GOVERNMENT OF UGANDA THE UNITED NATIONS POPULATION FUND (UNFPA) pot

COUNTRY PROGRAMME ACTION PLAN

2006 – 2010





GOVERNMENT OF UGANDA

THE UNITED NATIONS POPULATION FUND
(UNFPA)

i
List of Abbreviations

AGOA African Growth and Opportunities Act
ANC Antenatal Care
AU African Union
AWP Annual Work Plan
CCA Common Country Assessment
CEDAW Convention on Elimination of all forms of Discrimination Against Women
CP Country Programme
CP5 5
th
Country Programme
CP6 6
th
Country Programme
CPAP Country Programme Action Plan
CSO Civil Society Organisations
EAC East African Community
EBA Everything But Arms
EmOC Emergency Obstetric Care
FGC/M Female Genital Cutting/Mutilation
FGM Female Genital Mutilation
GoU Government of Uganda
HMIS Health Management Information System
ICPD International Conference on Population and Development
IDP Internally Displaced Person
MDG Millennium Development Goals

MFPED Ministry of Finance, Planning and Economic Development
MGLSD Ministry of Gender, Labour and Social Development
MOH Ministry of Health
MOLG Ministry of Local Government
MYFF Multi-Year Funding Framework
NEPAD New Partnership for African Development
PD Population and Development
POA Programme of Action
POPSEC Population Secretariat
RH Reproductive Health
RHCS Reproductive Health Commodity Security
SGBV Sexual and Gender-Based Violence
SRH Sexual and Reproductive Health
SWAp Sector-Wide Approach
TCI Traditional and Cultural Institutions
UBOS Uganda Bureau of Statistics
UN United Nations
UNAIDS United Nations Joint Action on AIDS
UNDAF United Nations Development Assistance Framework
UNDP United Nations Development Programme
UNFPA United Nations Population Fund
UNICEF United Nations Children‟s Fund
UNS United Nations System
WHO World Health Organisation





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Table of Contents

List of Abbreviations i
Table of Contents Iii
The Framework 1
Part I. Basis of Relationship 1
Part II. Situation Analysis 1
Part III. Past Cooperation and Lessons Learned 3
Part IV. Proposed Programme 5
Reproductive Health Component 6
Population and Development Component 10
Gender Component 12
Part V. Partnership Strategy 14
Part VI. Programme Management 16
Part VII. Monitoring, Assurance and Evaluation 18
Part VIII. Commitments of UNFPA 19
Part IX. Commitments of the Government 20
Part X. Other Provisions 22
Annex I: The CPAP Results and Resources Framework 23
Annex II: The CPAP Planning and Tracking Tool 26
Annex III: The CPAP Monitoring and Evaluation Calendar 30


1
THE FRAMEWORK

The Government of Uganda, hereinafter referred to as “the Government” and the United Nations
Population Fund, herein referred to as “UNFPA” being in mutual agreement to the content of the
Country Programme Action Plan (CPAP) and to the outlined responsibilities in the implementation
of the Country Programme; and

Furthering
their mutual agreement and Cooperation for the fulfilment of the Programme of Action
of the 1994 International Conference on Population and Development (ICPD), ICPD + 5, other
related conferences, and the Millennium Development Goals (MDG);

Building upon
the experience gained and progress made during the implementation of the of the
GoU – UNFPA Fifth Country Programme (CP5),

Entering
into a new period of cooperation, which is based on the recently approved Country
Programme Document, the United Nations Development Assistance Framework, the Common
Country Assessment and Uganda‟s Poverty Eradication Action Plan:

Declaring
that these responsibilities will be fulfilled in a spirit of friendly cooperation;

PART I. BASIS OF RELATIONSHIP

Resolutions 2211 (XXI) of 17 December 1966, 34/104 of 14 December 1979, and 50/438 of 20
December 1995 of the General Assembly of the United Nations and the standard letter of agreement
between Government of Uganda and UNDP of 29 April 1977 provide the basis of the relationship
between the Government and UNFPA. This Country Programme Action covering the period from 1
January 2006 to 31 December 2010 is to be interpreted and implemented in conformity with these
resolutions. The Country Programme Action Plan consists of 10 parts wherein the general policies,
priorities, objectives, strategies, management, responsibilities and commitments of the government
and UNFPA are described, and two annexes.

PART II. SITUATION ANALYSIS

Uganda participates and is signatory to both the International Conference on Population and
Development Programme of Action (ICPD PoA) and the Millennium Development Goals (MDGs).
The country has developed the Poverty Eradication Action Plan (PEAP) as the medium term
development framework with a goal of reducing the population below poverty line from present 38%
to 28% by 2014. The country is member of the East African Community (EAC) and the African
Union (AU) and participates in initiatives such as New Partnership for African Development
(NEPAD), African Growth and Opportunities Act (AGOA) and Everything But Arms (EBA).

Uganda‟s population grew from 6.5 million in 1959 to 24.4 million in 2002, and is currently projected
at 26.7 million. At the current growth rate of 3.3% per annum, which is among the highest in the
world, the population is projected to reach 54.8 million by 2025 and 103 million by 2050 (UN 2002).
The rapid population growth is attributed to the high total fertility rate at 6.9, high unmet need for
family planning at 35% and the resultant population momentum. The population is mainly rural
(88%) and youthful, with 52% below 15 years and 20% aged 15 – 24 years.

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Uganda remains one of the poorest countries of the world ranking 144
th
out of 177 least developed
countries according to the 2005 Human Development Report. As measured by income poverty, the
proportion of the population living in poverty is not only high but also increasing. Poverty declined
from 56% in 1992 to 44% in 1997/8 and to 34% in 2000 but rose to 38% between 2000-2003.
Inequality as measured by Gini-coefficient also rose markedly from 0.39 to 0.43 between 1999/2000
and 2002/3. Poverty rose in almost all regions of the Country with a particularly sharp rise in the
East. The North remains the poorest region in the country (MFPED, 2004). Findings from the
Participatory Poverty Assessment (PPA) II, show that women and child headed households are
poorer than male-headed households and poverty is concentrated among disadvantaged groups
including orphans and vulnerable children, the elderly, the disabled, the chronically ill and the

displaced (MFPED 2003).

Northern Uganda has since the mid -1990s experienced violent conflicts and insurgency due to rebel
activity particularly in the sub-regions of Acholi, Madi, West Nile as well as Teso and Lira. This has
adversely affected economic productivity and general livelihood in the affected regions.

Although considerable progress has been registered in women emancipation including participation
in leadership where women account for 40% of elected positions in local government and 28% of
Parliament, gender disparities still persist. This in part is due to lack of capacity to mainstream
gender in programming, inadequacy of gender desegregation, gaps in legal framework for addressing
gender based violence and inadequate participation of girls in education and SRH services.

Sexual and gender-based violence (SGBV) is common and highest in conflict-affected areas where
rape, abductions and the exchange of sexual favours for basic necessities are prevalent. For instance,
girls who live in IDP camps are highly vulnerable to rape as they move around in search of food,
water and firewood. Moreover, sexual slavery and transactional sex among adolescent girls and
women at home and in schools have increased the risk to physical trauma, STIs including HIV
infection and early pregnancy. Community and social support systems for IDPs are over-stretched or
have collapsed, making the poor, women and children more vulnerable to socio-economic
difficulties. Relevant institutions have limited capacity to provide the necessary psychosocial support
for victims of SGBV.

The health sector continues to be characterised by inadequate and low-skilled human resources, poor
infrastructure, inadequate equipment and supplies, and a poor referral system. As a result, sector
indicators remain undesirable with maternal mortality ratio at 505 deaths per 100,000 live births, the
infant mortality is 83 per 1000 live births and 38% of all infant deaths are neonatal deaths. Life
expectancy at birth is only 45.4 years for males and 46.9 years for females. Access to and utilization
of health services, notably for reproductive health is low as reflected in the low skilled attendance at
childbirth (38%) and high unmet need for Emergency Obstetric Care (EmOC) at 95% among others.

