Concept Note: The OSCAR Project: MOD Public Health Foundation Organisation Development, Strengthening, Consolidation, And Resilience Systems and Structures 2023-2024.
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1.0 Name of the
Organization |
MOD
Public Health Foundation Limited Plot 79 Bukoba Road Toles Jowhenta House P.O Box 211, Soroti City, Uganda Tel Office: (+256)485660637 |
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2.0 Key Contact Person |
1. Samuel Waliggo, MPH Executive Director Officer Signature:
Mob:
+256706472457 +256772675563 E-mail: samuel.waliggo@mod.or.ug |
Freeman Pascal, MPHL
Signature:
Mob: +256772669392 E-mail:
childwhope@gmail.com |
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3.0
Project Title |
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3.1
Catchment Area |
Greater Masaka Region |
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3.2
Project Duration |
2023-2024 |
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3.3 Project Budget |
$60,706
(UGX 227,650,000) |
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Table of Contents
1.1 Background of MOD Public Health Foundation
3.0 Key OCAR Project Activities
9.0 Expertise and Operational Capacity
Appendix 1: Current
List of CBOS/NGO under Public Health Steering Team Uganda
AGYW Adolescent
Girls and Young Women
CBO Community-Based Organisation
CDC Center
for Disease Control and Prevention
CLM Community-Led Monitoring
COP Communities of Practice
CSS Community Systems
Strengthening
GFF The
Global Finance Facility
HIV Human immunodeficiency virus
IDI Infections Disease Institute
LILISET Lifespan,
Life-skills, and Sexual Reproductive Health Talks
MEAL Monitoring
evaluation, accountability, and learning
MOD MOD
Public Health Foundation
NGO Non-Government Organisation
OCAT Organisation Development, Strengthening, Consolidation, And
Resilience Systems and Structures
PEPFAR The
U.S. President’s Emergency Plan for AIDS Relief (PEPFAR)
PHSTU Public Health Steering Team Uganda
PPM Public
--Private Mix
SDGs Sustainable
Development Goals
SPCS Stakeholder
population community structures
SRHR Sexual and Reproductive Health
Rights
SRMNCAH+N Sexual, Reproductive,
Newborn, Child, and Adolescent Health and Nutrition
TSS Technical
Support Supervision,
VHTs Village Health Teams
VMMC Voluntary Medical Male Circumcision
1.1
Background of MOD
Public Health Foundation
MOD Public Health Foundation also known as “MOD” is an indigenous, grassroots community-based, not‐for‐profit
public health, growth, and development organization
with the mandate to operate country-wide. MOD was established
on 28th July 2018 as a Community Based Organisation (CBO) and
registered as a Non-Government Organisation
(NGO) on 07th July 2021. Using an adaptive public health adaptive framework, MOD is experienced
in providing services in the fields of Maternal and
Child Health, Sexual and Reproductive Health (SRH), HIV and AIDs, and Skilling
for socio-economic Strengthening. MOD
has engaged in various health promotion program design and implementation,
advocacy, policy formulation, and review meetings in several parts of Uganda. The
Organisation has innovated, tested, and iterated such models as the Lifespan,
Life-skills, and Sexual Reproductive Health Talks (LILISETs). Thus, the MOD Public Health Foundation also forms the Fiscal Agency
the Public Health Steering Team Uganda (PHSTU) established on 20th
June 2023. PHSTU is an advocacy platform focusing on centering public
health principles of prevention of diseases, prolonging life, and
promoting health in the mission of CBOs/CSOs/NGOs that we work with. Since most organizations claiming to do public health are
not viewing themselves as perpetual service providers whose mandate contributes
to quality-of-life metrics, but rather as short-term projects conditioned by
donor funding, PHSTU is designed to help turn resources into a pool of service
providers transforming communities on a daily basis, by advancing
adaptive Public Health Framework; integrating Climate Change Countermeasures;
Pandemic resilience; implementing innovations solutions to end to TB, HIV &
Malaria by 2030.
