Professional Documents
Culture Documents
Amref's Annual Report For Year Two of The Katine Project
Amref's Annual Report For Year Two of The Katine Project
Amref's Annual Report For Year Two of The Katine Project
Project duration: Three years: October 2007 – September 2010
Prepared by: KCPP Team, AMREF Uganda
Page 1 of 23
Ta bl e o f C o n t e n t s
1.0
1.......................................................................................................................................................1
2.KATINE COMMUNITY PARTNERSHIPS PROJECT.....................................................................1
3.ANNUAL NARRATIVE REPORT FOR YEAR TWO.......................................................................1
1.Submitted to: The Guardian and Barclays..............................................................................................1
Katine
is
one
of
17
sub-counties
in
Soroti
district
with
the
worst
indicators
for
poverty
and
underdevelopment
compounded
by
periods
of
cattle
rustling
and
insurgency.
The
project
takes
an
integrated
and
community
based
development
approach
and
addresses
the
causes
of
ill
health
and
poverty.
The
project’s
goal
is
to
improve
the
quality
of
life
for
the
people
living
in
Katine.
The
objectives
aim
to
improve
community
health,
access
to
quality
education,
access
to
safe
water,
hygiene
and
sanitation
increased
income
generating
opportunities
and
aims
to
build
the
capacity
of
communities
to
engage
in
local
governance
to
be
more
involved
in
decision
making.
A
mid-term
review
(MTR)
was
conducted
in
July
2009.
The
findings,
which
were
fed
back
to
partners
in
a
workshop
in
Soroti
highlighted
that
AMREF
was
more
or
less
on
track,
however
could
enhance
some
activities
to
achieve
its
objectives.
An
additional
year
and
more
resources
were
recommended
to
embed
behaviours,
hand
over
responsibility
and
exit
from
Katine.
Recommendations
were
made
to
strengthen
the
community
empowerment
and
livelihoods
component,
increase
access
to
water
and
sanitation,
provide
more
desks,
books
and
support
to
teachers,
school
management
committees
and
promote
school
feeding.
The
impact
in
health
depended
a
lot
on
continued
support
to
the
village
health
teams
(VHTs),
more
training
of
health
workers
and
renovation
to
the
operating
theatre
at
Tiriri
health
centre.
It
was
also
recommended
that
AMREF
strengthens
the
management
support
to
project
implementation
team.
AMREF
has
taken
on
board
the
recommendations
into
its
third
year
plans
and
is
proposing
additional
funding
to
enhance
project
activities
with
a
special
focus
on
community
identified
priorities.
With
additional
funding,
AMREF
aims
to
increase
safe
water
coverage
from
66%
currently
to
meet
the
85%
national
target.
An
additional
48
farmer
groups
would
be
rolled
out
to
achieve
100%
coverage
across
the
whole
sub-county.
In
schools,
all
children
would
have
access
to
desks,
text
books,
better
classrooms
and
management
committees
would
know
how
to
manage
and
govern
their
schools.
Work
would
continue
to
support
village
health
teams
to
increase
hygiene
and
sanitation
coverage
from
39%
currently
to
75%
and
the
capacity
of
local
government
and
community
groups
would
be
built
to
own
and
manage
their
development
process.
AMREF
agrees
that
more
time
is
need
to
gradually
phase
out
from
Katine
and
effectively
hand
over
roles,
responsibilities
and
infrastructure
of
the
project
to
the
community
and
local
government.
An
additional
year
would
allow
AMREF
to
capture
and
document
lessons
learnt
in
Katine
in
order
to
share
best
practice
within
Soroti
and
advocate
for
the
scale
up
and/or
replication
at
national
level
by
government
and
bilateral
donors
in
Uganda.
As
of
September
2009,
results
show
that
progress
is
being
made
towards
meeting
the
overall
goal
and
objectives.
A
summary
of
key
achievements
are
highlighted
below
with
detailed
progress
against
planned
activities
in
section
of
2.0
of
the
report.
2
In
h e a l t h,
the
project
has
contributed
to
a
reduction
in
illness.
Health
centre
reports
show
that
diarrhoea
incidences
for
children
below
the
age
of
five
have
reduced
from
6.8%
in
September
2008
to
3.7%
in
September
2009.
Immunisation
coverage
for
children
against
the
eight
killer
diseases
has
exceeded
the
Government
of
Uganda
target
of
90%
and
increased
from
89.3%
in
2008
to
95.9%
in
2009.
AMREF’s
support
to
Village
Health
Teams
(VHTs)
has
contributed
to
these
results
since
VHTs
refer
patients
to
the
health
clinic,
support
health
workers
in
community
outreach
health
provision,
and
promote
household
health,
hygiene
and
sanitation.
Additionally,
the
project
provided
2800
Insecticide
Treated
bed
nets
to
those
most
vulnerable
to
malaria
including
1000
pregnant
mothers,
60
people
living
with
HIV/AIDS
and
1740
children
under
5
years
of
age.
In
e d u c a t i o n
the
project
has
contributed
to
increased
enrolment,
retention
of
pupils
in
higher
classes
and
increased
the
number
of
children
sitting
and
passing
Primary
Leaving
Examinations
(PLE),
resulting
in
more
children
being
able
to
join
secondary
school.
Enrolment
has
increased
since
the
start
of
the
project
by
17%
(from
7,531
to
9,071
pupils)
due
to
an
improved
teaching
and
learning
environment.
The
pass
rate
at
Primary
7
(last
year
in
primary
school)
improved
slightly
from
83%
to
84%
from
2007
–
2008.
To
date
4,025
textbooks
have
been
procured
and
delivered
to
all
15
schools
in
Katine.
Consequently,
10
of
these
schools
are
meeting
the
district
and
national
standard
of
textbook
to
pupil
ratio
of
3:1
and
1:1
respectively.
School
latrine
coverage
has
improved
from
91:1
at
baseline
to
43:1
to
date
in
all
15
schools.
Access
to
s a f e w a t e r
h a s
i n c r e a s e d
from
42%
at
the
start
of
the
project
to
66%
due
to
the
drilling
of
new
boreholes,
the
rehabilitation
and
repair
of
existing
boreholes
and
testing
of
water
quality
in
34
water
sources.
Currently
50.2%
of
households
are
able
to
access
a
safe
water
source
at
an
average
walking
distance
of
1.5km
from
their
home
compared
to
2.5km
at
the
start
of
the
project.
Sanitation
coverage
has
increased
to
39%
from
7%
at
baseline
in
households
and
to
75%
from
25%
at
baseline
in
schools.
While
there
have
been
achievements,
there
were
also
challenges
in
the
implementation
process
and
gaps
still
exist
that
need
to
be
addressed.
Water
coverage,
for
example
has
reached
66%
from
42%
at
the
start
of
the
project,
but
it
is
still
below
the
national
target
of
85%,
gender
equity
and
participation
in
some
community
groups
is
still
a
challenge
due
to
cultural
and
educational
barriers.
Challenges,
lessons
learnt
and
recommendations
are
highlighted
in
section
1.1
of
the
report.
Page 3 of 23
OBJECTIVE PLANNED PROGRESS TOWARDS MEETING TARGET RAG STATUS
ACTIVITIES
AND TARGET R E D = n o t a c h i eve d
FOR THE AMBER=below
REPORTING t a r g e t GREEN =on
PERIOD track
Train
45
health 45
HUMC
members
trained
and
resulted
in
improved
resource GREEN: On
track
unit
management mobilisation
at
Ojom
Health
Centre
II,
an
initial
contribution
of
£46
committee was
made
by
community
members
for
the
installation
of
a
solar
members
(HUMC) powered
system
for
example.
on
management
processes
The
committee
are
now
advocating
to
the
district
for
health
workers
to
be
posted.
As
a
result,
the
district
posted
two
health
workers
to
Ojom
Health
Centre
II.
R e n o v a t i o n
o f Consultations
have
already
taken
place
with
the
Ministry
of
Health AMBER: Delays
due
to
Tiriri
health
centre and
the
bidding
process
is
in
progress. lengthy
consultations
with
theatre the
Ministry
of
Health.
