Delivery kits project
day, 16 women die due to birth-related complications in Uganda. This
summer, I have the privilege of working with the True lives Foundation (TLF) in
Kampala, Uganda along with a group of students from the United States and
Canada. TLF is currently working to provide “Mother Delivery Kits” to
pregnant women in order to ensure safe deliveries at home, as many women are
not able to reach healthcare facilities in time to deliver their baby. These
kits include three pairs of gloves, 1 pair of plastic sheets, soap, cotton
wool, cord ligature, baby cloths, sterile surgical blades, and a set of
A contribution of just $12 can make 1 of these kits, helping to provide a safe and healthy delivery environment for an expecting mother. Please consider donating to this wonderful organization and help us reach our goal!
The goal is $10,000, scheduled date of event 22nd December 2019 through to 3rd January 2020
2. Home monitoring of hypertension in pregnancy.
Hypertensive disorders complicate 17% of pregnancies and pre-eclampsia affects 2‑8%. Pre-eclampsia can be life-threatening for the mother and baby – it is associated with adverse outcomes such as pre-term birth, fetal growth restriction, acute renal or hepatic failure, and maternal death.
Women who have high blood pressure in pregnancy are advised to attend hospital frequently to monitor for the development of pre-eclampsia. These frequent hospital visits can cause anxiety to pregnant women and their families, and have significant cost implications for the NHS.
This project involves the development and use of a smartphone app that allows women to monitor their health at home and alerts them if they need to attend hospital for further assessment.
Pregnant women who are at risk of developing pre-eclampsia will be supplied with automated blood pressure machines and urine dipsticks. The women input their blood pressure readings and urine test results using the app. They then answer a set of trigger questions that will help identify if they are developing pre-eclampsia.
The app will have a language feature with options for the most widely spoken languages of patients in Uganda while others are still being updated.
The project will empower women to be involved in their own clinical assessment, improve patient experience and satisfaction, and reduce hospital waiting times. It will also potentially identify women who have developed pre-eclampsia earlier, and prevent outcomes such as stroke or maternal death by alerting the women at risk to attend hospital.
3. Guided online self-help for depression and cancer in adolescents
Every year over 2,000 young people, (aged 13 to 24 years) are diagnosed with cancer in the Uganda. These adolescents have an increased risk of depression following diagnosis, and throughout treatment and remission. However, depression often goes undiagnosed and evidence based treatments are rarely provided.
To improve the recognition and care of the mental health needs of adolescents with cancer, this project involves the development and use of a guided self-help treatment package. There is evidence that guided self-help, including cognitive behavioural therapy (CBT), is an effective low-intensity treatment for mild-to-moderate depression in adolescents.
The package will be delivered through mental health government hospitals and health centres over eight weeks and is based on CBT principles. Treatment includes education about depression; information about the links between thoughts, feelings and behaviour; guided problem-solving; and session-by-session outcome measures. Therapist guidance is provided via weekly telephone calls, brochures and fliers, texts, instant messages or email, according to patient preference.
The initiative will be implemented at TLF Programs and service in collaboration with Mulago hospital and Mengo hospital/ Ndejje University and Makerere University, which provides cancer care for adolescents. It will be delivered by a multi-disciplinary group of front-line staff. The platform allows for treatment of depression regardless of where the patient is, which is particularly appropriate for adolescents with cancer who are likely to either be in hospital or have a demanding schedule of medical appointments.
The project will enable vulnerable adolescents to have access to high-quality, evidence based psychological therapies that improve depression and quality of life.
4. Water and development (SCWA)
Population growth, increased demand for and rising cost of energy, increased urbanization, watershed and environmental degradation, natural disasters, conflict, climate change, and weak water governance are putting water resources under increasing pressure. Projections are that by 2025, two thirds of the world’s population could be living in severe water stress conditions.
This stress adversely affects individuals, communities, economies, and ecosystems around the world, especially in developing countries. It also underscores why it is so critical to properly manage the scarce freshwater resources upon which human life depends.
Inadequate access to safe drinking water and sanitation
Millennium Development Goal (MDG) 7C calls to halve by 2015 the proportion of the population without sustainable access to safe drinking water and basic sanitation. While the safe drinking water target was met in 2010, 783 million people still do not have access to safe drinking water, and major issues related to equity of access, water quality, and sustainability of water supplies remain. In addition, the world is not on track to meet the sanitation target as approximately 2.5 billion people still lack access to improved sanitation. The challenges and solutions vary significantly by region; for example, sub-Saharan Africa has the highest proportion of people without sufficient sanitation facilities, while South Asia has the largest number of people practicing open defecation.
Often the burden of inadequate access to water and sanitation falls heavily on women and girls. Examples of this are evident throughout the developing world. Two concerns of particular importance are reducing the many hours women and girls spend seeking water for their families which often put their safety at risk and addressing the different sanitation needs of women and adolescent girls which have direct impacts on maternal mortality and morbidity.