“We envision healthier communities accessing
low-cost emerging public health innovations and solutions”.
To
achieve universal health care coverage in under-served communities and
sub-populations through accelerating optimal translation, uptake, and impact of
new public health knowledge and practices.
1.4 Core Values: MOD underpins its
health and social impact on five PECIT core
values namely.
1.
Passion
2.
Evidence-based driven approaches
3.
Customer-centered
4.
Integrity
5.
Team Building to sustain impact.
2.0 The OSCAR Project:
Organisation Development, Strengthening, Consolidation, And Resilience Systems
and Structures 2023-2024.
The OSCAR Project forms part of our Post Covid-19
Response, Resilience Plan. This is anchored on Organisation systems development
and strengthening to improve business development and resource mobilization, efficiency,
and sustainability of MOD Public Health Foundation. We
want to use this OSCAR Project in two ways; to mobilize resources for
strengthening the enabling environment, systems and structures, capacity
building, training, research, and programme implementation at MOD Public Health
Foundation (NGO) and the eleven (11) founder CBOs of Public Health Steering
Team Uganda (PHSTU) by centering adaptive public health principles in public
health project design and implementation. Secondly, we believe that our model
will contribute solutions that can be used in other parts of Uganda for CSOs,
and NGOs to embrace the localization agenda to promote interventions that
leverage the life outcome for people in the Greater
Masaka Region.
2.1 Introduction
We borrow heavily from the Sustainable
Development Goals (SDGs), the life course perspectives; theories from
pathogenesis and salutogenesis; and other sources highlighting the connection
experiences of quality life outcomes have with the Behaviour, Environmental,
Biological, Social, Economic, Cultural, Political, Medical, Gender, Physical
and Civic (Be-Ci) enabling and responsive context. We hope to work with
existing NGOs, CBOS, Local Governments, and other entities to bring to the attention
of stakeholders where we need to stress interventions that leverage better life
outcomes for people in the greater Masaka region and Uganda at large.
Our point of analysis is the household which we frame as the enduring life
space and life expectancy improvement environment. We see more and more people
choosing to live in the peripheral communities, we are seeing grandparents
staying active, stronger, and living longer. There are now
more people aging with HIV in peripheral communities which means that we need
to address risk factors that come with aging and longevity.
The health indices for Uganda remain suboptimal requiring multisectoral
approaches to improve. However, In Uganda, The Global Fund report indicated that
16 people continue to die due to malaria every day, and 30 die due to TB in
Uganda. Therefore, we use both MOD
Public Health Foundation and PHSTU as platforms to promote the prevention of
HIV, TB, and Malaria through household-level wellness and quality-of-life
approaches.
These are some of the questions guiding our
approaches.
1) How do we leverage the prolonging of life
principle imperative?
• Use the numbers of households as spaces for
promoting a life of members disaggregate members according to age, sex, gender,
social, economic, cultural, biomedical, structural, physical,
environmental/biodiversity and civil needs and life skills milestones to gauge
needs and subsequent interventions based on the SDGs/people/planet/productivity
scale.
2) How do we leverage the prevention principle imperative?
• Use the numbers of households as a benchmark for
figures to reach.
• Use numbers of household members as eligible
participants in our interventions
3) How do we leverage the promotion of health
principles imperative?
• Use the numbers of households and benchmark model
homes' character and note deviations from a standard model home or community.
• use household members to champion model home
aspirations connect/linkage with Public --Private Mix (PPM) to strengthen
supply chain and referral systems and structures.