I M P RO V E D 102
teachers
to Trained
102
teachers
and
gained
child
centred
skills
that
have GREEN:
on
target
ACCESS TO
be
trained
on
child improved
the
quality
of
their
teaching
reflected
in
the
improved
QUALITY
centred methods
of
teaching
and
class
arrangements
for
participatory
E D U CAT I O N
methodologies
to learning.
improve
academic
performance
Provide
2000
text Distributed
2000
textbooks
to
schools
to
improve
teaching
and GREEN:
on
target
books
to
facilitate learning.
10
of
the
15
Katine
schools
now
meet
the
1:1/3:1
textbook
t e a c h i n g
a n d to
pupil
ratio
by
national/district
standards.
learning
(including
m a t e r i a l s
f o r This
has
improved
pupil
and
teacher
motivation,
eased
pupil-teacher
reproductive class
management
and
improved
daily
school
attendance.
health)
4
do
not
harbour
fleas
and
jiggers
that
were
rampant
and
affecting c l a s s r o o m s
t o
b e
child
participation
and
attendance
in
previous
schools
(made
from r e h a b i l i t a t e d
t h a n
mud
and
wattle) budgeted.
C o n d u c t
3 Female
role
models
visited
all
schools,
encouraged
pupils
to
stay
in GREEN:
on
target
advocacy
forums school
and
gave
career
guidance.
An
anticipated
increase
in
pupil
w i t h
f e m a l e retention
is
expected.
teachers
to
be
role
models
for
girls
C o n d u c t
3 Strengthened
all
15
SMCs
and
15
PTAs.
This
has
increased GREEN:
on
target
s e s s i o n s
f o r accountability,
ownership
and
management
of
school
affairs
school including
reducing
teacher
absenteeism.
PTAs
have
been
able
to
management improve
community
participation
in
school
development
evident
in
committees the
parents
constructing
teachers’
houses
in
7
schools.
( S M C s )
a n d
parents
teachers
associations
(PTAs)
I M P RO V E D W a t e r
q u a l i t y Tested
samples
from
34
water
sources.
All
the
water
sources
met
the GREEN:
on
target
ACCESS TO surveillance
and national
&
WHO
standards.
SAFE WATER,
t e s t i n g
o n
3 4
HYGIENE
water
sources
in
AND
S A N I TAT I O N Katine.
Improving Constructed
13
new
four-stance
VIP
latrines
and
5
ecological A M B E R:
Materials
for
personal
hygiene sanitation
latrines
in
15
schools
in
Katine,
thereby
reducing
the Obyarai
school
were
stolen
a n d
s a n i t a t i o n pupil
/stance
ratio
from
91:1
at
the
start
of
the
project
to
43:1
at and
reported
to
the
police.
p r a c t i c e s
i n present.
communities
and
in
schools
Page 5 of 23
Support
to
VHTs The
latrine
coverage
has
improved
from
7%
at
baseline
to
39%. GREEN:
on
track
a n d
Parish There
are
now
312
ideal
homesteads
in
the
community,
which
Sanitation includes
hand-washing
facilities,
drying
rack,
latrine,
rubbish
pit,
Committees
on clean
compound,
bath
shelter,
and
animal
house.
Total
Sanitation
a n d
H y g i e n e
p r o m o t i o n
a t
household
level,
creation
of
Ideal
homesteads.
Improved Trained
11
water
and
sanitation
committees
of
other
water
sources GREEN:
on
track
operations
and not
built
by
AMREF,
on
their
roles
and
responsibilities
in
managing
maintenance
of and
maintaining
water
sources.
w a t e r
and
sanitation
facilities As
a
result,
functionality
of
existing
water
sources
has
improved
from
70%
at
baseline
to
97%
this
year.
INCREASED T r a i n i n g
1 8 Trained
all
groups
alongside
the
District
Community
Development GREEN:
on
track
INCOME farmers
groups
on Department
in
group
management,
resulting
in
the
formulation
of
a
GENERATING
group farmer’s
group
constitution
that
governs
their
operations.
There
is
OPPORTUNI
management improved
record
keeping,
and
equal
participation
from
men
and
TIES
women.
C o n d u c t
4 4
meetings
held,
resulted
in
community
contribution
for
the GREEN: on
track
quarterly construction
of
the
farmers’
produce
store
to
ensure
food
security
m e e t i n g s
w i t h and
increased
income
through
collective
marketing
of
their
produce.
livelihoods
stakeholders
forum
Establishment
of Held
11
demonstrations.
Farmer
groups
have
already
harvested GREEN: on
track
fa r m e r
l e d
o n - their
cassava
and
replanted
for
multiplication.
farm
trials
and
demonstrations
a m o n g
t h e
1 8
farmers
groups
6
Train
18
farmers Held
training
for
18
groups;
improved
farmer’s
business
skills
as GREEN: on
track
g r o u p s
in demonstrated
by
increased
borrowing
of
VSLA
funds
and
business engagement
in
alternative
income
generating
activities
by
the
management
and farmers.
agricultural
marketing
C o n s t r u c t
a Construction
ongoing.
The
use
of
the
community
participatory A M B E R:
below
target.
central
produce approach
to
construction
has
increased
skills
and
ownership
in Work
is
still
in
progress.
s t o r e
f o r
t h e Katine.
farmers
Establish
farmer Held
11
demonstrations
and
the
farmer
groups
have
already GREEN:
on
track
led
on-farm
trials harvested
their
cassava
and
replanted
for
multiplication.
and
demonstrations
a m o n g
t h e
1 8
farmers
groups
Communities Hold
5
sub
county 3
meetings
held
and
IEC
(Information
Education,
Communication) A M B E R:
Issues
resolved
empowered consultative parish
committees
have
been
formed
for
dissemination
of
relevant in
3
meetings,
saving
to engage in
meeting
on
IEC messages
in
communities.
money
for
procurement
of
local
m e s s a g e s
o n extra
IEC
materials.
governance
governance/
rights
to
services
Carry
out
7
local 9
radio
talk
shows
broadcast
thereby
increasing
access
to GREEN:
2
extra
talk
radio
programmes information
about
health
and
other
development
issues
shows
broadcast
at
no
t o
inform extra
cost
communities
about
VHTs
Conduct
1
parish 2
training
sessions
and
4
PDC
meetings
held
to
support GREEN:
On
track
development decentralised
planning.
Lower
level
plans
now
reflected
in
sub-
committee
(PDC) county
plans.
t r a i n i n g
a n d
4
PDC
Follow
up
meetings
Page 7 of 23
Conduct
1
Rights Both
groups
had
a
2
day
in-house
training
on
the
Rights
Based AMBER:
training
required
Based
Approach Approach
(RBA)
which
has
helped
the
project
team
to
mainstream more
time
than
the
number
(RBA)
orientation rights
issues
in
their
work.
of
days
allowed.
Planned
training
for
KCPP for
next
quarter
s t a f f
a n d
s u b
county
extension
w o r k e r s
a n d
leader
Conduct
monthly The
project
organised
7
PMC
meetings
and
3
PSC
meetings.
The A M B E R : Not
all
meetings
project meetings
at
both
levels
discussed
project
progress,
reviewed
and t o o k
p l a c e
a s
M T R
management contributed
to
the
MTR
adjustments
and
recommendations
for
the process
took
up
time
committee
(PMC) project.
scheduled
for
meetings
m e e t i n g s
a n d
quarterly
project
steering
committee
(PSC)
meetings
2 . 1 D e s c r i p t i o n o f p e r fo r m a n c e
2 . 1 . 1 I m p r ov e d C o m m u n i t y H e a l t h
The
project
conducted
five-days
of
training
for
142
Community
Medicine
Distributors
(CMDs),
who
are
comprised
of
VHT
members,
on
Home
Based
Care
(HBC)
management
of
childhood
illness
as
well
as
collecting
household
population
data
relevant
to
health
activities.
During
the
training,
they
learnt
how
to
treat
fever,
pneumonia,
diarrhoea,
ear
infections,
eye
and
skin
infections
at
home.
