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Quick Read Nguva Yekuverenga: 5 maminitsi

AYSRH muUganda Panguva yeCOVID-19 Denda

Kuve nechokwadi chekupihwa uye kuwana ruzivo, masevhisi, uye commodities

Denda reCCIDID-19 rakakanganisa mararamiro evachiri kuyaruka uye vechidiki munharaunda dzese dzeUganda munzira dzakawanda.. Nekutanga COVID-19 wave munaKurume 2020 kwakauya kutorwa kwematanho ekuchengetedza, sekuvharwa kwezvikoro, kurambidzwa kufamba, uye kuzviparadzanisa nevamwe. Semagumo, hutano nekugara zvakanaka kwevechidiki, kunyanya vechidiki uye hutano hwepabonde nekubereka (AYSRH) muUganda, akatora hit.

Mhedzisiro yeCOVID-19 paAYSRH

Tsvagiridzo inoratidza kuti kuedza kwakanangana nekugadzirisa denda reCCIDID-19 kwakasimbisa kupihwa kwemamwe masevhisi akakosha., sezviya zvine chekuita neSRH yemunhu. Kusarudzwa kwemamwe masevhisi aya vakasiya vanhu, kunyanya vechidiki uye vechidiki, vasina nzira dzekuita sarudzo dzine ruzivo uye kuchengetedza hutano hwavo.

Vachiri kuyaruka nevaduku vanowanzowana mashoko ane chokuita noutano nenzira dzakangwara, kufanana:

  • Kubva kuzvikoro.
  • Makona anoshamwaridzana nevechidiki munzvimbo dzehutano.
  • Kuburikidza nevezera ravo vadzidzisi.

Kuvharwa kwedzimwe nzira idzi uye kurambidzwa kufamba kwaireva izvozvo vechidiki uye vechidiki vaisakwanisa kushandisa masevhisi aya-Kuwedzera kune yakatove yakaganhurirwa uye isingateereri mutemo uye inoshanda nharaunda inosanganisira:

  • Maonero asina kunaka pamusoro pekuwana nzira dzekudzivirira nadzo pamuviri kune vechidiki uye vechidiki.
  • Mafungiro asina kunaka emupi.
  • Maitiro ehutano hwepabonde uye kubereka (SRH).
  • Kusina ushamwari uye kudhura kwemabasa.

Izvi zvinotadzisa zvakanyanya kuvandudzwa kweAYSRH muUganda.

Community health worker during a home visit, providing family planning services and options to women in the community. Credit: Jonathan Torgovnik/Getty Images/Images of Empowerment.
Mushandi wezvehutano munharaunda panguva yekushanya kumba, kupa mabasa ekuronga mhuri nesarudzo kumadzimai munharaunda. Credit: Jonathan Torgovnik/Getty Mifananidzo/Mifananidzo Yekugonesa.

Chikoro cheMakerere chePublic Health chakaongorora kukanganisa kweCOVID-19 pakuwaniswa kwerubatsiro rwekuronga mhuri uye kubata pamuviri pasina kutarisirwa. Yakaratidza kuti vanhu vakatadza kuwana nekushandisa kuronga mhuri uye mamwe mabasa ehutano eSRH nekuda kwe:

  • Zvirambidzo zvekufamba (9%).
  • Kuvharwa kwenzvimbo dzehutano (17%).
  • Kutya kubata utachiona (49%).
  • Mhuri yaisabvumira nekuda kweCOVID-19 (13%).

Nezvikonzero izvi, mwero unotova unokatyamadza wenhumbu dzavachiri kuyaruka (25%) yakawedzera zvakanyanya. Zvimwe zvinokonzeresa zvinhu (vechidiki nevakadzi vechidiki vari kuita bonde rekutengesa kuti vawane zvinodiwa, kushungurudzwa pabonde, kumanikidzwa kuroora kuti zvibatsire hupfumi kudzivirira hurombo hune chekuita neCOVID-19) yakabatsira kuwedzera. Mamwe matunhu, kufanana neAcholi sub-region, iyo yakashuma pamusoro 17,000 nhumbu, yakanyora pwere dzakawanda nevakadzi vechidiki vachibvisa pamuviri. Maitiro aya aive asina kuchengetedzeka zvakanyanya. Uyezve, chikamu chakakosha chevasikana nevakomana vachiri kuyaruka vakaongororazve kuenderera mberi kwavo kuchikoro.

