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Digital Health Pilot Project muUganda Inowedzera Kusvika Kwekuronga Kwemhuri Munharaunda


Living Goods inogovera zviitiko kubva muchirongwa chekuedza apo vashandi vehutano munharaunda (CHWs) yakashandisa tekinoroji yehutano yedhijitari kusimudzira kuwaniswa kwekuchengeta mhuri munharaunda. MaCHWs chinhu chakakosha chezano ripi zvaro rekuunza mabasa ehutano pedyo nevanhu. Chidimbu ichi chinodaidzira kune vanogadzira mitemo uye vanachipangamazano vehunyanzvi kuti varambe vachiisa mari mukugadzirisa zvirongwa zvehutano munharaunda kuti vaderedze kudiwa kusiri kuzadziswa kwekuronga mhuri..

Uganda ine imwe yepamusoro-soro huwandu hwevanhu munyika. Kunyangwe huwandu hwese hwekubereka hwadzikira kubva paavhareji ye 6.9 kuberekwa pamukadzi mu 2000 ku 5.4 kuberekwa pamukadzi mu 2016 (2016 Uganda DHS), inoramba iri pakati pepamusoro-soro pasi rose. Payezvino yekukura, Huwandu hweUganda hunotarisirwa kuwedzera zvakapetwa kaviri 20 makore uye huwandu hwevanhu hunofungidzirwa kusvika 100 mamiriyoni by 2050. Chete 35% evakadzi vekuUganda vanoshandisa nzira dzemazuvano dzekudzivirira nadzo pamuviri, uye kusakwana zvekuronga mhuri ndizvo 28% (2016 Uganda DHS). The mutoro wemimba yausingatarisiri uye mhedzisiro yacho inowira zvisina kuenzana pavakadzi nevasikana vanotambura, kukanganisa hutano hwemhuri uye kupikisa kugona kwevakadzi nemhuri kubata zviwanikwa uye dzidzo yakachengeteka.

Kudzikira kwekutora nzira dzekuronga mhuri uye kudiwa kwakanyanya kwekuronga mhuri kunopa mukana kuvashandi vehutano munharaunda (CHWs) kupa dzidzo nekuchengeta munharaunda dzavo. Hurumende yeUganda, kuburikidza ne Investment Case yeReproductive, Maternal, Neonatal, Utano Hwevana Nevachiri Kuyaruka (RMNCAH) Hurongwa hwakarodzwa hweUganda (2016/17-2019/20), inocherechedza basa rakakosha remaCHWs (inozivikanwa seVillage Health Teams, kana VHTs) tamba mukupa marapirwo nekubatanidza nharaunda nenzvimbo dzeutano kuti vawane rubatsiro rwepamusoro.

Kupindira: Kushandiswa kweDhijitari Hutano Zvishandiso Kuvandudza Kuwaniswa Kwekuronga Mhuri

Living Goods inoshandisa tekinoroji kupa hutano hwakabatanidzwa pasuru inogadzirisa zvinodiwa neRMNCAH. Zvikuru sei, Living Goods inopa maCHWs maturusi edhijitari ekutsigira maCHWs pavanenge vachiongorora nekurapa mamiriro ehutano, kunatsiridza kushuma kwavo, uye shandisa data pakuita manejimendi. In 2017, Living Goods yakaisa nzira ine nhanho yekuyedza nzira yakazara yekuronga mhuri, iyo yakadzidzisa nekupa maCHWs kuti ape mazano ekuronga mhuri uye nzira dzenguva pfupi dzinosanganisira kubaiwa jekiseni. DMPA-SC (Sayana Press), mapiritsi ekudzivirira pamuviri (ECPs), mishonga yekudzivirira pamuviri yakasanganiswa (COCs), uye progesterone-chete piritsi (POP) kuna amai vanoyamwisa. MaCHWs akatumirawo vatengi vanoda nzira dzenguva refu uye dzisingaperi kune nzvimbo dzakatarwa dzekupa masevhisi.

