government has responsibilities to provide for their health that it is not fulfilling, They are angry”, says, Dorcas Amoding, with contagious conviction.

Amoding is from the Community Health and Information Network (CHAIN), a network of community based organisations that partners with the Alliance’s linking organisation in Uganda, Community Health Alliance Uganda (CHAU) in a Dfid-supported project to improve HIV-related maternal, child and newborn health (MNCH).

As part of the MNCH project, the CHAU is playing a pivotal role in the development of the Maternal Health Coalition, a campaign that demands an effective improvement in the delivery of maternal health care all along the health chain in Uganda, from the creation of health commissioners at the lowest level of local government, to increases in the national budget for maternal health.

The Maternal Health campaign was sparked by Petition 16 2011, a law suit against the Ugandan Government at the Constitutional Court for failing to provide basic maternal health for expectant mothers. The petition was lodged in March 2011 by the Centre for Health, Human Rights and Development (CEHURD) on behalf of the families of Sylvia Nalubowa and Jennifer Anguko, two mothers who died in government hospitals.

The campaign has attracted a growing number of health and non-health related non governmental organisations and all sorts of civil society actors nationally. But crucially, it has also involved communities at the grass root level thanks to CHAIN and other community-based organisations that partner with CHAU in the MNCH project.

“This is community campaigning as I have never seen in Uganda”, Dorcas says. “We are presenting the facts about the appalling state of our healthcare system, and the unacceptable numbers of women and children dying at pregnancy, deliver and post partum. We tell them about Petition 16 2011. Communities now know that what the government provides in terms of health is not a ‘gift’, it is an obligation.” HIV and maternal health are something everybody relates to in Uganda that could well explain how quickly communities are mobilising to claim their health entitlements.

But what is changing? “Our authorities are listening now” replies Dorcas, “At the national level, they are feeling the call for accountability and good governance that the Coalition is bringing to the fore. But the community campaigning is essential in all this. It is creating demand among local authorities who are now asking government at higher level to provide healthcare for their constituencies.”

In just a couple of months, the campaign for maternal health has made enormous progress. The national budget passed a few days ago includes for the first time a specific provision for maternal health, and the national government is promising more attention to maternal health. This is about how health is galvanizing communities to exert their essential role in securing accountability and transparency at all levels of governance.

Send a message of solidarity to the families taking the government to court for failing to provide maternal healthcare.

whatspreventingprevention.org

One Response to Community campaigning for maternal health in Uganda

  1. Tom Rogers Muyunga Mukasa, HIV Programming and Care Consultant says:

    A TEN STEP COMMUNITY PLANNING TOOL FOR END-TO-AIDS GENERATION TO BE USED BY HIV-SERVICES ORGANISATIONS
    1. How many communities are empowered to identify people living with HIV with an unconditional positive regard? Skills-set: Community mobilisation, Testing and less stigmatizing practices.
    2. What measures are in place to reduce on the numbers of infections? Skills-set: Know your Epidemic; Know your MARPs and prevention systems.
    3. What number of men, women and children died of AIDS in your vicinity? Skills-set: Know your community; Identified/empowered community Adherence support health workers and bereaved family support mechanism.
    4. How many community engagements has your organisation provided to highlight needs for less costly ARVs and other medications for treating OI’s? Skills-set: Know your Pharmaceutics, know your leaders and have civil engagement plans.
    5. How many opportunities to denounce corruption and embezzlement of Global Funds or other funds tagged for HIV Prevention and care has your organisation been involved in? Skills-set: Have a strategic plan of your organisation in place; share your plans; join platforms that empower your communities to be transparent and; demand for accountability.
    6. How much does your organisation know about Global Fund plans for your community? Skills-set; Demand for transparency on ear-marked funding: linkage with international organisations providing information on funding getting into given countries and sticking to planned activities.
    7. How is your community using the knowledge that treatment with ARV’s is a prevention strategy? Skills-set: Empowered elite PLHIV; Empowered Adherence support persons and; empowered adherence community support safety nets.
    8. How many positive pregnant women are empowered to access HIV Prevention services for themselves and the expected babies? Skills-set: Male involvement in health issues of partners, Pre/Ante/post-Natal Delivery personnel/ Traditional Birth Attendants-TBA’s- involved in rolling out anti-HIV services and communities empowered to support expectant mothers.
    9. The year 2013 marks two years before 2015 when the World will have achieved the three Zero’s. Skills-set: Set up anti-discrimination spaces, set up anti stigmatization spaces and set up a prevention chain involving leaders in a community.
    10. Have bi-annual performance indicator plans in place: Skills-set: Generate plans with all ten points in mind; share plans with other organisations given a monitoring role and be frank with challenges and failures.
    Tom Rogers Muyunga-Mukasa is an HIV Programming and Care Consultant based in USA. He can be reached on muyunga@gmail.com

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