Kusimbiswa kwechipiri wave yeCCIDID-19 denda kwakaunza nhevedzano yematanho emidziyo senge yakaitwa panguva yekutanga wave.. Izvi zviperengo zvevachiri kuyaruka vari munjodzi uye vechidiki uye zvinogona kutadzisa kufambira mberi kweUganda kusvika pakuzadzisa chikamu chayo chekugovanisa vanhu..

"Kusimbiswa kwechikamu chechipiri cheCCIDID-19 kwakaunza nhevedzano yezviyero zvemidziyo…Izvi zvinoreva kuparadzwa kwevachiri kuyaruka uye vechidiki vagara vari munjodzi. "

The Muchinjikwa-Sectional Kudzidza paHutano hwepabonde uye hwekubereka pakati peVechidiki Panguva yeCOVID-19 Lockdown akawana kuti 28% vevechidiki vakataura kuti havana ruzivo uye/kana dzidzo ine chekuita neSRH. Vanopfuura chikamu chechina chevatori vechikamu (26.9%) yakataura kuti kuyedza uye kurapwa masevhisi ezvirwere zvepabonde akange asiri kuwanikwa panguva yekuvhara, apo 27.2% vevakabvunzwa havana kukwanisa kuwana zvekudzivirira kubata pamuviri.

Kuvandudza AYSRH muUganda mune Context yeCOVID-19

Kunyangwe sezvo hurumende inonatsa matanho ekugadzirisa COVID-19 denda curve, Bazi rezvehutano (MOH) yakabatana nevanoshanda navo munharaunda yehutano hwekubereka muUganda. Vakatora nzira dzakasiyana siyana dzekuenderera mberi nekupa uye kuwana masevhisi eSRH neruzivo. Izvi, kana yakakwira muUganda nedzimwe nyika, inogona kukwikwidza nemhedzisiro yeCCIDID-19 paAYSRH uye kununura zvakawanikwa zvakanyoreswa mumakore..

  • Kugamuchirwa kwegwara uye masisitimu ekutungamira kuendesa masevhisi mukati meCOVID-19: Bato reAdolescent Health Division paMOH rakabatana nevanokoshesa uye vanoita basa. Ivo vakagadzira uye vakagamuchira nhungamiro yekuenderera mberi kweiyo SRH sevhisi kupihwa kune vechidiki uye vechidiki mumamiriro ezvinhu eCCIDID-19..

Nhungamiro Mazano (tinya kuti uwedzere)

  • Kushandiswa kwetekinoroji kugovera ruzivo pane aripo masevhisi eSRHR nenzvimbo dzekuwana.
  • Nhungamiro pakugovera basa/kuchinja panzvimbo dzehutano.
  • Mirayiridzo pamusoro pekupindira kwehutano hwehutano.
  • Kupindira kwehutungamiri.
  • Nzira dzekupindira kwemari inoenderera mberi.
  • Infrastructure uye commodity security interventions.
  • Kushandiswa kwemidziyo yedhijitari: Nekuvharwa kwezvikoro uye kurambidzwa kufamba, vechidiki vazhinji uye vechidiki vakashandisa maturusi edhijitari/mapuratifomu epamhepo kupfuura zvakajairika pakudzidza kwechikoro, mabasa emagariro, uye ruzivo rwese. Vashandi vemuUganda vakashandisa mukana uyu kugovera ruzivo nezve SRH, kupa mazano, uye batanidza vashandisi kune online pharmacy.

