Center for Health Market Innovations (CHMI)

Programs

STRIDES for Family Health

last updated Jan 20, 2012

Overview

Implementing organization: 
Family Life Education Program, Management Sciences for Health (MSH)
Implementation Partner(s): 
Jhpiego, Meridian International, and the Ugandan organizations Communication for Development Foundation and the Uganda Private Midwives Association
Legal Status: 
Private (not-for-profit)
Year Launched: 
2009
Stage: 
Short-term project
Income Level of Target Population: 
All income levels

Funding

Primary Source of Funding: 
Donor
Additional Source(s) of Funding: 
Government
Funders: 
US Agency for International Development (USAID)

Scale

Scope: 
Before the STRIDES' intervention, the Kamuli health clinic only offered short-term contraceptive methods such as pills, injectables, and condoms. It now offers all methods, including short term, long acting, and permanent methods such as: intrauterine device (IUD), implants, vasectomy, and elective female sterilization.
Summary: 

The program creates innovative partnerships using Performance-Based Financing (PBF) (which is a contracting mechanism that focuses on paying for results and not processes) with local organizations to improve access to and quality of health services in rural Uganda because health managers and workers are paid based on the quantity and quality of the services they provide. The hope is to achieve high-quality and cost-effective reproductive health and child survival services

Program goals/rationale: 

STRIDES aims at saving lives and improving the health of the poorest and most vulnerable people by closing the gap between knowledge and action in public health as well as increasing contraceptive use and healthy timing and spacing of pregnancies (HTSP), creating a scalable nationwide intervention so as to reduce maternal and child mortality and achieve high-quality and cost-effective reproductive health and child survival services.

Key program components: 

STRIDES uses activities such as sports events, community gatherings and radio shows to encourage greater male engagement with family planning. Mobile outreach clinics are used to access hard-to-reach communities where health service points are established to provide contraceptive counselling and services; and to improve birth outcomes for mothers and children as well as reducing mortality, couples are encouraged to time and space pregnancies. The project strengthens family health services by building the capacity of both governmental and non-governmental organisations so that they can offer integrated family planning and reproductive health services, including information on healthy timing, spacing of pregnancy and child survival.

In September 2010, 12 private sector organizations were awarded PBF contracts from STRIDES.

Program history: 

According to the Uganda Demographic Health Survey 2006 report, about 41% of women need to space or limit their births but cannot get family planning services and only 24% of women in the reproductive age group are using family planning thus leading to unintended pregnancies, miscarriages and increased infant and maternal mortality. Its to this background that STRIDES for Family Health is a program implemented by MSH and working with the Ministry of Health, districts, communities, local private organizations, and individual private providers was initiated to curb maternal and child mortality by improving reproductive health, family planning and child survival.

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