Uganda: Ramping up Performance and Access to Family Planning

Performance in our Uganda learning sites began to recover in March after a 6-month lull mainly due to technical challenges caused by app instability. We expect results to improve
further in Q2 following the rollout of an impact optimization plan, which included better
management of poor-performing sites and nonreporting CHWs.

Although an upgrade of our core tech platform last year initially affected CHWs’ productivity, their reporting improved in March after we rolled out app fixes and became more intentional about following up with all inactive CHWs for phone diagnosis and support. Supervision rates significantly increased following fixes to the Supervisor App and
optimization of our peer supervision approach, which included shifting from a pre-pay to post-pay system for peer leaders—high-performing CHWs who are nominated to coach their peers.

This led to a jump in the percentage of peers supervised by their peer leaders from 42% in
January to 70% in March. Commodity availability and referral completion remain a challenge to family planning delivery in Uganda, with the government historically supplying the commodities. But we have made headway in ensuring a more consistent supply and have launched an action plan to further improve CHWs’ family planning performance with a focus on ensuring long-term methods are part of the package.

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