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Promoting the capacity of cross border Urban Clusters in Immunization Response

Aims to design coordinated action and measures to address information gaps, responsibility, structure, governance & access to immunization.

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

Youth Environment Service aims to do situational analysis, conduct urban household identification, mobilization using clustering approach, form community strategic partnership to improve low immunization coverage for the cross border mobile and host community in Busia Uganda/Kenya agglomeration.

Explain the innovation (2,500 characters)

The innovation is design to address information access gaps related to importance of immunization, benefits of immunization, the schedules of immunization and the myths surrounding immunization and promote local participation. The people to benefit from this innovation are the cross border mobile and host communities, the regional government, the under five children, to ensure that cross border populations don’t fall through cracks in receiving essential services, they will benefit through universal comprehensive immunization coverage active involvement and knowledge competence at individual, household and community and institutional levels. The innovation will reach the homes peri-urban, informal settlements and slums in the cross border towns, where most residence lack access to water, lack sanitation facilities, poor housing unit and roads are inaccessible due to poor physical planning. The constituency’s age range between 0-5 years and young girls, who need HPV vaccination, the pregnant mother between the ages of 14-49. The number to be reached remains enormous, although some 73,000 cross border mobile communities are currently living in urban towns. YES will provide technical, technological and operational support to harmonize coordination and documentation structures established at local level, the public will be empowered with knowledge and information to engage in routine cross border immunization backed by local frequency modulation community adverts, and calls, (ii) Develop different 30 minutes immunization community participatory documentary in a short image movie, to be powered at the border one stop Centre and in communities using plasma large screen TV to educate and mobilize residents. Also social media shall be installed for cross border mobile individuals to connect the elite members to create awareness about immunization call. YES has repeatedly demonstrated high level local participation, backed by right messages, well-coordinated local mobilization structures, clusters established with leadership roles, targeting most disadvantaged and high risk populations residing at the border. The overarching target audiences are the mobile, hard to reach, uneducated, low income households through community knowledge platforms, enabling different groups to document cracks and opportunity to access health service that can be scaled.

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

  • Eastern Africa

Geographic Focus

Busia District is situated at the border with Kenya in the west. Busia Municipality is the Ugandan part of the Busia agglomeration, divided by the Ugandan / Kenyan border. As a busy border town and commercial market centre, Busia faces a highly fluctuating and steadily increasing population.

Stage of Innovation

  • Early Adaption

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

YES has a large network local authorities, farmer organizations, universities, private sector, rural and urban communities). Among the partners of YES are the NYU International University, the Austrian Commission for Development Studies (KEF OEAD), and the UNDP/NTEAP. The Scientific and technical support will be provided by international and Ugandan experts from the Ministry of Health Uganda, GAVI office Uganda, Ministry of Health Kenya, the local authorities YES has a large network (local authorities, farmer organizations, universities, private sector, and urban local authorities.

How is your idea unique? (750 characters)

The idea is based on 7 critical positive determinants related to the physical environment, political, linguistic or geographical reasons, with 3 of them being directed at regional and national level such as development and harmonization of legislation and policies, support creation of cross border expanded program on immunization, development of integrated health education and mobilization policy. The remaining component is aimed at community intervention to demonstrate community based assets can be harnessed in urban towns, regional shift towards more glocal participatory driven approaches. The stakeholders are mobilized, educated on governance and empowered to identify, design and implement the child and maternal health family plan.

What is the name of your organization

Youth Environment Service- YES

Explain your organization (250 characters)

Youth Environment Service (YES)is an officially enlisted NGO with over 16 years of multi-sector programming experience in Eastern Uganda,implementing cross border Waste Management, WASH, HIV/AIDS prevention, mobilization, Youth and Women empowerment.

Type of Submitter

  • We are a registered NGO or Non-Profit Organization

Organizational Characteristics

  • Community-led organization (CBO)

Gender and Diversity (500 characters)

YES gender equality and female Empowerment Policy advances equality between women and men, boys and girls, and empowers women and girls to participate fully in and benefit from development activities, through the integration of gender in the entire project cycle, from project identification, design and implementation to monitoring and evaluation. The overarching goal is increasing the capability of women and girls to realize their right to seek healthcare services and influence decision making.

Organization Location (less than 250 Characters)

Youth Environment Service (YES) a local NGO based in Busia District as its headquarter and operating n Tororo Busia Border Line town.

Size of organization (number of employees):

  • 6-20 people

Website URL

www.yesbusia.org

Scale of organizational work

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

Tell us more about you

The overall project shall be overseen by the Technical Manager who has expertise in the sector of community mobilization. He is responsible for ensuring technical soundness, quality and impact of the project through ongoing technical support, field monitoring and support supervision. YES will enlist the partnership of regional health Ministry, technical experts from New york University, the local stakeholders and the migration department Scientific and technical support will be provided by international and Ugandan experts in the field of public health and urban development; institutional support by municipal authorities and policy makers and private sector.

