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He said that environmental scanning includes a SWOT analysis. He explained that, SWOT analysis is used to analyse the strengths and weaknesses (SW) of an

    STRAIGHT TALK FOUNDATION

    IN COUNTRY ADVOCACY SKILLS

    ENHANCEMENT WORKSHOP

(L-R) Mr. Aaron Katz of Washington University, Dr. Jotham Musinguzi, Director Population Secretariat and

    Ms. Anne Akia, Director, Straight Talk Foundation at the opening ceremony of the workshop.

    SUNSET HOTEL JINJA

    THND20-22 FEBRUARY 2006

EXECUTIVE SUMMARY

    Advocacy is essential in galvanizing broad-based political commitment and mobilizing financial support for addressing population and reproductive health issues. It is also indispensable in placing sexual and reproductive health and rights on national development agendas.

    Advocacy is key to mobilizing national, regional and international resources for promoting and achieving SRHR objectives. In addition to mobilizing funds for programs and SRHR activities in the context of national development program priorities, advocacy activities enhance visibility and improve public perceptions of SRHR priorities.

    They draw greater attention to sexual and reproductive health needs of adolescents. They also seek to influence changes in existing laws and regulations that perpetuate inequalities and inequities, especially those that are gender-based. Advocacy seeks to influence government efforts and commitment to review and revise national policies to bring them in line with SRHR concerns of the population. It also solicits the support of policy makers and donors to provide the necessary resources to put in place programs and strategies aimed at improving access to SRHR services.

    It is with this background that Uganda Population Secretariat in conjunction with Straight Talk Foundation and with support from the University of Washington Population Leadership Program, organized a training workshop to address this gap. All people interested in understanding advocacy can use this workshop report better.

LIST OF ABBREVIATIONS

    In-Country Advocacy Skills Enhancement Workshop. 4

ACP: AIDS Control Programme.

    AIC: AIDS Information Centre.

    ASRH: Adolescent Sexual Reproductive Health. IEC: Information Education and Communication.

    MFPED: Ministry of Finance, Planning and Economic Development. MoH: Ministry of Health.

    OVI: Objectively Verifiable Indicators.

    PLWAs: People Living with HIV/AIDS. POPSEC: Population Secretariat. RBM: Results Based Management.

    RBM: Results Based Management.

    RH: Reproductive Health.

    SOV: Sources of Verification.

    SRH: Sexual Reproductive Health

    SRHR: Adolescent Reproductive Health STF: Straight Talk Foundation

    SWOT: Strengths Weaknesses Opportunities and Threats. TASO: The AIDS Support Organisation.

    UAC: Uganda AIDS Commission.

    UNASO: Uganda AIDS Service Organisations. UNFPA: United Nations Population Fund. URHAN: Uganda Reproductive Health Advocacy Network.

In-Country Advocacy Skills Enhancement Workshop. 5

TABLE OF CONTENTS PAGE

    SCENES FROM THE WORKSHOP 错误!未定义书签。Error! Bookmark not defined.

    EXECUTIVE SUMMARY ............................................................................................. 0

    LIST OF ABBREVIATIONS .......................................................................................... 4

1. 0 BACKGROUND TO THE WORKSHOP ......................................................... 8

    1.1 Introduction ........................................................................................................... 8

    1.2 Participants at the Meeting ..................................................................................... 8

    1.3 Participants‟ Expectations ...................................................................................... 8

    1.4 Workshop Objectives ............................................................................................. 9

2. OFFICIAL OPENING BY THE DIRECTOR POPSEC, DR. JOTHAM

    MUSINGUZI ................................................................................................................. 9

3.0 PRESENTATIONS ............................................................................................... 10

    3.1 Human Development and MDGs. A Global Network for Advocacy..................... 10

    3.1.1 Issues raised by participants after the presentation ......................................... 10

    3.2 SRHR Policy Situation in Uganda........................................................................ 11

    By Dr. Angela Akol, POPSEC ............................................................................... 11