2.2 Problem
Statement
Like most CBOs and NGOs in Uganda, The emergency
of COVID-19 in 2020 severely affected funding streams for MOD Public Health
Foundation’s Strategic Objectives. When our partnership with Mildmay Uganda to Implement
the DREAMS Programme for Adolescent Girls and Young Women (AGYW) in Mubende
Region ended abruptly in March 2020, there was a reversal of gains in terms of
community impact, systems and structures the organization had achieved. By that
time our programming was based on short-term projects conditioned by funding
from Mildmay Uganda, and Rakai Health Sciences Program which were also being
funded by PEPFAR through the Center for Disease Control and Prevention (CDC). For
instance, before COVID-19 emerged in Uganda, MOD had gained vast experience in community
organizing, providing training to health facility workers, and Village Health
Teams (VHTs) from hard-to-reach rural areas. The MOD’s Strategic Plan 2020/21-2024/25 was positioning the Organisation to
enhance the implementation of an adaptive public health framework by catalyzing
community engagement and behavior change interventions that were in line with global funding trends for public health
organizations. MOD developed experience in implementing various HIV
prevention projects in Uganda. In collaboration with Mildmay Uganda and RHSP,
the Organization pioneered the
implementation of the PEPFAR/CDC-DREAMS-HIV Epidemic Control program for over
50,000 AGYW including their male partners in seven districts of Masaka, Ssembabule, Bukomansimbi, Kassanda,
Mityana, Mubende, Luweero between 2017-2020. We pioneered and rolled out such
principles as Communities of Practice (COP); Community Systems Strengthening
(CSS); and Public-Private Mix (PPM) to empower communities to establish
themselves as resilient safe spaces. We even integrated concepts of
climate-smart action plans into Voluntary Medical Male Circumcision (VMMC) and
SRHR services in Masaka and Mubende Region. Such gains were reversed by the
funding and COVID-19 crisis.
2.3 Our
Innovation Robustness
As part of the Post-COVID-19 Response,
Resilience, and Sustainability Plan, MOD Public Health Foundation and its Fiscal
Agency, The Public Health Steering Team Uganda (PHSTU) have invested substantial
efforts to improve Organisation systems and structures for efficiency. We have
improved staff (volunteers) capacity in joint resource mobilization, documenting
stories of resilience using narrative writing skills, and engaged local
communities around MOD offices for relevancy and strategic positioning in the
rapidly changing donor priorities. Despite our current lack of funding, our
stories rooted in resilience have improved MOD's visibility and attracted both
national and international viewers for potential partnerships. For example, we
have signed an MOU/Charter with The Western Institute of Public Health for
Joint Proposal Writing, Research, and Capacity Building, Our published work has
been viewed by organizations such as Amplify Changes, The Global Finance
Facility (GFF), Global Fund, Infections Disease Institute (IDI), Baylor Uganda,
Trust AIC Foundation, Uganda Virus Institute and Medical Research Council, and
many other local CBOs, Executive Officers, and Programme managers coming to our
offices. MOD is now part of the Community Led Monitoring (CLM) Team to support
the monitoring of TB, HIV, and Malaria Service quality in health facilities
located in Masaka Region.
MOD uses Systems and Design thinking to
develop qualitative and quantitative stories rooted in resilience out of the
grassroots communities whose outcomes can be used to inform development work,
and HIV/TB/Malaria prevention and regularly engage in strengthening the
capacity of local and rural-based CBOs in Uganda to own knowledge and skills to
keep the traction toward the 2030 SDGs. We learned to anchor our
narratives in Global Aspirations and formed 12 themes from SDGS, and Global
Fund New Funding Model4 frameworks. We conducted a three-month master class on
writing skills with MOD staff on Brief Writing, Opinion Writing, Concept
Writing, Inception Note Writing, Terms of Reference, Interviews,
storytelling, and conducting conversations. By applying the 3Ps of Passion,
Professionalism, and Productivity, we learned how to mainstream the principles of promoting,
protecting, and prolonging life in HIV/TB/Malaria eradication mechanisms for
UNAIDS 2030 goals; Climate smart Action Plans, integrating COVID-19 response,
recovery, and resilience plans; Maternal and Child Health, Sexual and
Reproductive Health Rights (SRHR), and Voluntary Male Medical Circumcision
(VMMC). Because of this recalibration, We have written over 60 stories from our
previous project implementations, and all posted on various Google blogs,
written concept notes on various themes such SRRH, Women and Girls Growing the
Gloves-Skills Trainings and Home Management, Climate Smart Action Plans, CSOs
Advocacy Movement, Post Covid-19 Response and Recovery Plan for TB/HIV/Malaria
by 2030, Health Insurance e.tc. On 24 June 2023, Twelve (12) CBOs endorsed the
formation of The Public Health Steering Team Uganda (PSHTU) as a Fiscal Agency
and an advocacy platform focusing on centering public health principles in the
mission of over 5,000 CBOs/NGOs that will work with us as well those intending
to join us from the globe. The idea is to support systems and structures
strengthening the needs or gaps of these organizations to catalyze better
performance and promote better life outcomes for program participants.