Despite knowledge on contraception being very high at 96%, the contraceptive prevalence rate only
increased from 5% in 1989 to 23 % in 2001, with only 48% of the married women having spousal
approval of the use of family planning. Knowledge on contraception among adolescents aged 15 – 19
years is 92% for girls and 96% for boys. Despite this, the contraceptive prevalence among girls in
this age group is only 9%.

Uganda has had several initiatives focusing on young people. However, there is still limited access to
adolescent sexual and reproductive health information and services. Social, economic and cultural
factors still play a significant role in influencing the behaviour and practices of young people.
Teenage pregnancy rate of 31% remains one of the highest in sub-Saharan Africa, contributing to

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maternal mortality and morbidity, including obstetric fistula. Female genital mutilation/cutting is still
existent among the Sabiny and other communities.

Uganda has registered considerable progress in the fight against HIV/ AIDS as evidenced by
reduction in prevalence rate from 18% in 1992 to 7% in 2005. About 1.1 million Ugandans are
estimated to be currently living with HIV. The predominant mode of infection remains unprotected
heterosexual transmission followed by mother to child transmission (MTCT). Women and young
people, especially girls, are most vulnerable with 55% of those infected being women and a
prevalence rate of 4.9% among young people. Awareness of HIV/AIDS is universal but knowledge
on prevention of HIV infection is not as high (86.6%). Condom use is a well-known method of
preventing HIV infection, but only 7% of women and 12% men use condoms. Socio-cultural
practices and tradition contribute to the high incidence. The epidemic has contributed significantly to
an increase in orphan-hood currently standing at 1.8 million.

The decentralized system of governance and sectoral development frameworks provide opportunities
to integrate population issues in development taking advantage of a wealth of data collected in the
recent past. However, most of the existing surveys provide only national and regional level
information and may not be adequate for programming at district and lower levels. Data

management systems such as the Health Management Information System (HMIS), Logistics
Management Information System (LMIS); Education Management Information System (EMIS);
Local Government Information Communication System (LOGICS) are often not very
comprehensive and standardised. Civil registration is generally poor with only 4.2% of the children
registered and only 20% of them having a birth certificate.

PART III. PAST COOPERATION AND LESSONS LEARNED

The United Nations Population Fund support to Uganda started as far back as 1975 through the
project approach. The cooperation between Government of Uganda and UNFPA based on
programme approach began in 1985, and since then five Country Programmes have been
implemented. The most recent covering the period 2001 to 2005 was intended to support Uganda
towards achieving targets set in the ICPD POA, Convention on Elimination of all forms of
Discrimination Against Women (CEDAW) and the Millennium Declaration. Its goal was to
contribute to a better quality of life for Ugandans through improved reproductive health, sustainable
population growth and development, enhanced gender equity and equality, and the empowerment of
women. The Programme focused on three thematic areas, Reproductive Health (RH) including
Family Planning and Sexual Health; Population and Development Strategies (PDS); and Advocacy.

The RH Sub-programme covered 24 out of the then 56 districts in the country. It expanded the
emergency obstetric referral system from 8 to the current 16 districts. In collaboration with other
partners, particularly DELIVER, the programme improved mechanisms for forecasting,
procurement and distribution of contraceptive commodities. The Programme expanded reproductive
health services and information for young people from 12 to 24 districts through two programmes,
African Youth Alliance (AYA) and Programme for Enhancing Adolescent Reproductive Life
(PEARL). Efforts to eliminate Female Genital Mutilation/Cutting (FGM/FGC) in the then
Kapchorwa district (REACH) resulted in the formulation of community bylaws to end FGM/FGC
in 9 out of 16 sub-counties. Based on a needs assessment on obstetric fistula, UNFPA procured
specialised equipment for 6 regional hospitals and initiated training of doctors and nurses to support
fistula patients. The programme also built skills for different categories of health service providers

through pre-service and in-service training. Despite these efforts, there are still gaps in RH service
delivery, particularly EmOC and Reproductive Health Commodity Security (RHCS).

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The PDS Sub-Programme covered all the districts and led to successful completion of the
2002 national population and housing census; strengthening of district planning units to
integrate population factors into development plans; revision of the national population
policy; the finalization of the adolescent health policy and;
establishment of a monitoring and
evaluation system.


The Advocacy Sub-Programme had a national coverage and resulted in
improved partnerships
with legislators, NGOs, media houses, cultural and faith-based institutions; establishment of Good-
will Ambassadors and the population and media network; and development of the national media
advocacy strategy.
The Programme increased support for population issues in the media and
among political, district, religious and cultural leaders.


Under the Programme, a number of lessons were learnt. Partnerships with political institutions,
Goodwill Ambassadors, the media, civil society and cultural and faith-based institutions ensure
credibility and greater acceptance of sexual and reproductive health information and services,
particularly for young people. The innovative EmOC referral system (RESCUER) greatly contributed
to reduction of maternal deaths. However, the capacity of districts to sustain such a system remains
inadequate. The pilot Fistula project has provided hope for women who have been repaired and
received treatment. Nurses and Doctors have been trained on Fistula repair and counselling while 6
hospitals have been equipped with Fistula repair equipment. Maternal death audit, particularly the

community verbal autopsies resulted in increased male involvement in early referral of obstetric
emergencies and opens up a dialogue between health workers and communities on reproductive
health issues. Community based distribution of contraceptives significantly contributes to acceptance
of family planning. It also requires incentives for its sustainability. A wide range of FP methods
including long-term and permanent methods attract more clients as compared to fewer methods.
Political support is critical for success of FP and therefore advocacy and policy dialogue is an
essential ingredient for a successful FP programme. Uncoordinated and overlapping programmes
takes time away from service provision and therefore a national training plan would be essential in
coordinating and harmonising training programmes. Regular and routine technical support
supervision especially after training is critical for improved performance of the trained health
providers. Empowerment of young people to participate in the design, implementation and
evaluation of their sexual and reproductive health programmes tremendously contributes to raising
their voices, addressing their real needs and achieving greater results. A fair mix of information and
services enhances young people‟s utilisation of health services. FGC/M “surgeons” who have
denounced the practice are an effective medium for de-campaigning against FGC/M.

For effective implementation of the population programme, it is critical to develop systems and tools
such as the M&E system, training manuals, standards and protocols at the beginning of the
programme. Building institutional and technical capacity of implementing partners is essential for
effective programme implementation and management.

Focus on advocacy as a strategy in support of RH and PDS promotes creation of a supportive
environment critical for achievement of desired outcomes.

Closer linkage of Reproductive Health and HIV/AIDS programmes creates synergy and also ensures
increased funding for underserved RH programmes.

Inclusion of a specific Gender component, which includes SGBV and gender mainstreaming, is
essential for ensuring a gender focus of all programmes at the design, implementation, monitoring
and evaluation. Documentation of lessons learned and best practices facilitates sharing of experiences

and replication of programmes.

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Understaffing at the UNFPA Country Office is a constraint to programme implementation and
management and participation in policy dialogue. Regular orientation of implementers in UNFPA‟s
programme and financial policies and procedures ensures adherence to UNFPA‟s programme
management.

All these lessons will be utilized in the design and implementation of the 6
th
Country Programme

PART IV. PROPOSED PROGRAMME

The Country Programme Action Plan (CPAP) builds on the Country Programme Document for
Uganda (DP/FPA/DCP/UGA/6) approved by the Executive Board of the United Nations
Development Programme and the United Nations Population Fund. The CPAP also builds on the
concepts and commitments outlined in the United Nations Development Assistance Framework
(UNDAF) jointly determined by the resident UN partners in Uganda in close partnership and with
the support of the Government of Uganda.