    3.2.1 Issues raised by participants after the presentation ......................................... 11

    3.3 Understanding Public Policy and its Dimensions ................................................. 12

    3.3.1 Issues raised by participants after the presentation. ........................................ 12

    3.4 Policy and Policy Process in Uganda. .................................................................. 13

    3.4.1 Issues Raised by participants after the Presentation ....................................... 13

    3.5 Policy Development: From Environmental Scanning to strategy Development. ... 13

    3.6 Advocacy and Related Concepts .......................................................................... 14

    3.6.1 Issues raised by participants after the presentation ......................................... 15

    3.7 Advocacy Issue Identification .............................................................................. 15

    3.8 Stakeholder Analysis and Political Mapping ........................................................ 16

    3.9 Networking and Partnership in Advocacy ............................................................ 16

    3.10 Advocacy in Practice: The TASO experience ..................................................... 17

    3.10.1 Issues Raised By Participants After The Presentation ...................................... 18

    In-Country Advocacy Skills Enhancement Workshop. 6

3.11 Context for Advocacy Message Development .................................................... 18

    3.12 Strategic Planning through Results Based Management ..................................... 19

    3.13 Fundraising: Mobilising Resources for Advocacy .............................................. 20

    3.14 Uganda RH Advocacy Network (URHAN) ........................................................ 20

    3.15 Discussions on strengthening the Uganda RH Advocacy Network (URHAN) 21

    3.16 General Workshop Recommendations ............................................................... 22

4.0 CLOSING CEREMONY .................................................................................... 22

    4.1 Remarks by the Head of Department ICD, POPSEC, Mr. Burunde

    Hannington… ............................................................................................................ 22 4.2 Remarks by the Director Straight Talk Foundation Ms. Anne Akia ................ 22

    4.3 Remarks by the Representative of the University of Washington, Mr Aaron

    Katz……….. ............................................................................................................. 23

APPENDICES

    1. List of participants

    2. All presentations

    3. Workshop programme

In-Country Advocacy Skills Enhancement Workshop. 7

    1. 0 BACKGROUND TO THE WORKSHOP

1.1 Introduction

    Advocacy is one of the concepts that is yet to be universally and appropriately understood by a cross section of stakeholders in various sectors. Mobilizing political support and commitment to SRH issues is an element common to advocacy strategies in many countries.

    In Uganda however, advocacy as a concept is not commonly and widely understood, especially among the key stakeholders in the SRHR programs and yet is crucial in bringing about policy change. Hence the need to enhance advocacy skills of such stakeholders through training to be able to effectively plan and implement issue based advocacy interventions.

    Against the above background, the Population Secretariat and Straight Talk Foundation with support from the University of Washington Population Program organised an in-country workshop to enhance advocacy skills of stakeholders in the field of RH in Uganda.

1.2 Participants at the Meeting

    The workshop brought together participants representing various stakeholder institutions. These included government Ministries such as Health, Gender, Education; Government institutions such as Population Secretariat, Institute of Public Health, Uganda AIDS Commission; Civil Society Organizations including Non-Governmental Organizations, Faith Based Organizations and Cultural institutions.

1.3 Participants’ Expectations

    1. Formation of the advocacy core team/network. 2. Development of advocacy action plans.

    3. Learn more about adolescence and population growth. 4. Enhanced SRH advocacy skills.

    5. Increased knowledge and skills in developing effective advocacy strategies. 6. An appreciation of RH advocacy needs for Uganda. 7. Improved skills on how to operationalise the ASRH policy in Uganda. 8. Learn how advocacy in various areas has achieved coherence in human development.

    9. Come up with a way forward on youth empowerment. 10. Learn how to involve communities in advocacy work. 11. How to carry out advocacy in donor driven programmes. 12. How to network with other organisations in advocacy. 13. How to mobilise resources for advocacy.

    14. Development of advocacy messages.

    15. Clear understanding of the theoretical and practical aspects of advocacy. 16. Gain skills in realistic advocacy policy planning.

In-Country Advocacy Skills Enhancement Workshop. 8

1.4 Workshop Objectives

    1. Equip advocacy practitioners and potential advocates, and other stakeholders with the 1. Equip advocacy practitioners and potential advocates, and other stakeholders with the

    necessary knowledge and skills in the conduct of policy advocacy; necessary knowledge and skills in the conduct of policy advocacy;

    2. Highlight the importance of acquiring basic knowledge and skills in advocacy-related 2. Highlight the importance of acquiring basic knowledge and skills in advocacy-related

    elements including systematic planning and evaluation, policy analysis, networking elements including systematic planning and evaluation, policy analysis, networking

    and partnership development, policy research, data collection and communication and and partnership development, policy research, data collection and communication and

    message development. message development.

    3. Instil confidence among advocates by their acquisition and practice of a variety of 3. Instil confidence among advocates by their acquisition and practice of a variety of

    practical tools in the conduct of advocacy. practical tools in the conduct of advocacy.

