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My Health My Right

Breaking the silence to glaring health related challenges young people are confronted with in the face of their sexuality.

Photo of Richard Kafuma
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What specific problem(s) are you trying to address?

Uganda's young population is 52% of the population and this is the age that is most affected by HIV/AIDs. The high risk sexually active women account for 16% of the youth, while high risk sexually active men account for 36%. Related to these behavioural challenges are unwanted pregnancies, sexually transmitted infections and cross-generational sex that are grossly exploitative, especially for the girl child. Young people require full access to Reproductive Health services and information therefore we work to ensure that adolescents and young people have access to adequate and accurate information and friendly health services. Youth counseling, access to family planning and HIV/AIDS services.

What are some of your unanswered questions about the problem(s) you are working to address?

Over 1000 girls between the age of 13 & 17 are engaged in sex trade as a means of survival. Majority of these girls are illiterate and have their first babies as early as 15 years of age. 5% of the girls between the age of 15 & 19 years who have unintended pregnancies perform unsafe abortion and half of them are administered by non-professionals like traditional healers under unhygienic conditions which usually leads to complications and sometimes to death leading to a high maternal mortality.

Explain Your Idea

Basing on the SRHR gaps identified in our communities, we will work with the already available information and skills, empowered woman and girls in the community to increase their knowledge and confidence to easily pass on Sexual reproductive health and rights (SRHR) and family planning information to reduce on the rate of unintended pregnancies among women and girls. Our idea is to work with young people to educate and equip them with age appropriate, none judgmental and correct sexuality education and information, to be able to make informed choices about their bodies and health. We intend to also focus attention on demystifying myths, breaking stigma, taboos and as well as addressing barriers that affect contraceptive access among young people through, advocacy, empowerment, information sharing and education, music and drama. In addition we will also engage with policy makers and legislators, local leaders, religious leaders, parents/guardians, peers through dialogues to advocate for increased availability, access and utilization of contraceptive services, sexuality education and quality youth friendly services for adolescents and young people.

Name the three most important ways that your idea will address your identified problem(s).

1. We will organize a consultative and consensus building meeting to generate young people's views towards the SRHR related issues. And later their views will be incorporated into our program in advancing adolescents health issues and rights. 2. We intend to advocate for legal and policy reforms in favour of SRHR related issues through conducting meetings with members of parliament that sit on the Legal Parliamentary Committee, and Petitioning Parliament basing on the recommendations from the young people's dialogues. 3. We will conduct trainings for Trainers of Trainees (TOTs). This will Support youth advocates and young mothers to meaningfully participate, train others and engage in the evidence based advocacy for the SRHR.

How is your idea unique?

Our idea is youth driven and targets campaigns aimed at creating an enabling environment that promotes increased access and utilization of contraceptive services among sexually active young people of ages 15 - 30 through; Breaking myths, stigma and barriers surrounding contraceptives, Demand creation and mobilization for contraceptive services and Dialogue with health service providers community leaders on the need to support and increase access to contraceptive services for sexually active young people with an overall goal of reducing early and unintended pregnancies and increasing opportunities for girls to live a quality health life with equity and dignity and realize their full potential.

What are some outstanding concerns or questions that you have regarding your idea?

Unintended pregnancy is common in Uganda among adolescents, leading to high levels of unplanned births, unsafe abortion, and maternal injury and death. According to data from the Uganda Population Secretariat, teenage pregnancy rates stand at 25%. More than 300,000 teenagers who get pregnant annually also account for the bulk of unwanted pregnancies, which end up in unintended births or unsafe abortions with its associated effects of maternal mortality and morbidity.

Who are your end users?

Our idea targets 25000 young adolescents between the ages of 15 - 30 years from Kampala who will both directly and indirectly benefit from this project through increased scaled up access to adolescent friendly contraceptive services and age appropriate, none judgmental and correct sexuality education and information. These will include 5000 per division from the five(5) divisions of Kampala. We shall target to reach out to about 5000 young people per division including refugees in Kampala district. Targeting young people through mass media including social media with information and linkages to services.

Where will your idea be implemented?

  • Uganda

What is the primary type of emergency setting where your innovation would operate?

  • Prolonged displacement
  • Community at risk of disaster
  • Other

Tell us more about the emergency setting that you intend to implement in

Kampala District has a population of about 1.5 million people (2014). About 60% of this population stay in slum areas. These include a mixture of young Nationals and refugees. Most migrate from Democratic Republic of Congo, South Sudan, Eritrea, Ethiopia. This section of population is often left out in matters pertaining their Sexual Reproductive Health Rights due to political, cultural and religious barriers. Refugees in Kampala deserve a right to Health and equal access to friendly services

What is your organization's name?

Action For Fundamental Change and Development- AFFCAD

Tell us more about you.

Action for Fundamental Change and Development (AFFCAD) was founded in 2009 by a group of young people in Bwaise, one of Kampala’s poorest slums to initially support vulnerable communities infected and affected by the scourge of HIV/AIDS. The inspiration behind the initiative was to bring about fundamental and sustainable change in the lives of slum youth through imparting technical, vocational and life skills. AFFCAD is a legally registered nongovernmental body with exclusive children and youth empowerment programming in urban slum areas. The agency is a growing example of a youth to youth initiative that creatively supports slum youth achieves their life potentials through acquisition of technical, vocational, civic and life skills.

Organizational Characteristics

  • Youth-led organization
  • Locally/community-led organization

What is the current scale of your proposed innovation?

  • Community - 1+ communities within 1 country

Experience in Implementation Country(ies)

  • Yes, for more than one year.

Expertise in Sector

  • Yes, for more than a year.

Organization Location

Plot 322 Mukalazi Road, Bwaise II, Kawempe, Kampala, Uganda P.O Box 21809 Kampala-Uganda Registration No: 214730 Uganda NGO Bureau.

