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Annual Regional Conference on Immunization 10-12 December 2012, Dar es Salaam, Tanzania

THE CONTRIBUTION OF PARLIAMENT IN ACHIEVING SUSTAINABLE FINANCING: “ A NEW WAY TO ENGAGE OTHER STAKEHOLDERS FOR RESOURCE MOBILIZATION FOR IMMUNIZATION”. Annual Regional Conference on Immunization 10-12 December 2012, Dar es Salaam, Tanzania Presented by:

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Annual Regional Conference on Immunization 10-12 December 2012, Dar es Salaam, Tanzania

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  1. THE CONTRIBUTION OF PARLIAMENT IN ACHIEVING SUSTAINABLE FINANCING: “A NEW WAY TO ENGAGE OTHER STAKEHOLDERS FOR RESOURCE MOBILIZATION FOR IMMUNIZATION” Annual Regional Conference on Immunization 10-12 December 2012, Dar es Salaam, Tanzania Presented by: James S.C. Kyewalabye Kabajo, MP Kiboga East, Secretary UPFI Parliament of Uganda.

  2. Content • Background • UPFI • Role of Parliament • Immunization financing and advocacy • Representation & Immunization • Budget process, immunization financing & UPFI • Legislation & immunization financing • Recommendations

  3. Background • The 2011 UDHS (Uganda Demographic & Health Survey) showed that on 52% of children in Uganda are fully immunized although 94% of children receive BCG at birth and 93% DPT1 at 6 weeks, only 71% receive DPT3 at 14 weeks and 76% measles vaccine at 9 months. This results in so many unvaccinated and under vaccinated children. • WHO/UNICEF estimates Uganda is among the countries with the highest number of un-immunized children in the horn of Africa. This has exposed the country to vaccine preventable disease outbreaks such as that of measles in 2012. • The Minister of Health of Uganda, Hon. ChiristineOndoa, in her statement to the Parliament of Uganda noted that the overall allocation to the health sector has reduced and this has resulted in reduced allocations to Health sectors including UNEPI.

  4. Background Source: UDHS 2011

  5. Performance of Immunisation Source : MOH HMIS data

  6. Unimmunized children 2009-2011 Source HMIS Data

  7. UPFI • The Uganda Parliamentary Forum for Immunization (UPFI) was established in the 9th parliament and its main role is to advocate for improved immunization to Ugandans by leveraging the principle roles of members of parliament. • The forum interfaces with various stakeholders including central and local governments, Ministry of Health, Parliament and its relevant committees to advocate for adequate funding for vaccination programmes in the country.

  8. Role of Parliament The role of parliament is well known, however for the purpose of the presentation, the roles are repeated below: 1. Representation; 2. Legislation; 3. Oversight; 4. Appropriation;

  9. Immunization financing advocacy • In order to advocate for immunization and its financing, UPFI in collaboration with the Sabin Institute, WHO and UNICEF has concluded a number of activities including: • A sensitization workshop for parliamentarians; • Meetings with Ministry of Health; • Meeting with Local Government Association; • Meeting the Gospel Church in Uganda, Bugisu region; • Meetings with the Committee on Health, Parliament of Uganda; • Letter to the President of Uganda, outlining the challenges of immunization and proposals for solutions.

  10. Representation & immunization • UPFI members took on the role of representation by visiting the Bugisu region to meet with a religious group, the Gospel Church in Uganda with membership totaling about 20,000. • The group does not allow immunization of children of its members; • The children were also being withdrawn from formal schools; • UPFI dialogued with the group to dissuade them from the negative behaviors.

  11. Members of UPFI addressing the Bugisu religious group, some members of the group are seated on pavillion in the background

  12. The religious group leader introducing other church leaders to the MP’s and audience

  13. Uganda Budget Process

  14. UPFI role in budget process • UPFI and parliament intervened in the budget process to ensure adequate immunization financing as follows:

  15. UPFI & Parliament intervention in budget process

  16. Legislation & immunization financing • In Uganda, the government is by law required to fund immunization activities. UPFI is sponsoring a private members bill which is expected to achieve: • Clearer, and comprehensive legislation for immunization; • Clear provision for immunization financing; • Clear provision of roles of the different players; • Penalties for failing to immunize children.

  17. “A NEW WAY TO ENGAGE OTHER STAKEHOLDERS FOR RESOURCE MOBILIZATION FOR IMMUNIZATION” Clearly Members of Parliament are in good position to advocate for and influence immunization and its financing given their roles of: • Representation, • Legislation, • Oversight and • Budget Appropriation. • This should be taken advantage of for the good of immunization. THANK YOU FOR LISTENING

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