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| Services that FLEP provide Community based strategies employed in the provision of services entails, in particular, the CBD approach to promote accessibility to Reproductive health services, child health services including HIV/AIDS, mobilizing community leaders as a channel to call for community involvement, and sexual education by community professionals. This invaluable community infrastructure does not only enhance and promote service accessibility but also enhances service integration, program cost effectiveness and program sustainability. FLEP service delivery system revolves around 51 selected communities, known as Project Areas, located in the five districts of Jinja, Iganga, Kamuli, Bugiri, and Mayuge in Busoga region, of which 48 are rural, 2 urban and 1 semi urban. At the urban centers FLEP has established two Voluntary Surgical Contraception (VSC) that promote long term ad permanent methods of Family Planning. Each project area is a catchments area of approximately an administrative sub- county (in relation to the service population for Family Planning). The project areas are involved in the management and provision of resources for the services provided through the leadership and mobilization of each project area’s Development Committee and Health Unit Management Committee (HUMC). In each of the 49 Project Areas, FLEP has established and equipped a health service unit most of them staffed by specially trained clinical officer, midwife and/or nurses who are referred to in this program as Reproductive health Practitioners. These have been specifically trained to provide Integrated Health care; integrating FP, STI, and HIV/AIDS services with all other aspects of primary Health care. Also in each of the 49 project areas (PAs), there are systematically trained Community Based Distributors (CBDs), referred to in FLEP as Village Health Workers (VHWs). The CBDs of this Program are different from the regular CBDs of other FP services, in that they do more than distribution of contraceptives. They are trained to mobilize communities, through BCC activities, different Health services such as immunization, ANC, Deliveries, PNC, nutrition and growth monitoring of children 0- 5 years, nutrition of pregnant and breast feeding mothers, diagnose health related problems in general, dispense contraceptives to clients as fit, help people with STI, HIV/AIDS related problems, make appropriate referral and follow- up. The community health care units serve as referral centers to which the VHWs work hand in hand. Except for the established 49 PAs, FLEP has established 19 Partnership Project Areas in which provision of Adolescent Sexual Reproductive health services is done in partnership with the Public Health Sector and other Civil Society organizations. In these areas, a community support network comprising of 123 Adolescent Peer Service Providers, 96 Community Reproductive health Workers, 72 Quality of Care Monitors and 14 Field Supervisors has been established. This was established with funds and resources from Pathfinder International as a component of the Youth Friendly Service component of the African Youth Alliance Project Uganda in the two districts of Iganga and Mayuge over the past three years. This Community based service delivery system is facilitated by a team of technical staff based at the Program” Headquarters. It is this team, which provides technical assistance to develop skills of key community based program managers. These Community managers include volunteers like community leaders (Development community members and Health Unit Management Committees), Sexuality Educators, Village Health Workers, Communication Agents (GAMPE), Adolescent Peer Service Providers and Reproductive health Practitioners. Communication (BCC) is another strategic service rendered by FLEP. This involves, among other things, the provision of appropriate RH counseling services as well as the design and delivery of messages intended to prospective and current clients/ patients to see more clearly the Rationale for and benefits Reproductive health services. FLEP has been involved in highly innovative initiatives of developing indigenous approaches to BCC. The approaches have so far been acclaimed, even beyond FLEP operational territory, as particularly effective and suitable to the cultural and material environments of client communities. To this effect a team of communication Agents (BCC Team) has been developed to participate in the development of communication programs and in communicating to the community. |
Summary FLEP engages in the following inter-related services:
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