Mienzaniso yeZvishandiso uye Mapuratifomu (tinya kuti uwedzere)

  • *284*15#-USSD kodhi inogonesa kuwana ruzivo rweSRHR kuburikidza nemavara.
  • Mutsetse wemahara weSalt Helpline.
  • Mapurogiramu efoni akaita seSauti Plus.
  • Zviteshi zveTV zvakatsaurirwa seSauti TV pamwe nesocial media mapuratifomu.
  • Kuzvitarisira: Kuchengetedza hutano nekudzivirira kurwara panguva yekuvhara kwaida kuti vanhu vavimbe nekugona kwavo. Vakashandisa ruzivo uye zvehutano zvinowanikwa kwavari, nekudyidzana kudiki nehurongwa hwehutano.

Kupindira kwekuzvichengeta kwe SRHR Yakasimudzirwa neMOH uye Vadyidzani (tinya kuti uwedzere)

  • Kuzviongorora wega HIV.
  • Kuzvibaya majekiseni ekudzivirira pamuviri.
  • Kushandiswa kwezvishandiso zvinogonesa uye mapuratifomu, zvakadai sema pharmacy epamhepo.
  • Kurudziro yekupihwa kwemwedzi yakawanda yevamwe kuzvitarisira commodities.
  • Kushandisa iyo yakazvimiririra yekusvika uye mapuratifomu: Iye MOH, mukubatana nebudiriro nekuita vanodyidzana, yakaratidza mikana mukati mebazi rakazvimirira rekuenderera mberi nekupa masevhisi eSRH. Imwe yemakambani akazvimirira akaonekwa aive Safe Boda, kambani yekutakura midhudhudhu ine nzvimbo huru munzvimbo yeKampala metropolitan nemataundi akavakidzana. Iyo kambani yekufambisa inoshandisa dhijitari application kurongedza kutora kwevatengi uye kudonhedza. Yakagadziridzwa kuti ibatanidze e-shop kuti ifambise kutenga pamhepo uye kuendesa zvigadzirwa zvehutano hwekubereka.

E-shop's Reproductive Health Zvigadzirwa (tinya kuti uwedzere)

  • Makondomu.
  • Mapiritsi ekudzivirira pamuviri.
  • Makiti ekuvheneka HIV.
  • Makiti ekuongorora pamuviri.
  • Amai Kits (midziyo yekuendesa yakachena).

Ichi chitsva chakagonesa vanhu, kusanganisira vechidiki uye vechidiki, kuwana zvigadzirwa mukunyaradza kwedzimba dzavo. Kupindira kwakafanana kwaisanganisira kushandiswa kweBoda Bodas yekutengeserana nguva dzose (vatyairi vemidhudhudhu) kugovera zvigadzirwa zvehutano hwekubereka kubva kuzvitoro zvemishonga nezvitoro zvemishonga (chemist) kune vatengi.

  • Shanduko yemagariro-maitiro-kubatanidza COVID-19 uye SRHR meseji: Zvikwata zveMOH nedunhu rehutano zvakabatirana nevadyidzani kugadzira nekubatanidza meseji dzakanangwa paSRH. Ava vanobatana vakashandisa nzira dzakafanana dzekutaurirana kugovera ruzivo nezveCOVID-19 uye SRH. Vamwe vadyidzani vakashanda nedunhu-chikamu cheCCIDID-19 mauto uye vakatsigira timu nekuhaya megaphones yekugovana ruzivo rweCCIDID-19 munharaunda dzese-kukurudzira vanhu kutsvaga masevhisi eSRH neruzivo.. Nzvimbo yeguta reKampala yakaona kubatana pakati peCapital City Authority kugadzira nekugovana mameseji kuburikidza nenharembozha midhiya, kunyanya munharaunda dzevarombo mumaguta. Vashandi vakavimbisawo kubatanidzwa kwevezera nevatungamiriri vevechidiki mukati mezvikwata zvemabasa aya kutsigira mhinduro kune vechidiki 'uye. zvinodiwa nevechidiki.
  • Layering sevhisi kupihwa uye kushandisa zvivakwa zviripo: Iyo MOH nevamwe vayo vakashandisa hurongwa hwekupa hutano hwagara huripo. Vakashandisa nzvimbo dzekushandira nharaunda dzekuchengetedza HIV/AIDS uye kubaya majekiseni kumisa masevhisi eSRH kuvanhu, kusanganisira vechidiki uye vechidiki.
Phoebe Awuco (orange & white top), a community mobilizer and head of the Self Help Women Group Alita Kole, at her home with her orphan grandchildren. Credit: Jonathan Torgovnik/Getty Images/Images of Empowerment.
Phoebe Awko (orange & white top), muunganidzi wenharaunda uye mukuru weSelf Help Women Group Alita Kole, kumba kwake nevazukuru vake nherera. Credit: Jonathan Torgovnik/Getty Mifananidzo/Mifananidzo Yekugonesa.

