Better Outcomes for Children and Youth in Eastern and Northern Uganda

Building Resilience and National Systems to prevent and Respond to Violence against children and HIV in Uganda.

Funder

PEPFAR/USAID

Location

23 DISTRICTS IN EASTERN AND NORTHERN UGANDA

Dates

2015 - 2021

The Better Outcomes for Children and Youth in Eastern and Northern Uganda project delivers critical HIV and social protection services to 36,503 families and 136,825 children across 22 districts in eastern and northern Uganda, including 19,036 caregivers and children living with HIV and 13,917 adolescent girls and young women under complementary DREAMS programming. Our tailored health/HIV, social protection and economic strengthening services build resilience to help children and families mitigate the risks and impacts of HIV and violence. Our work strengthens local government and civil society organizations (CSOs) to coordinate and deliver high quality services within an integrated referral network and HIV-sensitive case management system, leveraging best practices and technology to improve child protection and HIV outcomes.

 

Our Impact

Aligned with the INSPIRE framework, our work strengthens agency and capacity of individuals, families, communities and government to mitigate the risks and impacts of HIV and violence. Our tailored service delivery packages help children and families prevent and respond to violence against children (VAC) and move forward on a path towards economic and social stability.  Capacity development supports to CSO partners and government improve coordination and service delivery within an integrated referral network and case management system. Close collaboration with health, education, and community partners strengthens referral pathways and integrated service delivery to improve child protection prevention and response. Robust and regular data analysis facilitates rapid adaptation to address emerging needs and close service delivery gaps.  Through DREAMS, we build the agency and assets of adolescent girls and young women (AGYW) to mitigate HIV and VAC risks, empowering them to exert influence over their lives and meaningfully engage in their communities.  We engage family and community influencers to address unequal gender norms that underpin violence against children – and related areas of school drop-out, early marriage, teen pregnancy and HIV infection – that disproportionately affects girls. Our impact to date:

Improved economic resilience for 21,716 families, enabling 48% of families to reach economic stability benchmarks* and reducing the number of families living in destitution by more than half, from 1,352 to 698.

Health infographic

Supported HIV case finding, retention, adherence, and viral load suppression for 19,036 caregivers and children living with HIV through a targeted package of social protection and HIV services.  Delivered by clinic and community structures through a coordinated and robust referral network and HIV-sensitive case management model, our approach has improved adolescent adherence to 78%, 8% above the national average (MOH 2020).

Nutrition infographic

Delivered critical education, HIV and health, and nutrition supports to 92,074 destitute children, including children living with HIV; institutionalized community-owned OVC Funds across all savings groups resulting in $192,199 raised entirely from group members.

Parents infographics

Strengthened family protection for 66,031 parents and youth through a robust, evidence-based parenting program that has improved trust and emotional openness between caregivers and youth, reduced harsh discipline by caregivers, improved family problem-solving skills, and reduced adolescent HIV risk behaviors.

Fist infographic

Improved the agency and social assets of 53,000 in- and out- of school adolescent youth to protect themselves against HIV, GBV and violence, using evidence-based curricula** and youth-led campaigns to improve school safety and transform risky VAC and HIV community hotspots into safe spaces.

Sexual Reproductive Health Infographic

Reduced sexual violence risk for 5,018 adolescent girls and young women and improved agency, self-defense knowledge, and increased reporting of abuse through delivery of the evidence-based No Means No sexual violence prevention program.

Education infographic

Retained 6702 girls in school through a differentiated mix of education subsidies, protective asset-building skills, parenting, positive gender norms messaging, and household economic strengthening supports to girls and their families.

Mother with baby Infographic

Delivered critical early childhood development (ECD) services layered onto existing facility and community health and social protection programming to improve stimulation, developmental building  blocks, nutrition supports, and food security to 20,172 vulnerable,  HIV-exposed and -infected  and other vulnerable mother-baby pairs.

Partnerships Infographics

Developed the capacity of five indigenous organizations to deliver high quality, integrated services within a referral network and HIV-sensitive case management system using tested tools, technical assistance, peer-to-peer and joint support supervision approaches.

Results Infographics

Strengthened local government systems across 22 districts to improve accountability, resources, staffing, and the capacity to coordinate and deliver layered child protection services within an integrated referral network and HIV-sensitive case management system.

Media Infographic

Leveraged technology and private-public partnership with MTN Uganda to strengthen Uganda’s child protection and HIV outcomes through the Closed User Group in-service phone network linking 3, 200 community and district protection, health and education actors together.

 

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