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Village Vaccination Outreach Team-VVOT

Train VVOT to work with other caregivers to help Provide services, monitor and evaluate child vaccination in remote areas for every child.

Photo of Obua Godfrey
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Describe what you intend to do and how you'll do it in one sentence (required 250 Characters)

Rural Women and Youth Coordination aims to improve child vaccination in remote areas of Northern Uganda by empowering VVOT with smartphones communication and solar-powered cold rooms for vaccine storage for easy access by new/ child/disabled mothers

Explain the idea (less than 2,000 characters)

VVOT pilot project is designed to effectively address the entire vaccination process to effectively address the issues of ‘vaccination gaps’ from all angles. Three areas were identified: creating awareness, scheduling vaccination, data collection and updating which involves role-playing to raise everyone’s awareness on the functions of the other participants and their coping strategies. Most caregivers are already taking action, mobilization, involving local leaders, health assistants and carrying out vaccinations scheduling, but all of these initiatives are uncoordinated, so everyone shift blames, when some areas are not reached. The health assistants would blame the local leaders, while the local leaders blame the parents and the parents say they were not aware of the schedules. This absence of communication and confidence undermines collective attempts to vaccinate every child in target communities. However, remote rural areas’ children are more vulnerable than any other children since they have few health facilities located in long distances, with even fewer health officers. The pilot project revealed that VVOTs are essential to reduce gaps and reach all children in remote areas and enhance communication between caregivers, create awareness, increase communities’ participation in vaccination programmes. Improving networking between caregivers, providing solar powered cold rooms for vaccines, and raising public awareness have been significant facts for success in reaching every child with vaccination. To do this we train VVOTs from villages and provide them with smart phones. Cell phones could if used in health services especially in rural areas helps improve efficiency and sustainability of health services. More effective use of ICTs by caregivers support in health programmes accelerates vaccination in rural areas. Expanding range of mobile applications-text messaging, mobile internet and mobile early warning can deliver a multitude of highly relevant services

Which part(s) of the world does this idea target?

  • Eastern Africa

Geographic Focus (less than 250 Characters)

We are working in Northern Uganda, in the districts of Otuke, Agago and Alebtong

Who are your end users and how well do you know them? (750 characters)

We have been working with rural communities in Northern Uganda over the last ten years in various health and economic issues, including health and maternal care, sexual and reproductive health, water and sanitation, food and nutrition and more.

How is the idea unique? (750 Characters)

Primary health care provision through innovative community level interventions such as the Village Vaccination Outreach Teams (VVOT) concept in rural areas can be a rational way of achieving universal access to healthcare. The VVOT concept that serves as a community’s initial point of contact for health care became part of our programme, having used peer groups researchers in sexual and reproductive health programmes and we registered a significant change. Uganda’s mortality and morbidity rates are among the highest globally and in response to this crisis, RWYCAD created this program to bring basic preventive care to rural villages. A VVOT covers the geographical size of the Local Council 1 (Village) with members’ selection done on a popula

Idea Proposal Stage (Select 1)

  • Prototype: We have done some small tests or experiments with prospective users to continue developing the idea.

How many months are required for the project idea? (140 characters)

It will take us 36 months to cover the required packages

Organization Name (less than 140 characters)

Rural Women and Youth Coordination-RWYC

Type of Submitter

  • We are a registered NGO or Non-Profit Organization

Organizational Characteristics

  • Female-led organization
  • Women’s health/rights focused
  • Youth-led organization
  • Locally/community-led organization

Organization Location (less than 140 Characters)

Rural Women Youth Coordination P.O.Box 102 Lira Northern Uganda

What is the current scale of your organization’s work?

  • Regional (reach within 1 geographic region)

Website URL

https://www.facebook.com/rwyc.promana.7

Tell us more about your organization/company (1-2 sentences)

The Child and maternal Health division is majorly concerned with the health of newborns and children (0 to 5 years and below).Children represent the future, and ensuring their healthy growth and development ought to be a prime concern of all societies. Newborns are particularly vulnerable and children are vulnerable to malnutrition and infectious diseases, many of which can be effectively prevented or treated.

Who will work alongside your organization in the project idea? (750 characters)

The local leaders, local council I, traditional leaders, women leaders, local government and community based NGOs

How many people are on your team?

7

Tell us more about you and your team

We have four health workers, including a researcher, among them 2 are part-time workers with Lira University campus- health department and three others are administrative staff.
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Attachments (3)

UTILIZATION OF IMMUNIZATION BY HEALYH WORKERS.docx

summary part of communication and collaboration amongst caregivers

VVOT Project Details.docx

pilot project details, proven useful to reach all children with vaccination

4 comments

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Comment
Photo of Isaac Jumba
Team

Hello Obua Godfrey 
Great to read through your idea. A quick question that I have is; are the Village Vaccination Outreach Teams already in place or is your idea to set them up? If they are already there, how unique is the training approach and how different is it from what currently exist?