Strategies
to
reduce
malaria
and
diarrhoea
in
the
communities
were
also
covered
including
training
in
the
correct
use
of
long
lasting
insecticide
treated
mosquito
nets
(LLINS),
the
use
of
Fansidar
in
pregnant
mothers,
and
environmental
control
measures.
As
a
result,
diagnosis
of
diseases
at
community
level
and
referral
of
patients
to
the
health
centres
for
treatment
has
increased.
Health
centres
have
reported
a
drop
in
malaria
for
children
under
five
from
75.5%
in
2008
to
72.9%
in
September
2009.
For
children
above
the
age
of
five
and
adults,
the
incidence
of
malaria
has
reduced
from
57.7%
in
2008
to
54.9%
by
September
2009
(Soroti District HMIS, 2009). Improvements
in
hygiene
practices
and
treatment
at
the
household
level
have
led
to
a
reduction
in
the
number
of
diarrhoea
cases
being
reported
to
health
centres
as
shown
in
the
table
below.
Ye a r D i a r r h o e a c a s e s fo r < 5 D i a r r h o e a c a s e s fo r ≥ 5
8
9,245
patients
who
visited
the
health patients
who
visited
the
health
centre)
centre)
Oct
2008
to
Sept
2009
3.7%
(313
cases
of
diarrhoea
out
of 0.9%
(136
cases
of
diarrhoea
out
of
14,819
8,544
patients
who
visited
the
health who
visited
the
health
centre)
centre)
There
was
improved
coordination
and
referrals
as
project
and
health
centre
staff
held
four
monthly
VHT
coordination
meetings
involving
all
VHTs
in
all
six
parishes.
These
coordination
meetings
involved
discussions
on
VHT
general
performance,
giving
feedback
on
previous
reports/activities
challenges,
tracking
and
the
replacement
of
two
VHTs
who
had
died.
Of
the
272
VHTs
from
the
66
villages,
85
were
selected
and
trained
on
family
planning.
The
trained
VHTs
are
responsible
for
sensitising
communities
on
the
benefits
of
family
planning,
dispelling
myths
and
misconceptions,
promoting
family
planning
uptake
and
making
referrals
to
the
health
facilities.
As
a
result,
the
contraceptive
acceptor
rate
has
increased
from
1%
in
the
previous
year
(63
women
accessing
family
planning
of
the
5,909
of
reproductive
age)
to
4.3%
this
year
(251
women
now
accessing
family
planning).
As
a
result
of
training
VHTs
to
support
communities
and
households
in
HIV/AIDS
counselling
and
testing,
a number
of
clients
referred
by
the
VHTs
to
the
health
centre
for
HIV
counselling
and
testing
have
increased
as
per
the
table
below:
Children under 5 years 2 23
Integrated
treatment
of
HIV/AIDS
and
TB
has
improved
due
to
specific
training
to
health
workers
that
encourages
testing
and
treating
diseases
holistically.
This
means
that
patients
who
test
positive
for
HIV
are
also
tested
for
TB
and
malaria
because
these
are
some
of
the
common
opportunistic
infections.
As
a
result,
a
total
of
472
clients
(217
males
and
255
females) with
TB
have
been
monitored
during
home
visits
(Soroti District HMIS, 2009).
No
patient
has
defaulted
from
treatment
so
far,
which
will
increase
chances
of
recovery,
reduce
drug
resistance
and
ultimately
improve
quality
of
life.
Page 9 of 23
The
project
procured
and
distributed
2,800
long
lasting
insecticide
treated
nets
(LLINs)
to
1,740
children
under
five,
1,000
pregnant
mothers
and
60
people
living
with
HIV/AIDS
(PLWHAs)
this
year.
Health
workers
through
antenatal
clinics
and
VHTs
in
the
community
raise
awareness
on
the
proper
use
of
LLINs
and
have
handed
out
adult
sized
treated
bed
nets.
Most
households
have
more
than
one
child
under
five
who
share
a
bed;
so
one
bed
net
has
been
given
per
household.
It
is
expected
that
if
properly
and
consistently
used,
the
number
of
malaria
cases
will
continue
to
reduce.
i i ) I m p r ov i n g t h e q u a l i t y o f h e a l t h i n f r a s t r u c t u r e
The
project
aims
to
strengthen
the
health
system
to
improve
the
quality
of
preventive
and
curative
health
services.
The
project
constructed
and
provided
essential
equipment
and
reagents
for
a
new
laboratory
at
Ojom
Health
Centre
II
to
This
improve
the
diagnosis
and
management
of
patients
with
malaria,
TB
and
HIV,
the
three
killer
diseases
in
Uganda.
has
helped
to
improve
patient
care
and
management.
i i i ) I n c r e a s i n g t h e c a p a c i t y o f h e a l t h wo r k e r s
AMREF
facilitated
technical
support
supervision
to
improve
the
ability
and
performance
of
the
laboratory
technical
staff
for
proper
diagnosis
of
HIV,
tuberculosis,
syphilis,
blood
parasitic
infections
and
other
routine
laboratory
tests.
This
involved
the
district
laboratory
focal
person,
senior
laboratory
technicians
from
Soroti
regional
referral
hospital,
and
project
staff
in
all
three
health
centres
in
Katine
sub-county.
The
support
provided
has
enabled
lab
staff
to
produce
reliable,
reproducible
and
quality
laboratory
results
that
are
critical
for
early
diagnosis
of
health
conditions.
With
this
intervention
many
patients
have
accessed
reliable
laboratory
test
e.g.
3153
malaria
tests
and
4357
HIV
tests
were
performed
this
year
compared
to
340
malaria
tests
and
540
HIV
tests,
reported
6
months
ago
in
the
first
quarter
of
2008.
The rise in the latter part of
the year was due to increased mobilisation of communities and the availability of permanent laboratory staff posted
to Ojom Health Centre II.
Additionally,
the
project
facilitated
two
joint
technical
support
supervision
visits
by
the
district
health
team
and
project
staff.
The
aim
was
to
improve
capacity
of
health
workers
to
assess
and
treat
using
integrated
management
of
childhood
illnesses
(IMCI)
guidelines
to
improve
patient
care
and
management.
The
project
conducted
a
joint
training
of
VHTs
and
health
centre
staff
on
improving
the
referral
system
and
VHT
supply
system,
in
order
to
support
the
continuity
of
health
care
provision.
Participants
developed
a
VHTs
referral
form
which
is
now
being
used,
and
this
has
improved
the
system
for
referring
clients
from
the
community
to
health
centres.
The
project
conducted
training
for
members
of
the
three
health
unit
management
committees
(HUMC)
of
Tiriri
Health
Centre
IV,
Katine
Health
Centre
II
and
Ojom
Health
Centre
II.
The
training
covered
the
roles
and
responsibilities
of
the
HUMC,
how
to
enhance
supervisory
skills
and
staff
motivation,
quality
assurance
techniques
and
better
financial
management:
planning,
budgeting,
accountability
and
reporting
of
health
services.
As
a
result,
due
to
lobbying
at
the
district
level,
the
supply
of
drugs
has
improved
from
once
in
four
months
to
twice
in
the
same
period.
Community
members
have
been
mobilised
by
the
HUMCs
to
make
contributions
towards
the
development
of
health
centres,
for
example,
the
community
contributed
Ush
600,000
(£106)
for
the
roof
of
Katine
Health
Centre
II
which
was
blown
off
by
strong
winds
and
a
further
Ush
150,000
as
contribution
for
the
installation
of
a
solar
powered
system
for
Ojom
Health
Centre
II.
The
HUMC
has
lobbied
for
4
new
health
staff
to
be
posted
to
Katine
health
centres.
10
i i i ) I m p r ov i n g h e a l t h s e r v i c e s fo r c h i l d r e n a n d p r e g n a n t m o t h e r s
The
project
has
supported
155
immunisation
outreach
services
and
also
advocated
through
the
district,
to
acquire
a
fridge
for
immunisation
supplies
which
has
been
installed
at
Ojom
Health
Centre
II.
