Uganda country presentation - Connie Muzaki & Susan Mukasa

Pre-campaign preparations

Net delivery and distributionAreatargetedOrderdateExpectedQuantityExpecteddate ofarrivalExpectedtime ofdistributionActualdistributionCentralRegionSept20092,367,800 22 Mar‘10April 2010 May 2010WesternRegionSept20092,710,075 15 May10June 10July & August2010NorthernRegionSept20091,213,275 27 May‘10August 10 Sept 2010EasternRegionSept20091,004,700 26 Jun‘10Total 7,295,850Sept 10October-December2010

Distribution

Role of different partnersNationalMoH/NMCP/Donor Partners/MPsPSI/PACE/NGOs SPEDAG -LogisticsDistrictNational supervisors/District Health Team/CSOSub-countyDHT/CSO/Sub-county leadership/Store keepers/TransportersDistributionpointsParish and village leaders/Village health teamsHouseholdPregnant women and CU5

AchievementsNets received in country 7,294,686 99.9%Testing NDA and UNBS 64Nets delivered at subcountylevelNets distributed tobeneficiariesNet short fall at communitydistribution7,294,622 99.9%7,293,082 99.9%1,540

Achievements• Full coordination=success• Weekly updates• Universal coverage for threedistricts outside GFATM R7• Distribution cost at $1.01 Vsplanned $1.33• Good paper trail fromprocurement to distribution• Collected HH data for UC• Trained 3 supervisors atdistrict and sub-county levelsand 4 for each village

Challenges• Achieving full partner coordination• Delayed disbursements of funds• Maintaining quality training at all levels• Inflated beneficiary numbers at registration insome areas• Data validation• The need for LLINs was greater than supplyleaving a gap of 678,476 LLINs (8 districts)• Capacity gaps among some CSO Partners

Innovations around challenges• Engaged MoH top management to coordinatepartners• Partner involvement attracted PMIcontribution for Central Region distribution.• CSOs working closely with Local Governmentstructures to explain the LLIN distributionprocess. Creation of other structures (Clusterheads by PACE and MOH)• Focused on covering 70 districts leaving 8 forphase II

Key Lessons Learnt• Involve all stakeholders right from start.• Transparency and openness in dealing withpartners is key• In-country coordination mechanism through theRBM Partnership is beneficial• More time should be spent on HH registration anddata validation• CSOs can work really well with Govt.• Use of established community based structures(VHTs and LCs) is cost effective and helpsstrengthen capacities.

Moving on 2011• Distribute 10 million LLIN to achieve universalcoverage by September 2011• Follow-up coverage and utilization survey• Integrate LLIN BCC activities in VHT roll out ofcommunity ACTs to increase LLIN use• Start routine distribution for “keep up” in 32 outof 112 (PMI SMP)• Prepare for implementation of GF round 10

• The GFATM Phase 1distribution campaignswere very successful• Only 0.00027% netsnot accounted for• Effective coordinationand a strongpartnership are thekey drivers behind thissuccess.Conclusion

Photos by Marcie Cook & PACE Image bank.