2. OFFICIAL OPENING BY THE DIRECTOR POPSEC, DR. JOTHAM

    MUSINGUZI

    The Director started his speech by welcoming all the participants to the workshop, which

    he said would enhance their advocacy skills, which are critical in mobilising leadership

    support and commitment to a SRHR. He in particular welcomed the Philippines‟ experts

    who were the key facilitators of the workshop to Uganda.

He said that, success of most programs highly depends on influencing decision makers to

    come up with policy actions, programs and strategies aimed at bringing about desired

    social changes for betterment of human development. He added that he is aware that no

    single institution can achieve the above alone; thus he called for the involvement of a

    multiplicity of partners and actors to be able to achieve the desired social change.

He noted with pleasure that the interest of the civil society in population issues had

    tremendously increased over the years especially in rural areas where services have been

    scanty. He therefore commended the organisers and funders (University of Washington

    Population Leadership Programme) for seeking to enhance advocacy skills of

    stakeholders in order to ably influence government efforts and commitment to review and

    revise national policies that guarantee SRHR.

He thanked UNFPA which has been funding advocacy activities almost single handedly

    in Uganda. He reiterated that a big challenge still existed to bring leaders at various levels

    on board as far as the understanding of SRHR and their effect on people‟s lives is

    concerned.

He ended his speech by thanking the participants for finding time to attend the workshop

    and appealed to them to actively use the acquired skills in advancing the cause of SRHR

    in Uganda. He thereafter declared the meeting officially open.

    In-Country Advocacy Skills Enhancement Workshop. 9

3.0 PRESENTATIONS

3.1 Human Development and MDGs. A Global Network for Advocacy

    By Mr. Roberto Ador, PLCPD

    Development cannot be considered to have really taken place unless the incidence of Development cannot be considered to have really taken place unless the incidence of poverty has been reduced, the presenter declared as he started his presentation. He poverty has been reduced, the presenter declared as he started his presentation. He explained the Historical Evolution of Thought About Development beginning with the explained the Historical Evolution of Thought About Development beginning with the post-colonialism legacy, the economic growth theory and the industrialisation phase. He post-colonialism legacy, the economic growth theory and the industrialisation phase. He lamented that all these had one thing in common; the general neglect of the human lamented that all these had one thing in common; the general neglect of the human dimension by assuming it would be looked after automatically through growth. dimension by assuming it would be looked after automatically through growth.

    Quoting the ILO, the presenter said that ..it has become increasingly evident, ..it has become increasingly evident, particularly from the experience of the developing countries, that rapid growth at the particularly from the experience of the developing countries, that rapid growth at the national level does not automatically reduce poverty or inequality or provide sufficient national level does not automatically reduce poverty or inequality or provide sufficient productive employment. He proceeded to illustrate the ill effects of a growth only productive employment. He proceeded to illustrate the ill effects of a growth only agenda and emphasized that human well being goes beyond money incomes. agenda and emphasized that human well being goes beyond money incomes.

    He defined human development as a process of enlarging peoples choices. The most He defined human development as a process of enlarging peoples choices. The most critical ones being to lead a long and healthy life, to be educated and to enjoy a decent critical ones being to lead a long and healthy life, to be educated and to enjoy a decent standard of living. Additional choices include political freedom, guaranteed human rights standard of living. Additional choices include political freedom, guaranteed human rights and self-respect (HDR 1990). He went ahead to explain key aspects and issues of human and self-respect (HDR 1990). He went ahead to explain key aspects and issues of humandevelopment. He illustrated the general path and paradigm to human development and

    emphasized important areas for success.

The presenter also compared and related the concept of human development to the MDGs.

    He unpacked each of the eight MDGs in relation to human development. Having related

    the two, he concluded that human development goes beyond the MDGs both in time and

    concept. He illustrated and explained a matrix of key policy areas and policies that would

    contribute to the attainment of the MDGs if they were to be enacted. (Full presentation appended).

3.1.1 Issues raised by participants after the presentation 3.1.1 Issues raised by participants after the presentation

    1. Participants noted that corruption was a major concern that can limit the success of

    advocacy in changing the policy environment.

    2. Advocacy should seek to be effective at government and society levels where demand

    driven advocacy can be used.

    3. Having a policy passed by the decision makers is not the end of the campaign; efforts

    must be exerted on the executive to ensure that the policies are implemented.