The
project
has
provided
gas
for
the
fridge,
facilitated
the
cold
chain
technician
and
transportation
and
now
the
cold
chain
services
are
fully
operational
at
the
health
centre.
The
project
also
supported
child
health
days
in
October
2008
and
April
2009
with
the
support
of
trained
community
vaccinators
and
parish
mobilisers.
As
a
result,
health
centre
records
(HMIS),
show
immunisation
coverage
has
increased
from
89.3%
last
year
to
95.9%
this
year
for
children
immunised
against
measles,
polio,
tuberculosis,
whooping
cough,
hepatitis
B,
tetanus,
haemophilus
influenza
and
diphtheria.
Health
workers
were
trained
on
Prevention
of
Mother
to
Child
Transmission
of
HIV/AIDS
(PMTCT)
and
following
this,
a
total
of
1,814
mothers
have
accessed
counselling
and
testing
through
the
PMTCT
programme.
41
mothers
tested
positive
and
only
17
HIV
positive
mothers
received
ARVs
for
prophylaxis
(ARV
coverage
of
41.5
%).
( Soroti District Health
Management Information Systems, 2009). In
an
ideal
situation
every
positive
pregnant
mother
would
be
given
ARV
treatment
as
labour
sets
in
while
at
the
health
facility.
However
in
Katine,
many
pregnant
women
still
deliver
at
home
and
therefore
do
not
have
access
to
the
drug,
despite
health
facilities
having
the
necessary
drugs
in
stock.
Due
to
the
inadequate
number
of
midwives
in
the
sub-county
and
other
barriers
to
access
and
utilisation
of
health
facilities
during
pregnancy
and
birth,
many
women
in
Katine
continue
to
rely
on
on
Traditional
Birth
Attendants
(TBA)
for
delivery.
The
project
staff
and
midwives
held
11
monthly
sensitisation
meetings,
one
at
the
end
of
every
month
with
78
TBAs.
These
coordination
meetings
involved
discussions
on
how
to
identify
high
risk
pregnancies,
pregnancy
danger
signs,
prevention
of
mother
to
child
transmission
of
HIV/AIDS
(PMTCT),
record
keeping,
immunisation,
referral
of
mothers
for
ANC
and
delivery
at
the
health
facility.
Health
centre
records
show
to
date
119.5%
new
ANC
coverage
of
mothers
attending
antenatal
clinics
(the
percentage
is
high
because
the
health
centre
also
serves
the
neighbouring
sub-counties).
The
percentage
of
women
who
deliver
from
health
facilities
has
increased
from
33%
at
baseline
to
53%
as
of
September
2009.
2 . 1 . 2 I m p r ove d a c c e s s t o q u a l i t y e d u c a t i o n
1.......................................................................................................................................................1
2.KATINE COMMUNITY PARTNERSHIPS PROJECT.....................................................................1
3.ANNUAL NARRATIVE REPORT FOR YEAR TWO.......................................................................1
1.Submitted to: The Guardian and Barclays..............................................................................................1
2 . 1 . 3 Improved access to safe water, sanitation and hygiene
AMREF
supported
water
quality
surveillance
and
testing
for
34
water
sources,
which
were
sampled
and
tested
for
bacteriological
and
physical
chemical
parameters.
From
the
findings,
all
of
the
water
sources
met
WHO
acceptable
standards
of
water
quality.
The
project
conducted
an
assessment
on
all
the
water
sources
constructed
by
the
project
in
a
bid
to
reassure
the
community
that
the
water
sources
were
sustainable
and
that
they
were
able
to
withstand
the
severe
drought
experienced
in
Katine
in
2009.
Page 11 of 23
From
the
findings,
all
the
water
sources
were
found
to
have
sufficient
water
for
the
communities.
However
there
were
cases
of
over
extraction
in
some
communities
where
AMREF
realised
that
one
water
source
meant
to
serve
at
least
250
people,
was
being
used
by
over
600
people
(the
water
source
was
being
shared
by
four
villages).
i i ) I m p r ov i n g t h e r a t e s o f p e r s o n a l hy gi e n e a n d s a n i t a t i o n p r a c t i c e s i n c o m m u n i t i e s a n d i n
schools; construction of hygiene and sanitation facilities in schools
The
project
has
been
able
to
construct
13
four-stance
ventilated
improved
pit
(VIP)
latrines
in
15
schools
of
Katine
sub-
county.
The
pupil/stance
ratio
has
improved
from
91:1
at
the
start
of
the
project
to
43:1
to
date.
The
learning
environment,
especially
for
the
girls
has
greatly
improved,
as
most
of
the
separate
fully
equipped
facilities
for
boys
and
girls
have
been
constructed.
A
new
technology
for
animal
excreta
disposal
has
been
introduced,
particularly
targeting
school
children
as
community
change
agents
to
help
in
the
replication
and
uptake
of
the
technology
by
the
wider
Katine
community.
As
a
result
the
project
has
been
able
to
construct
five
ecological
sanitation
(ECOSAN)
latrines
in
schools
this
year.
The
latrines
are
for
demonstration
purposes
and
learning
so
that
with
time
the
technology
can
be
rolled
out
to
the
wider
community.
In
addition
to
erecting
ECOSAN
facilities,
awareness
and
sensitisation
meetings
with
school
pupils
have
been
held,
as
well
as
distribution
of
health
promotional
(IEC)
materials
to
the
schools
where
the
facilities
have
been
constructed
to
increase
understanding
and
uptake
of
ECOSAN
technology.
iii) Support to VHTs, Water and Sanitation Committees (WSC), Parish Sanitation Committees
( P S C ) a n d c o m m u n i t y m e m b e r s o n hy gi e n e a n d s a n i t a t i o n p r o m o t i o n a t h o u s e h o l d l eve l
Sanitation
has
improved
in
households
helped
by
the
increased
local
production
and
use
of
sanplats
(sanitation
platforms).
Local
skills
and
sale
of
sanplats
have
been
developed
for
future
sustainability.
During
the
first
project
implementation
year,
24
masons
were
trained
in
sanplats
production.
The
Parish
Sanitation
Committees
(PSCs)
were
charged
with
the
responsibility
of
supervising
the
work
of
the
masons;
monitoring
sanplats
production
and
sales.
Sanplats
have
been
produced
in
all
parishes,
however
there
are
differences
regarding
production
and
sales.
Some
of
the
challenges
experienced
include
poor
leadership,
lack
of
coordination
by
the
parish
chiefs,
better
and
lucrative
opportunities
for
the
masons
and
the
dwindling
market
for
the
sanplats
as
community
priorities
changed
to
addressing
more
pressing
issues,
as
a
result
of
drought
and
subsequent
crop
failure.
However
after
a
series
of
meetings
with
the
relevant
structures
this
activity
is
now
on
track.
The
project
identified
masons
from
Olwelai
to
produce
the
sanplats
and
in
Ochuloi
and
Ojama
parishes
two
people
were
identified
to
spearhead
the
production
exercise.
The
project
now
has
over
367
new
sanplats
made
by
the
masons,
and
over
185
sanplats
sold
and
used
by
the
communities
in
their
household
latrines.
iv) Support to VHTs and PSCs on total sanitation and hygiene promotion at household
l eve l fo r t h e c r e a t i o n o f i d e a l h o m e s t e a d s
Through
working
with
the
VHTs
and
PSCs,
the
latrine
coverage
has
improved
from
7%
at
baseline
to
39%
in
this
reporting
period.
To
date,
over
2,048
households
in
Katine
have
latrines
in
their
homesteads
out
of
a
total
of
5,221
households
in
the
sub–county
(Soroti District HMIS October, 2009).
12
This
progress
has
been
reached
due
to
the
efforts
of
the
people
involved
in
community
based
management
structures
(VHTs,
WSCs,
PSCs,
Sub-county
Sanitation
Sub-committees),
who
on
a
regular
basis
move
through
the
villages
conducting
awareness
campaigns
and
community
meetings
on
the
importance
of
sanitation
and
hygiene,
and
the
benefits
of
a
decent
latrine
in
disease
prevention
and
the
issues
around
contamination
of
water
sources.
