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ANNUAL REPORT 2012 Strengthening Partnerships for Improved Child T 2012 R Wellbeing O P E R L A U N N A  World Vision is a Christian relief, development and advocacy organisation dedicated to working with children, families and their communities worldwide to reach their full potential by tackling the causes of poverty and injustice. MISSION To follow our Lord and Saviour Jesus Christ in working with the poor and oppressed to promote human transformation, seek justice and bear witness to the good news of the Kingdom of God. VISION Our vision for every child, life in all its fullness; Our prayer for every heart, the will to make it so. CALL AND ASPIRATION World Vision Uganda aspires to a Uganda in which children (girls and boys) are empowered to enjoy their well-being; with households and communities committed and empowered to provide and demand for the physical protection, psychosocial and spiritual needs of their children. We are called to live out our Christian identity to empower and work in partnership with government and community-based institutions. CORE VALUES • We are Christian • We are committed to the poor • We value people • We are stewards • We are partners • We are responsive T 2012 C over pho to: FViivseio-yne/Sairm-ooldn BPeettteyr CElsaaukduia. Amero, from Abim District, shows fruits from seedlings provided by World R O EP Back photo: Five-year-old Ronald Kagame, from Mukono District, carries his brother Lucky Mark Rwigyema/ R L A Davinah Nabirye. U N N A  TABLE OF CONTENTS Acronyms ............................................................................................................................................4 From the Board Chair.............................................................................................................................................................................5 From the National Director ..................................................................................................................................................................6 Introduction ........................................................................................................................................7 Chapter One: Enabling children to enjoy good health ...................................................................8 Churches engaged in prevention and response to HIV and AIDS ............................................................. SPEAR ...................................................................................................................................................................... Water, Sanitation and Hygiene ........................................................................................................................... Chapter Two: Support to quality education in Uganda ................................................................15 Chapter Three: Toward food security and community resilience ................................................19 The Northern Uganda Early Recovery Project ............................................................................................. Karamoja Drought Response Food Programmes .......................................................................................... VisionFund ..............................................................................................................................................................4 Chapter Four: Advocacy – Speaking for the voiceless and marginalized ...................................26 Child Health Now ................................................................................................................................................6 Citizen Voice and Action ......................................................................................................................................8 Chapter Five: Support to child protection, care and participation .............................................30 Gender Mainstreaming in interventions .......................................................................................................... Chapter Six: Saving lives through efficient, effective and rapid responses to emergencies .....36 People and Culture: Becoming an employer of choice .................................................................................9 Financial Report .............................................................................................................................................40, 4 Board of Directors ...............................................................................................................................................4 T 2012 R O P E R L A U N N A  ACRONYMS ADP Area Development Programme MARPs Most at Risk Populations AIMH Access to Infant and Maternal Health MED-Net Micro Enterprise Development ANC Antenatal care Network ANCP AusAID NGO Cooperation MNCH/MCH Maternal, Neonatal and Child Health/ Program Maternal and Child Health ARVS Anti retrovirals NiE Newspapers in Education AusAID Australia Aid PD Hearth Positive Deviance Hearth BCA Behaviour Change Agents PITC Patient Initiated Testing and BEIP Basic Education Improvement Plan Counseling CFS Child-friendly Spaces PMTCT Prevention of