The Programme responds to national priorities, which have been articulated in the PEAP under five
pillars namely, 1) Economic Management; 2) Enhancing Production, Competitiveness, and Incomes;
3) Security, Conflict Resolution, and Disaster Management; 4) Good Governance; and 5) Human
Development. The United Nations System (UNS) through the CCA identified four areas of
cooperation on the national medium-term development priorities contained in the PEAP. The
UNDAF further articulated these areas of cooperation under five outcomes namely: (1) increased
opportunities for people, especially the most vulnerable, to access and utilize quality basic services
and realize sustainable employment, income generation and food security; (2) Good Governance,

accountability, and transparency of Government and partner institutions improved at all levels. (3)
The promotion and protection of human rights, especially of the most vulnerable is strengthened; (4)
individuals, civil society, national and local institutions are empowered and effectively address HIV
and AIDS, with special emphasis on populations at higher risk; and (5) people affected by conflict
and disaster, especially women, children and other vulnerable groups, effectively participate in and
benefit from the planning, timely implementation, monitoring and evaluation of programmes.

The GoU/UNFPA 6
th
Country Programme is designed to contribute to four UNDAF outcomes,
while ensuring linkages with the Multi Year Funding Framework (MYFF). The MYFF is UNFPA‟s
medium term plan for the period 2004-2007 that specifies the organizational results with the aim of
strengthening the Fund‟s contribution to the implementation of the PoA of the ICPD in the context
of poverty reduction and in line with UNFPA‟s New Strategic Direction. The MYFF outcomes are:
1) A policy environment that promotes reproductive health and rights; 2) Access to comprehensive
reproductive health services is increased through improved systems and services; 3) Demand for
reproductive health is strengthened; 4) Utilization of age and sex disaggregated population-related
data is improved; 5) National, sub-national and sectoral policies, plans and strategies take into
account population and development linkages; and 6) Institutional mechanisms and socio-cultural
practices promote and protect the rights of women and girls and advance gender equity.

The CPAP takes into consideration the experiences of the Fifth Country Programme (2001-2005). It
takes note of the national reform processes, following particularly the decentralization, emphasising a
district specific approach. The partnership evolved under the 5
th
Country Programme will continue
to be strengthened and intensified especially in 33 districts, twelve of which are in the conflict
affected Northern Region and have the poorest RH indicators.

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The goal of the 6
th
Country Programme is to contribute to poverty eradication and a better quality of
life for the people of Uganda by improving sexual and reproductive health and rights; ensuring
sustainable population growth and development; and enhancing gender equity and equality. Areas for
joint programming with partner agencies include interventions in: HIV/AIDS, emergency obstetric
care, sexual and gender-based violence, adolescent reproductive health programmes, and data
collection, dissemination and analysis.

The country programme has three outcomes under three components: Reproductive Health;
Population and Development; and Gender.

Reproductive Health component

The outcome of this component is: men, women, young people and other vulnerable groups have
access to and utilize comprehensive sexual and reproductive health information and services,
including HIV/AIDS prevention. This outcome contributes to UNFPA‟s MYFF outcomes 1, 2 and
3; UNDAF outcomes 1, 3, 4 and 5. The programme component is designed to respond to the health
sector priorities of the Government of Uganda as articulated in the second Health Sector Strategic
Plan (HSSP II) outcomes, through core interventions outlined in Clusters 1 and 2. It is in line with
the Strategy to Improve Reproductive Health in Uganda and the HIV/AIDS National Strategic
Framework, among other national frameworks.

Under this component, UNFPA will continue to strengthen the MOH, other relevant sectoral
ministries, NGOs and CBOs in the provision of integrated RH services including safe motherhood,
HIV/AIDS prevention, ARH services and family planning in selected project sites. The programme
will endeavour to ensure integration of RH programmes with the multi-sectoral HIV/AIDS
programmes. Integrated RH services will be availed to men, women and young people, particularly
the vulnerable groups including those affected by conflict and other emergencies as well as those at

high risk of HIV/AIDS. This will be achieved through three deliverable outputs, which have been
discussed in the proceeding section.

Output 1: Increased availability of comprehensive sexual and reproductive health
services, particularly family planning, emergency obstetric care, antenatal
care, STI/HIV/AIDS prevention and adolescent-friendly health services,
emphasizing reproductive health commodity security and the needs of
people affected by conflict

Key strategies to be employed to achieve this output are: Developing systems for improving
performance and quality of service with a major focus on institutional capacity building, particularly
at District and Sub-District levels; and Promoting, strengthening and coordinating partnerships with
the Ministry of Health, selected NGOs and CSOs. The output will be achieved through joint
programming with UNICEF, WFP and WHO.

Major Activities:

1.
Provide Emergency Obstetric Care (EmOC).
The programme will support the rolling out of
EmOC Services at HC III, HC IV and hospital level including the establishment of maternal
death reviews in selected districts as specified in HSSP II. It will put in place obstetric emergency
referral system in line with the National Road Map for Maternal and Newborn Health, equip
health facilities, provide support for on job performance improvement/enhancement and
strengthen partnerships between EmOC stakeholders including the private sector. On the basis
of lessons learnt from the RESCUER Programme implemented during the 5
th
Country

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Programme and in collaboration with partners, UNFPA will support the design of more cost
effective ways of revitalizing, maintaining and scaling up of the RESCUER Programme while
ensuring its sustainability. It would also upscale Fistula activities in 6 public and Private Not For
Profit referral hospitals as well as set up one Fistula repair centre to train doctors and nurses.
The programme will focus on prevention and develop curriculum for training in obstetric
fistulae.

2.
Provide antenatal care and post-natal care:
The programme will work with partners to scale
up antenatal care by ensuring that pregnant women receive Goal-oriented Antenatal Care and
after delivery, women receive quality postnatal care. Under the goal oriented ANC, focus will be
on increasing access to services and ensuring availability of essential equipment and supplies.

3.
Support Reproductive Health Commodity Security and Provide Family Planning
Services:
The programme will support improved Reproductive Health Commodity Security
through a functional RHCS coordination mechanism with an agreed national strategy and
operational plan as well as ensure a functional Logistics Management Information System. The
programme will support the work of the Reproductive Health Division to plan, manage and
coordinate the forecasting (through Country Commodity Manager), procurement and
distribution of contraceptive commodities including the procurement of contraceptive
commodities and RH supplies. The programme will work with partners to revitalize Family
Planning through various interventions to ensure that women, men and young people receive the
relevant and appropriate information on family planning as well as contraceptives of their choice,
including permanent methods to enable them postpone, space and limit pregnancies as desired.
The programme will ensure provision of quality FP services in selected districts. UNFPA will
work with other partners to ensure contraceptive commodity security at all levels.

4.
Provide post abortion care:
The programme will work towards reducing unwanted pregnancy
and unsafe abortion through revitalization of family planning and post abortion care in
particular. It will further ensure that those women who suffer complications of unsafe abortion
receive prompt treatment through post-abortion care as well as strengthen post abortion family
planning counselling.

5.
Provide STI/HIV/AIDS and other reproductive tract infections services:
The programme
will support IEC and community mobilization with emphasis on the Abstinence, Be faithful, and
Condom use (ABC) principle. PMTCT services will be made accessible for pregnant women
who will be supported through antenatal and family planning clinics with special focus on
conflict areas. STI prevention will be integrated into family FP through counselling and
discussion on sexuality and partner relationships.

