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Increasing Access to Information Improving Service Delivery
In order to increase access to information and improve the Government‛s delivery of essential services, UNICEF Uganda‛s Technology for Development unit (working with the Government, private sector and other partners) furthered the development of innovative solutions that use widely available technology like mobile phones and solar panels. One of these, the rugged solar-powered computer kiosk, is a set of durable computers placed in youth centres and communities giving youth access to dynamic multimedia content on health, education, and other services. UNICEF also launched the MobileVRS system that aims to quadruple the registration of births by 2014; and worked on a package of mobile health innovations using mobile phones to provide real-time information on essential medicine stocks, disease outbreaks, and child and maternal health.
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Mobile Phones = Youth Participation
UNICEF Uganda works with the biggest national youth groups to run a free SMS-based system allowing young Ugandans to speak out on development issues in communities across the country, ensuring local and national leadership hears their voices. Once a young person becomes a “U reporter” (by texting “Join” to 8500, a free number), she or he can participate in weekly SMS polls and dialogue. Information compiled through the polls will be broadcast nationally through radio, newspaper articles, and a website – inspiring action from leaders and communities. By mid-2011, there are more than 26,000 U reporters.
UNICEF Uganda 2010 Statement
- Faith-based Organizations
UNICEF Uganda made strides this year toward identifying and engaging partners that can make a significant impact on the lives of children and women at the grassroots level, such as faith-based organizations. UNICEF Uganda modified the process through which partnerships can be legally formalized in order to ensure these relationships can more effectively achieve results for children and women – for example, by allowing Programme Cooperation Agreements to last an agreed-upon length of time, rather than be limited to two years.
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Summary of 2010 Resources
Approved Programme Resources Regular Resources (RR) Other Resources - Regular (ORR) Other Resources - Emergency (ORR) Total (RR AND OR) USD 21,288,000 USD 23,603,000 USD 12,796,711 USD 57,687,711 Programmable Amount (USD) 19,288,000 868,659 200,000 109,937 62,234 2,368,177 642,381 3,050,822 1,192,130 4,155,201 1,605,789 27,163 952,259 2,404,109 699,527 560,870 81,122 Type of funding/Donor Name Danish NatCom German NatCom Japan NatCom Netherlands NatCom Norwegian NatCom Slovak NatCom Swiss NatCom UK NatCom US Fund Bill & Melinda Gates Foundation Micronutrient Initiative The GAVI Fund United Nations Foundation Inc. THEMATIC UNDP-USA UNFPA-USA WFP-Italy Total Programmable Amount (USD) 442,232 27,191 62,537 1,163 2,223,881 14,141 44,917 169,556 62,524 7,010 204,519 1,609 14 1,868,516 241,404 122,775 28,038 43,790,408
Message from the Representative
Taking the first step forward in a new direction is inspiring. Taking several forward, even more so. In 2010, UNICEF Uganda took several steps forward to accomplish some key organizational shifts, including implementing a country programme action plan organizing our work around three multi-sector components: Keep Children and Mothers Alive; Keep Children Safe; and Keep Children Learning. The Alive, Safe and Learning plan, which leads us through 2014, ensures greater operational efficiency and collaboration, helping us reach children and women in the most effective and innovative ways possible. This year we improved the way we engage and formalize partnerships that will make a strong impact at the grassroots level, such as with faith-based organizations. We worked on strengthening the knowledge base and monitoring systems for children, and focused interventions to reach the most vulnerable in districts of greatest need. Uganda’s under-five mortality rate (while getting better) is still one of the 20 worst in the world, underscoring the importance of interventions to reduce malaria, diarrhoea and pneumonia, the top killers of under-five children here. Integrated community case management, which UNICEF spearheaded in 2010, is one such intervention; communityfocused promotion of key behaviour changes (such as handwashing with soap, or breastfeeding an infant for the first six months) is another. Uganda is a young country where more than half are under the age of 15. It also has one of the fastest growing populations in the world, and one the highest youth unemployment rates of over 80 per cent. Doing “more of the same” to address a lack of opportunities will be a fruitless effort. We are therefore working on new ways to engage youth and give them the tools to build sustainable livelihoods. For example, through innovations such as the rugged solar-powered computer kiosk or U report system (see the Out of the Box section at the back of this Annual Statement), we aim to increase access to information and services for young people across Uganda, and amplify their voices so they may be heard on a national stage. In this way, young Ugandans engage their communities and their leaders, and take an active role in the development of their country. This is also one small step in ensuring transparency and accountability at the grassroots level. Thank you for reading and sharing this brief report, which gives a snapshot of our work and challenges throughout 2010. On behalf of UNICEF Uganda, I thank our generous donors and all our partners for their tireless commitment to improve the lives of children and women.