Mother to Child CHN Child Health Now Transmission (of HIV) CoHG Channels of Hope for Gender SMC School Management Committee CT Care and Treatment TDMS Teacher Development Management CVA Citizen Voice and Action System DFID UK Department for International ttc Timed and Targeted Counseling Development UNDP United Nations Development ENP Essential Nutrition Package Programme EU European Union USAID United States Agency for FMNR Farmer Managed Natural International Development Regeneration USDA United States Department of FY Financial Year Agriculture GBV Gender-based Violence VHC Village Health Committee GIK Gifts in Kind VHT Village Health Team HBCT Home-based Counseling and Testing VMMC Voluntary Male Medical Circumcision HCT HIV Counseling and Testing VSLA Village Savings and Loans Association IYCF Infant Young Child Feeding WATSAN Water and Sanitation KOICA Korea International Cooperation WFP World Food Programme Agency WVU World Vision Uganda LLITNs Long-lasting Insecticide-treated nets T 2012 R O P E R L A U N N A 4 FROM THE BOARD the changes in our operating environ- a package as possible to support and ment. One message that has contin- facilitate the communities to improve CHAIR ued to come through is not to take the wellbeing of children. anything for granted but to remain committed to God for his provi- Probity and best practice will continue sions of grace and mercy to keep our to be at the heart of every activity partnerships effective in reaching the undertaken by WVU as we increase vulnerable children in the areas we our focus on staff empowerment and serve. Working together in partner- performance. The morale of our staff ship with communities, organisations, is high and our ongoing commitment government departments, individu- is centered on fully developing their als and many other stakeholders has talents and skills to enable them enabled us to achieve great strides in deliver exceptional service to the delivering better outcomes for the beneficiaries and communities that we children. serve. In this year, we bade farewell to our energetic and innovative National We specifically thank our Support Director, Ms Rudo Kwaramba, who It gives me great pleasure to introduce Offices, sponsors and donors for left on promotion to become the to you World Vision Uganda’s (WVU) supporting us through their generous Regional Leader for Southern Africa. annual report for the financial year contributions that have kept our pro- In return, we welcomed an equally 0. Looking back at what we did grammes running. Thank you for the resourced, result-oriented and and planned to do last year, I am tireless efforts and sacrifices made enthusiastic Mr. Gilbert Kamanga as humbled to give glory to God and towards raising resources to ensure a replacement. I invite you all our thank our partners and staff, on that our vision of children enjoying partners and staff to offer him the behalf of the entire Board. In my view life to the fullest is achieved. best support as we go forward. WVU enjoyed a successful FY0 and it can look to the future with We are committed to continuing to The three-year National Office confidence and more determination work closely and effectively with all Strategy sets ambitious targets on to raise the bar even higher. our partners with whom we share many fronts, which we are confident similar aspirations as we implement Mr. Kamanga and the team will enable In 0 WVU completed its three- our newly developed strategy for us all to achieve by the grace of God. year strategy, which started in 00, 0-05. The period ahead will see Throughout, the Management has and laid a good foundation for the WVU actively promoting its visibility continued to provide leadership to next strategy. The last strategy both locally and internationally. This is the organisation and the Board is focused on three major goals within at the core of the current and future grateful for the help and support they three sectors: strategic plans. have provided to us. • Increased proportion of girls and boys completing primary school The Board and Management are Given our progress in FY0, I am education. committed to creating an environment confident that we are well-placed to • Increased access for girls and in which staff performance and grow and expand our operations in boys to utilisation of quality health innovation are recognised and the communities that we serve to and HIV and AIDS services in World rewarded. We plan to make WVU ensure World Vision Uganda’s long- Vision-supported communities by synonymous with innovation and term sustainability and impact. 