6.
Provide Sexual and Gender Based violence (SGBV) services:
The programme will support
partners to initiate SGBV treatment, counselling and referral services for survivors. The services
will be linked to activities implemented under the gender component and will among others
include provision of emergency contraception, post abortion care, treatment of STIs, and post-
exposure prophylaxis for HIV infection after rape, screening and treatment of cervical cancer,
prevention of primary and secondary infertility, and treatment of gynaecological conditions. The
services will involve community participation, and will contribute to improved user provider
relations, men‟s participation, and women‟s empowerment to make reproductive health choices.

7.
Provide Adolescent Sexual and Reproductive Health (ASRH) services

: The programme
will support interventions aimed at reducing teenage pregnancy rates and provision of integrated
ASRH services based on good practices and lessons learned from AYA and PEARL projects of

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the 5
th
CP. The programme will scale up friendly health services and information for adolescents
and young people, and institutionalise ASRH information and health service provision.

Output 2: Increased availability of culturally and gender-sensitive behaviour change
communication (BCC) for sexual and reproductive health including HIV
prevention.

Two major strategies will be employed namely: a) Advocacy and policy dialogue to support and
promote culturally and gender sensitive behavior change for sexual and reproductive health,
including HIV prevention (b) Promoting, strengthening and coordinating partnerships with high
level policy and decision makers, Parliamentarians, Goodwill Ambassadors, cultural leaders, faith
based leaders and the media as well as CSOs. Partnership will also be established with UNICEF
through joint programming to the extent possible.

Major Activities

1.
Revitalization of Family Planning Services:
The programme will address the inadequate
access to client friendly family planning information and SRH services through advocacy to
secure commitment to: - increase funding for family planning; IEC; provide adequate variety of
FP services at delivery sites; integrate Youth Friendly Services at health delivery sites; and
integrate life-planning skills for young people at school, community and household levels.

2.

Lobby for support of Reproductive Health Programmes:
The programme will lobby for
increased resource allocation and prioritisation of RH Programmes; a supportive policy
environment to encourage the private sector to participate in the funding and implementation of
RH programmes; improved access to friendly ASRH information and services; promotion of
responsible reproductive and sexual behaviour including voluntary abstinence and dual
protection among the young people; and the review of existing laws and policies that negatively
impact on adolescent RH. The programme will advocate for EmOC at all levels so that there is
adequate allocation of resources both human and financial to increase access and utilization of
the services.


3.

Conduct BCC and advocacy campaigns
: Advocacy and policy dialogue will be conducted
targeting high-level policy and decision-makers on issues related to Family Planning and
reproductive rights. These campaigns will target leaders at all levels to leverage increased
resources for RH services especially for emergency obstetric care; support programmes
addressing cultural

issues that promote early marriage, early sexual debut and sexual exploitation.
The programme will support MOES to institutionalise ASRH, counselling in schools and
communication skills and fistula prevention and repair into pre-service and in-service training of
health workers; Policy dialogue will be held with the Ministry of Finance and Planning on
operationalization of the hardship policy aimed to encourage service providers to work in
hardship areas. Other agencies will be will be supported to upscale interventions on livelihood

skills for young people
.
The support will include operationalisation of the Uganda Media
Advocacy Strategy.


4.
Undertake a Multi Media Campaign on SRH:
The programme will support a multi media
campaign using print, electronic and folk media on SRH services and specifically on family
planning methods, skilled attendance at birth, STI treatment, PMTCT and SGBV among other
sexual and reproductive health issues. The media campaigns will address existing misinformation,
rumours and myths about family planning and motivate men, women and young people to use
FP contraception correctly and consistently. It will ensure availability of IEC materials in ANC,
PNC outpatient, and at PAC and adolescent clinics in selected districts. Increase awareness

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amongst the community, especially adolescents on the benefits of delaying/spacing births.
Advocacy amongst community and religious leaders on the need for Family Planning will also be
carried out.

5.
Educate adolescents and young people on life planning skills:
The programme will support
initiatives that have proved successful to educate adolescents and young people in and out of
schools

on life planning skills and SRH. Such initiatives include youth to youth enter-educate
activities using youth networks and clubs and parent-child communication. A National
Curriculum for ASRH and Life Planning Skills for young people in schools has been developed

and needs to be institutionalised.

Output 3: Strengthened institutional capacity to design, implement, monitor and
evaluate the effectiveness of sexual and reproductive health and HIV/AIDS
policies, guidelines and programmes.

The key strategies to be applied in achieving this output will include: i) building a strong evidence
base on which programmes will be monitored and evaluated to ensure that they are achieving results
and reaching the poor; ii) developing systems for improving performance by providing support for
human resources planning, training and performance assessment systems that are crucial to
enhancing efficiency and accountability.

Major Activities

1.
Train service providers and programme managers.
The programme will support skill
development for health workers in: Emergency Obstetric Care, Post Abortion Care, adolescent
sexual and reproductive health, Family Planning, Logistics Management, fistula prevention and
repair, provision of sexual and gender-based violence medical care, counselling, communication
and RH commodity security. It will support skill building for media personnel to address
reproductive health/ gender issues; train implementing partners in Behaviour Change
Communication as well as advocacy; train youth friendly trainers at national, district, school and
community level on life planning skills; and provide skills to young people to leverage resources
for their livelihood skills development.

2.
Develop Tools to support SRH information and services.
The programme will support
development of HIV communication strategy, finalize and operationalize an RH communication

strategy and develop a national reproductive health training and follow-up plan. It will support
the review of selected RH training materials and harmonisation of all ASRH and Life Planning
Skills for Primary and Secondary Curricula ensuring integration of human rights and gender. It
will support development of a strategy for accessing resources to support livelihood skills among
young people. The programme will further support reprinting and distribution of RH policies,
strategies, guidelines, protocols and procedures manuals and support training of service
providers in their use.

3.
Procure essential RH equipment, commodities supplies and contraceptives
. The
programme will ensure that facilities in selected districts are equipped with Basic and
Comprehensive EmOC equipment and supplies and fistula repair equipment. The Programme
will support Reproductive Health Commodity Security through strengthening a functional
system of forecasting, procurement and distribution of commodities and supplies. The
programme will also support procurement of recreational equipment for young people.

4.
Participate in health sectoral reforms
. UNFPA will participate in health and other related
sectoral reform processes in order to influence greater resource allocation for sexual and

10
reproductive health especially family planning, EmOC, PMTCT and adolescents‟ SRH services.
In this regard, staffing at the country office will be increased with more time and resources being
spent on policy dialogue. UNFPA will endeavour to make a financial contribution to the Health
and HIV/AIDS Partnership Funds. It will enhance participation in SWAP funding through
contribution to the budget for contribution of contraceptives, training of midwives

5.

Strengthen health data management.
The programme will support development of capacities
for collection, analysis dissemination and utilisation of health-related data including HIV/AIDS
that is desegregated by sex, age and other socio-demographic variables. The programme will
strengthen the existing databases and information management systems such as the HMIS,
LMIS, and Country Response Information Systems for improved SRH programming. Capacity
of selected health facilities will be strengthened to accelerate provision of quality HMIS data.

6.
Undertake Formative and Operational Research.
The programme will support behavioural
monitoring studies for young people, operational and socio-cultural research on issues related to
improving access and quality of services, facilitating collection, analysis and use of routine
reproductive health data generated by the national health management information system by
ensuring computerized system and internet facilities at health facilities.

7.
Document Lessons learned and Best Practices
. The programme will document lessons learnt
and good practices and disseminate them widely, particularly through existing Knowledge Assets
and in-country networks, and use health data/information and other documented experiences on
SRH and SGBV for advocacy and policy dialogue with national and district leadership for
provision of support in reducing the practice.

8.
Provide Support Supervision
. The Programme will provide inputs for support supervision by
Regional Teams
1
(nationwide). It will have on board a minimum of 5 Regional Reproductive

Health Coordinators who will work closely with a UNFPA Technical Advisor based at the
Ministry of Health.