To
date
there
are
312
ideal
homesteads
(based
on
a
community-led
total
sanitation
and
social
marketing
approach.)
The
components
of
an
ideal
homestead
include
hand-washing
facilities,
dry
rack,
latrine,
rubbish
pit,
clean
compound,
bath
shelter,
and
animal
house.
We
expect
the
numbers
to
rise
when
we
acquire
the
promotional
materials
that
will
help
the
community
structures
do
their
work
better.
v ) P r o m o t i o n o f Pe r s o n a l H y gi e n e a n d S a n i t a t i o n E d u c a t i o n i n s c h o o l s
The
Water
and
Sanitation,
and
Education
project
officers
and
assistants
worked
with
teachers
and
pupils
to
promote
Personal
Hygiene
and
Sanitation
Education
in
schools
in
Katine.
The
project
set
up
school
health
committees
in
all
the
15
primary
schools
in
Katine,
which
are
now
responsible
for
passing
on
messages
on
sanitation
and
hygiene
to
pupils
in
schools
through
health
parades,
the
erection
of
tippy
taps
and
promotional
materials
amongst
others.
This
has
contributed
to
increased
rates
of
personal
hygiene
in
children.
The
project
provided
behaviour
change
communication
materials
on
the
use,
operation,
maintenance
and
application
of
by-products
(excreta
used
as
fertiliser
and
pesticide)
and
held
advocacy
meetings
on
ecological
sanitation
in
10
schools
where
the
ECOSAN
latrines
have
been
constructed.
The
component
installed
three
rain
water
harvesting
tanks
in
Amorikot,
Kadinya
and
Obyarai
primary
schools
to
promote
hand
washing
at
critical
times
and
to
save
the
provision
of
safe
drinking
water
to
the
pupils.
The
project
trained
teachers
on
hygiene
and
sanitation
promotion
in
schools,
as
well
as
introducing
them
to
promotional
materials
that
could
be
helpful
to
them
and
the
pupils
during
awareness
meetings,
and
also
during
personal
hygiene
and
sanitation
lessons.
v i ) I m p r ove d o p e r a t i o n s a n d m a i n t e n a n c e o f w a t e r a n d s a n i t a t i o n f a c i l i t i e s ; t r a i n i n g o f
Water and Sanitation Committees
There
has
been
improved
functionality
of
water
sources
constructed
by
other
actors
besides
AMREF
since
the
project
trained
11
additional
Water
and
Sanitation
Committees
(WSCs)
raising
the
figure
to
97%
from
87%
functionality
at
baseline.
The
training
covered
roles
and
responsibilities,
sanitation
and
hygiene
promotion,
introduction
to
simple
book
keeping
and
records
management
as
well
as
operations
and
maintenance
of
their
water
and
sanitation
facilities.
v i i ) S u p po r t t o h a n d p u m p m e c h a n i c s , w a t e r a n d s a n i t a t i o n c o m m i t t e e s
Hand
pump
mechanics
(HPMs)
set
up
and
trained
by
the
project
have
repaired
and
maintained
water
sources.
They
have
addressed
sanitary
risks
around
water
sources
to
prevent
stagnation
and
mosquitoes
breeding
by
allowing
the
percolation
of
spillage
water
back
into
the
water
cycle.
The
water
and
sanitation
committees
have
been
supported
on
how
to
mobilise
and
manage
water
user
fees.
2 . 1 . 4 I m p r ov e d i n c o m e g e n e r a t i n g o p p o r t u n i t i e s
Page 13 of 23
i ) I n c r e a s e c a p a c i t y o f r u r a l i n n ov a t i o n g r o u p s ( R I N G S ) t o m a n a g e t h e m s e l ve s fo r i m p r ove d
and sustainable livelihoods
Training
was
provided
to
18
farmers
groups
on
group
dynamics,
management,
gender,
planning,
visioning
and
participatory
monitoring
and
evaluation.
Group
leaders
were
trained
in
needs
assessment
where
36
group
representatives
(18
women
and
18
men)
participated.
Training
on
leadership,
conflict
management,
and
financial
management
was
also
conducted
and
54
leaders
(20
women
and
34
men)
participated,
with
each
group
represented
by
three
key
people
(i.e.
the
chairperson,
secretary
and
treasurer).
As
a
result,
the
farmers
groups
have
become
more
responsive
to
their
group
operations.
The
group
members
are
now
more
aware
of
their
roles
and
responsibilities
as
well
as
those
of
their
leaders.
Some
groups
(e.g.
Ajonyi
“B”)
have
prompted
their
representatives
to
improve
on
their
leadership.
The
groups
are
capable
of
holding
their
weekly
VSLA
meetings
and
resolving
internal
issues
without
support
from
the
project
team.
A
livelihoods
stakeholder’s
forum
was
established
in
the
first
year
of
the
project.
This
is
composed
of
development
partners
working
in
Katine,
including
other
NGOs,
local
government,
farmers,
the
private
sector
and
persons
with
disabilities.
The
forum
was
established
with
the
purpose
of
coordinating
and
sharing
livelihoods
interventions
by
the
various
players
within
Katine
to
minimise
duplication
of
effort
and
resources
and
create
synergy
for
sustainable
transformation.
In
one
of
the
many
meetings
held,
the
forum
discussed
and
agreed
on
establishing
a
farmers'
produce
store.
The
Katine
sub-county
local
government
donated
land
for
the
store
and
the
18
groups
offered
to
contribute
materials
and
labour
towards
the
construction.
Discussions
on
the
management
structure
of
the
store
are
still
on-going.
i i i ) S u p p o r t i n g f a r m e r s t o i m p r ov e c r o p p r o d u c t i o n
As
a
means
of
boosting
production,
farmers
were
provided
with
inputs.
A
total
of
7.3
tons
of
groundnut
seed,
1.2
tons
of
upland
rice
and
108
50g-tins
of
vegetable
seeds
were
distributed
to
farmers.
The
seeds
were
used
to
establish
group-
managed
nurseries
from
which
the
farmers
would
transplant
the
seedlings
to
plant
in
their
own
home.
Each
farmer’s
group
also
received
nursery
bed
management
implements
including
wheelbarrows,
spades,
watering
cans,
forked
hoes,
rakes,
sisal
string
and
measuring
tape.
AMREF
facilitated
a
training
of
trainers
in
collaboration
with
the
district
natural
resources
department
on
natural
resources
management
with
emphasis
on
nursery
bed
establishment
and
management.
It
involved
10
extension
workers
(two
women)
and
18
farmers
(six
women).
The
trainers
then
trained
members
of
the
18
groups.
As
a
result,
some
groups
have
started
to
set
up
the
nursery
beds
at
group
and
individual
member
levels.
The
livelihoods
team
set
up
a
study
visit
to
Serere,
one
of
the
National
Agricultural
Research
Stations
located
within
Soroti
District.
It
involved
18
farmers’
group
representatives
(11
women;
11
men),
one
sub-county
extension
worker,
the
sub-
county
secretary
for
production,
and
the
district
woman
councillor
for
Katine.
Farmers
were
exposed
to
various
improved
technologies
for
crop
and
livestock
production
including
soil
improvement
technologies.
As
a
result
of
the
visit,
farmers
appreciated
the
technologies
that
were
being
promoted
under
the
project
especially
the
improved
cassava
varieties.
14
Farmers
have
continued
to
manage
their
improved
cassava
gardens
of
Akena and 2,961
varieties
which
are
resistant
to
both
cassava
mosaic
disease
and
brown
streak
virus
disease,
and
are
already
maturing.
As
a
result,
11
farmer
groups
have
already
harvested
their
cassava
crops.
The
tubers
were
consumed
and
helped
to
cushion
the
effect
of
the
recent
drought
and
accompanying
food
shortage.
In
some
groups
(e.g.
Ojemorun),
some
non-group
members
have
also
benefited
through
adopting
the
new
technology.