Kutarisira Mberi muNew Normal

Iye MOH, kusimudzira nekuita vanodyidzana, vatungamiri vetsika nevezvitendero, vabereki, uye vanhu vemunharaunda vanokurudzirwa:

  • Kukurumidza-kutevera kupedzisa uye kuparadzirwa kwehurongwa hwekuenderera mberi kweruzivo rweSRHR uye kupa sevhisi yevachiri kuyaruka uye vechidiki., nokudaro zvichikurudzira kukosheswa kwezvidikanwi zvechiverengero ichi chakasiyana.
  • Vashandi vanovimbisa kuenderera mberi mukupihwa kweiyo SRH ruzivo uye masevhisi evachiri kuyaruka uye vechidiki sekuwedzera kwekuedza kuzvirongwa zveMOH..
  • CSOs/Taskforces inopa zvinhu zvePPE kune vezera munharaunda kuti vadzivirire kubva mukubatira COVID-19 pavanenge vachishanya pasuo nesuo kuti vaone uye vatsigire mhinduro kune zvinodiwa neSRH..
  • Kusanganisira vechidiki vari muCCIDID-19 basa uye pachikwata chevashandi vehutano hwemusha, kufambisa kutarisa kwakanangwa kune vechidiki uye vechidiki.
  • Kuonana nemasangano uye mafambiro evachiri kuyaruka, Vechidiki, vakadzi nevasikana, uye vechidiki vanogara munzvimbo dzisina njodzi nguva nenguva uye inosanganisirwa kuvimbisa kufunga mukati mekugadzirwa kweakaenderana COVID-19 mhinduro..
  • Chengetedza mari kuti ufambise kuwanda kwehunyanzvi hwakaunza mhedzisiro yakawanda mukusvika kune vechidiki uye vechidiki uye nekuvatsigira panguva yekuvhara., uku uchifunga nezvezvinhu zvitsva zvakaita sedhijitari uye tekinoroji mapuratifomu anogona kukonzera kusaenzana.

Hurumende inofanirwa kubatanidza SRH mukati meCOVID-19 uye mhinduro yekukurumidzira. Kudzikisira mhedzisiro yakaipa yeSRH nekuda kwekuvharika kwedenda, inofanira kuonekwa sebasa rinokosha. Izvi zvakakosha kune vechidiki uye vechidiki (kunyanya vakadzi nevasikana vane mari shoma) avo vanonyanya kushaiwa.

Nhengo dzeMuvubuka Agunjuse youth club. Credit: Jonathan Torgovnik/Getty Mifananidzo/Mifananidzo Yekugonesa
Precious Mutoru, MPH

Advocacy & Partnerships Coordinator, Population Services International

Precious inyanzvi yezvehutano hweveruzhinji uye mumiriri ane pfungwa akasimba kune hutano nekugara zvakanaka kwenharaunda pasi rese., nechido chikuru muhutano hwepabonde nekuzvara uye kuenzana kwevakadzi. Neanoda kusvika makore mashanu eruzivo mukubereka, hutano hwaamai nevachiri kuyaruka, Precious anofarira kugadzira mhinduro dzinogoneka uye dzakasimba kune dzakasiyana siyana hutano hwekubereka uye nyaya dzemagariro dzinobata nharaunda muUganda., kuburikidza nemagadzirirwo epurogiramu, Strategic communications nepolicy advocacy. Parizvino, ari kushanda semumiriri uye murongi wekudyidzana papopulation Services International - Uganda, uko ari kushanda nevadyidzani vake mubhodhi kuita zvinangwa zvinosimudzira hurongwa hwekuronga mhuri uye hutano hwekuzvara muUganda.. Precious anonyoresa kuchikoro chepfungwa chinosimbirira kuti kuvandudza hutano nekugara zvakanaka kwevanhu muUganda nepasirese.. Uyezve, iye iGlobal Health Corps alum, shasha yekuzvitarisira yehutano hwepabonde uye kubereka uye manejimendi eruzivo muUganda. Ane MSc. muPublic Health kubva kuYunivhesiti yeNewcastle - United Kingdom.

