Situation analySiS

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Situation analySiS of Children in uganda 2015NATIONAL CAPACITIES ON THE RIGHTTO SURVIVALLEGAL FRAMEWORKThe Government has decentralised health services to sub-national, district levels in accordancewith the Local Government Act (1997), leaving the responsibility of policy formulation,setting standards and guidelines, supervision, monitoring and resource mobilisationwith the Ministry of Health (MoH), and responsibility for service delivery to district- andregional-level leaders. Capacity in planning, management and human resource developmentremains weak at decentralised levels due to limited leadership, management and specialistskills (MoH, 2014b).HEALTH SECTOR STRATEGIC AND INVESTMENT PLAN III2010/11–2014/15The third Health Sector Strategic and Investment Plan (HSSIP III) was developed to operationalisethe National Health Policy II and the health sector component of the NationalDevelopment Plan (NDP). The main approach for achieving the sector programme goal isthrough implementing the Uganda National Minimum Health Care Package (UNMHCP),comprised of cost-effective health interventions to improve outcomes in key areas such asmaternal and children’s health or prevention and control of communicable diseases (MoHand Macro International, 2008).The issue of informal costs and user fees in otherwise free public services is being addressedin the strategy via the development of the Medicines and Health Service Delivery MonitoringUnit (MHSDMU). This unit, which formally sits within the office of the Prime Ministerfor the sake of accountability and transparency, receives numerous anecdotal reports onsmall-scale corruption, but is not able to respond due to a constrained monitoring envelope.NATIONAL INTEGRATED EARLy CHILDHOOD DEVELOPMENT POLICy2013Previously, efforts to address early childhood development (ECD) issues have focused oneducation. The current policy framework aims to rectify this by coordinating and improvingservices, access and infrastructure (in health, safety, education, nutrition and WASH) forchildren aged 0–8 years. Strategies include: strengthening public health care systems suchas sanitation and hygiene; equipping and empowering children’s hospitals; sensitisingcommunities and households about the importance of a clean environment and sanitation;ensuring universal immunisation coverage for all children; and ensuring access to safe andclean water in all areas of the country.110 aPPENDIx 1
Situation analySiS of Children in uganda 2015MALARIA REDUCTION STRATEGIC PLAN 2014–20This plan was developed to provide a common framework for the nationwide scale up ofevidence-led malaria reduction interventions by the Government, its development partnersand the private sector. Control needs to increase if the strategy is to succeed.REPRODUCTIVE, MATERNAL, NEWBORN AND CHILD HEALTH(RMNCH) SHARPENED PLANIn 2013, the Government developed an evidence-based country plan to address its slowprogress on MDGs 4 and 5. The ‘sharpened’ plan reviews the maternal, newborn and childmortality situation in Uganda, setting an agenda for how to accelerate progress. The planwill run until 2020, which is when the next UDHS will take place (MoH, 2013b), and involvesscaling up high-impact health interventions such as promotion of breastfeeding, eMTCTservices and ownership of insecticide-treated nets (MoH, 2013b). It will be implementedby numerous stakeholders including: the Government and policy-makers, the UN, parliamentarianforums, civil society organisations, the private sector, midwives’ associations andhealth workers.UGANDA NATIONAL ExPANDED PROGRAMME ON IMMUNISATION(UNEPI)This programme, aligned to the Health Sector Strategic and Investment Plan (HSSIP), hasthree major areas of focus: strengthening routine immunisation; conducting supplementalimmunisation activities to achieve global targets of polio eradication and elimination ofmaternal and neonatal tetanus, and accelerated measles control; and sustaining a sensitivedisease surveillance system within the Integrated Disease Surveillance and Responseframework.NATIONAL STRATEGIC PLAN (NSP) FOR HIV AND AIDSWith support from development partners, the Government initiated the programme for theelimination of mother-to-child transmission (eMTCT) of HIV in 2000 and scaled it up to alldistricts by 2005. Stark inequities remain most visible between urban and rural areas.UGANDA NUTRITION ACTION PLAN (UNAP) 2011–16Uganda’s Nutrition Action Plan (2011–16) aims to ‘reduce levels of malnutrition amongwomen of reproductive age, infants, and young children through 2016; ensuring that allUgandans are properly nourished will enable them to live healthy and productive lives’ (GoU,aPPENDIx 1111
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Situation analySiS

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