To reposition the MOD Public Health Foundation in
these unfolding opportunities, we urgently need to have the Organisation's
internal systems, processes, structures, and controls including impact branding
and visibility improved and strengthened to enhance strategic partnerships. We need a field vehicle to improve
project implementation, coordination, monitoring, visibility and reduce risk to
staff, and managers from occupation road risks. Lastly, we are using boda-boda
or car hires to catalyze demand creation for our community HIV prevention
services such as Voluntary Medical Male Circumcision (VMMC), and to coordinate
stakeholder engagement activities of MOD Public Health Foundation and PHSTU. We
urgently need a field vehicle to strengthen Business Development and
Coordination. For more details, please follow the links below;
a) About MOD Public Health Foundation
https://modpublichealthfoundation.blogspot.com/
b) About The Public Health Steering Team Uganda
(PHSTU)
https://publichealthsteeringteamuganda.blogspot.com/
c) Samuel Waliggo Ssegawa-Executive Director
https://samuelwaliggossegawa.blogspot.com/
2.4 The
Objective: To strengthen organization capacity, sustain resource
mobilization, management mechanism, and consolidation of resilient systems and
structures addressing Post COVID-19 Recovery and climate change countermeasures
at MOD Public Health Foundation by 2024.
3.0 Key
OSCAR Project Activities
When
funding for the [1]OSCAR
project is obtained, MOD will implement the following urgently needed
activities to develop systems and structures for effective implementation,
coordination, resource mobilization, and functionality of the Public Health
Steering Team Uganda (PHSTU).
Activity
3.1: Strengthen
partnership, resource mobilization, and fundraising department at MOD Public
Health Foundation including developing a resource mobilization strategy
($6,987). Funds will be used to; Recruit and
facilitate one Part-time Partnership and business Development Specialist, Conduct
3 day' workshop with MOD staff on Proposal Writing: Concept Notes, Inception
Notes/Terms of Reference (TOR)/Protocols, Procure
a Laptop for Business Development Internet Subscription, Conduct engagement
Meetings for Partnership and Business Development.
Activity 3.2:: Strengthen digital marketing strategy
and impact branding; develop a website, and Social media Presence (Campaigns)
($2,560). We shall use funds to develop a Website for
MOD Public Health Foundation, Facilitate a Digital Marketing Officer to support
regular updates of Social Media Platforms (Twitter, WhatsApp, YouTube,
LinkedIn, and Facebook),
and Conduct Staff Training on social media Narrative Writing
and Content Development.
Activity 3.3: Develop MOD Public Health
Foundation Strategic Plan 2023-2030 including relevant tools and Protocols
($2,400). We shall use funds to conduct a 2-day
strategic Thinking Workshop with the Management and Board, Facilitation
to consultants to deliver MOD Strategic
Plan 2023-2030,
develop workshop Materials, and Launch MOD
Strategic Plan 2023-2030.