Summary of Available Resources
Type of funding/Donor Name Regular Resources RR Set-Aside RR for OR Other Resources Australia Belgium Canada Denmark European Commission Italy Japan Netherlands Republic of Korea Sweden Spain DfID USAID Austrian NatCom
Cover photo © UNICEF Uganda 2010/T. Znidarcic
Sharad Sapra, Representative
© The United Nations Children’s Fund George Street, Plot 9 | P.O. Box 7047 Kampala, Uganda | Tel: +256 417 17 1000 | www.unicef.org/uganda
2010 FUNDING | RESULTS | CHALLENGES ALIVE
2010 budget -- USD 23,007 ,955 (USD 9,169,018 RR; USD 8,370,670 ORR; USD 5,468,267 ORE] 2011 budget -- USD 25,482,680 (USD 9,554,680 RR; USD 15,928,000 OR) 2011 Funding gap (as of July 2011): -- USD 13,923,991 (USD 15,928,000 (2011 budget OR) - USD 2,004,009 (new funds)) KEY: RR - Regular Resources ORR - Other Resources - Regular ORE - Other Resources - Emergency
Note: All numbers in this Statement expressed as “ x to y” reflect the change in value between 2009 (x) and 2010 (y)
2010 budget -- USD 11,793,076 (USD 4,843,496 RR; USD 3,526,789 ORR; USD 3,422,791 ORE] 2011 Budget -- USD 9,243,276 (USD 4,084,991 RR; USD 5,158,285 OR) 2011 Funding gap (as of July 2011): -- USD 2,436,756 (USD 5,158,285 (2011 budget OR) - USD 2,721,529 (new funds))
In 2010 UNICEF contributed significantly to the development of key Ministry of Education and Sports (MoES) national policies and guidelines. A Gender in Education Policy was finalized and launched, a Basic Education Policy for Disadvantaged Children was developed, and a Safe Schools Handbook was rolled out nationally, with all Coordinating Centre Tutors and inspectors trained. Primary School Improvements • Net Intake Rate 59.0% to 72.7% (73.4% girls; 72.7% boys) • Net Enrolment Rate 93.0% to 96.1% (96.5% girls; 96% boys) • Primary School Completion Rate 51% to 54% (51% girls; 56% boys) • Competency in literacy in P3 55.9% to 60.9% (61.3% girls; 60.4% boys) • Competency in literacy in P6 48.1% to 50.5% (51.1% girls; 49.8% boys) • Competency in numeracy in P3 71.3% to 72.7% (71.1% girls; 75% boys) • Competency in numeracy in P6 53.3% to 55.4% (49.5% girls; 59.9% boys) Training and Materials: • Skills enhancement to 10,222 teachers 1,353 education personnel 431 school management committee members • Over 25,000 Thematic Curriculum materials in local languages disseminated, and more than 15,800 HIV/AIDS policy guidelines books provided to teachers • Child-friendly Schools and Basic Requirements Minimum Standards (BRMS) disseminated to all primary schools, and coaching mentoring programme for BRMS implementation begun in 4 primary teachers’ colleges • 3,700 primary school health club members trained in hygiene promotion and monitoring • Over 10,000 Head teachers trained in school management • Handbook for Operation and Management of School Water, Sanitation and Hygiene developed
Primary Healthcare and Nutrition
• • • • • • Children with severe acute malnutrition given life-saving treatment 11,178 Children sleeping under mosquito nets 9.6% to 33% Village Health Team (VHT) workers trained and equipped 18,460 Antenatal care coverage in Karamoja sub-region 13% to 24% A UNICEF-led polio immunization campaign reached 3 million children under five years old with two doses of vaccine. Nutrition surveillance system is piloted in Karamoja sub-region.