What is your organizational status?

  • Registered non-profit, charity, NGO, or community-based organization.

What is the maturity of your innovation?

  • Existing Prototype or Pilot: Tested a part of my solution with users and am iterating.

Website

www.affcad.org

How has your idea changed based on feedback?

We have adopted a modified Intervention Mapping approach, a stepwise approach loosely modeled after testing the idea in the community, to further modify our intervention. This is a systematic approach to intervention development that is divided into six steps. The basic steps in our intervention mapping are (1) a needs assessment; (2) preparing matrices of proximal program objectives; (3) selecting theory-based methods and practical strategies; (4) producing program components and materials; (5) planning for program adoption, implementation, and sustainability; and (6) planning for evaluation. As each task is completed the results of the completed task are used for the subsequent task as we involve all stakeholders like local leaders, refugee leaders, young people, religious leaders and health providers among others to generate the best solutions to the Sexual reproductive Health Challenges facing young people in our target communities.

Who will implement this idea?

The project will be headed by our Programs Manager, Kafuma Richard and supervised by the Executive Director and the Programs Director, implemented by a team of five peer facilitators, making a total of eight people. The project will have an involvement factor of religious leaders, community leaders, youth leaders, health service providers, parents and guardians in the community whose contributions is very valid in this cause. The organisation's team that will be working on the project is located in Bwaise where the organisation is based and they are full time employees with contract. So they will be supporting the this effort on full time basis.

Using a human-centered design approach, you may uncover insights that lead to small or foundational changes to your organization’s existing strategy or processes in order to unlock the potential of your idea. How would your organization go about making such changes?

Decisions are made through a participatory approach by all the staff at the organisation and endorsed by the CEO. They are later presented to the Board of Directors for approval. We sit as a team thereafter and plan accordingly. Then we consult with the local leaders and the targeted audience for their ideas in a way of carrying out a situation analysis before we embark on any project. As a team we intend to come up with a logical framework with outputs, inputs, indicators verification means, risks and mitigating factors, persons responsible and lastly a monitoring and evaluation plan. This will make us analysis the situation fore hand before the different interventions are carried.

What challenges do your end-users face? (1) What is the biggest challenge that your end-users face on a day-to-day, individual level? (2) What is the biggest systems-level challenge that affects your end-users?

Young refugees have the same developmental needs common to all young people, but their needs are significantly affected by displacement from their homes and separation from the structure and guidance of their families. The new environments in which they find themselves are often violent, stressful, and unhealthy places to live. As young people transition from childhood to adulthood, threats to their health shift from infectious disease that can easily be prevented or treated through vaccinations, improved hygiene, and injuries that are grounded in their behaviors. Unsafe reproductive health behaviors in youth, such as early age of sexual debut and low rates of condom and contraceptive use, result in high rates of unwanted pregnancies, Sexually Transmitted Infections (STIs) and HIV/AIDS.

Tell us about your vision for this project: (1) share one sentence about the impact you would like to see from this project in five years and (2) what is the biggest question you need to answer to get there?

By 2022, we aim at providing provision of Reproductive Health and Family Planning information and services to over 25000 youth, and develop their life skills, for their well-being and future health. How do we strengthen social cohesion and ensure effective sustainability within our target communities by addressing sources of young people’s Reproductive Health challenges while fostering sustainable development.

What is it that most attracted you to Amplify instead of a more traditional funding model?

Amplify funding model ensures a creative approach to solving problems in the community. Since it encourages starting with the people one is designing for and ends with new solutions that are tailor made to suit their needs. It encourages learning directly from the people you’re designing for as you immerse yourself in their lives and come to deeply understand their needs. This in the same way fosters community ownership of the services put in place hence sustainability.

Do you intend to implement your Amplify idea in refugee camps / temporary settlements?

  • We aim to implement our Amplify idea in support of displaced populations, but not in a refugee camp / temporary settlement.

How long have you and your colleagues been working on this idea together?

  • Between 1 and 2 years

How many of your organizations’s paid, full-time staff are currently based in the location where the beneficiaries of your proposed idea live?

  • Between 20-50 paid, full-time staff

Is your organization registered in the country you intend to implement your idea in?

  • We are registered in all countries where we plan to implement.

My organization's operational budget for 2016 was:

  • Between $100,000 and $500,000 USD

What do you need the most support with for your innovation?

  • Understanding User and/or Community
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Team (3)

Muhammed's profile
Muhammed Kisirisa

Role added on team:

"Muhammed is the executive director of the organisation who first came accross the call for ideas and encouraged us as a team to apply. He has been provided guidance and edited some of our ideas and work there in."

dhatemwa's profile
dhatemwa Ag-ee

Role added on team:

"she came up with the problem and the ideas in this proposal. She has played a vital role in ensuring that we meet the deadlines, answer correctly the questions posed there in. She is the organisation's program director who liaises and work closely with other staff to ensure smooth running of programs, prepare project reports and identify areas of improvement in the programs. She was involved in the brainstorming of the different ideas in the proposal."

Richard's profile

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Team

Hi Richard Kafuma and Team!

An important reminder, Refinement Phase closes this Thursday, October 26 at 11:30pm PST.

We can only consider complete submissions, so please make sure that you have reviewed the Feedback and Refinement Phase Checklists and answered all of the questions on the platform. Note that we added one more multiple choice question to the end of the form.

If you're having trouble figuring out how to edit your idea, please refer to this guidance: https://docs.google.com/document/u/1/d/e/2PACX-1vQUuV2N-wO8Oy8MysMAza3CbKUA1ZcMenollZjPh4FA0fGgIDcVXwWtEe6CLh36_Wik5AypEHixreFH/pub

Best of luck!

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