Uganda Vaccine Monitoring and Transparency Project

Uganda Vaccine Monitoring and Transparency Project

Uganda Vaccine Monitoring and
Transparency Project

Overview

On July 1, 2021, the Anti-Corruption Coalition Uganda began implementation on a joint project with PTF to monitor Uganda’s distribution of COVID-19 vaccines. The Uganda Vaccines Monitoring and Transparency Project focused on a series of activities designed to monitor and ensure the equity of vaccine distribution, compliance with national vaccine prioritization protocols, and minimize wastage of dosages. These activities were undertaken in collaboration with health workers at the Kiira and Kasangati Health Centres.

Project Summary

Uganda’s Covid-19 vaccination drive faces persistent challenges due to: lack of transparency and accountability as manifested in previous campaigns; limited citizen awareness on the vaccination program and; community resistance accentuated by disinformation and traditional/religious beliefs. Recent health problems associated with the AstraZeneca vaccine have further reinforced these beliefs and perceptions. The Uganda Vaccines Monitoring and Transparency Project aimed at addressing these problems through: heightened community awareness on the vaccination program; partnership with health institutions to monitor vaccine distribution and usage; access to and dissemination of official information related to the vaccination program; and supporting engagements between citizens and their leaders to address emerging issues and accountability concerns. It is envisaged that these activities will result in: increased awareness and access to Covid-19 vaccination information; increased citizen participation in Covid-19 vaccination programme; and, improved equity, efficiency and effectiveness in the Covid-19 vaccination programme.

Intended Impact

Uganda’s Covid19 vaccination drive faces persistent challenges of; lack of transparency and accountability as manifested in previous campaigns, limited citizen awareness on the vaccination program and community resistance accentuated by disinformation and traditional/religious myths. Recent health problems associated with the AstraZeneca vaccine have further reinforced these beliefs and perceptions. The Uganda Vaccines Monitoring and Transparency Project will address these problem through; heightened community awareness on the vaccination program, partnership with health institutions to monitor vaccine distribution and usage, access to and disseminations of official information related to the vaccination program and supporting engagements between citizens and their leaders to address emerging issues and accountability concerns. It is envisaged that this will result into; Increased awareness and access to Covid19 vaccination information; Increased citizen participation in Covid19 vaccination programme and; Improved equity, efficiency and effectiveness in the Covid19 vaccination programme.

Project Objectives

The Uganda Vaccines Monitoring and Transparency project envisaged a more informed, and empowered, civil society, with greater citizen participation in Uganda’s Covid19 vaccination programme. The project aimed at: increasing awareness and access to Covid-19 vaccination information to facilitate third-party monitoring and reporting; increasing citizen participation in Covid-19 vaccination programme by countering conspiracy theories, public fears and negative perceptions; and improving equity, efficiency and effectiveness in the Covid-19 vaccination program.

Project Activities

Activity 1: Work with health workers at two selected health facilities to monitor vaccine distribution and submit weekly reports on the same: ACCU will identify at least 6 health workers at two health centres (Kasangati HCIV and another facility to be selected later) to train on monitoring the distribution of Covid19 vaccines. The trained health workers will provide weekly reports on vaccine deliveries, issues of prioritisation and equity in vaccination, side effect and challenges faced in the process.

Activity 2: Access official information related to Covid19 vaccination to facilitate monitoring and flagging of discrepancies and red flags: Requests will be made to the Ministry of Health and other government agencies for official information related to Covid19 vaccinations including procurements, prioritisation, delivery schedules, etc. This information will be used for monitoring purposes and engagements with duty bearers. ACCU will mostly look out for and flag discrepancies in received information and actual implementation.

Activity 3: Conduct a survey to gather community perceptions, fears and opinions on vaccination and share the findings with key policy makers and implementers: A questionnaire will be designed and used to gather citizen perceptions and fears towards Covid19 vaccination. Results from this survey will then be shared with officials at the Ministry of Health and the Local Governments, to guide community sensitisation campaigns and planning.

Activity 4: Community education at the selected health facilities to counter misinformation and community resistance to vaccination: Using the toolkits acquired from the Ministry of Health, community sensitisation drives will be conducted at health centres. These will be conducted together with the trained health workers to shape community perceptions towards Covid19 inoculation. The sensitisation drive will be conducted at the selected health centres and where possible in communities using the Village Health Teams (VHTs). Fact sheets received from the ministry will be simplified and translated into local languages and disseminated to citizens at the selected health centres. Lastly, targeted messages will be produced and disseminated to citizens using social media sites of Facebook and Twitter. These will also target the citizens, leaders and officials at the health ministry.

Activity 5: Hold duty bearer engagements to flag issues emerging from the survey, citizen reports and reports from health workers: Two engagements will be held with the Ministry of Health and the District Local Government to share gathered findings from the survey, citizen sensitisation and health worker reports. This will go a long way towards addressing the identified challenges and loopholes.

Project Team

Frank McNerney

Project Manager, PTF

Robert Liebenthal

Adviser, Africa Committee Liaison, PTF

Rachel Ansley

Communications Manager, PTF

Marlon Agaba

Richard Okuku

Advocacy Officer, ACCU

Arthur Oyaku

Communications Manager, ACCU

About Our Partner

The Anti-Corruption Coalition Uganda (ACCU) is a coalition of CSOs, started in 1999, whose sole objective is providing a forum through which various anti-corruption actors can enhance their capabilities and act as one strong voice and force that can effectively engage government on issues of corruption. ACCU works directly at the national and regional levels to bring together like-minded organizations and individual actors to fight against corruption in Uganda.

Additional Information

Four health workers, two from Kasangati Health Centre IV and two from Kira Health Centre IV have been trained on transparency, accountability, monitoring, and reporting of COVID-19 vaccine distribution campaigns.
As part of ongoing fight against COVID-19, the Anti Corruption Coalition Uganda (ACCU), in cooperation with the Partnership for Transparency (PTF), has embarked on a project to increase transparency and accountability in COVID-19 vaccination campaigns, while promoting equitable distribution of doses and addressing sources of vaccine hesitancy in target communities.
The revealed distribution of false and substandard vaccines in Uganda has further undermined citizens’ trust in government and the vaccination process at the peak of a new wave of COVID-19, according to a local civil society leader. In Uganda, eight hundred people received counterfeit COVID-19 vaccines, a number of which contained water instead of a vaccine dose. Two medical workers involved in the scam have been arrested, while the third known perpetrator—a doctor—remains on the run.
The Partnership for Transparency (PTF) and the Anti Corruption Coalition for Uganda (ACCU) have begun to implement a country-wide strategy to further their shared anti-corruption aims, focused on Uganda. This marks the first strategy of its kind in PTF’s history.

Social Media Information