0. excellence in the development of • Improved livelihood security. Ttiohins oanf nsouaml er eopfo trhte p wreosrekn tws ea driedfl etoc-- noef ws eirdveiacse st. oWwaer dssh arell liacbolen tidneuleiv etroy Thank you, T 2012 R integrate our programs and activities O wards fulfilling the specific goals and P E objectives in this strategy, which we within and with our partners in RL A have done with great success despite order to provide as comprehensive Fred K. Muhumuza, PhD. NU N A 5 FROM THE NATIONAL strengthening, which is combined Increasing household access to clean with local governance interventions water through the Uganda Water, DIRECTOR for increased demand, utilisation and Sanitation and Hygiene (UWASH) accountability of service delivery to project has been one of the major the poor. This is done through the celebrations for World Vision Uganda. Citizen Voice and Action model. The focus on innovation has led to diversified sources of clean water Through the grace of God, in 0 being available to communities. Social World Vision Uganda implemented entrepreneurship has also been 5 Area Development Programs introduced to ensure sustainability. and 0 grant/special funded projects that reached ,000,000 people in 4 The continued donor and government districts of Uganda. The partnership support has enabled WVU to carry with Vision Fund Uganda has led to on providing support in Northern increased economic independence of Uganda and Karamoja where there several households. have been significant successes in Welcome to the World Vision improving household resilience. Our focus on education has not only Uganda (WVU) 0 annual report. increased education performance in The achievements in 0 have been The year that has passed has been a the supported schools and districts, possible because of the talented and year of celebration on many fronts. but also led to reduced early marriages. dedicated staff and Board of Directors, There were significant successes in Information, Communication and the cooperation and goodwill from improving the quality of life/wellbeing Technology centres for teachers the communities (including boys and of children as evidenced in our Child and students have been established girls), the Government of Uganda (at Wellbeing Report and in responding in areas such as Gulu District in all levels), donors (private and public), to emergencies such as the influx order to strengthen the competence support offices and the private sector. of refugees from the Democratic of teachers for better learning To all of them I say ‘Webale Nnyo!’ Republic of Congo. The response outcomes. (Thank you very much). to the refugee influx included the establishment of 0 Child-Friendly Maternal, newborn and child health As we look forward to 0 and Centres in the resettlement camp in continued to be a focus in 0. With beyond, WVU will continue to focus Rwamwanja. These centres continue support from different donors, we on systems strengthening through to provide the refugee children a have been able to reduce the number partnerships. Evidence from our place to unwind – they can play, learn of maternal deaths. The number programming in the communities lifeskills and, most important, get of deliveries taking place in health will be used for policy dialogue and psychosocial assistance to help them facilities where mothers are attended influence. Child protection, governance overcome the effects of the war. to by a skilled birth attendant has for increased accountability and value increased. In collaboration with the for money will continue to guide all FY was the last year of Ministry of Health, we have continued our programs. Once again, thank you implementation of the WVU three- to strengthen the functionality of for taking time to read this report. year strategy (00-0). As such, village health teams (VHTs) in the RT 2012 wstera tedgeyv elofpoerd an0oth-er0 5th. reWe-yoeraldr choavmem aulnsoit iecso nwtihneureed wtoe iwmoprlekm. Wenet O EP Vision Uganda continues to focus on safe male circumcision in an effort to R AL achieving child wellbeing outcomes curb HIV infection which is on the U N through partnerships and systems Gilbert Kamanga. N rise in some parts of Uganda. A 6 INTRODUCTION During the financial year 2012, World Vision Uganda implemented activities guided by the National Office strategy for FY10-12. This strategy, whose goal was to enable WVU contribute to the wellbeing of ,00,000 children, their households and communities by 0, focused on: • Increased proportion of girls and boys completing primary school education. • Increased access for girls and boys to the utilisation of quality health and HIV and AIDS services in WV-supported communities by 0. • Improved livelihood security. This report looks at what the organisation fulfilled in line with the above strategic areas of focus. Geographic Coverage and priority districts World Vision currently covers all the sub-regions in Uganda as shown in the map below. Table 1: Current and prospective districts of operation Sub national region Current operational districts Forecast additional districts Karamoja • Abim, Kotido, Kaabong - North • Kitgum, Lamwo, Pader, Agago, Otuke, Gulu, Amuru, Amolatar, Dokolo Oyam, Kole, Nwoya, Alebtong, Lira Central  • Masaka, Rakai, Lwengo, Mpigi, Butambala • Central  • Kyankwanzi, Kiboga, Nakaseke, Nakasongola, Mukono, - Buikwe East Central • Bugiri, Busia • Mayuge, Namutumba Eastern • Soroti, Amuria, Mbale, Butaleja, Tororo • Bukwo, Kween, Katakwi Kampala - • Kampala Western • Bundibugyo, Ntoroko, Kibaale, Hoima, Buliisa, - Kamwenge Southwestern • Kabale - West Nile • Arua - T 2012 R O P E R L A U N N A  CHAPTER ONE:  Training and equipping of VHTs to enhance the delivery of appropriate health promotion messages and Enabling children to enjoy good actions to pregnant women and care givers. Twenty six ADPs and four Maternal, Neonatal and Child Health health (MNCH) projects trained ,540 VHTs across the country. Introduction The VHTs were trained