Water, Sanitation and Hygiene (WASH)
• UNICEF + Handwashing: In 2010, over 2,800 handwashing ambassadors were trained and equipped to promote handwashing with soap at the household level, reaching over 1 million people Rural households with access to an improved latrine 68% to 70% UNICEF Uganda WASH continues to strengthen its partnership with communities, the Government, civil society, the private sector and other partners National hand-washing campaign supported: Handwashing with soap after using the toilet improved 14% to 22% in 4 years. When a 2010 landslide in Bududa district in the east killed 300 people and displaced thousands from their homes, UNICEF responded with life-saving interventions within the first 72 hours, limiting the incidence of water and sanitation-related illnesses for the 5,000 displaced persons living in the camp, as well as 5,000 living with host families.
HIV/AIDS Prevention and Control
Pregnant women with HIV receiving Anti Retro Virals for Prevention of Mother-to-Child Transmission of HIV in focus districts 50% to 53% Children under five years old with HIV started on Anti Retro Viral therapy in focus districts 20% to 26% Pregnant women testing for HIV in focus districts 75% to 80%
• • • •
Improving the Quality of Schools and Learning
UNICEF spearheaded the introduction of Integrated Community Case Management (iCCM) and the re-vitalization of the Village Health Teams nationally. iCCM is expanding and improving the diagnosis and treatment in the case management of the top three killers of children under five – malaria, pneumonia and diarrhoea – at the community level.
Girls’ Education Movement (GEM)
Number of students GEM activities reached 14,451 Number of students GEM brought back to school (former dropouts)
Early Childhood Development (ECD)
• Uganda now tops the list of countries in the region with the largest number of un-immunized (DPT3) children. In 2010, over 540,000 children weren’t immunized, representing a 14% increase in un-immunized children since 2009. Frequent drug stock-outs: 79% of health centres stocked out of essential drugs in 2010. The health sector received only 9.6% of Uganda’s national budget in 2010, compared to the target of 15%. Return of internally displaced populations in the northern region challenged service delivery there. Climate and environment-linked conditions, including disease outbreaks, challenged service delivery. Human Resources for Health: 56% of posts are filled in the health sector, and there is a 43% rate of absenteeism.
1,835 ECD caregivers given skills-enhancement training. ECD policy guidelines completed and distributed to 112 districts. 485 parish chiefs trained in the collection of ECD data from community-based ECD centres.
GEM established as an NGO, helping to raise its profile and increase its sustainability.
• • • UNICEF Uganda worked in 2010 to strengthen the supply chain system for essential drugs. Advocacy for increased funding for children: UNICEF in 2010 continued to work as an advocate for increased national health financing for children. UNICEF continues to work with the Government to strengthen the national coordinated humanitarian response to emergencies, which in 2010 included training officials in districts at high risk for cholera to respond to potential emergency situations in light of recent outbreaks of the infection. UNICEF also provided support to improve the health service delivery system, along with the development of a Health Sector Strategic and Investment Plan (2010/11-2014/15) and a Second National Health Policy. • • • • •
Emergency Coordination: 107 district personnel in Karamoja and Western Uganda trained in emergency response, and emergency contingency plans developed – an effort covering over 80% of UNICEF districts of emphasis, and strengthening the emergency preparedness and response for the Education Sector. Communication for Development and Child Participation: Support leading to 28 interactive radio talk shows, the creation of 46 jingles, and 260 community meetings held for 13,295 participants. Child participation strengthened through a National Music, Dance and Drama effort to enhance inclusion and motivation of over 2,100 students. Innovation: 13 digital doorways (solar-powered and free-to-use computer kiosks) installed in Youth Centres and Primary Teacher Colleges.
