Ugandan Maternal Health Partnership Hub

Dr Carol Porter

NEEDS? COMMUNICATION:CONSOLIDATION:SUSTAINABILITY

• Improve Maternal and Infant Health• Improve Inter-Project Collaboration (to support

Sustainability and Reduce Vulnerability) • Encourage North-South and South-South

(within country) Knowledge Transfer• Promote Integration with Health Systems (and

improved Engagement)• Improve Evaluation and Audit (understandings

of what works and why)• Consolidate and Mobilise Additional Resources

Team-Building

Project Steering Group

• Professor Ackers and Dr Porter• Steve Mwesige, Records Manager, Dept Obs• Professor Walker (RCOG) and Dr Murokora

(AOGU)• Dr Anthony Mbonye (Ministry of Health)• Dr Josaphat Byamugisha• Dr Claudia Hudspeth, Chief of Health, UNICEF

Uganda

Mechanisms

Outcome 1: Familiarisation and Communication• Familiarisation with respective projects, challenges and

activities.

Activity 1.1 Information and Communication System• dedicated website &email distribution) linking UOHPs:• providing ‘live’ details of visits, training activities, a

forum for downloadable resources and interface with other websites and RCOG initiative

Outcome 2: Collaborative Training

Identify discrete initiatives with a view to developing common protocols, training and evaluation systems closed linked to local policy and practice using every opportunity for relationship building and encouraging inter-project connectivity and mobility on a South-South and North-South basis.

• Monitoring and Evaluation

• Obstetric First Aid (Community Triage);The African Maternal Early Warning Score ; Aseptic techniques; Infant resuscitation; Community transport; Drugs dispensing, stock control and pharmacy.

Kiwi Delivery? – knowledge transfer from Mbale to Kabbuba? Backed by evidence-based research: Assisted Delivery in Rural Areas?

Harness and Optimise Structured Volunteering Opportunities

Pilot, develop pre-visit training programmes – potentially as income-generation opportunity – building on Kabbuba/LMP

Activity 2.1 2 Day Kick-off Workshop (Liverpool)

• Day 1 – Project familiarisation and Communication. The co-ordinating team will prepare in advance using the knowledge acquired from our previous workshop and interviews conducted for the IHLC Evaluation to identify key areas for discussion and potential shared objectives.

• Day 2 – Focused working groups targeting specific training needs. 1 of these will focus on record keeping and evaluation. Others might include those listed above.

Funding will support local travel and Ugandan participation including a senior policy maker.The Ugandan visitors will be hosted for a week at one of the Partnerships (other than their own).

Activity 2.2 Co-ordinator Site Visits (2 weeks)• Familiarisation with local context, relationship-building

with a focus on identified priorities, M&E. Activity 2.3 Inter-Project Mobility

• Joint participation in planned training eventseg High Dependency Obstetric Care, Mulago: Obstetric Anaesthesia, Mbarara).

• Funds will support responsive within-country travel to training events. Individuals will be required to apply for funding and provide feedback.

The Commonwealth Fellowships: UK Based Training and Team-Building

Activity 2.4 Training and Project Development

Intense training with 1 month spent in host partnerships

1 week together in the Liverpool Centre for International Maternal Health for knowledge exchange, community-building, interim evaluation and project development.

Tailored course focused on aspects of Healthcare partnership including project management, human resource/financial management combined with multidisciplinary team training in priority areas. We will organise co-ordinated pre-visit activities for Fellows.

Outcome 3 Training Materials

Production of Protocols and Training Materials representing the collective efforts of the Hub for piloting in the Implementation Phase.

Activity 3.1 Working together through workshops, visits and on-going relationship-building we will produce new/revised training materials

Outcome 4 Capacity-Building in M&E

Activity 4.1 Specific training in M&E building on LMP

expertise. Collaboration with the MOH and UAOG to

identify opportunities to develop basic standardisation and align record keeping /M&E processes.

Encouraging Sustainable and Appropriate Equipment Donation Strategies

Outcome 4 Building Capacity in Evidence Based Local Policy Making through effective record keeping and data analysis and reporting

Building on LMP/British Commonwealth Fellowships Training; ‘Training the Trainers’

Integrating the Work with the Ministry of Health Resources Unit and its Health Information Management Systems (HMIS)Creating a safe data repository

Developing standardised/co-ordinated systems – sharing software and anti-virus protection

Overall Project Monitoring and Evaluation

• Comprehensive and coordinated reflexive ‘action-research’ approach

• Initial project analysis and familiarisation capturing individual project dynamics and priorities and existing M&E systems (Interviews and Visits)

• On-going communication, interviews etc to assess progress/challenges

• Collation of information on joint activities, participation in mobility, training

• Close engagement with M&E activity to generate aggregate data for project evaluation

• Interim and Final Evaluation Report

Dissemination

• On-going Process via the website• Built in Dissemination Activities (Policy

Workshops etc.)• Dissemination of Project Reports via THET

conference (if appropriate)• Centre for International Maternal Health