Photo of Obua Godfrey
Team

Hi Isaac Jumba,
Thank you for your comment.
Yes, a few are already there, in the two villages where we are prototyping this idea. More would be selected in every next villages that we shall reach with available funding to scale this programme. The VVOTs are trained on health services and communication skills , especially for hard to reach areas and are very important in such underdeveloped areas, as they are part of the communities they serve and know each and every family by names, behavior and above all culture or even every new borne child in their areas, whether delivered in health facilities or on the way to health facilities or at the traditional birth attendants.
Primary health care provision through innovative community level interventions such as the Village Vaccination Outreach Teams (VVOT) concept in rural areas can be a rational way of achieving universal access to healthcare. The VVOT concept that serves as a community’s initial point of contact for health care became part of our programme, having used peer groups researchers in sexual and reproductive health programmes and we registered a significant change. Uganda’s mortality and morbidity rates are among the highest globally and in response to this crisis, RWYCAD created this program to bring basic preventive care to rural villages. A VVOT covers the geographical size of the Local Council 1 (Village) with members’ selection done on a popular vote and the team must be gender balanced with at least a third or two third of women. The very nature of Primary Health Care necessitates community participation, especially in most rural areas in order to achieve good results. Among their roles are community mobilization 99% and home visiting of individuals families having child 0-5 years, as they share many things in common.
Thank you for your time.
Regards, Godfrey Obua

Photo of Anne-Laure Fayard
Team

Thank you for sharing Obua Godfrey ! I like how your idea is tapping on the existing social structure of your communities (thus increasing trust) to build stronger relationships and create behavioral changes. I would love to know what were the key learnings from the prototypes? What would keep doing and what might you change? Did anything surprise you?
I also noticed the mixed nature of the teams. I think I can see why you're doing this but I'd love if you could tell me more about the rationale. Thanks!

You might want to check a few ideas that have synergies with yours:
Enhance Community Capacity to access immunization services in Busia District  by Ochola Amosiah 
MAMA CHANJO: Key Immunization mothers by Temba Vicent 
Women Ambassadors for Vaccine Education (WAVE) by Maidah Mir 
Male immunization champions: Using “male immunization champions” as immunization promoters by BAGAYA MONICA 
Good luck with the next steps!

Photo of Obua Godfrey
Team

Dear Anne,
Thank you for your comments.
I would love to know what were the key learnings from the prototypes?
About VVOT- are elected by the community themselves, especially as per their roles in community work and programmes, opinion leaders, women, and youth leaders mix ages are involved, as we guide their activities.
We have learned that improved networking between caregivers, and provision of solar-powered cold rooms for storing vaccines to improve vaccine supply; besides continuous public talks to raise public awareness by their VVOTs/opinion leaders have been significant facts for success in reaching every child with vaccination in remote areas. This absence of communication and confidence undermines collective attempts to vaccinate every child in target communities. However, remote rural areas’ children are more vulnerable than any other children since they have few health facilities located in long distances, with even fewer health officers. The pilot project revealed that VVOTs are essential to reduce not only the gaps but also the number of children in remote areas in order to enhance communication between caregivers, create awareness to communities’ participation in vaccination programmes.
What would keep doing and what might you change?
The VVOTs give clear information to their own communities removing the negative attitudes towards vaccines, conduct relevant research and design together with health care workers and communities every steps and schedules that enable better vaccination outreach, in addition, help update information about routine vaccination sessions beforehand, like one day ahead of sessions and provide subsequent information as necessary.
The Village Vaccination Outreach Teams work hand in hand with health care workers to provide services and communication that are vital for providing access to health services, knowledge and skills, which are tools that are needed to create impactful and scalable solutions. Hence, without the services and training, the community would not be able to live healthily or improve the health status of their kids, especially 0-5 years would be at high risks of treatable and preventable diseases.
RWYC's approach to enhancing community health does not only improve access to health services for those in remote or rural areas but also provide relevant training of selected community health workers and volunteers from within the communities, as they mix up with them freely.
Did anything surprise you?
Yes, we have learnt that there are very few health care workers in what we call in Uganda health center, child and maternal care is a big problem, especially in most health center iii, for instance, there have been cases of mothers delivering without the help of midwives and as a result lost their babies, to make it worst some also delivered on the bare floor of the verandahs.
On a good note, away from that, mobile phones use are increasing in rural areas, about 70% have subscribed to mobile phones services, at least every home has a mobile phone, and some of them have access to the internet, as well as FM radios, so they tune to local radio stations and follow most programmes on radios through their mobile phones. This increases the possibility of participatory work to more ultimately provide access to relevant information and vaccination programmes. Communication becomes effective as all the caregivers are involved, besides, the community through their representatives receive up-to-date information about their routine vaccination, arranged together with other caregivers, and they plan their own businesses accordingly so they do not miss out the schedules, besides, the VVOTs, are able to monitor and evaluate success right from the start of the programme, enabling effective learning and improvements, they are expected to share their results after every schedule sessions. In our region, the ICT network is so far helping farmers to fight pests and diseases, as well as achieving higher sales volumes and incomes through the use of their mobile phones. And solar powered cold rooms store vaccines, reducing frequent traveling by health care workers supply remote areas.
I also noticed the mixed nature of the teams. I think I can see why you're doing this but I'd love if you could tell me more about the rationale.
This project targets a 3 Dimensional approach to increase adherence through integrated strategies for increasing vaccine uptake and closing the existing gaps in accessing health services, such as vaccination and maternal care. We involve health care workers with longtime experiences to encourage other caregivers to carry out the process, and VVOTS- are leaders in communities help to impart additional clear/effective information that encourages and enable full participation of their communities. We use this approach because they are familiar with remote health problems, remoteness, and few health care workers in Uganda- Thanks, Godfrey