The
cassava
experiment
demonstrates
that
the
technology
has
been
appreciated
and
adopted
by
the
Katine
farming
community,
not
only
by
the
farmers
participating
in
the
KCPP
supported
groups
but
even
those
outside
the
groups
and
a
multiplier
effect
is
being
realised.
i v ) S u p po r t fo r c o m m u n i t y a n i m a l h e a l t h s e r v i c e s
During
the
first
year
of
the
project,
seven
(two
female,
five
male
para-vets)
were
selected
in
collaboration
with
the
district
veterinary
office
to
provide
animal
health
services
in
the
community.
During
this
reporting
period,
the
para-vets
were
trained
on
community
based
animal
health
service
and
general
animal
management.
To-date,
start
up
kits
for
the
para-
vets
including
assorted
veterinary
drugs
and
instruments
have
been
procured.
Discussions
with
FARM-Africa
and
Soroti
District
Veterinary
Office
about
another
training
package
for
para-vets
on
business
management
are
ongoing.
On
completion
of
the
training,
the
para-vets
will
receive
the
start
up
kits
and
start
offering
quality
animal
health
services
to
the
Katine
livestock
farmers.
This
service
will
be
rendered
at
an
affordable
cost
to
enable
the
para-vets
to
replenish
their
kits
and
so
ensure
sustainability
of
this
service
beyond
the
project
life.
The
team
together
with
the
district
veterinary
officer,
FARM-Africa
training
and
advisory
unit
coordinator,
sub-county
extension
staff
and
KCPP
project
staff
participated
in
a
study
visit
to
Karamoja
(Moroto
and
Kotido)
where
the
practice
of
Community
Animal
Health
Workers
(CAHW)
is
in
place.
The
visiting
team
especially
the
para-vets
learnt
how
the
practice
is
managed
on
a
commercial
basis.
v) Business & marketing skills are enhanced to access better markets for their products
The
project
uses
various
approaches
to
enable
the
Katine
farming
community
to
appreciate
the
concept
of
farming
as
a
business
(FaaB).
The
approaches
involve
technical
training
to
improve
on
the
farmers’
business
skills
and
also
engage
them
in
study
visits
to
other
places
where
other
farmers
are
pursuing
the
same–adopting
the
concept
of
learning
by
seeing.
Two
phases
of
training
on
business
skills
improvement
and
agricultural
marketing
with
emphasis
on
collective
marketing
have
been
conducted
in
all
18
farmers
groups.
Both
training
sessions
were
preceded
by
training
of
trainers
that
was
conducted
in
collaboration
with
Uganda
Women
Effort
To
Save
Orphans
(UWESO)
and
Soroti
district
commercial
office
in
business
management
and
agricultural
marketing
involving
10
extension
staff
(one
woman)
from
Katine
and
other
parts
of
the
district.
These
trainers
then
trained
the
18
farmers
groups.
UWESO’s
nine
community
based
trainers
(four
female;
five
male)
were
part
of
the
second
phase
of
the
business
management
training.
Page 15 of 23
The
trainings
have
improved
the
farmers
understanding
of
basic
business
principles.
They
have
been
able
to
utilise
their
VSLA
funds
to
invest
in
different
income
generating
activities
including
financing
more
farming
activities
than
before,
and
boosting
their
incomes,
and
diversifying
their
incomes
sources
and
options
in
the
face
of
crop
failure
during
disasters
like
drought
and
diseases.
The
project
team
organised
a
study
visit
to
Lira
and
Nakasongola
districts
involving
18
farmer
representatives,
two
sub-
county
staff,
two
district
staff
and
three
KCPP
staff.
In
Nakasongola,
the
team
shared
experiences
about
cassava
processing
and
marketing
with
the
Nakasongola
District
Farmers
Forum
(NADIFA)
while
in
Lira,
the
team
learnt
from
the
women’s
group
how
it
has
evolved
over
time
up
to
the
present
status
where
they
are
now
successfully
engaged
in
collective
marketing
of
their
produce.
These
lessons
will
give
confidence
to
farmers
on
the
process
they
are
in
to
ultimately
engage
in
successful
collective
marketing.
Above: Katine farmers breaking ground for the foundation of the produce store construction
vi) VSLA operations within the 18 farmers groups
VSLA
operations
within
the
farmers
groups
have
been
successful.
Six
farmers
groups
have
already
shared
their
first
cycle
(12
months)
of
VSLA
transactions,
and
have
begun
the
second
cycle
without
an
external
facilitator.
The
remaining
groups
are
still
running
their
first
cycle,
and
progressing
well.
At
the
time
of
closing
the
cycle,
Olwelai
Farmers
Group
had
accumulated
about
USh
3.3
million
(about
£1000)
with
other
groups
accumulating
about
the
same
amount.
There
are
other
members
of
the
community
who
have
organised
themselves
and
started,
on
their
own,
new
VSLA
groups
by
learning
from
the
already
established
and
trained
groups.
The
fact
that
the
old
groups
have
started
on
the
second
round
of
VSLA
operations
without
any
external
technical
facilitator,
and
that
new
groups
are
mushrooming,
implies
that
farmers
have
mastered
the
VSLA
concept,
and
appreciated
the
benefits
associated
with
VSLA
and
its
sustainability.
Money
saved
in
the
form
of
shares
bought
has
been
loaned
to
individual
group
members
to
carry
out
various
income
generating
activities
such
as
trading
in
agricultural
produce,
livestock,
fish
mongering,
brewing,
butchering,
operating
restaurants,
arts
and
crafts,
buying
fishing
equipments,
among
others.
Loans
have
been
repaid
with
interest
and
there
have
been
no
significant
defaults.
The
money
saved
in
the
form
of
welfare
funds
has
been
loaned
to
individual
group
members
at
no
interest
for
payment
of
medical
bills,
buying
scholastic
materials,
food
and
clothes.
In
groups
that
have
completed
their
first
cycle
and
shared
money,
individual
members
have
bought
cattle,
paid
school
fees
and
expanded
their
business.
UWESO
and
CARE
have
supported
the
establishment
of
over
140
VSLAs
in
Katine
of
which
the
18
farmers
groups
are
part.
16
Security
has
become
a
challenge
for
the
VSLA
groups.
Recently,
robbers
targeted
a
group.
The
group
lost
Ush
4.2
million
(£1,300).
The
project
is
currently
having
discussions
with
CARE,
UWESO
and
Barclays
on
safeguarding
the
security
of
money
for
the
groups.
i ) P r ov i d e i n fo r m a t i o n o n c o m m u n i t y ’s r i g h t s t o b a s i c s e r v i c e s s u c h a s h e a l t h , w a t e r a n d
e d u c a t i o n ; c o m m u n i t i e s e m pow e r e d t h r o u g h I E C m e s s a g e s
The
project
has
increased
the
capacity
of
the
Katine
community
to
acquire
information
through
IEC
messages
developed
with
the
sub-county
and
district
IEC
committees.
The
messages
are
designed
with
the
aim
of
changing
attitudes
and
creating
awareness
on
rights
and
responsibilities.
When
people
know
their
rights,
they
can
demand
for
better
services
and
hold
their
leaders
and
other
service
providers
accountable.
Examples
include
t-shirts
and
posters
provided
to
communities
reading
‘it
is
your
right
to
be
heard,
speak
out
in
community
meetings’.
ii) Build the capacity of community structures and enhance community planning to better
meet community needs
The
project
conducted
two
PDC
training
sessions
in
Merok
and
Ojama
parishes.
The
training
in
planning
and
budgeting
attracted
27
participants
in
Merok
parish
including
Parish
Development
Councillor
(PDC)
village
representatives,
Local
Council
I
chairpersons
(LCI),
an
LCII
chairperson,
a
Parish
chief
and
an
opinion
leader.
In
Ojama
parish,
32
participants
attended
including
PDC
village
representatives,
LCI
chairpersons,
LCII
chairperson
and
a
parish
chief.