Activity 3.4: Strengthen financial management
systems (Finance Management software, recording keeping, and
developing/reviewing relevant policies including Internal Controls and
Compliance) ($3,733). We shall use funds to upgrade
Quick Books Software-3 Users (Perpetual License), Review,
Develop, and Align Finance Policies and Guidelines, Train 10 staff in Finance
Management Systems and Accountability, Procure Computers and Improve Network
Systems, conduct Internal Audit Systems, Compliance and regulations, membership
registers including Annual Returns.
Activity 3.5: Establish Knowledge Hub at the
Secretariat for Promoting Research, Sexual, Reproductive, Newborn, Child, and
Adolescent Health and Nutrition (SRMNCAH+N) Services, Psychosocial Support
using Narrative Therapy model, Climate Health And Pandemic Preparedness
Skills ($6,000). We shall use funds to develop
a Communications Strategy, Key narrative messages, and Dissemination plan,
Develop a Research Development Strategy, Procure Chairs and Furniture for the
conference Room,
Procure Public Address Systems for
Health Education,
Improve COVID-19 Hand Washing
Facilities, Procure Tents, Improve Reception Services such as Hand Washing
Facilities, Establish SHR Advocacy Spaces for Counselling Service and for
knowledge hub Material Development.
Activity 3.6: Strengthen board capacity and
management in cooperate governance (Develop Board Charter) ($533). We shall
use funds to Review/Develop the Board Charter for
MOD Public Health Foundation and conduct One Day Board Training Workshop in
Networking and Partnership building.
Activity
3.7: Operationalize
The Public Health Steering Team Uganda (PHSTU) Activities ($2,480). We shall
use funds to conduct a Capacity Building workshop for C-Suite
Executive Members on PHSTU governance functions (reception unit, Operation
Unit, and Program coordination Unit) including Developing Checklists, Mapping
other CSOS/CBOs in the region/country and organizing dialogue engagement
meetings,
Conduct Organizational Strengthening
Assessment for each of the PHSTU Member CSOs/NGOs, Strengthen joint district
for coordination mechanisms at all levels such as joint annual program reviews
and Community Led Monitoring (CLM).
Activity
3.8: Organisation
Growth and Development Activities ($29,533): Procure one field motorcycle for
project implementation by the project officer, Procure one Moto
vehicle for Technical Support Supervision (TSS), Coordination, partnership, and
Business Development by management team, Procure 0.5 acres of land to construct
start-up Offices, Construct start-up offices for MOD Public Health Foundation
Activity
3.9: Strengthen
Systems for Programme Monitoring and Evaluation ($3,013). Funds
shall be used to develop an Organization M&E
Strategy and Data Protection and Privacy Policy, Strengthen the data management
system, monitoring evaluation, accountability, and learning (MEAL) system,
Conduct 3 Day training for PHSTU CBOs members on M&E Strategy,
Documentation, and sharing of best practices including Stories of Change and
Participation in the Regional Community Led Monitoring (CLM) Meetings and
conferences.
4.0 Timelines
We
plan to set up the required organizational systems and structures between 2023-2024.
The plan will include building Organisation safety nets led by C-Suite
Executive Members of MODPHF and PHSTU, and development partners to a culture of
systems thinking and development for the period 2023-2030.
5.0 Milestones
1. Available and designated Office space
for key departments: Finance and Administration, Reception unit, Operations,
monitoring and evaluation.
2.
Programme
Concepts and Inception Notes in Place
3.
Desktop
computers are available at the central MOD Public Health Foundation
4.
All
PHSTU Organizations have a signed MOU with the Fiscal Agency.
5.
Functional
Skilled Board and Management
6.0 Cost
of Doing Business
The Board of Directors has continued
to contribute funds to ensure functionality and the continued presence of the organization
and to establish basic systems and structures over the years. We shall continue
to mobilize resources widely among the local and international organizations,
cooperate organizations, development partners, and friends of MOD Public Health
Foundation to improve the effectiveness and efficiency of both organizations.
