Increasing the number of planned trainings for married persons implemented at Nkozi Hospital - Supported CRS / AIDSRelief Project Academic Supervisor: Dr. Elizeus Rutebemberwa Institution Supervisor: Amanda Rider Fellows Tumusiime Molly A Dr. Catherine Odenyo N Imperial Royale Hotel
Introduction • Catholic Relief Services (CRS) was founded in 1943 by the Catholic Bishops of the United States. • Reaches more than 100 million people in more than 100 countries • CRS – programs include HIV/AIDS, agriculture, microfinance, water and sanitation, partnership and global solidarity • The AIDSRelief program incorporated within the CRS HIV/AIDS unit and was established with support from PEPFAR through CDC
Background • The 2005 Uganda Behavioral HIV sero prevalence survey revealed 74% of new infections occurred among those aged 25 and above. • 42% of the 130,000 new HIV infections occurred within marriage.”(UAC,2007) • AIDSRelief adopted a faith based approach to address the reduction in new HIV infections through the use of the faithful house
A snapshot of the faithful house curriculum • developed by Catholic Relief Services in conjunction with Maternal Life Uganda • uses a house as a metaphor for marriage • promotes abstinence from sex outside marriage and faithfulness within marriage • targets married persons • Challenges them to be faithful • become loving teachers and • role models for their children and communities around them.
Problem identification • AIDSRelief 1 st quarterly report(2009) indicated underachievement in Abstinence and Being faithful (AB) activities • The CQI team identified the root causes through – brain storming – Multi-voting to prioritize – Formulating counter-measures
The Problem • The Period March to July 2009, 70 (%) of intended trainings for married persons were not carried out using the Faithful House Curriculum at Nkozi Gap Intended beneficiaries (married persons ,70%) did not receive the life saving HIV prevention messages through training
Comparison of training achievements with other central region LPTFs planned trainings and achievemnts -March to July 2009 12 10 Faithful House couple training target 8 Achieved 6 4 percentage achieved 2 0 Nyenga Villa Maria KCCC Nkozi
The root causes • The key root causes to the overall problem of Nkozi Hospital only achieving 30% of the planned activities were established through the CQI process to be: – setting of ambitious targets – Financial advance process not being related to the planned activities, – Work plans not being followed – Delayed release of funds
Project implementation Aim • Increasing the number of married persons that access prevention messages using the Faithful house curriculum Objectives To strengthen the planning skills of key personnel To build the capacity of key officers at CRS and Nkozi in financial management
Cont.. Objective Activities • Developed a detailed procedure to link the AB To strengthen the planning skills of key personnel project officers at CRS and the AB focal persons at Nkozi to the advance processes • Built the capacity of the project officer at CRS and Nkozi in developing work plans in line with available funds • Increased competencies : in the financial accountability process efficiency in the advance fund generation approval process at CRS • Reviewed the existing tool and customized it Updated AR Annual tracking Tool (2).xlsx • Training in financial management and To build the capacity of key officers at CRS and Nkozi in financial management policies • Support Supervision
Training key people
Results • Increase in the number of trainings Couple trainings percentage couple trainings 140% 120% 100% 80% Series1 60% 40% 20% 0% y r r r r y y t e e e e l s r r u a u b b b b a J m m m u u o g n t r u e c e e b a A t O v c e J p o e F e N D S months
Cont.. • Submission of accurate financial accountability • Participation of key project officers in the financial approval process of advance requests • Linking activities to available funds • Implementation following planned activities • Integration of the annual tracking tool in the reporting system
Cont.. • Improved cooperation between the implementation officers and finance personnel • The AB project officer and AB focal person at Nkozi have increased vitality due to streamlined systems
Outcome • Enhanced efficiency in planning, utilization of available funds and reporting leading to timely implementation of activities
Future plans • Integration of the CQI process in all systems- Institutionalization • Support supervision to consolidate the CQI gains
Acknowledgements • School of Public Health-timely course units(CQI)/CDC • Academic supervisor-Dr. E. Rutebemberwa • Institutional supervisor- Amanda Rider • Catholic Relief services • AIDSRelief consortium members • Nkozi hospital-CQI hosts • CQI Fellows 2009
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