The
skills
acquired
will
enable
the
PDC
and
the
local
leaders
of
Merok
and
Ojama
parishes
to
support
the
community
participatory
planning
process,
thereby
empowering
their
communities
to
identify
needs
and
priorities
through
a
bottom
up
participatory
approach
as
per
the
Ugandan
decentralised
system
of
governance.
Four
follow
up
meetings
to
support
the
PDCs
in
all
the
parishes
as
they
developed
their
plans
were
made.
As
a
result,
the
PDC
capacity
was
strengthened
to
facilitate
community
planning;
all
six
parishes
later
managed
to
develop
and
submit
their
parish
plans
to
the
sub-county.
AMREF
intervention
in
regard
to
facilitating
PDC
training
in
general
contributed
to
the
timely
submission
and
integration
of
parish
plans
into
sub-county
plans
for
2009-
2012.
The
table
below
gives
a
sample
of
parish
priorities
for
Merok
parish
as
per
the
sub
county
records.
This
table
illustrates
a
plan
prepared
by
PDC
as
a
result
of
the
project
training
C o n s t r u c t
H e a l t h Purchase
2
bicycle
ambulances
Construct
staff
houses
in
Health
Centre
II
Health Centre
II
Page 17 of 23
Construct
7
teacher’s Construct
2
block
5
stance
pit Complete
4
classroom
block
office
and
Education houses
in
each
school latrine
in
Oimai
primary
school store
in
Oimai
p/s
( O i m a i
a n d
M e r o k for
teachers
&
pupils
primary
schools)
Open
10
km
road
from Road
maintenance
of
10
km Maintenance
of
8
km
road
from
Katine
Wo r k s K a t i n e
s u b - c o u n t y from
Katine
sub-county
to sub-county
headquarters
through
Oimai
t h r o u g h
A g o r a
t o Merok
landing
site
to
Merok
Merok
landing
site
Rights
Based
Approach
to
development
(RBA)
concept
was
rolled
out
in
this
reporting
period.
The
project
trained
staff
and
sub-county
partners
in
RBA
programming.
RBA
improves
on
current
development
approaches
since
it
views
development
as
a
process
to
achieve
rights.
Rights
have
international
standards
and
benchmarks;
governments
and
other
development
partners
can
be
held
accountable
if
they
do
not
reach
those
standards.
With
the
community
resource
centre
established
with
four
computers
connected
to
the
internet,
the
project
organised
two
three-day
non-residential
training
courses
in
basic
computer
skills
for
local
community
members.
14
local
community
members
(8
women
and
6
men)
were
trained
in
the
first
batch
and
15
(7
women
and
8
men)
were
trained
in
the
second
batch.
With
this
knowledge
the
community
members
have
been
able
to
access
the
Guardian/Katine
website
at
the
community
resource
centre
and
likewise,
shared/encouraged
the
other
members
of
the
community
to
come
to
the
18
resource
centre.
Throughout
this
reporting
period
the
resource
centre
was
overwhelmed
with
community
members
so
much
that
the
project
had
to
establish
guidelines,
and
formed
a
15
member
supervisory
committee
comprising
mostly
of
community
members
to
coordinate
the
day
to
day
running
of
the
resource
centre.
There
is
regular
attendance
and
local
views
are
being
reflected
on
the
Katine
website
from
time
to
time.
IT
trainees
volunteered
to
train
the
children
of
Katine
primary
school
in
basic
computer
skills
and
thus,
these
pupils
successfully
had
an
online
chat
with
children
from
the
UK
through
the
Guardian/Katine
website,
so
the
use
of
the
centre
by
the
community
is
already
taking
root.
18
local
community
members
received
media
training
on
video
filming
organised
by
UK
Guardian
officials.
Communities
are
using
this
knowledge
and
video
cameras
provided
to
them
to
document
and
film
community
interest
stories
for
the
Guardian
media
and
other
development
partners.
v ) S t r e n g t h e n e d p r o j e c t i n t e g r a t i o n a t c o m m u n i t y a n d o p e r a t i o n a l l ev e l
The
project
organised
a
partners
meeting
aimed
at
drawing
modalities
for
harmonising
work
among
different
local
community
structures.
The
joint
meeting
of
LCs
and
representatives
from
all
the
community
groups
clarified
different
roles
and
responsibilities
specifically
for
VHTs,
PDC,
LCs,
parish
sanitation
committees
and
farmer
groups
and
looked
at
how
these
roles
could
be
integrated
for
effective
project
implementation.
The
meeting
was
attended
by
18
VHTs,
12
PDCs,
six
parish
chiefs,
12
PSCs,
12
LC1
chairpersons,
six
LCII
chairpersons,
six
farmer’s
group’s
members.
The
project
organised
project
management
committee
meetings
to
discuss
the
MTR
issues
together
with
external
consultants.
The
project
organised
nine
PMC/PSC
meetings
in
total.
The
PMC
at
sub-county
level
supports
the
day
to
day
running
of
the
projects.
The
PMC
meetings
discussed
progress
on
KCPP
activities
looking
at
the
achievements
being
realised,
challenges
met
and
recommendations/possible
solutions.
The
meetings
further
reviewed
previous
action
plans,
preparations
for
MTR
exercise
and
feedback.
Their
ideas
were
instrumental
in
making
a
justification
for
KCPP
extension.
During
the
MTR,
the
PMC
greatly
supported
the
team
for
community
mobilisation,
providing
their
time
and
information.
The
project
organised
two
project
steering
committee
meetings
at
district
level.
The
PSC
at
district
level
provides
technical
guidance
to
the
project.
As
in
the
PMC
the
PSC
meetings
discussed
project
progress,
reviewed
and
made
modification
to
existing
KCPP
work
plans
as
a
start
up
process
for
the
MTR.
The
district
partners
also
appreciated
AMREF’s
change
of
approach
from
using
external
contractors
to
using
local
contractors
in
construction
work.
The
project
also
organised
another
consultative
meeting
with
key
members
of
the
district
steering
committee
i.e.
The
LCV
chairman,
LCV
Vice
Chairman,
Chief
Administrative
Officer,
District
planner,
District
Community
development
officer,
Soroti
Resident
District
Commissioner
to
share
with
them
the
MTR
report,
and
get
a
common
understanding
of
the
report
and
its
recommendations
in
preparation
for
the
MTR
workshop
held
in
mid
September.
Page 19 of 23
A
partnership
between
AMREF,
Guardian
and
FUFA
was
developed
this
year.
The
aim
of
the
partnership
was
to
use
football
as
a
mobilisation
strategy
to
promote
messages
on
hygiene,
health
and
sanitation,
life
skills
development,
and
bring
harmony
and
healing
to
a
community
that
has
been
affected
by
conflict.
An
unplanned
outcome
was
this
project’s
support
to
the
Katine
Health
Centre
II,
a
private
not-for-profit
establishment,
to
repair
a
blown
off
roof.
This
centre
serves
Katine
Parish,
a
population
of
approximately
6,000
people.
AMREF
implements
its
work
through
partnerships
in
order
to
build
their
capacity,
improve
the
reach
of
work
and
ensure
sustainability
in
approaches
by
working
through
existing
structures.
The
project
continued
to
work
alongside
parish,
sub-
county
and
district
counterparts
in
the
departments
of
health,
water
and
sanitation,
livelihoods,
education
and
community
empowerment
in
all
its
activities.
These
included
existing
community
networks,
Government
structures,
NGOs
and
CBOs
(Community
Based
Organisations)
who
share
the
same
vision
and
objectives
i.e.
Tran
cultural
Psycho-Social
Organisation
(TPO),
TASO
and
UWESO.
The table below outlines how each component of the KCPP worked in partnership with a number of stakeholders.
3.1 Health
The
project
partnered
with
the
district
health
team
in
joint
trainings
and
joint
field
supervision.
Also
participated
in
the
district
health
sector
coordination
meetings
to
which
other
NGOs
also
participated.
Participated in national programmes like national child days plus campaigns and international programmes like World AIDS day
3.2 Education
The
project
worked
closely
with
the
local
government
education
department,
primary
teachers
colleges
in
planning
and
implementation
of
activities
especially
implementation
of
capacity
building
activities
for
beneficiaries
through
primary
teachers
college
(PTC).
