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Immunisation through kitchen gardens and Social accountability

Improving immunisation through kitchen gardens for caregivers and Social accountability on health service delivery systems

Photo of Mwebembezi Jostas

Written by

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

Establish kitchen gardens for caregivers as immunisation fringe benefits and utilise local council WII leaders to improve health service delivery and monitoring at health centre 3 level.

Explain the idea (less than 2,000 characters)

Caregivers are always people who stay at home and sometimes are grandparents who are helpless themselves. The healthcare workers are not always at facility who also claim stockout of drugs at the Facility. To close this gap, we would like utilize kitchen gardens to motivate caregivers' commitment to immunisation similar engage local council leaders with health facility leaders on monthly joint meeting for services delivery monitoring particularly addressing immunisation gaps and tracking unimmunized children and fringe benefits for the caregivers. We shall spend funds on procuring seedlings of carbbage, eggplant and sukumawiki plus watering cans for the caregivers. Support monthly meetings between community and facility on immunisation case conferencing. Support community engagement dialogue meetings and nominations of village immunisation champions or change agents to break norms and barriers to immunisation. Support district data officers in immunisation monitoring and evaluation and data use.

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

  • Eastern Africa

Geographic Focus (less than 250 Characters)

High burden districts in Uganda. Kasese

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

Caregivers The local council leaders The healthcare workers We are working with the above under the accelerating epidemic control project in Kasese

How is the idea unique? (750 Characters)

The idea is based on fringe benefits for the caregivers commitment but also addressing nutrition challenges at household level and utilization of existing political leader to improve health systems at health facility.

Idea Proposal Stage (Select 1)

  • Early Adoption: We have completed a pilot and analyzed the impact of that pilot on the intended users of the idea. I have proof of user uptake (i.e. 16% to 49% of the target population or 1,000 to 50,000 users).

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

2 years

Organization Name (less than 140 characters)

Rwenzori Center for Research and Advocacy

Type of Submitter

  • We are a registered NGO or Non-Profit Organization

Organizational Characteristics

  • Locally/community-led organization

Organization Location (less than 140 Characters)

Plot5, koro road Kasese, Uganda

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

  • Community (working within one or a few local communities within a region)

Website URL

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

Rwenzori Center for Research and Advocacy is a Ugandan not for profit organisation founded in 2010, accredited by the Economic and Social Council of the United Nations. We empower communities for improved livelihoods, healthcare and education appropriate for the 21st century, through awareness, research, technology,and innovation.

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

District health office, District local council. Caregivers

How many people are on your team?


Tell us more about you and your team


Join the conversation:

Photo of Isaac Jumba

Hi Mwebembezi Jostas 

Great to see your idea in refinement. As the refinement phase closes, remember to update your idea to reflect your learnings during refinement as well as provide the additional needed information (your business model canvas, user experience map and the answers to the added questions). Best

Photo of Mwebembezi Jostas

Many thanks, am trying to find link to update business model but can't find it.

Photo of Marichu Carstensen

Yes, Mwembembezi, give me an idea of the lot size, orientation, slope where the vaccination site will be located and the kitchen.

Photo of Mwebembezi Jostas

The plot size is always left for the caregivers to decide considering their land size. But on average less than half a plot. The outreach Vaccination centre shall be located 15km from the nearest health centre and the other vaccination centre shall be 15km from the previous centre. This is to back up the facility based vaccinations on referrals. Kitchen is located at caregivers household, the garden is near the home kitchen thus the name kitchen garden.

Orientation is done onsite with a group of caregivers.

Photo of Marichu Carstensen

Mwebembezi, I love the idea of caregivers coming to a garden and cooking together. Going to the vaccination site is a tedious task and giving them something refreshing to go for is a beautiful prospect that can encourage everyone. A real community works together and encourage each other. I have some knowledge in permaculture and I am willing to design a small garden surrounding your kitchen. A sanctuary instead of a mere session site. Wonderful!
Congratulations and the best of luck!

Photo of Mwebembezi Jostas

Hi Marichu Carstensen huge thanks for the comments, I would be happy to speak with you regarding the designing of a small garden for caregivers.

Photo of Anne-Laure Fayard

Mwebembezi Jostas I really like your idea. Congratulations for being selected into refinement. It was great to see the results from the pilot in your answer to Ashley Tillman I wonder if you might consider adding some of your key learnings in your idea so that it's easier for all to read about them (sometime comments get lost). I know you're working with your prototyping support team to create an experience journey map but I wonder if you could already add a few pictures. You mention a lot of meetings. I wonder what other activities are offered and also if some include children. You noted that caregivers are often at home and I wonder what would be the incentive for them to come to the kitchen garden. How many people do you have actually as part of your pilot? Do people have to commit and come regularly? Sorry for all these questions but I find your idea intriguing and would love to understand it better. Thanks! Good luck and looking forward to seeing the next iteration.

Photo of Mwebembezi Jostas

Hi Anne-Laure Fayard , many thanks for the comments, I have sent you an email with answers. Jostas

Photo of Ashley Tillman

Hi Mwebembezi Jostas nice to have you in the Challenge, since you've completed your first pilot of this project what were the results? What did you learn to apply moving forward?

Photo of Mwebembezi Jostas

The kitchen gardens have helped us achieve patients retention at health facilities and improved adherence on treatment and facility based care. Lessons learned
Have a household action plan backed by kitchen gardens is very effective in empowering caregivers in immunization service coverage.
Through a design thinking process of demand creation, the caregivers scored a kitchen garden as very important.
Meetings held with local councils and health facilities were helpful in achieve better service delivery and health systems strengthening.