The Journey to Establishing a Structure and Systems to Address Inequities in Family Planning (Fp)—a Case of Uganda.

Sarah Ms Nabukeera, Makarere University
Morrisa Malkin , FHI360
Fredrick Makumbi, Makerere University
Immaculate Namukasa, Makerere University
Barbara Sow, FHI360
Rhoda Wanyenze, Makerere University

Overview Inequities in FP service access and leading to poorer health outcomes disproportionately affect vulnerable populations. Whereas there is evidence of inequalities, there are gaps in practical examples of course correction and accountability. We share lessons from Uganda’s journey to establishing systems and actions to address the inequities. Process Analysis of Uganda’s FP landscape highlighted inequities and measurement challenges and the need for focused leadership to advance the equity agenda. The Ministry of Health collaborated with stakeholders to initiate Uganda’s ?rst FP Equity Steering Committee to guide measurement, monitoring and actions to address inequities. An equity measurement framework (definition of equity, indicators, data sources) and roadmap were developed. Outcomes As an initial step, an FP partner mapping and output analysis was conducted. Findings show inequities in partner spread and service outputs by region and health facility levels and have stirred national-level discussions to enhance the geographical equity of partners.