Dr. Ben Kibirige

Advocacy Manager, Hwaro HweMurume Engagement Uganda

Dr. Kibirige ndichiremba nebasa, murwiri wekodzero dzevakadzi, kodzero dzehutano hwepabonde (SRHR) consultant, uye master trainer anotenderwa neMakerere School of Public Health. Ane makore anopfuura mana eruzivo rwekukurudzira zvirongwa zvine chekuita nekuronga mhuri uye inosanganisirwa SRHR sevhisi kupihwa kune vese vechidiki.. Anokurudzira zvakare kuenzana kwevakadzi, kodzero dzevakadzi, and quality and affordable health care for young girls and women through meaningful youth participation in national development processes.​ Dr. Kibirige parizvino munyori mukuru weSHE DECIDES Uganda local movement uye mumwe mumiriri wekomiti inotungamira yeMen Engage Network muUganda.. Ndiye muvambi weCenter for Young Mothers 'Voices, NGO yemuno inokurudzira kudzoreredzwa nekubatanidzwazve kwevanaamai vachiri kuyaruka kudzokera muhupenyu hwemagariro..

Tonny Snowman

Advocacy uye Partnership Officer, Hwaro HweMurume Engagement Uganda

Tonny ndiye advocacy and partnership officer pa Foundation for Male Engagement Uganda. Ndiye murapi wezvehutano hweveruzhinji uye hutano hwekuzvara nekodzero (SRHR) nyanzvi ine makore manomwe eruzivo mukugadzira uye kuita kweSRHR pakati pevechidiki muUganda. Ndiye sachigaro wesangano reYouth4UHC muAfrica pamwe nenhengo yeUNFPA Youth technical working group on Population., SRHR, uye Climate change. Tonny aimbova murongi wenyika weInternational Youth Alliance for Family Planning (IYAFP) muUganda.

Norah Nakyegera

Advocacy uye Campaign Officer, Uganda Youth uye Adolescent Health Forum (HF)

Norah Nakyegera murwiri wekodzero dzevakadzi akazvipira kutsigira nekusimudzira kodzero dzehutano hwekubereka dzevechidiki nevechidiki.. Norah ane makore anopfuura maviri eruzivo muhutano hwepabonde uye hwekubereka (AYSRH) kuita chirongwa, research, and advocacy.​ She strongly advocates for gender equality, kodzero dzevakadzi, zvemhando yepamusoro uye zvinokwanisika kuchengetedza hutano hwevasikana nevakadzi vadiki, and the meaningful participation of young people in the national development processes.​ Currently, ndiye advocacy and campaigns officer paUganda Youth and Adolescent Health Forum. Chinangwa chake chikuru ndechekuumba sangano rinonzwisisa nekukoshesa kodzero dzevanhu uye rinotora basa rekuremekedza, kudzivirira, and promoting human rights.​ She is also a member of the Global Shapers Community (chirongwa chakaitwa neWorld Economic Forum), uko vechidiki vari pakati pekugadzirisa kugadzirisa, policymaking, uye kuchinja kunogara.