Chirongwa ichi chakaitwa mumatunhu maviri anoti Wakiso neMpigi — kutanga 30 CHWs mubazi rega rega uye kutenderera kune vese 200 vanokodzera maCHWs. MaCHWs anga ave kutoshandisa chirongwa cheSmart Health pakupa rubatsiro rwehutano hwaamai nevana, neLiving Goods yakawedzera mafambiro ekuronga mhuri muchirongwa chedhijitari kutsigira kupa kweCHWs yekuraira nekuchengeta mhuri.. Imwe neimwe CHW yakagamuchira runhare rwakanga rwakazara ne Smart Health digital application, iyo yakagadzirwa nemafambisirwo ebasa kuenzanisa kuraira kwevatengi, kuongorora, uye mitemo yekutonga yekuchengeta mhuri. Izvi zvakaita kuti maCHWs adzidzise vatengi nemazvo, kuona kuti vanokodzera here kuronga mhuri, kurudzira nzira yakakodzera, uye kupa masevhisi ekutevera. Iyo Smart Health app inogadzira zviyeuchidzo zvebasa kuti maCHWs atevere uye nekuraira vatengi vekuronga mhuri, vanofanira kusangana nemigumisiro ipi zvayo. Zviyeuchidzo zvakare zvinogadzirwa kune vatengi vanogona kunge vari nekuda kwekuzadzwazve, zvinoda kutevera mazano, kana kuti vakatumirwa nzira dzenguva refu dzekuita. Izvi zvinoita kuti kuendesa maCHWs kushande uye kunoshanda.

Vatariri veCHW vanogonawo kuwana app yavo yevatariri, kwavanogona kuona data rekuita-chaiyo nguva yeCHW yega yega uye kushandisa analytics dashboard kutarisa uye kutyaira zvirinani kuita., uye pakupedzisira, impact. Ruzivo rwese rwunogadzirwa kuburikidza nematurusi enharembozha aya anogovaniswa nehurumende uye anoshandiswa kuzivisa sarudzo dzezvirongwa zveCHW pamatanho ese..

In Kasanje, Wakiso district, Uganda, a VHT educates a young woman about different modern methods of family planning, with the support of the SmartHealth app. Photo: Phionah Katushabe/Living Goods
KuKasanje, Wakiso district, Uganda, VHT inodzidzisa mukadzi wechidiki nezvenzira dzechizvino-zvino dzekuronga mhuri, nerutsigiro rweSmartHealth app. Mufananidzo: Phionah Katushabe/Living Goods
In Iganga district, Uganda, a VHT educates women about modern family planning methods.  Photo credit: Phionah Katushabe/Living Goods 
Mudunhu reIganga, Uganda, VHT inodzidzisa vakadzi nezvenzira dzechizvino-zvino dzekuronga mhuri. Mufananidzo wechikwereti: Phionah Katushabe/Living Goods

Migumisiro yeDigital Health Pilot Intervention

Zvigumisiro zvakaratidza izvozvo 56% vevatengi vakashanyirwa neCHW vakatanga kuronga mhuri mwedzi wega wega muhupenyu hwemuchairi (Chivabvu 2017 kusvika June 2018). Huwandu hwevakadzi vanopihwa nzira yekuronga mhuri paCHW pamwedzi hwakawedzerawo, kubva 2.4 muna Chivabvu 2017 ku 6.7 naJune 2018. Munguva imwe cheteyo, nhamba yevashandisi vatsva vekudzivirira pamuviri paCHW yakakwira zvine mwero, kubva pasi pe 0.9 pamwedzi kusvika 1.2, uye hafu yevakadzi vakanga vasati vamboshandisa nzira dzekuronga mhuri vakatanga kushandisa nzira mushure mekupihwa mazano kubva kuCHW. . DMAP-SC ndiyo nzira inonyanyo kufarirwa inopihwa nemaCHWs, nepo vatengi vakadudza nzira dzekuita kwenguva refu vaifarira ma implants.

Uyezve, kuunzwa kwenzira dzekudzivirira kubata pamuviri mubhasiketi rebasa zvakakonzera kuvandudzwa kwese kwekushanda kweCHW. Semuyenzaniso, mune chimwe chezvikamu zvedunhu reWakiso, MaCHWs achipa musanganiswa wekuronga mhuri, kubayisa, uye yakabatanidzwa munharaunda yekutonga nyaya (ICCM) masevhisi akashanyirwa 10 dzimwe mhuri dzakasiyana pamwedzi (kubva 36 muna Nyamavhuvhu 2019 ku 46 munaNovember 2019) uye kurapwa 7 vana vakawanda vanorwara pamwedzi kana zvichienzaniswa nevamwe vavanoshanda navo vari kuendesa ICCM chete nemasevhisi ekudzivirira (Mufananidzo 1). Kusiyana nezvaitarisirwa nechikwata chepurojekiti maererano nekubatanidza masevhisi anopihwa neCHWs izvo zvingave zvakakanganisa shungu dzavo nekuda kwekuremerwa nebasa., Chidzidzo chakakosha ndechekuti maCHWs aikurudzirwa zvikuru achitaura nekupa mamwe masevhisi. Pamusoro pe, maCHWs ari kurapa 17 vana vanorwara mwedzi wega wega zvakasiyana 10 vana vanorwara pakuita iyo yakakosha ICCM module chete.

