Action for Community Development (ACODEV) with support from The Erik E. & Edith H. Bergstrom Foundation is implementing a project “Holistic Approach to Enhancing access and use of Family Planning Services in Kasese District”. We thank the foundation for the unwavering support to the project enabling the clients receive the much needed services. We are very convinced that we are surely making a great contribution in reducing the unmet need for contraception and increasing the contraceptive access and availability.
The goal of the project is “to contribute to the reduction of the unmet need for contraception by 20% through enhancing access and use of FP services for healthy timing and spacing of pregnancies in the district.
there has been a great improvement in contraceptive service provision in year two in comparison with the first year. More clients have been reached and received a number of services. Out of 41,969 clients reached, 25.2% (10,571) were new users, 65.7% (27,577) continuing users and 9.1% (3,821) counselled only. The counselled clients received some services like side effects management counselling and referral, follow up after service provision and counselling for possible contraceptive uptake.
Services provided included; 38,874 condom pieces, 4242 pill cycles, 10,873 Depo Provera, 11,099 Sayana Press, 6,386 Implanon, 3,472 Jadelle, 689 IUCD, 62 BTL and zero vasectomies. It can be noted that the number of referrals completed increased and Kabatunda HC III completed 3196 as the highest number completed by a facility while Kinyabwamba completed the lowest (208).
The total CYP for the FP services provided was 39,004.35 and this was as a result of increased number of referrals completed in the year which have higher conversion factors. Implanon in particular had the highest CYP contribution (15,965.0) compared to other methods.
The project reached a reasonable number of adolescents (10 -19 years) in comparison with other age categories. 8,653 adolescents received other contraceptives excluding condoms, 19,072 (20 – 29 years), 6,992 (30 – 39 years), 1,058 (40 – 49 years) and 44 above 50 years all receiving other contraceptives except condoms.
The VHT and Health incentives have been of great importance to the beneficiaries. VHTs have used the money to pay school fees for their children, build simple homestead houses for their families and also eased their financial provision for their families. This has been possible through the saving groups they have formed amongst themselves increasing the amounts they can lend/borrow from each other through the incentive savings. The health centres have been able to purchase supplies like equipment sterilizers, examination couches, bed screens for privacy, adolescent centre equipment like tents and chairs, LCD screens for health education and models for practical counselling sessions among others. Only Kabatunda has reached the $5,000 threshold with a few more nearly hitting the mark (RMS $3,258 and Kitswamba $2,952). We are glad that even after completing their incentives amount, Kabatunda has still remained a stronghold of referral completion..