Population and Development Component

The outcome of this component is: poverty eradication policies, frameworks and programmes at
national and sub-national levels take into account population, reproductive health and gender issues.
This outcome contributes to four UNDAF outcomes 1, 3, 4 and 5 as well as PEAP Pillars 2, 3 and 5.
The component also contributes to the UNFPA MYFF outcome 4 and 5. Under this component,
three outputs will be delivered as discussed in the proceeding section.

Output 1: Increased availability of disaggregated population data at all levels.

The main strategies will include building and using a knowledge base; and promoting, strengthening
coordinating partnerships. Partners that will be involved in delivery of this output will include
government institutions at central and district levels. Joint programming will be done with UNDP,
WFP and UNICEF among others.

Major Activities:


1
Regional Teams plan, supervise and provide technical assistance to Districts reproductive health
interventions

11
1.

Collection, analysis and dissemination of data that is disaggregated by age and sex.
This

broad activity will involve: conducting further analysis, packaging and dissemination of 2002
Census; undertaking preparatory activities for the 2012 Census; undertaking the 2006
Demographic and Health Survey; collecting and disaggregating by gender, data on HIV and
AIDS prevalence among pregnant women and young people in conflict affected areas;
conducting baseline and end line surveys, and follow-up studies; and establishing and regularly
updating a population, gender and reproductive health database. Support will also be extended
to the Uganda Participatory Poverty Assessment Project (UPPAP) to ensure that RH and
Gender issues are fully incorporated in the assessments. A National Integrated Management and
Information System (IMIS) will be set up to improve availability of data up to the district level.

2.

Revitalise Birth and Death Registration.
This activity will ensure that in target areas, all
births and deaths are registered and certificates issued. This will involve: providing registration
materials including registers and computers; equipping personnel with the necessary skills;
mobilizing and sensitising households and communities on Birth and Death Registration; and
conducting advocacy campaigns among leaders on Birth and Death Registration.

Output 2: Strengthened institutional and technical capacity of national and sub-
national planning units to integrate population dimensions into development
frameworks.

The major strategy for achieving this output will be developing systems of implementing and
coordinating institutions for improved performance. Major partners will include Government
institutions as well as UN agencies including UNDP, UNAIDS, and UNICEF.

Major Activities:

1.

Training and equipping coordinating and implementing institutions
. This will include:
training in data management to promote utilization of existing data; conducting short courses on
programme management, gender analysis and mainstreaming; training District Planning Units on
mainstreaming of HIV and AIDS at local government level; procuring transport and data
processing equipment for key institutions; and training implementers at national and district level
in advocacy and behaviour change communication.

2.

Integrate population issues into sectoral policies and programmes.
This will involve:
conducting training/orientation workshops among policy makers and planners both at national
and lower levels and CSOs to promote greater understanding of the critical linkages between
population, poverty and the environment; conducting sensitisation workshops for key players in
strategic sectors to ensure appropriate budgetary allocations and integration of population, RH
and gender issues; undertaking training in integration of Population, RH and Gender, in
development planning; and establishing a functional documentation centre for knowledge
sharing.

3.

Support Coordination Mechanism:
The Programme will support holding of regular
coordination meetings for implementing agencies, donors and sectors to monitor programme
performance. These meetings will be at national, district and project levels.

4.

Establish and strengthen M&E systems
: A functional M&E system for the Programme will
be established linked to the National Integrated Monitoring and Evaluation System (NIMES),
IMIS and other systems. In this regard, the programme will support the establishment and
regular updating of a population, gender and reproductive health database.


12
Output 3: Increased commitment to and support for the implementation of population,
reproductive health and gender policies and programmes.

The major strategy for achieving this output will be advocacy for gender issues, reproductive and
sexual rights, legislation, policies and programmes. Government institutions, and UN agencies
particularly UNICEF will be a major partner in delivery of this output.

Major Activities:

1.

Conduct advocacy campaigns.
The programme will support evidence based advocacy and
IEC interventions on population, RH and gender and socio-cultural issues. The campaigns will
target donors and policy makers at national and district levels.

2.

Review, update and disseminate the existing population and RH policies and laws
. The
programme will support analysis of the existing policies and laws and identify existing gaps. The
programme will advocate for enactment and enforcement of gender-sensitive laws and bylaws

relating to population and development; formulating the National Population Action Plan; and
popularising the National Population Policy among decision makers at all levels.

3.

Organize and participate in national and international events.
These events will include
World Population Days, Women‟s Day Youth Day and AIDS Day. The programme will support
the development the State of Uganda Population Report and its launch together with the State of
the World Population Report. Public debates on topical issues and participation in national and
international conferences and meetings related to population and development will be supported.
Gender Component

The outcome of this component is: institutional mechanisms and sociocultural practices promote the
rights of boys, girls and women, protect them against sexual and gender-based violence and other
harmful practices, and advance gender equity and equality. This outcome contributes to UNFPA‟s
MYFF outcomes 2 and 3. The component directly contributes to 3 UNDAF outcomes (1, 3 & 5)
and all the PEAP pillars. The component has two outputs, which are discussed in the proceeding
section.

Output 1: Strengthened capacity of the Government and other relevant
institutions to formulate, review and implement pro-poor, gender-
sensitive legal frameworks, policies and laws.
The key strategies that will be applied to achieve this output include: (i) Developing a system for
improving performance by creating national capacity for undertaking interactive planning,
monitoring and evaluation systems that are results oriented; (ii) Advocacy and policy dialogue for
implementation of gender and women‟s empowerment policies and strategies; (iii) Promoting,
strengthening and coordinating partnerships with CSOs including Cultural Institutions and Faith
Based Organizations. This will be achieved through the successful implementation of the following
lead activities:

Major Activities
1.
Conduct Gender Analysis of RH and PD policies, plans and legislation.
The programme
will support gender analysis of RH and PD policies, plans and legislation to help identify,
interpret and measure the extent and nature of gender-based differences and inequalities. The

13
gender analysis will be disseminated to relevant stakeholders and an action plan developed and
implemented.

2.
Review and design Gender and Women’s Empowerment Policies and Strategies.
The
programme will support repackaging the Revised National Gender Policy and Action Plan, and
the Community Mobilization and Empowerment Strategy into user-friendly formats for
dissemination among partners at national and district level; and Revising the National Action
Plan on Women.

3. Develop Gender Sensitive Programme Indicators
The programme will support analysis of the Census, UNHS, and UDHS data and repackage and
disseminate it for evidence based policy dialogue on gender issues.

4. Conduct Research and Disseminate Findings
Relevant studies and reports on gender in RH and PD (including the baseline study on Gender
Violence in Apac and Mbale districts) conducted during the 5
th
Country Programme will be
widely disseminated among stakeholders. A compendium of Gender will also be developed and a

gender, population and pro-poor bulletin will be prepared and disseminated. Support will also be
provided for community dialogue on gender, population, RH and family life issues with TCIs,
FBOs, and women groups and training women leaders, CSOs and other key actors in advocacy,
lobbying and management skills in gender, RH and PD issues will be also be a priority.

5. Develop the capacity of stakeholders in Gender and Development Programming
The programme will support the development of a Gender and Population Manual and
subsequently support a national training programme on the same. The national training
programme will focus on Country Programme Managers, implementers and other partners at
central and local government levels on gender advocacy, policy dialogue, gender mainstreaming,
budgeting and resource mobilization; training Local Government Technical Staff in integration
of gender issues in development plans.

Output 2: Increased access by stakeholders to information, counselling, social
support and treatment of and protection against sexual and gender-
based violence and other harmful practices.