Average number of unique households visited per CHW in Masajja Division, Wakiso District, Uganda
Mufananidzo 1: Avhareji yehuwandu hwemhuri dzakasiyana dzakashanyirwa paCHW yega yega muMasajja Division, Wakiso District, Uganda

Mhedziso

Kuwedzera kuronga mhuri kumabasa eCHW, inotsigirwa kuburikidza neiyo Smart Health digital app, zvakaita kuti maCHWs avandudze kuwanikwa kwenzira dzemazuva ano dzekudzivirira nadzo kubata pamuviri apo vachipa rubatsiro rwekuronga mhuri nemazvo. Kubudirira kwemuongorori uyu kwakabereka chirongwa chakakura chekuronga mhuri mu 19 matunhu eUganda. Kuwedzerwa kwekutora mishonga yekudzivirira kunoratidza mukana ungadai wakarasika dai basa reCHW rikasawedzerwa kuburikidza nekushandiswa kwemichina.. Izvi zvinoratidza kugona kwemapuratifomu ehutano munharaunda yedhijitari kuti ape yakakwira-impact, zvinodhura zvinogadziriswa kumatambudziko ehutano hwehutano uye kuderedza kusaenzana mukuwana kutarisira. Naizvozvo zvakakosha kuhurumende (vagadziri vemitemo) uye vabatsiri vekuita (technical Advisors) kuti vaenderere mberi nekudyara mukuita zvirongwa zvehutano munharaunda kuti vadzikise kudiwa kusiri kuzadziswa kwechirongwa chekuronga mhuri.

Digital Health Pilot Project muUganda Inowedzera Kusvika Kwekuronga Kwemhuri Munharaunda
Allan Eyapu - The Best Of Allan Eyapu

Senior Field Operations Manager

Allan apedza 10 makore ane ruzivo mubazi rezvehutano, kugadzira, kuita uye kuongorora zvirongwa zvemagariro evanhu. Mamwe emabasa ake apfuura anosanganisira kuumba misika yemakambani akazvimirira kuti awedzere kuwanikwa kwemishonga yevana yakakosha, kutsigira Bazi rezvehutano kuti riunze nekubatanidza zvinhu zvitsva zvekuronga mhuri muchirongwa chenyika chekupa rubatsiro, uye kutungamira kuedza kwekuvaka hunyanzvi kune vepasi pasi pekupa masevhisi vanodyidzana pamusoro pe Logistics manejimendi. Mubasa rake razvino, anogadzira uye anoburitsa maturusi akakodzera, maitiro uye masisitimu ekufambisa kuita nekubudirira kwevashandi vehutano munharaunda.

Frank Namugera

Health and Impact Analyst, Kuongorora uye Kuongorora, Zvigadzirwa Zvekugara Uganda

Frank Namugera inyanzvi yezviverengero uye sainzi wedata parizvino ari kushanda neLiving Goods Uganda seHealth and Impact Analyst - Monitoring and Evaluation.. Ane shungu nekushandisa data uye manhamba emhando kuzivisa nekubatsira kuita sarudzo mubazi rezvehutano kuvandudza U5, hutano hwaamai nekuzvara.

Phionah Katushabe

Communications Manager, Zvigadzirwa Zvekugara Uganda

Katushabe inyanzvi yenganonyorwa uye inyanzvi yezvekufambiswa kwemashoko ane makore anopfuura mapfumbamwe eruzivo rwekugadzira nekushandisa nzira dzekutaurirana nemasangano ebudiriro emunyika nekunze., kubatsira mukusimbisa hurongwa hwehutano. Anotungamira zvikwata mukugadzira zvemukati (kunyora uye kutora mifananidzo), media relationship, kufambisa zvidzidzo, digital media management, uye zvirongwa zvinotsigira kugadzira BCC mameseji munzvimbo dzakasiyana dzemagariro. Katushabe ane dhigirii remasters muInternational Social Development...

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