in targeted and timed counseling, an innovative approach of disseminating the right messages World Vision Uganda has made a strategic choice at the right time to the right person. The purpose of of investing in maternal and child health by engaging VHTs was to create demand for services, promoting high impact health interventions to promote especially to motivate pregnant women to utilise ante- primary health care using the 60 degrees approach that natal care services. As a result of this community health focuses on three levels: individuals, systems and the policy systems approach, health facilities within WVU program environment. areas are reporting an increased utilisation of antenatal care services and delivery at the health facility. The organisation’s approaches have emphasised partnership with the Ministry of Health and other stakeholders to  WV focused on working with health facilities to ensure delivery of quality health/nutrition services at the bridge existing gaps at facility level, especially ensuring community level. Central to this are the village health the availability of medical drugs, physical infrastructure, team members who are community volunteers selected hiring and training of health workers. As a result of the from within their communities to provide accurate health facility focused strengthening interventions combined and nutrition information, primary healthcare support and with demand creation by VHTs, ,5 women delivered proper linkages between the household and greater health at a health facility by skilled birth attendant and ,06 service delivery system with the purpose of fostering women were reported receiving family planning services behavior change at household level and empowering respectively. children and their caregivers to keep themselves healthy. Presently 5,400 VHTs have been trained and supported in  Improved protection of children under five from partnership with 4 districts. childhood illnesses by implementing three inexpensive solutions – vaccinations for preventable diseases, WVU’s approach also involves building the capacity of community treatment of diarrhea and pneumonia, LLITN community groups to address and monitor local causes (long-lasting insecticide-treated nets) distribution and of illness, death and malnutrition, advocate for quality behavioral communication. health service delivery, monitor home-based care services and ensure enabling environments for positive health Partnership with Ministry of Health outcomes. These include: The village health committees (VHCs) and child-focused stakeholder coordination through Child Days Plus (Community Committees). One of the child survival strategies in the country, the bi-annual Improving health and nutrition status Child Days Plus was conducted in the months of April and October. This was intended to help accelerate the progress of children under five and women of T 2012 reproductive age tcoowrea rldifse -saacvhiinegv iningt etrhvee ngtoioanlss ofof ru cnhiviledrrseanl (a>n9d5 m%o) thcoevres.r aAgceti vwitiieths R O implemented include vitamin A supplementation for children aged P REL During FY, WVU implemented the following core 6-59 months, de-worming of children aged 1-14 years, promotion A U interventions to improve the survival of pregnant mothers of key family health care practices such as nutrition education, N AN and newborns. 8 A VHT member (right) in Kasangombe ADP, Nakaseke district, teaches a mother how to use a mosquito net/Sylvia Nabanoba. breastfeeding, use of LLITNs, hygiene and sanitation and catch up  Improved nutritional status of children under five years immunisation for children under five. In order to support district and pregnant and lactating mothers. implementation of the Child Days Plus activities, the Ministry of Health partnered with WVU in 46 districts and supported districts The key nutrition interventions included promotion of early, with supplies and micro planning. WVU donated 7,800,000 de- exclusive and prolonged breastfeeding, complementary wormers and 3,000,000 Vitamin A tablets to the ministry to feeding, vitamin A supplementation as well as growth support the campaigns. As a result, 2,020,953 children aged monitoring and referral of complicated malnutrition cases 6-14 years were de-wormed and 1,653,559 given Vitamin A to facilities for treatment, relying heavily upon trained supplements in 31 districts where WVU operates. VHTs to counsel families. In this financial year, 26 ADPs trained 55 VHTs in Infant Young Child Feeding (IYCF), timed and targeted counselling (ttc) and Positive Deviance Hearth to equip them with the necessary knowledge and skills to educate and mobilise mothers and their children for T 2012 appropriate nutrition OR P E services and practices. RL A U N N A 9 A mother in Rwamwanja refugee camp, Kamwenge district, feeds a child suffering from malnutrition at a health centre supported by World Vision/Sylvia Nabanoba. T 2012 R O P E R L A U N N A 0

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Cover photo: Five-year-old Betty Claudia Amero, from Abim District, shows fruits from seedlings provided by World . Newspapers in Education .. and Kabale through which children were able to articulate write their own stories.
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