Applying to Gavi INFUSE

  • OpenIDEO Website
  • Received an Email

6 comments

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Comment
Photo of Anne-Laure Fayard
Team

Thank you Night Mary for inviting me to join Team . It seems to me that YES has the capabilities to provide a service that increase access to immunization for the population at the border of Kenya and Uganda. This being said I would love if you could clarify a bit more the main aspect of the idea you are proposing. You wrote that you aim to "address information access gaps, nonexistent specific coordination structures, inadequate cross border coordination capacities, accountability and local participation." I wonder what is the one or two main issues you want of focus on? From reading the rest of the idea it seems that you aim to address information access gap by developing cross-border coordination structure and capabilities. Could you tell me more what are the information gaps? And also can you tell me more about the coordination structures and capacities you have in mind?In the main description of the idea it seems that rather than coordination, you would focus on creating information (like the small video). Is it what you want to do - develop documentation, media to educate people?
I wonder what have been your experience with YES so far in this kind of activities and what learnings did you gather that you plan to implement with this idea.
I'm also curious about the population you want to serve. I understand Busia is nearby the border but which way do people migrate? what are the main reasons? where do migrants live? Do they have jobs? Is language and understanding each other an issue?
Sorry for all these questions but I'm trying to understand as best as I can the context to be able to provide more specific feedback.

Photo of Isaac Jumba
Team

Hi Night Mary , we are really excited to have your idea on the platform. Anne-Laure Fayard has asked some really great questions that would help clarify your idea, and it will be interesting to read your feedback.

I was curious to also understand if there are already steps you have carried out with regards to your idea; have you tested in out if the suggestion would work? Do you have some documentation/approach that your team has come up with? What do you see as hurdles or challenges for your concept not working?
Best,

Isaac

Photo of Night  Mary
Team

Hi, Laura, Thank you for the detailed check on this idea, find the briefs on the question, kindly let me know your comment for improvement and inclusion.
thank you.

1. We would like to focus mainly on addressing information access gaps and local participation of stakeholders.
2. We have information gaps in terms of the importance of children, immunization schedules, immunization myths and immunization difference, roles and responsibilities of care givers and laws regarding immunization.
3.In Uganda, the coordination structure is the village health teams(VHT), and the village environment committees(VECs) who are village based and are charged with immunization mobilization or health related mobilization, while in Kenya its a different structure. Therefore we would like to focus on providing accurate, timely and correct information and also foster local participation of caregivers, mobile populations and other stakeholders. So educating people about immunization through documentaries and social media can be effective.
4. Our experience is that cross border communities are mobile due to their nature of business and therefore can only be targeted through social media and public communication announcements at their convenience and their participation to understand the childhood killer diseases, while mobile and and also for host populations.
5. Crosborder communities have a two nation life styles and therefore do migrate from one country to another and co-exist with other migrants. Most mobile populations settle in the towns, the move from place to place temporally, seasonally or semi permanent for a host of voluntary and involuntary reasons,here children and women are most affected, so information targeting host and mobile populations to sustainable manage cross border integrated health concerns are vital for surveillance and addressing the gaps.

Photo of Night  Mary
Team

We have tested this with other cross border projects of similar nature but on environmental health(cross border waste management) The hurdles could still be non harmonized policy and vaccine sharing at the border that is needed for Uganda and Kenya alike.
Strong effective coordination and information giving structures are considered able to improve the gaps and increased participation.

Photo of Anne-Laure Fayard
Team

Thank you Night Mary for all these clarifications. I recommend focusing on reducing the information gaps as there are many and all very important. You might want to edit your idea to clarify what are these gaps and the focus of your idea. Engaging different stakeholders, using social media and public announcements seem great ways to reduce these gaps. Regarding social media, what is the most used social medium? Do most people have a smart phone? What is the medium for public announcements?

Great insights regarding the different structures and policy between Uganda and Kenya. So I understand properly, as you are located in Uganda, you will try to make sure that mobile populations from Kenya understand the context in Uganda. Is language an issue?

Are there certain neighborhoods were these cross-border communities live? How well integrated are they with the local population?

Thanks again for all your answers. I recommend editing your idea so that it's clearer for the other community members. I also wonder if you could create 2 or 3 scenarios illustrating information gaps and then describe how your idea will address these gaps.

Looking forward to seeing your idea evolve.

Photo of Night  Mary
Team

The most used social media medium are the watsup and face book although we shall also use SMS.
On average 7 out of 10 people have got smartphones and therefore can access social media.
The commonest medium of public announcements are the locally established community radios.
The mobile community in Kenya also either work, or do business or study in Uganda, some of them are also residents in Uganda and therefore whatever policy made in Uganda directly and indirectly affects them. So they will definitely be on board. The communities in both Busia Kenya ad Busia Uganda mostly use and speak Kiswahili language as their means of communication, so language is not a problem.
They are called cross boarder mobile communities because they survive between Uganda and Kenya in their daily lives but they are not new or foreigners in the host community. they are bonefide residents in these areas