FullSoul blog

Witness & Work: FullSoul’s Intern’s Experience in Uganda

I was in Uganda’s Mukono Health Centre IV the first time I saw a woman give birth. The hospital’s delivery suite was about the size of a single private room in a Canadian hospital, yet at that moment it hosted 1 midwife, 4 nurses, 4 occupied beds, medical supplies, and myself. The woman’s delivery was difficult and as I watched, I experienced a rollercoaster of emotions – worry, amazement, relief, and, finally, elation. During the delivery, the midwives and nurses worked in a well-practiced manner, improvising when certain materials, such as forceps or surgical scissors, were not available. I was surprisingly unfazed by the conditions; I had already mentally accepted that hospitals in Uganda are often insufficiently funded. However, I was shocked by the implications of this reality. For the first time, I saw what it meant for a woman to deliver a baby without adequate medical facilities, privacy, or support.

Alyna at Mukono

FullSoul Intern, Alyna Moosabhoy, interviews the head midwife at Mukono Health Centre IV, one of the locations of the FullSoul Kits.

Unnecessary delays are believed to be a significant cause of otherwise preventable maternal deaths and they occur all too often when hospitals are not properly equipped. I travelled to Uganda this past summer to evaluate FullSoul Canada’s Maternal Medical Kit project, which supplies essential delivery tools to under-funded rural Ugandan hospitals. Throughout my internship, I recognized first-hand the relevance and significance of the work FullSoul does. A large portion of my role entailed listening and observing. From site visit observations, audits, and interviews with healthcare workers, I gained insights on the specific needs and challenges of our partner hospitals regarding maternal health. Simultaneously, through conversations with newfound Ugandan friends I furthered my understanding of the context of FullSoul’s work, as we discussed the fundamentals of national politics, economics, and healthcare.

FullSoul partners with local stakeholders and institutions to practically and appreciably improve maternal healthcare and decrease the number of preventable maternal deaths in a country that has one of the world’s highest maternal mortality rates. Using the DMIAC (Define, Measure, Analyze, Improve and Control) approach, I evaluated the efficacy of the program’s implementation, the details of which can be found in the published Evaluation Report. I am grateful to have gained insight on the state of maternal healthcare in Uganda from my internship, as it now enables me to contribute informed ideas on how FullSoul may best progress and grow. I have taken this opportunity to work with an organization that saves lives by implementing a feasible solution to the immediate problem many rural Ugandan hospitals face: lack of basic medical tools. I also developed personal and professional skills, and was immersed in a spectacular cultural experience. I worked alongside local Ugandans, some of whom became my closest friends. I learned of cultural differences that challenged my perceptions, beliefs, and values. In such a beautiful country, surrounded by lush greenery, I was welcomed by its people and free to discover its many charms; ultimately I had a uniquely wonderful two months.

In the two short months I was there, I came to love Uganda. I cherish my time there and the people I met, and I hope to return soon. In the meantime, although I am back in Canada my journey with FullSoul has not ended. FullSoul does great work and I can clearly envision its bright future, which I am excited to work towards with the rest of the team.

Alyna Moosabhoy served as a FullSoul Intern in Uganda for May-July 2017, evaluating the kits and the needs surrounding maternal health in these facilities. She continues to work with FullSoul in their evaluation, development and implementation of projects since returning to Canada.

 

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Warm Fuzzies for FullSoul

The Baby Blanket. An important item and image in many cultures- a way to carry and protect, or a symbol of comfort and security. Throughout the world, these pieces assist mothers’ bonds with their babies and in some cases are a matter of survival. We know how important these small pieces can be for mothers delivering; when many are not even having money to pay for transport to a health centre for a safe delivery, a blanket seems even further from their reach. We also know, however, just how important such things can be for a new mother- So at FullSoul, while we work to make safe deliveries an accessible norm in Uganda, we also want to add some comfort to these mother’s lives. We’re very excited to introduce a new partnership with Adventure Baby Gear, that aims to do just that!

Adventure Baby Gear began as husband and wife team, Nusia and Peter set out with their little one on adventures near and far- from shopping trips and visiting family to international exploring. Two sentiments sum up ABG best: that having a child doesn’t mean you have to stop exploring, and every time you leave the house with a little one, it’s an adventure!

It also represents the theme of caring for our babies and wrapping them with our love and support, whether they are in our home, or hundreds of kilometers away in Uganda.

Adventure Baby Gear has partnered with FullSoul Canada to support the work that FullSoul does for maternal health in Uganda, East Africa. One of their products, the Baby Blanket will go to support FullSoul’s work with mothers in the hospitals in Uganda- for every blanket purchased through ABG, one will go to a new mother and baby that we work with.

Baby Blankets from Adventure Baby Gear


We had the opportunity to talk with Nusia and Peter to discuss about what inspired this partnership, and what safe motherhood means to them:

Tell us more about what inspired you to start Adventure Baby Gear, and what it means to you now!

When our son was born, we didn’t want traveling, such an important part of how we spend our quality time, to be affected. It’s a fact that having a baby changes many things but it definitely does not have to put an end to exploring and experiencing as much of the world as possible. We continued to travel and simply took our little guy along with us; from camping in Ontario, road tripping through the Rockies, to sightseeing Paris at Christmas. This led to many experiences, both good and challenging, that showed us the huge benefit of being prepared and having the right tools. So came the idea for a store filled with hand-picked adventure baby gear based on items we found convenient and indispensable, or ones that through our research we would have loved to have with us sooner.

A big part of your focus with Adventure Baby Gear is maintaining customer service, providing high quality content in your blog and affordable product prices- that’s a tall order! Why is it important to you to also work with a non-profit in your business model?

