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KATINE COMMUNITY PARTNERSHIPS PROJECT - Guardian.co.uk

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In order to ensure greater integration between the project <strong>co</strong>mponents, an effort has been<br />

made to foster significant <strong>co</strong>llaboration in delivering health related activities through VHTs. For<br />

example, the health, water and sanitation and <strong>co</strong>mmunity empowerment project <strong>co</strong>mponent<br />

used the same VHTs for the delivery of services, sharing information and joint training in order<br />

to achieve integrated activity execution. The education, water and sanitation (WATSAN) and<br />

health <strong>co</strong>mponents worked jointly with the school health <strong>co</strong>mmittees to promote hygiene and<br />

sanitation in schools. Community empowerment has worked in tandem with all other<br />

<strong>co</strong>mponents in developing IEC messages on health, education and water for the development<br />

of posters, brochures, t-shirts, inscriptions in <strong>co</strong>mpounds and leaflets through focus groups at<br />

village level and IEC working groups at sub-<strong>co</strong>unty and district level reflecting all <strong>co</strong>mponents.<br />

The project management and implementation structures from <strong>co</strong>mmunity to sub-<strong>co</strong>unty and<br />

district level also ensure effective integration takes place by reviewing progress on activities<br />

and out<strong>co</strong>mes.<br />

1.0 BACKGROUND INFORMATION<br />

1.1 Development Context in Uganda<br />

Uganda is one of the poorest <strong>co</strong>untries in the world, ranking 146 th out of 177 in the 2004<br />

Human Development Index. The population of Uganda is estimated at 28 million and life<br />

expectancy is only 49.3 years ac<strong>co</strong>rding to the World Health Organisation. A <strong>co</strong>ntributing<br />

factor to the low life expectancy in Uganda is the fact that 31% of the population currently live<br />

below the poverty line (UBOS 2007).<br />

In an effort to pull Uganda’s out of its poverty trap, the <strong>co</strong>untry has introduced a number of<br />

policy and institutional reforms which have seen the HIV/AIDS prevalence decline from 30% in<br />

the late 1980s to 6.1% in 2006. The Uganda AIDS Commission Report states that by 2002,<br />

new infections were 70,170 while new AIDS cases were 73,830 with 75,290 deaths per year.<br />

The high HIV prevalence is largely responsible for the loss of Uganda’s workforce,<br />

<strong>co</strong>ntributing to low e<strong>co</strong>nomic productivity. Other improvements include access to safe water<br />

increasing from 50% in 2000 to 63% in 2006, primary school enrolment increasing from 62.3%<br />

(1992) to 86% (2006), GDP per capita growing at an average of 3.6% since 1995 (PEAP<br />

2006) and poverty prevalence falling from 56% in 1992 to 31% in 2007 (UBOS). In education,<br />

enrolment has increased due to Universal Primary Education (UPE) which was launched in<br />

December 1996 by the president of Uganda - Yoweri Museveni - in ac<strong>co</strong>rdance with the<br />

Government White Paper on Education. In 2002, Museveni stated that the policy would<br />

ensure that ‘all children of school going age should benefit from UPE’ (Opulot, 2002).<br />

Enrolment figures after the launching of UPE shot up figures from 2.5 million in 2006 to 6.8<br />

million in 2000 (Ministry of Education and Sports 2001 b:1). Despite this progress, challenges<br />

still remain. There is inadequate participatory planning and poor human resource capacity<br />

within local government sectors. For instance, the doctor to population ratio in Uganda is<br />

1:18,000 (MOH) and in Katine sub-<strong>co</strong>unty, there are no doctors for a population of about<br />

25,000. There are also inadequate classrooms and teachers for the increased number of<br />

students enrolling in primary schools under Museveni’s initiative.<br />

KCPP six monthly narrative report - October 2007 to March 2008 8

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