    4. Participants noted that implementation of policies depends so much on the priorities

    of the existing government.

    5. Advocacy should also be directed at Local governments rather than the central

    government alone that has hitherto been the major focus.

    In-Country Advocacy Skills Enhancement Workshop. 10

3.2 SRHR Policy Situation in Uganda

    By Dr. Angela Akol, POPSEC

    The presenter started her presentation by taking participants through an overview of the demographic characteristics of the population of Uganda especially those that related to SRHR. Key among the demographic characteristics that she highlighted were, the

    consistently high fertility rate (6.9), a large unmet need for family planning (35%) and low rate of deliveries supervised by medical personnel (38%).

    She informed the participants that there was an unmistakable link between high fertility rate and high infant and maternal mortality rates. She reasoned that if fewer women

    became pregnant, fewer women and children would die and vice versa. She added that

    according to the Maternal and Infant Mortality Taskforce report (2003), high fertility, short birth spacing and teenage pregnancies are the highest risk factors in infant mortality.

In view of the unacceptably high RH health indices as she had depicted, the presenter

    suggested the following interventions to rectify the situation;

    Providing more comprehensive Adolescent Sexual & Reproductive Health services.

    Strengthening Family Planning Services and increase uptake.

    More focused Antenatal and postnatal Care.

    Provision of Emergency Obstetric and Newborn Care.

    Strengthening of the referral linkages between lower and higher health centres.

    She said that for the above interventions to work, there has to be increased investment in adolescent RH, strong political commitment at all levels for maternal and newborn care, a strong medical system that responds quickly to the critical needs of pregnant women and newborn babies as well as meaningful involvement of the community in RH especially of

    the males.

She ended her presentation by taking participants through a compendium of RH policies

    in Uganda, their major goals, objectives and implementation strategies. (Full

    presentation appended).

3.2.1 Issues raised by participants after the presentation 3.2.1 Issues raised by participants after the presentation

    1. A traditional health setting does not seem to encourage male participation in the RH

    of their spouses.

    2. Policy makers seem to be more concerned with physical problems like building of

    health centres and forget about other needs.

    3. Health workers need to harmonise their messages on FP planning since sometimes

    they give conflicting information.

    4. RH services should be made more youth friendly and opportunities for involving

    them in service provision should be enhanced.

    5. To make decision makers understand the need for sound RH, advocates should use

    models give the monetary loss because of poor RH services.

In-Country Advocacy Skills Enhancement Workshop. 11

3.3 Understanding Public Policy and its Dimensions

    By Mr. Aaron Katz, University of Washington

    The presenter explained Policy development as using data, other information, and

    community values [ideologies, national or clan aspirations, customs, religious tenets] to

    address community health problems or build community capacity, weighing the costs and

    benefits of policy options, choosing a desired option, and recommending programs and

    services to implement that policy.

He illustrated, how public policies are developed and outline the following as power

    centres that influence public policy;

    ? Government Branches

    ? Legislative

    ? Executive (incl. military)

    ? Judicial (incl. police)

    ? Domestic Organizations

    ? Community organizations and NGOs

    ? Businesses

    ? Religious organizations

    ? International Institutions and Donors

    ? News and entertainment media

He then explained the public policy cycle and tools of public policy development before

    going ahead to explain the policy analysis framework which should identify and define

    the public policy issue, understand the economic market, social, historical, and political

    context of the issue, identify the stakeholders, their values and interests determine

    potential options for public policy action and analyse strengths and weaknesses of policy

    options regarding science and existing values. (Full presentation appended).

3.3.1 Issues raised by participants after the presentation. 3.3.1 Issues raised by participants after the presentation.

    1. Policy is not just a document; pieces of paper do not change people‟s lives.

    2. The most important policy document the budget; what are the standing priorities of

    the existing Government.

    3. Politicians after making decisions simply move on to the next issue, which affects

    implementation.

    4. Policy is not a one-time event; it‟s a process, which is ongoing and continuous.

    5. Government and civil society are essential and complementary partners. 6. In a decentralised setting, it is equally important to be effective at all levels. 7. The worst thing that can happen is to have competing advocacy networks. 8. Organisations should think of employing specialised staff to handle advocacy. 9. The mindset of donors on results in advocacy needs to be more enlightened. 10. Donors should plan together with the in country teams so as to move harmoniously.

In-Country Advocacy Skills Enhancement Workshop. 12

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