To achieve this output, the key strategies will include: (i) Promoting and strengthening partnerships
with stakeholders handling SGBV including CSOs; (ii) Advocacy and Policy Dialogue for
strengthening the legal frameworks on SGBV issues; and (iii) Building and using a knowledge base to
address specific challenges in Sexual and Gender Based Violence in selected districts.

Major activities
1.

Establish a database for male and female victims on SGBV
: A database for male and female
victims on SGBV will be established. This will be critical in ensuring that they receive the
support they need in coping and recovering from the effects of SGBV. Information in the
database will be analysed on a regular basis to inform interventions on SGBV.

2.

Train in GBV prevention and management
: The programme will develop the capacity of
stakeholders, especially in conflict areas to identify violations, seek protection and redress, and
empower the public to respect human rights. CSOs will be strengthened to support male action
groups and other partners in advocating against (as well as handling) SGBV in their
interventions. TCIs, FBOs, and CBOs will be trained in gender sensitive marriage counselling
among other key issues on SGBV.



14
3.

Establish networks and coalitions for Advocacy
. The programme will also strengthen
coordination and partnerships in line with the SGBV National Strategy, to disseminate
information, provide counselling, psychosocial support, and enhance the capacity to document
experiences and lessons learned in implementing gender interventions. This will be achieved
through partnership and establishment of networks and coalitions with medical, legal, media and
law enforcement professionals.

4.

Establish a model SGBV recovery centre
. A model concept for the SGBV recovery centre
will be developed and a model functional SGBV recovery centre established in two of the already
existing health facilities. Consultative forums on SGBV will be held with stakeholders including

clan councils, traditional healers, health workers, TBAs, CSOs, local leaders, FBOs, and TCIs.

5.

Develop manuals and materials.
A Sexual and Gender Based Violence training manual for
health and social workers will be developed. The programme will also support the development
of service guidelines for health and social workers for handling SGBV. The guidelines will be
disseminated to various target groups and their utilization monitored. IEC and BCC materials
will be developed on SGBV which will be disseminated and utilized to conduct community
based media campaigns for men, women, girls and boys on SGBV. Materials on gender sensitive
quality marriage counselling for religious, cultural and community based organizations will also
be developed. National essay and poster contests on SGBV for youth and children will also be
organized. Develop and operationalize an SGBV Monitoring system in programme districts.

6.

Develop and disseminate SGBV materials
. Simplified versions of SGBV draft laws and Bills
will be developed and disseminated widely. Advocacy workshops for draft SGBV law and Bills
will be conducted with key stakeholders, while gender analytical studies on relevant proposed
legislations will also be conducted. Legislators, Judicial and Law Enforcement Officials (including
Parliament, LCs and LC Courts, Police, Magistrates Courts) will be trained on gender sensitive
laws and human rights approaches.

7.

Female Genital Cutting.
A baseline survey on Female Genital Cutting will be conducted in
Kapchorwa and Bukwa districts and pockets with communities still practicing FGC, which

among others may include pockets in Bugiri, Busia, Tororo, Soroti, and Nakapiripirit, districts.
The experiences and lessons learnt from the REACH approach implemented during the 5
th
CP
will be documented and disseminated to inform on the intervention under the CP 6.
Consultative forums/meetings will be held with concerned communities and Local Councils
working on enactment of bye- laws, ordinances and laws to prohibit FGC. Based on the findings
from the baseline survey the communities will be sensitised in identified districts. Support will be
granted to provide alternative sources of income to reformed traditional practitioners of FGC
(„surgeons‟) while psychosocio support and legal aid will be provided to women, girls, and
families affected by FGC.

PART V. PARTNERSHIP STRATEGY

Successful program implementation will depend on the coordinated action of the Ministries of
Finance, Planning and Economic Development (MFPED), Ministry of Health (MOH), and the
Ministry of Gender, Labour and Social Development (MGLSD). Other important national partners
include the Ministry of Local government (MOLG), Ministry of Eduction, Uganda Bureau of
Statistics, National Curriculum Development Centre, Uganda AIDS Commission, the Uganda
Human Rights Commission, and the Offices of the First Lady of Uganda and of the Nabagereka of

15
Buganda, the National Parliament, the Media, NGOs, FBOs, Cultural Institutions and research
institutions.

UNFPA will work closely with Population Secretariat in order to strengthen the partnerships
between the implementing agencies as well as better coordinate with the Government and Donors.
At the district level, UNFPA cooperation will be coordinated through the local government
structures.

UNFPA will aim to improve synergy and partnerships with other United Nations agencies and
development partners, including the WHO and UNICEF through among others, the Reproductive
Health Taskforce Interagency Coordinating Committee, Health Policy Advisory Committee, the
Health Development Partners Group. These partnerships will focus on the areas of RH training, Safe
Motherhood initiatives particularly EmOC, Reproductive Health Commodities and Supplies,
contraceptives logistic management, data collection and promoting, and gender equity and equality.

UNFPA will together with other partners participate in SWAps, PRSP and other sector reforms.
Working with Uganda AIDS Commission, UNFPA will implement components of the National
HIV/AIDS Strategic Framework and in advocacy for HIV/AIDS prevention, care and support. The
Fund will be actively involved in HIV/AIDS joint programming as part of UNAIDS.

Through MOH, UNFPA will build capacity in management of logistics and commodity security.
MOH will develop and promote the operationalization of Reproductive Health policies; provide
technical assistance and services through its service delivery network; set health service delivery
standards; and coordinate, supervise, monitor and evaluate the Reproductive Health component of
the program. MOH will also mobilize resources, build capacity, undertake research, supervise and
monitor the RH component. Through the Health Promotion Department, MOH will take lead in
coordinating SRH message development and dissemination.

MFPED will develop and promote the operationalization of policies in its areas of mandate and
through the Population Secretariat will coordinate the monitoring and evaluation of the overall
Country Program. MGLSD will coordinate the Gender component of the Country Program. The
Ministry will also develop and promote the operationalization of policies in its areas of mandate.
MOLG will provide support and guidance for the implementation of the program within the
decentralization framework. Uganda Bureau of statistics and Line Ministries (MOH, MGLSD,
MOLG, MFPED) through their management information systems will provide disaggregated
population data at all levels. UBOS will also work with Population Secretariat, FBOs, NGOs and
cultural institutions to distribute and disseminate synthesized disaggregated data.

Faith Based Organizations, NGOs, CBOs and Cultural Institutions will be key partners in increasing
availability of gender and culturally sensitive BCC and IEC for sexual and reproductive health
including HIV prevention. FBOs and SRH & RR NGOs will compliment MOH in providing
services through their infrastructure, information and service delivery networks. They will also
collaborate with partners in the advocacy process to eradicate cultural practices that promote SBGV.
UHRC will be an important partner in monitoring SBGV incidents, patterns and trends and
advocating for the elimination of SGBV.

The Media will play a key role in the delivery of sexual and reproductive health information and
messages through various media channels. The Goodwill Ambassadors, particularly the Offices of
the First Lady and of the Nabagereka of Buganda will be instrumental in mobilizing commitment and
support for implementing adolescent reproductive health, HIV/AIDS and Safe Motherhood
programmes.

16
PART VI. PROGRAMME MANAGEMENT

Execution/Implementation arrangements
The programme will be nationally executed and implemented through the line ministries and other
national institutions including civil society, cultural and faith based institutions, non-governmental
and community based institutions. The programme implementation will utilize the existing structures
within ministries and other implementing partners. The Government and civil society organizations
will implement the programme within the context of the UNDAF and the PEAP. The criteria for
selecting implementing partners will be based on their sound management systems including financial
management, institutional and technical capacities, past experience in implementing related activities,
comparative advantage and potential to contribute to the Country Program outcomes and outputs.
Implementers will be expected to carry out activities within the set guidelines and mechanisms to
monitor and report on results of activities. Implementing agencies will report to UNFPA and the
designated government coordinating institutions according to an agreed format.

