Reproductive health is one of PACE’s major thematic areas of operation. Uganda’s high maternal mortality ratio is in part, due to unsafe abortions that are largely preventable through access to and uptake of family planning methods and post abortion care that can save mothers’ lives.
Private sector intervention: In partnership with the Ministry of Health, PACE has been implementing the Women’s Health Project (WHP) in Uganda since 2008 to increase access to and demand for affordable, high quality long-term family planning services, through a network of private healthcare providers. This network of providers is branded “ProFam”.
The goal of the program is to reduce maternal mortality, by improving the quality of reproductive health services, limiting births through increased use of long acting reversible contraceptives (LARCs), providing harm reduction in the case of unsafe abortions through training health providers in post-abortion care; as well as the prevention of postpartum hemorrhage through the distribution of Misoprostol.
PACE supporting reproductive health in the Public sector
While PACE’s interventions in reproductive and maternal health are primarily implemented through the private health sector, we recognize theimportance of an inclusive approach that targets women who primarily access health care from the public health sector.
Through the Enhanced Public Sector Engagement (EPSE) Project, to supports 60 public health facilities in 30 districts to increase choice and access of re
productive services to include IUDs and PAC services to the women in need of said services. These services are provided to free of cost in the public sector; so PACE is meeting a need in the market for women who need quality services but cannot afford to pay for them.
Advocacy: Crucial to this initiative is high level government advocacy to include LARCs in their budget for provision of family planning services. PACE supported MoH to develop a monitoring and evaluation plan for the National FP Costed Implementation Plan. PACE also supported MoH in drafting the National LARCs Revitalization strategy.
Capacity building: Within the chosen districts of implementation, PACE participates in and supports annual district health planning meetings; and conduct training of trainers (TOT) for the identified districts for the health facilities that lacked trained personnel.
PACE also supports trainers from MoH to conduct training for 256 staff in selected clinics where training or refresher training is needed, in partnership with AOGU. We also identify and train district clinical supervisors and support district clinical supervision to take place.
PACE supplies insertion equipment to clinics where needed, as well as IUDs, implants and Misoprostol; and carries out medical detailing at the selected public facilities. In addition, staff at these public facilities are trained on how to forecast, as well as order for commodities and supplies to reduce stock-outs of IUDs and Misoprostol.