7.0 Business
Unusual
We intend to use our Fiscal Agency
The Public Health Steering Team Uganda (PHSTU) as a catalyst for resource
mobilization, network building, and advocacy. At the same time, we shall build
on the capacity of all member CBOs/NGOs to advance public health principles for
better performance.
8.0 Sustainability
The following are strategies that
will enhance sustainability.
1. Strengthened organization systems,
structures, and processes will enhance accountability and operational
efficiency. This will enhance learning, engagement for business development,
resource mobilization, and further partnership development.
2.
Establish
a centrally placed knowledge hub to act as a drop-in resource center for member
CBO/CSO/NGO.
3.
Working
within/with the development network to share resources in the form of
communities of practice (COP), Community Monitoring (CLM), and District Local
Government for reporting, technical support supervision, learning, and joint
resource mobilization.
9.0 Expertise
and Operational Capacity
MOD is composed of public health
professionals with accumulated experiences and a variety of transformative
skills in program design and implementation, monitoring and evaluation,
innovation, and research. The organization has demonstrated high-level
experience in designing community engagement, Organizing, and
mobilizing AGYW community structures to support service access and utilization.
MOD can provide required training to stakeholder population community
structures (SPCS) such as health facility workers, Village Health Teams (VHTs),
AGYW, and Male Champions to catalyze peer-peer demand creation for HIV Testing
Services (HTS) for program participants from hard-to-reach rural areas. We have
experience in applying principles such as Communities of Practice (COP);
Community Systems Strengthening (CSS); Communities of Practice (COP); and
Public-Private Mix (PPM) to empower communities to establish themselves as
resilient safe spaces for service delivery. MOD can support the mainstreaming
of HIV/TB including Malaria eradication mechanisms for UNAIDS 2030 goals;
integrating COVID-19 response, recovery, and resilience plans; Sexual and
Reproductive Health Rights (SRHR), and Voluntary Male Medical Circumcision
(VMMC) projects in the catchment area. The Organisation uses Systems and Design
thinking to develop qualitative and quantitative stories rooted in resilience
out of the grassroots communities whose outcomes can be used to inform
development work, and HIV/TB prevention and regularly engage in strengthening
the capacity of local and rural-based CBOs in Uganda to own knowledge and
skills to keep the traction toward the 2030 SDGs.
9.1.
Our competitive/comparative advantage-Niche
10.0 Project
Budget: $60,706 (UGX 227,650,000)
For more information about the budget, please click on the links below.
a) Organisation Development, Strengthening, Consolidation, And Resilience Systems And Structures (Oscar Project) 2023-2024
https://drive.google.com/drive/folders/1RannhGfZ859HQXqcQSzD93sjGp6TI5i9?usp=drive_link
Appendix 1: Current List of CBOS/NGO under Public Health Steering Team Uganda
1. MOD Public Health Foundation
2. Men of Destiny Public Health
Consultants Limited
3. Grace And Love Win Foundation (GALO)
4. AdNetA
5. Rakai Community-Based Health Project
6.
Real
Hope Foundation
7.
Hemeric
Hygiene Limited
8. Zak Productions
9. Household Management Support Center
10. Inyalo Foundation
11. Mawoggola Community Development
Initiative
12. South Central Masaka Region PWD
Champion Innovators (SOCEPCIDO)
13. Lango Acholi PWD led Integrated Agro
Processing Institute (LAPISALI)
14. Metropolitan Region PWD Advanced
Health and Development Organisation.
15. One Voice Heard 4 For Disability Uganda
(OVH4DU)
16. Bunyoro Persons With Disabilities
Champions Integrated Development Initiative )BPCID)
17. Shield Of Faith Kayunga
18. Lungujja Community Health Centre (LUCOHECO)
19. Women Alliance Masaka
20. Kwagalana Women Group Bwala
21. Greater Kigezi PWD Value Addition
Association
22. West Nile Persons with Disability Led
Agriculture and Development Institute (WEPLADI)
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