Academic Supervisor: Dr. Elizeus Rutebemberwa Institution - - PowerPoint PPT Presentation

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 1st 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

2 4 6 8 10 12 Nyenga Villa Maria KCCC Nkozi Faithful House couple training target Achieved percentage achieved

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 To strengthen the planning skills of key personnel

• Developed a detailed procedure to link the AB

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

To build the capacity of key officers at CRS and Nkozi in financial management

• Training in financial management and

policies

• Support Supervision

Training key people

Results

• Increase in the number of trainings

Couple trainings 0% 20% 40% 60% 80% 100% 120% 140% J u l y A u g u s t S e p t e m b e r O c t

• b

e r N

• v

e m b e r D e c e m b e r J a n u a r y F e b r u a r y months percentage couple trainings Series1

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