Project profile — Scaling Up Mama Toto for Sexual and Reproductive Health and Rights in Uganda

• Uganda (100.00%)

• Population policy and administrative management:
Population policy and administrative management (13010) (50.00%)
Reproductive health care (13020) (37.00%)
Personnel development for population and reproductive health (13081) (13.00%)

• Gender equality (significant objective)
• Environmental sustainability (cross-cutting) (not targeted)
• Participatory development and good governance (not targeted)
• Trade development (not targeted)
• Biodiversity (not targeted)
• Climate change mitigation (not targeted)
• Climate Change Adaptation (not targeted)
• Urban issues (not targeted)
• Desertification (not targeted)
• Children's issues (not targeted)
• Youth Issues (not targeted)
• Disaster Risk Reduction(DRR) (not targeted)
• Indigenous Issues (not targeted)
• Disability (not targeted)
• Nutrition (significant objective)
• ICT as a tool for development (not targeted)

The project aims to address gaps of un-met comprehensive sexual and reproductive health systems, services and education in three districts in South West Uganda. The project scales up a successful and innovative model, the Mama Toto implementation model, which focuses on strengthening existing government and civil society structures, and district and community leadership. This project aims to strengthen the capacity of local health facilities to deliver sexual and reproductive health services to the local population, as well as strengthen the capacity of community and local leaders to promote sexual and reproductive health and rights (SRHR) and education. Project activities include: (1) aligning SRHR education and awareness messages with local priorities, national guidelines and best evidence; (2) establishing SRHR 'champions'; (3) identifying and addressing SRHR-related health system gaps; (4) providing SRHR-focused training; (5) providing minor upgrades and equipment for health facilities; and (6) improving quality of sexual and reproductive health services especially for post-abortion care, family planning, gender-based violence and HIV/STD management. This project is expected to promote and deliver SRHR services and education to 3,285 women and 2,101 men, including community health workers, health facility clinicians, governance committee members and district leaders. The project is expected to indirectly benefit 227,000 people (113,000 women and 114,000 men) comprised of the populations in the targeted districts and communities.

The expected outcomes for this project include: (1) increased provision of gender-responsive and adolescent-friendly comprehensive sexuality education, and sexual and reproductive health services; (2) improved uptake of gender-responsive and adolescent-friendly comprehensive sexuality education, and sexual and reproductive health services; and (3) increased national recognition of the MamaToto package as an innovative model for integrated, community-based sexual and reproductive health and rights programming.

Results achieved as of March 2024 include: (1) increased facility visits by 10 to 24 year olds in targeted districts increased by 76%, from 56,914 at baseline to 132,182; (2) increased antenatal care visits by 10 to 24 year old girls and women in targeted districts increased by 55%, from 13,000 at baseline to 20,106; (3) increased family planning visits by 10 to 24 year olds in targeted districts increased by 57%, from 25,294 (17,028 women and 8,266 men) at baseline to 39,705 (25,817 women and 13,817 men); and (4) trained 1,453 community agents (724 women and 729 men) to promote adolescent and youth-focused sexual and reproductive health and rights.

• Proactive disclosure