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Refugee Health Alert(RHA)

Empowering urban refugees to access child health care services by providing free immunization education,counseling and referral information.

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Describe what you intend to do and how you'll do it in one to two sentences (required 350 Characters)

RHA maximizes innovations and technology to expand access to child health care/immunization services to urban refugee communities in Uganda by offering free immunization education, counseling and referral information through mobile, internet, seminars and print materials in addition to traditional methods.

Explain the innovation (2,500 characters)

Uganda is the largest refugees host country in Africa and the third in the world with more than 1.5 million refugees and asylum-seekers as of October 2018. The country has received more than 1 million refugees from the Democratic Republic of Congo and South Sudan since July 2016. The population of 103,694 are urban refuges grouped according to their countries of origin and scattered among the Kampala city-slums of Kisenyi ,Katwe, Makindye and Masajja. This population lives in squalid conditions with several barriers limiting their accessibility to immunization services including language, cultural, financial and logistical barriers as well as a lack of familiarity with the health care system. Although the Government of Uganda through Refugee and Host Population Empowerment (ReHoPE) programme has made it a priority to include refugees in it's national development plan with spacial focus on enhancing social service delivery to refugee-hosting areas, these challenges are still limiting refugees from accessing immunization services. For refugees to navigate through language, cultural, financial, logistical and health care system barriers; and access child health care, we will provide free immunization education, counseling and referral information through telephone, website, SMS platform, seminars and a collection of print resources in addition to traditional methods. Our services will include: immunization service guides, health care system guide, SMS reminders, information language translation and printed immunization schedule ( listing all the vaccines provided to refugees of Uganda. These services will be expanded with an online and by-phone navigation service to help them determine when their children need to be immunized and find immunization facilities closest to where they live. We will achieve these objectives by using a working model referred to as Integrated Operating System (IOS) where we will bring together all the platforms we work on into one management system that will enable us to use a small working stuff of less than 10 employees to serve 150 people every day which is not possible with traditional methods With this IOS model, we will also be able to predict change in refugees behaviors by observing their response to immunization services.

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

  • Eastern Africa

Geographic Focus


Stage of Innovation

  • Early Adaption

Who will work alongside your organization in the project idea? (1,000 characters)

We shall involve political, cultural and religious leaders who will support us in our research activities about increase and drop out in immunization coverage for informing leaders to take action, carry out immunization outreaches, advocate for favorable policy and strategies, train health workers in interpersonal skills to effectively examine and understand people’s perception about immunization and build a direct database of parents and keep sending them immunization reminders to ensure their children are fully immunized. In the same way in 2016, Kasese District involved political, cultural, religious, and civic leaders at all levels in its efforts to increase the number of children fully immunized. As a result, sub-counties decided to earmark budgetary funds for immunization activities, which was subsequently dispersed. Since then immunization coverage in Kasese District began increasing. Though the coverage later declined due to its deterioration in the security situation.

How is your idea unique? (750 characters)

Most organizations in this sector use traditional methods with limited coverage. All they do is to reach out to communities, get a small portion of people and take them into one or two days workshop to improve immunisation coverage which has proved unsuccessful. Unlike these, we have designed a unique working model referred to as IOS (Integrated Operating System) which will bring together all the platforms we work on, social media, websites, SMS onto one management system that will enables us to reach an average of 500 people every day with immunization information, reminders and support which cannot not be possible with traditional methods.We will also use IOS to determine the changing trends in coverage and inform leaders to take action.

What is the name of your organization

Building Legends of Tomorrow (BULET)

Explain your organization (250 characters)

Building Legends of Tomorrow works to achieve children’s rights and rights of young adults, particularly for the poorest and most marginalized who are most at risk of their rights being denied; with spacial focus on Education, Health and Nutrition.

Type of Submitter

  • We are a registered NGO or Non-Profit Organization

Organizational Characteristics

  • Indigenous-led organization
  • Displaced person / refugee-led organization
  • Community-led organization (CBO)
  • Youth-led organization

Gender and Diversity (500 characters)

As one of our organizations policy,We ensure that more than 45 percent of our top management staff are women and this can be reflected in our current management team that knows no gender or tribal majority. Although most of our field team are volunteers, we also try as much as we can to attract women into our volunteer field team. We aim at providing culturally acceptable and appropriate health services to all Ugandans regardless of gender, region or tribal affiliations.

Organization Location (less than 250 Characters)

Building Legends of Tomorrow is a not-for-profit social enterprise registered as a company limited by guarantee without share capital with its headquarters in Kampala. Its mandate is to achieve children’s rights and rights of young adults in Uganda.

Size of organization (number of employees):

  • 21-100 people

Website URL

Scale of organizational work

  • National (expansive reach within one country)

Tell us more about you

Refugee Health Alert has a gender inclusive team of health workers composed of Doctors, nurses, counselors and educators who have a close understanding of the community they serve. This trusting relationship enables them to serve as a liaison, link,intermediary between health services and the community to facilitate access to services and improve the quality and cultural competence of health service delivery. Refugee Health Alert team also build individual and community capacity by increasing knowledge about immunization, sexuality to youth aged 10-24 years and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support and advocacy.

Applying to Gavi INFUSE

  • OpenIDEO Website


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Photo of Saksham onta

Quite visionary for incorporating refugee challenges. This is a grave problem everyone should focus more on.

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