Worked
with
the
district
education
working
group
comprised
of
the
district
education
department,
SNV,
Child
Fund
International,
World
Vision,
TEDDO,
Right
to
Play,
TEMEDO
and
others.
3.3 WATSAN
The
project
jointly
implemented
some
activities
with
the
district
water
and
sanitation
department
such
as
water
quality
testing
and
surveillance.
The
project
hosted
a
team
from
directorate
of
water
development
who
were
on
a
monitoring
visit
in
preparation
for
the
water
and
sanitation
sector
performance
report
that
would
inform
and
feed
into
the
discussions
during
the
Government
of
Uganda/Donor
Sector
plans.
3.4 Livelihoods
The
project
worked
closely
with
the
district
local
government
departments
especially
district
natural
resources
department,
Works
department,
community
development,
production
and
marketing
on
training
of
the
farmers.
20
Planned
and
worked
closely
with
FARM-Africa
on
farming
issues
for
technical
support
and
UWESO/CARE
on
VSLA
activities.
Also
participated
in
the
livelihoods
stakeholders’
forum
to
which
other
NGOs
(SODIFA,
CIDI,
TEMEDO,
and
TPO)
participated.
Activities
were
coordinated
in
partnership
with
relevant
stakeholders
(community
groups,
district
streering
committee
and
the
sub-
county
project
management
committee
who
were
also
involved
in
the
MTR.
T h e
i n a d e q u a t e s u p p l y o f m e d i c i n e s
(Coartem,
oral
rehydration
salt
and
Panadol)
for
the
home
based
management
of
childhood
illnesses
is
hampering
the
work
of
the
community
medicine
distributors.
AMREF
is
advocating
together
with
other
NGOs
for
government
to
ensure
that
there
is
availability
of
drugs.
The
posting
of
qualified
teachers
to
the
community
schools
is
taking
longer
than
anticipated.
AMREF
continues
to
lobby
for
the
posting
of
teachers
to
community
schools.
T h e t r a n s f e r o f K a t i n e s u b - c o u n t y t e a c h e r s t o o t h e r
s u b - c o u n t i e s a f f e c t s t h e c o n t i n u i t y o f p l a n n e d p r o g r a m m e s.
The
project
has
negotiated
for
the
retention
of
the
newly
posted
teachers
within
the
sub-county
for
at
least
a
period
of
three
years.
The
project
will
collect
data
on
the
teachers
who
were
transferred
and
those
that
were
retained
to
ascertain
the
extent
to
which
the
teacher
transfers
will
affect
the
achievement
of
project
objectives.
The
increasing
demand
for
more
safe
water
sources
in
the
community,
and
the
project’s
inability
to
address
the
demand
has
been
a
major
challenge.
AMREF
is
working
with
the
community
structures
to
create
awareness,
manage
expectations
and
maximise
benefits
within
the
available
resources.
The
project
expects
to
increase
the
water
coverage
from
the
current
65.6%
to
85%
by
the
end
of
the
project
if
further
funding
is
availed.
Having
strengthened
a
number
of
structures,
equal
gender
representation
and
participation
in
some
of
the
committees
is
still
a
major
challenge
due
to
cultural
and
educational
backgrounds.
The
project
will
continue
to
promote
gender
awareness
and
training
in
gender
mainstreaming
and
promoting
affirmative
action
in-group
formation.
Page 21 of 23
4.2 Lessons learnt and Recommendations
The
project
works
closely
with
Soroti
district
local
government
and
should continue
to
advocate
and
lobby
for
the
placement
of
health
workers,
and
teachers
and
the
timely
supply
of
drugs
to
health
centres.
Stakeholders’
involvement
and
local
community
leaders
play
an
important
role
in
making
health
activity
promotion
acceptable
and
of
improved
quality.
Up
to
date
information
dissemination
is
key
in
changing
attitudes,
behaviours,
practices
and
stigma
which
hinder
access
to
health
care
services.
Partnership
is
crucial
for
sustainability
of
service
provision
and
improves
utilization
of
scare
resources.
Strengthening
coordination
structures
ensures
real
mainstreaming,
resource
mobilisation
and
harmonisation.
Networking
and
information
sharing
are
necessary
among
stakeholders
to
avoid
duplication
of
activities
and
to
build
on
each
others’
strengths
to
enhance
cross-organisational
learning
and
knowledge
base.
The
use
of
Music
Dance
and
Drama
is
key
in
sanitation
and
hygiene
promotion
at
community
level
as
well
as
in
schools;
this
has
been
demonstrated
in
Kalela
village,
Olwelai
parish
where
the
VHTs
formed
a
drama
group
for
sanitation
and
hygiene
education.
Exemplary
leadership
and
active
involvement
of
community
opinion
leaders,
politicians
and
reputable
persons
in
development
activities
helps
enhance
ownership
and
sustainability
of
development
interventions.
Parish
Development
Committees
and
Local
Councillors
have
the
potential
to
support
communities
to
develop
their
village/parish.
They
can
be
supported
by
improving
their
skills
and
providing
them
with
bicycles
to
mobilise
communities
and
monitor
development
work
in
their
areas.
5.0 FINANCIAL REPORT SUMMARY As
of
September
2009,
2
years
into
the
project,
AMREF
spent
£1669490,
84.6%
of
year
1
and
2
budgets.
Below
is
a
breakdown
of
key
reasons
for
under/overspend
against
the
budget.
The
financial
report
is
a
separate
annex
and
should
be
read
in
conjunction
with
the
summary
below.
P r o j e c t a c t i v i t i e s :
All
project
activities
in
line
with
spending
against
budget
apart
from
Water
and
sanitation
and
livelihoods.
The
WATSAN
component
overspent
(107%
against
the
budget)
because
of
higher
than
anticipated
costs
for
drilling
the
production
borehole
for
Atirir
HC
IV.
The
other
reason
is
the
fluctuation
in
prices
of
construction
material
due
to
a
number
of
factors
(such
as
national
fuel
shortages)
beyond
AMREF’s
control.
In
livelihood,
the
budget
is
underspent
(43%
against
the
budget).
This
is
partly
due
to
construction
of
the
produce
store
which
started
late
and
so
the
budget
was
not
used
up
as
was
planned
for
the
second
year.
The
cost
has
been
reallocated
into
the
third
year.
The
delay
was
due
to
the
lengthy
processes
of
generating
a
Memorandum
of
Understanding
amongst
the
stakeholders
including
farmers,
the
Sub-County
staff
and
AMREF.
The
use
of
masons
that
are
already
involved
in
school
construction
has
compounded
the
delay.
The
training
for
paravets
could
not
happen
due
to
the
delays
in
procuring
the
right
supplies
for
the
paravets
so
this
activity
has
been
re-scheduled.
U K m a n a g e m e n t c o s t s : All
fundraising
(donation
processing
and
staff
time)
and
programme
costs
(salary,
travel
and
advocacy)
are
in
line
with
the
budget
and
advocacy
costs
will
be
used
up
in
year
3
as
the
evidence
from
Katine
comes
to
fruition
for
dissemination
through
events.
Communications
costs
are
low
(43%)
as
costs
have
not
been
accounted
for
yet
but
will
balance
in
the
New
Year.
Management
costs
are
higher
than
expected
due
to
legal
costs
in
the
first
year
as
a
result
of
lengthy
contractual
agreement
process.
22
M o n i t o r i n g & E v a l u a t i o n :
The
overspend
of
143%
is
because
in
the
original
budget,
AMREF
had
anticipated
an
internal
evaluation
of
the
project.
In
the
early
part
of
the
second
year,
it
was
decided
by
AMREF
that
an
external
review
by
a
consultant
outside
of
AMREF
could
provide
the
project
with
evidence
on
what
was
working
and
what
needed
to
be
changed
in
order
to
achieve
the
objectives
of
the
project.
6.0 Annexes
6.1 Acronyms
6 . 5 Ta bl e o f e d u c a t i o n f a c i l i t i e s i n s c h o o l
Page 23 of 23