Alex Omari

East Africa KM Officer, Zivo SUCCESS, Amref Health Africa

Alex ndiye Technical Family Planning/Reproductive Health Officer paAmref Health Africa's Institute of Capacity Development.. Anoshanda seRegional Knowledge Management Officer (East Africa) yeRuzivo SUCCESS chirongwa. Alex apedza 8 ruzivo rwemakore ekuyaruka uye vechidiki hutano hwepabonde uye hwekubereka (AYSRH) chirongwa chekugadzira, kuita, research, uye kumiririra. Parizvino inhengo yeTechnical Working Group yechirongwa cheAYSRH kubazi rezvehutano muKenya. Alex iShamwari yakasarudzwa yeRoyal Society yePublic Health (FRSPH) uye aimbove Murongi wenyika yeKenya weInternational Youth Alliance yeKuronga Mhuri (IYAFP). Ane Bachelor of Science (Utano Hwevanhu) uye Master of Public Health (Utano Hwokubereka) kubva kuKenyatta University, Kenya. Parizvino ari kuita dhigirii rake rechipiri reMasters muPublic Policy paChikoro cheHurumende nePublic Policy (SGPP) muIndonesia uko ari zvakare veruzhinji nezvehutano uye hutano mutemo wekunyora nyanzvi uye webhusaiti inopa weiyo Strategic Ongororo Journal.

Sarah Kosgei

Networks uye Kudyidzana maneja, Amref Health Africa

Sarah ndiye Networks and Partnerships Manager kuInstitute of Capacity Development. Apedza 10 ruzivo rwemakore ekupa hutungamiriri kune dzakawanda-nyika zvirongwa zvakagadzirirwa kusimbisa kugona kwehutano hwehutano hwehutano hwakasimba muEastern., Central, uye Southern Africa. Iye zvakare chikamu cheWomen in Global Health - Africa Hub secretariat inotungamirwa kuAmref Health Africa, Chitsauko cheDunhu chinopa hwaro hwenhaurirano uye nzvimbo yekudyidzana yehutungamiriri hwekuchinja kwevakadzi mukati meAfrica. Sarah inhengo zvakare yeUniversal Health Coverage (UHC) Human Resources for Health (HRH) komiti diki muKenya. Ane madhigirii muPublic Health uye Executive Masters muBusiness Administration (Global Health, Hutungamiri uye Kutungamira). Sarah mumiriri ane shungu dzehutano hwekutanga uye kuenzana kwevakadzi musub-Saharan Africa.

Irene Alenga

Knowledge Management uye Community Engagement Lead, Advocacy Accelerator

Irene inyanzvi yezvehupfumi yakasimbiswa ine pamusoro 13 makore ane ruzivo rwekutsvaga, kuongorora mutemo, kutungamirira ruzivo, nekubatana kwekubatana. Somuongorori, akabatanidzwa mukubatanidza uye kuita kwepamusoro 20 mapurojekiti ekutsvagisa hupfumi hwemagariro mune dzakasiyana siyana mukati meEast Africa Region. Mubasa rake seMudzidzisi Wekutarisira Kuziva, Irene anga achibatanidzwa muzvidzidzo zvine chekuita nehutano kuburikidza nekushanda nehutano hweveruzhinji uye tekinoroji-yakatarisana nemasangano muTanzania, Kenya, Uganda neMalawi kwaakabudirira kuseka nyaya dzine chekuita uye kuwedzera kuoneka kwekupindira kweprojekiti. Hunyanzvi hwake mukugadzira uye kutsigira manejimendi maitiro, zvidzidzo zvakadzidzwa, uye maitiro akanakisa anoenzanisirwa mumakore matatu ehurongwa shanduko manejimendi uye chirongwa chekuvhara chirongwa cheUSAID| DELIVER uye Supply Chain Management Systems (SCMS) 10-chirongwa chegore muTanzania. Mukuita kuri kubuda kweHuman Centered Design, Irene akabudirira kufambisa magumo akanaka ekupedza ruzivo rwechigadzirwa kuburikidza nekuita zvidzidzo zveruzivo rwemushandisi paunenge uchiita USAID| DREAMS Project pakati pevasikana vachiri kuyaruka nevakadzi vadiki (AGYWs) muKenya, Uganda, uye Tanzania. Irene ane ruzivo rwakanyanya mukuunganidza zviwanikwa uye manejimendi evanopa, kunyanya neUSAID, DFID, uye EU.

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