In case of subcontracts, the contractor will report to the executing/implementing agency with copies
to UNFPA. The executing agency will incorporate this information into its main report, which will
include both program and finances. UNFPA execution will be limited to technical assistance,
procurement of contraceptives and some equipment and recruitment of International Consultants.

The Reproductive Health component will be implemented within

the district decentralization
framework

and sectoral reforms. The Population and Development component and the Gender
component will be implemented nationally. Elements of the Reproductive Health component,
including
reproductive health
commodities and policy dialogue, will be implemented nationally,
while sectoral ministries and civil society organizations, focusing on marginalized areas, will
implement others. Support to the Ministry of Health will be aligned with the funding modality
requirements of the health SWAp.

In the areas of common interest among UN agencies such as strengthening capacities for data
collection and analysis, HIV/AIDS, Emergency Obstetric Care (EmOC), programming for Gender,
youth and for conflict affected areas, joint programming, monitoring and annual reviews will be held
to assess progress within the M&E Framework of UNDAF.

Responsibility for programme management will rest with respective Government ministries and their
assigned focal staff. For each component or group of components, a Government official will be
designated to work with the designated UNFPA counterpart. This official will have overall
responsibility for the planning, managing and monitoring of the programme activities.

Annual Work plans will be developed with UNFPA assistance by implementing partners within the

framework of CPAP. Within the year, quarterly and annual meetings will be called for implementers
by UNFPA in collaboration with coordinating institutions to review status of implementation,
achievements and results. Regular field monitoring visits in the project sites will be conducted
(including during review meetings).

The implementation of the programme at the district level will be within the government
decentralization framework. The DDHS and Planning Unit will provide technical guidance as well as
monitoring and support supervision to RH and PD components respectively while the Directorate of
Community Based Services will provide technical support for the implementation of the Gender
component.


17
All cash transfers to an Implementing Partner are based on the Annual Work Plans agreed between
the Implementing Partner and UNFPA.

Cash transfers for activities detailed in AWPs can be made by UNFPA using the following
modalities:

1. Cash transferred directly to the Implementing Partner:
a. Prior to the start of activities (direct cash transfer), or
b. After activities have been completed (reimbursement);
2. Direct payment to vendors or third parties for obligations incurred by the Implementing
Partners on the basis of requests signed by the designated official of the Implementing
Partner;
3. Direct payments to vendors or third parties for obligations incurred by UN agencies in
support of activities agreed with Implementing Partners.

Direct cash transfers shall be requested and released for programme implementation periods not
exceeding three months. Reimbursements of previously authorized expenditures shall be requested

and released quarterly or after the completion of activities. UNFPA shall not be obligated to
reimburse expenditure made by the Implementing Partner over and above the authorized amounts.

Following the completion of any activity, any balance of funds shall be reprogrammed by mutual
agreement between the Implementing Partner and UNFPA, or refunded.

Cash transfer modalities, the size of disbursements, and the scope and frequency of assurance
activities may depend on the findings of a review of the public financial management capacity in the
case of a Government Implementing Partner, and of an assessment of the financial management
capacity of the non-UN Implementing Partner. A qualified consultant, such as a public accounting
firm, selected by UNFPA may conduct such an assessment, in which the Implementing Partner shall
participate.

Cash transfer modalities, the size of disbursements, and the scope and frequency of assurance
activities may be revised in the course of programme implementation based on the findings of
programme monitoring, expenditure monitoring and reporting, and audits.

Coordination

Coordination of the Programme will be done at three levels: at National level, component level and
district level. At the national level, the Ministry of Finance, Planning and Economic Development as
the coordinating body of development assistance in the country will be responsible for overall
coordination of the programme in accordance with the National Population Policy.

At the component level, Population Secretariat will coordinate Population and Development
component, the Ministry of Health will be responsible for coordinating the Reproductive Health
component while the Ministry of Gender, Labour and Social Development will coordinate the
Gender component. The Directorate of each component will be responsible for convening quarterly
meetings and the designated focal persons will serve as secretary to the meetings. UNFPA will be
represented in these quarterly component meetings.

At the district level, the office of the Chief Administrative Officer will be responsible for
coordinating the implementation of the Programme and the District Planning Unit (DPU) will serve
as secretariat for the meetings.


18
Human Resource

The UNFPA country office in Uganda consists of a Representative, a Deputy Representative, an
Assistant Representative, an Operations Manager, a National Programme Officer, and support staff.
Programme funds will be earmarked for four National Programme Officers and seven Programme
and Administrative support staff within the framework of the approved country office typology.
National Project Personnel may also be recruited to strengthen Programme implementation. At the
request of Government, the UNFPA Country Technical Services Team based in Addis Ababa,
Ethiopia will provide technical backstopping. International and national consultants may be recruited
to provide specific technical assistance.

Resource Mobilization

UNFPA will assist government in lobbying for additional resources for the implementation of the
country programme. Implementers will lobby for an increase in budgetary allocation for Population,
Gender and RH programmes. Districts and community will be mobilized to make contributions for
program implementation. These contributions will be in cash or in-kind in form of personnel and
time. These contributions will enhance community participation, program sustainability and
ownership.

PART VII. MONITORING, ASSURANCE AND EVALUATION

Monitoring and evaluation of the CP6 will be anchored on Result-Based Management and aligned to

the UNDAF M&E Framework, the CPAP Results and Resource Framework, National Integrated
Monitoring and Evaluation System under the Prime Minister‟s Office and the PEAP Monitoring
Framework.

The CPAP Results and Resources Framework (RRF) will be a core component of the M&E
Framework. The CPAP RRF contains outcome and output indicators, baselines and targets,
implementing and operational partners and indicative resources per output. The CPAP RRF will be
the basis for assessing achievement of results at various levels.

The M&E Framework will provide a rational measure for tracking of progress of the entire 6
th

Country Programme. This Framework contains crucial pillars for monitoring and evaluation of the
6
th
CP including a baseline survey, field monitoring and reporting, coordination, research, annual
CPAP reviews and, the end-line survey. The M&E database that was established in the 5
th
CP, will
be reoriented to meet the 6
th
CP information needs, and updated regularly.

A baseline survey will be conducted for the Programme to provide benchmarks upon which targets
will be drawn and progress measured. The Survey will be national in scope, but will also target
specific districts or responding units to capture detailed data for some of the components of the
Programme.

Formative research will be carried out in order to guide specific interventions including development
of BCC and advocacy messages for specific target audiences. Operational research will also be carried

out to support delivery of specific interventions including integrated package of RH services in
specific districts.

Periodic field visits will be carried out to identify technical and or operational strengths and
weaknesses; identify technical issues for backstopping missions, share experience with other projects

19
in the Programme, and avoid duplication with activities of other agencies in the same area. Quarterly
Programme component meetings as well as bi-annual M&E coordination meetings will be held. The
findings from field visits as well as progress reports presented at various meetings will feed into the
Annual CPAP Reviews.

Annual CPAP Reviews will be conducted to assess progress towards realization of the outputs. The
Reviews will assess progress towards accomplishment of the planned activities as well as
coordination among partners, facilitate information exchange and make joint decisions on the way
forward.

An end of Programme evaluation will be conducted in 2010 to establish achievement of outputs,
outcomes and Programme impact and sustainability and also guide formulation of the following
Country Programme. Information regarding best practices and lessons learnt will be compiled and
utilized for future country programming, and also disseminated to interested stakeholders for
possible replication.