• • •
At the district level, there was a low capacity to develop and implement Disaster Risk Reduction systems and strategies. Lack of an overall cross-sectoral strategy for Early Childhood Development and the holistic development of a child. Low functionality of reporting systems relating to violence and abuse in schools.
2010 budget -- 2010 Budget – USD 5,960,548 [USD 2,614,605 RR; USD 1,866,626 ORR; USD 1,479,316 ORE] 2011 Budget -- USD 6,675,416 (USD 3,062,276 RR; USD 3,613,140 OR) 2011 Funding gap (as of July 2011): -- USD 196,721 (USD 3,613,140 (2011 budget OR) - USD 3,809,861 (new funds))
Strengthening Child Protection Policies and Planning
UNICEF assistance in 2010 enabled Uganda’s Ministry of Gender, Labour and Social Development (MGLSD) to draft a national strategic plan for orphans and other vulnerable children, as well as introduce a web-based management and information system that was rolled out in 81% of the country’s districts. In addition, SAFE helped draft and launch the “Expanding Social Protection” programme; formulate amendments to the Child Act aimed at addressing loopholes; and employ communication strategies to raise awareness of child rights issues like Female Genital Mutilation/Cutting, migration and children living on the street. This effort also aims to increase demand for child protection services. Through concerted advocacy, five core juvenile justice indicators were successfully integrated within the monitoring and evaluation framework of Uganda’s Justice, Law and Order sector. UNICEF support led to the Repatriation and Family Reunification of 233 women and children recovered from exploitative labour; and 83 children and women who were rescued or escaped from the Lord’s Resistance Army. UNICEF led the development and dissemination of the Child Protection Recovery Strategy for Northern Uganda 2009/2011, and supported the inclusion of child protection emergency response plans of nine districts in northern Uganda and Karamoja sub-region. In these districts, 160 people were trained in child protection emergency preparedness and response.
In 2010, UNICEF initiated and facilitated a public-private sector partnership between the Uganda Registration Service Bureau and the Uganda Telecom Company, resulting in the development and piloting of a mobile phone and web-based birth registration system. By using MobileVRS and engaging with community-level ‘notifiers’, UNICEF aims to increase the amount of children under five who are registered from the current low rate of 21 per cent to 80 per cent by 2014. Child victims of violence and exploitation identified in all districts of emphasis 13,009 and 79% of whom accessed child protective services (over half are girls). In Western Region, UNICEF supported the authorities in 4 more districts of emphasis to ensure that children are registered at birth, and to identify and provide psychosocial support to orphans and vulnerable children. UNICEF provided support for operations and technical assessment of two Child Help Lines to inform national expansion of the programme, as well as to build a case management system.
UNICEF Uganda and partners worked to develop and test a Rapid Family Tracing & Reunification System (called Rapid FTR) that uses mobile phones for rapid registration of separated and unaccompanied minors, especially designed for emergency situations and refugees. The relevant details (name of child, a photo, home village, etc) can be quickly compiled into a web-based database shared by multiple partners in the field, thereby making it easier to reunite children with their families.
Preventing and Responding to Violence
• • • •
Limited capacity at national and district levels for data collection, analysis, monitoring and reporting on child protection issues. Lack of reliable data on vulnerable children and women in Uganda. Lack of a nation-wide free telephone exchange number poses a constraint to expanding a nationwide child help-line. Juvenile justice system lacks separate detention spaces for children in contact with the law, and relatively low number of magistrates poses a challenge to handling juvenile cases expeditiously.
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