Lack of access to safe water and sanitation services has direct health implications as nearly two million people – the vast majority of whom are children under five – die from diarrhoea each year. Nearly 88 percent of diarrhoea is attributed to unsafe drinking water, inadequate sanitation, and poor hygiene, and is preventable by known interventions.
As TLF, we work to the construction of 25 boreholes in Masaka Kalungu area in the search for fresh and clean water. This is aimed to kick off January 2020 under the Sustainable Clean Water for ALL (SCWA). The project will also involve valley damming for better agriculture production and water storage purification.
In Africa, about 30,000 children die needlessly every year from malaria which is both preventable & curable. In Uganda, a large percentage (30-50%) of the population is infected and affected by malaria due to the high incidence of HIV (weakens the immune system), water logging (prefect breeding ground for mosquitoes) and poor sanitation. Malaria can be fatal for young children, and pregnant women who are HIV+. In addition, children who contract malaria suffer from its effects over their entire lifetime.
According to the WHO, sleeping under a net is the most cost effective way to prevent malaria. Our goal is to prevent malaria by the provision of 10,000 long lasting insecticide treated nets that will benefit 20,000 adults or 40,000 children. Nets will be provided to the most vulnerable populations: HIV+ children & adults, pregnant women, older adults, & people infected with TB. Education on prevention of malaria and use and maintenance of nets will also be provided. Impact will be reported.
This ongoing programs have led to a reduction in the incidence of malaria, and better health for all especially, young children, expecting mothers, and people living with HIV – groups most vulnerable to malaria. As the health of the women improves, they can take better care of their families, and healthier children leads to a higher school attendance. With better knowledge about prevention, malaria deaths can be reduced to zero. In the long term, the community will be stronger and more self-reliant.
6. Stop child labour. (SCL)
Child work is very common in Kampala and its surrounding areas like wakiso, Mpigi, Mukono and all major districts in Eastern Uganda just to mention a few. Child labour constitutes a key obstacle to achieving Universal Primary Education and other Millennium Development Goals (MDGs) in Uganda. Not only on the welfare of individual children, but also slows broader national poverty reduction efforts. Children forced out of school and into labour to make help their families make ends meet are denied the opportunity to acquire knowledge and skills needed for gainful future employment, thereby perpetuating the circle of poverty.
The aim of the project is to comprehensively protect children against child labour by: helping children enrol, stay and succeed in schools; and by supporting children and their families with social cash transfers for sustainability through community outreaches (remember that underscoring the fact that efforts to reduce child labour are unlikely to be effective without accompanying efforts to improve household incomes). The project will be implemented in Nakawa division, (Kampala District) as a pilot project for a period of one year (2019-2023)
The project will target children and Legal parents/guardians .True Lives Foundation is committed to stopping the worst forms of child labour through an education process with children using resource materials like the SCREAM (IPEC Supporting Children’s Rights through Education, the Arts and the Media). The project will focus on a participatory process with children who are involved in the following areas of labour:
- Paid work in non-family businesses outside of school hours
- Children involved in construction and mining
- Paid work in family business during school hours
Rubaga division is located along the heavy Industrial Area of Kampala and this is where much of the workforce is drawn, children under the age of 16years are victims of the construction industry and involved in household labour.
Three key ethical principles will guide the project with the children:
i) Minimising harm.
ii) Benefit to the participants.
iii) Feedback and follow up.
It is not ethical to expose a child already vulnerable to any additional risk through an investigation that carries no benefit for the child. Interviews about painful subjects should be performed with the principle of ‘least harm’
(Boyden and Ennew, 1997, p.43).
6. Sanitary Pad Donation (SAN-PAD)
The objective of the project is to provide sanitary pads to the marginalized girls and educate them on sexual and reproductive rights.
Provision of sanitary pads will empower the girls; enhance their dreams, and eventually helps in economic development. The project also aims at training and protecting the sexual and reproductive health and rights of women and adolescent girls by keeping them in school.
A research carried out in most African countries shows increased school dropouts among the girls in rural areas linked to reproductive health issues. A recent research in Uganda indicated that more than 1,039,000 school girls were missing classes at least 5 days in a month. It is estimated that vulnerable girls skip classes for 51 days in a year during their menstrual cycle, a situation that puts them at a disadvantaged position with their male counterparts. If not missing school, the girl is forced to use inappropriate and unhygienic materials that do not offer sufficient protection, putting her at risk of contracting infections and being the subject of ridicule. Some of these can be leaves, use of papers, re-use of previous pad and torn cloth material.
- Masaka district and out ward area, Hoima District, Masindi and Fort Portal
- More than 30 Rural schools and more than 20,000 students and pupils
(i) The Volunteers will participate by participating in the actual field distribution of the sanitary pads. Each volunteer will also be expected to directly interact with at least one girl and effectively teach them on proper hygiene, sexuality and reproductive fundamental rights.
(ii) The Donors will participate by helping us raise enough resources that will enable us hire project staff, overseeing project development and operation, establishing and maintaining links with local government agencies, and budget for material grants.
(iii) The professionals will participate in their various level of skills and expertise. We believe that is through professionals that we can develop working relationships with formal and informal leaders.