The 6
th
CP M&E Framework will be closely linked with the UNDAF M&E Matrix and will provide
input into the UNDAF Mid-Term Review, which will be held in fourth quarter of 2008. The
UNDAF review will assist UNFPA to adjust or update its CPAP in terms of results and resources.
Another UNDG joint meeting will be held in the first quarter of 2010 to assess achievement attained
by the UNDAF. Information from this meeting will inform the CCA and the formulation of the 3

rd

UNDAF and GoU/UNFPA‟s 7
th
Country Programme. The CPAP Results and Resources
Framework, the CPAP Planning and Tracking Tool, and M&E Calendar are attached as Annex I, II
and III.

Implementing partners agree to cooperate with UNFPA for monitoring all activities supported by
cash transfers and will facilitate access to relevant financial records and personnel responsible for the
administration of cash provided by UNFPA. To that effect, Implementing partners agree to the
following:
1. Periodic on-site reviews and spot checks of their financial records by UNFPA or its
representatives,
2. Programmatic monitoring of activities following UNFPA‟s standards and guidance for site
visits and field monitoring,
3. Special or scheduled audits. UNFPA, in collaboration with other UN agencies (where so
desired: and in consultation with Ministry of Finance, Planning and Economic Development
will establish an annual audit plan, giving priority to audits of Implementing Partners with
large amounts of cash assistance provided by UNFPA, and those whose financial
management capacity needs strengthening.

The Auditor General may undertake the audits of government Implementing Partners. If the Auditor
General chooses not to undertake the audits of specific Implementing Partners to the frequency and
scope required by UNFPA, UNFPA will commission the audits to be undertaken by private sector
audit services.
PART VIII. COMMITMENTS OF UNFPA
UNFPA will commit an amount of US$ 20 million in support of this CPAP covering the period
2006-2010, subject to the availability of funds. UNFPA will also seek additional funding from other
sources, subject to donor interest in the proposed interventions of this CPAP. The total amount that

will be sought from other sources will be to the tune of US$ 10 million bringing a total contribution
to US$ 30 million. This support from regular and other resources shall be exclusive of funding
received in response to emergency appeals.

20

UNFPA support for the development and implementation of activities within this Country
Programme Action Plan will be in line with four key programme strategies viz., building and using a
knowledge base for informed decision making; advocacy and policy dialogue for increased resources
and conducive implementation environment; promoting, strengthening and coordinating
partnerships for effective implementation; and developing systems of counterpart institutions for
improving performance. Specifically, the programme will support; procurement of relevant supplies
and equipment, provision of services, support supervision, data collection/analysis, advocacy,
systems building, and policy formulation and implementation and management, improvement of
facilities, monitoring and evaluation.

Support will be provided to national counterparts including civil society organizations as agreed
within the framework of the individual AWPs. The release of funds will be in accordance with
guidelines and financial procedures as provided by UNFPA. Specific details on the allocation and
yearly phasing of UNFPA‟s assistance will be reviewed and further detailed through the preparation
of the AWPs.

In case of direct cash transfer or reimbursement, UNFPA shall notify the Implementing Partner of
the amount approved by UNFPA and shall disburse funds to the Implementing Partner in seven
days.

In case of direct payment to vendors or third parties for obligations incurred by the Implementing
Partners on the basis of requests signed by the designated official of the Implementing Partner; or to
vendors or third parties for obligations incurred by UNFPA in support of activities agreed with
Implementing Partners, UNFPA shall proceed with the payment within seven days.

UNFPA shall not have any direct liability under the contractual arrangements concluded between the
Implementing Partner and a third party vendor.

Where more than one UN agency provides cash to the same Implementing Partner, programme
monitoring, financial monitoring and auditing will be undertaken jointly or coordinated with those
UN agencies.

During the review meetings, respective implementing partners will examine with the component
coordinating institutions and UNFPA the rate of implementation for each programme component.
Subject to the review meetings conclusions, if the rate of implementation in any programme
component is substantially below the annual estimates, funds may be re-allocated by mutual consent
between the Government and UNFPA to other programmatically equally worthwhile strategies that
will yield results.

UNFPA maintains the right to request the return of any cash, equipment or supplies furnished by it,
which are not used for the purpose specified in the AWPs. UNFPA will keep the Government
informed about the UNFPA Executive Board policies and any changes occurring during the
programme period.

PART IX. COMMITMENTS OF THE GOVERNMENT

The Government of Uganda will continue to provide annual financial contributions to UNFPA. In
addition, the Government will commit counterpart funding to the programme, and will also be

21
committed to support UNFPA in its efforts to raise funds required to meet the additional financial
needs of this CPAP as may be identified in the course of project implementation.

UNFPA shall be exempted from Value Added Tax or any other forms of taxation in respect of

procurement of supplies and services in support of this CPAP. Government will also accord to
UNFPA officials and other persons performing services on its behalf, such facilities and services as
are accorded to officials and consultants of the various funds, programmes and specialized agencies
of the United Nations.

Government will ensure that the accounting procedures for all UNFPA inputs will conform to the
Government accounting procedures and to UNFPA requirements.

A standard Fund Authorization and Certificate of Expenditures (FACE) report, reflecting the activity
lines of the Annual Work Plan (AWP), will be used by Implementing Partners to request the release
of funds, or to secure the agreement that UNFPA will reimburse or directly pay for planned
expenditure. The Implementing Partners will use the FACE to report on the utilization of cash
received. The Implementing Partner shall identify the designated official(s) authorized to provide the
account details, request and certify the use of cash. The FACE will be certified by the designated
official(s) of the Implementing Partner.

Cash transferred to Implementing Partners should be spent for the purpose of activities as agreed in
the AWPs only.

Cash received by the Government and national NGO Implementing Partners shall be used in
accordance with established national regulations, policies and procedures consistent with
international standards, in particular ensuring that cash is expended for activities as agreed in the
AWPs, and ensuring that reports on the full utilization of all received cash are submitted to UNFPA
within six months after receipt of the funds. Where any of the national regulations, policies and
procedures are not consistent with international standards, UNFPA regulations, policies and
procedures will apply.

In the case of international NGO and IGO Implementing Partners cash received shall be used in
accordance with international standards in particular ensuring that cash is expended for activities as
agreed in the AWPs, and ensuring that reports on the full utilization of all received cash are

submitted to UNFPA within six months after receipt of the funds.

To facilitate scheduled and special audits, each Implementing Partner receiving cash from UNFPA
will provide UNFPA or its representative with timely access to:
all financial records which establish the transactional record of the cash transfers provided by
UNFPA;
all relevant documentation and personnel associated with the functioning of the Implementing
Partner‟s internal control structure through which the cash transfers have passed.

The findings of each audit will be reported to the Implementing Partner and UNFPA. Each
Implementing Partner will furthermore

Receive and review the audit report issued by the auditors.
Provide a timely statement of the acceptance or rejection of any audit recommendation to
UNFPA that provided cash
Undertake timely actions to address the accepted audit recommendations.

22
Report on the actions taken to implement accepted recommendations to the UN agencies, on a
quarterly basis.

PART X. OTHER PROVISIONS
This CPAP supersedes any previous signed Country Programme Document between the
Government of Uganda and the United Nations Population Fund, and may be modified by mutual
consent of both parties based on the recommendations of Annual Review Meetings. Nothing in this
CPAP shall in any way be construed to waive the protection of UNFPA Uganda, accorded by the
contents and substance of the United Nations Convention on Privileges and Immunities to which
Government of Uganda is signatory.

IN WITNESS THEREOF the undersigned, being duly authorized, have signed this Country

Programme Action Plan on this day ____________________in Kampala Uganda.


For the Government of the Republic of Uganda: ______________________
Signature

_____________________________
Name

_____________________________
Title




For the United Nations Population Fund: _____________________________
Signature

_____________________________
Name

_____________________________
Title