Indeed! We consider those things mentioned above, a priority at ABG. Working with a non-profit actually wasn’t part of our business model. Maternal health and safely delivering newborns into the world is so closely related to our mission of providing the best for our little ones so this partnership presented itself as an opportunity to cross borders and affect change. By supporting the hard work of an organization like FullSoul, the time and effort we are putting into managing our online store, now has an even greater meaning.

Baby blankets- why did you decide on this product to sell in support of FullSoul?

We decided on baby blankets as we figured is was a good, universal product that anyone could make use of, in North America or Africa! It also represents the theme of caring for our babies and wrapping them with our love and support, whether they are in our home, or hundreds of kilometers away in Uganda.

Do you think your international explorations will take you and your family to Uganda with FullSoul?

We never say never! We are always open to new travel opportunities and a mission trip has always been a bullet point on our travel “bucket-list”. So if everything aligns, and we are at a stage with our baby that we feel comfortable travelling with him to Uganda, then we will definitely be there, to take part in FullSoul’s work.


To learn more about Adventure Baby Gear, and their partnership with us at FullSoul, check out their website.

Purchase your own FullSoul Baby Blanket here.

Share your own stories of baby blankets, especially your little one’s FullSoul blanket using #FullSoulFuzzies on Social Media!

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One more delivery for deliveries…

Though the FullSoul visitors have returned home, we still had one more delivery to attend to.

Five kits were going to Nakaseke Hospital, in the Central Region of Uganda, about 2 hours north of Kampala, so our FullSoul Uganda Team hopped on an early morning Matatu to head to the hospital.

We met with Dr. Mubeezi, the Head Doctor of the hospital, to speak more about what the greatest challenges they face in their facilities, and how they experience Maternal Health- and Maternal Mortality, as one of the largest hospitals in their area. Though not technically a referral hospital, this facility often acts as one due to the large catchment area that it serves. However, this causes problems with resources, since it will be under-supplied to deal with the number of cases that it actually receives.

Watch more about the ‘delivery’ experience and more of the challenges that this FullSoul Partner Hospital faces…

 

 

 

 

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A Day Without Mothers- International Women’s Day 2017

“I am not free while any woman is unfree, even when her shackles are very different from my own.” — Audra Lorde

International Women’s Day is a public holiday in Uganda; celebrating women in our communities here, in our lives and in our history. I am currently working with one of FullSoul’s partner organizations- Save the Mothers, here in Uganda, and have the chance to take the day off of work. Many of the International Women’s Day Platforms are centred around a Women’s Strike, proving that women make up a great deal of the unpaid work in our society, and protesting wage gaps in our paid workforce.

I loved this idea- while ‘drastic’, the concept of starkly and irrefutably proving why something is valuable by taking it away is a powerful one. Of course, it is not possible for all women to strike on this day- for their own personal reasons, or because quite literally our societies would crumble. While I love the idea and the power that it is demonstrating, as a woman, I am choosing to work today, working on truly unpaid work, writing right here for FullSoul.

Why is this just as empowering for me?  Through my work with FullSoul and Save the Mothers, I see areas where women are absent, and see the devastation that that causes within families, societies and a country; these women are not on a strike, or not simply not empowered to work- they have died due to pregnancy complications or childbirth. They have developed complex physical complications during or prior to delivery that make them outcasts and unable to participate, in work, communities and even their own families.

As we know, in Uganda, everyday many women’s lives are at risk, due to pregnancy related complications- approximately 16 every day.  This are easily preventable, leading to generations losing those strong women leaders and mothers. The loss of these women means the absence of mothers for a generation of children. It also means the loss of one of the most powerful aspects within development; women are necessary to further empowerment within a nation, and without these women, changes to better the whole will fall behind.

Women make up the majority of nurses and midwives in Uganda- we’re grateful that these skilled health care workers show-up, and assist in deliveries, antenatal (aka. pre-natal), and newborn care throughout a woman’s pregnancy. These workers are often under-paid, over-worked, and with very little resources to assist them.

I, myself, cannot do everything that needs to be done to help the women that are dying, simply by being mothers. No one person can- it takes communities, nations. It takes other women. But we can do our parts to make this job easier for those that have the ability to direct change; FullSoul supplies safe medical kits to hospitals in Uganda, so that women can have save deliveries, so health-care workers have tools to do their jobs safely, so babies can have their first breath and their mothers to raise them.

There are areas where Women’s Day is about proving how impactful a day without women can be; but there are areas where a day without women is the reality- So, for my International Women’s Day, I am finding wonderful power in doing what I can- finding my own voice in a movement, and creating a #Sindica for change that is greater than myself.

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If you would like to join me in this #Sindica for Change, find more info at fullsoul.ca- donate, join us in Uganda, spread the word. www.fullsoul.ca

–Jess Huston
FullSoul Social Media Manager

 

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Days of Living FullSoul in Uganda [Dec 2016-Jan 2017]

Take a peek into the days of living SoulFully in Uganda! Each day brought a new adventure and experiences, and further understanding of the importance of bettering Maternal Health in Uganda.

Day 1: The first day of our first trip as a team in Uganda! We’re so excited to bring each of you along with us on this journey!

Co-founder Christina Hassan and our Ugandan team (Asha, Vicent and Bersh) met the first of our Canadian arrivals at the Entebbe airport- including Christina’s parents for their first time in Uganda- and a fellow Master of Public Health, Emma!

The team got outfitted with hats worthy of a FullSoul adventure, met other Ugandans passionate about the work FullSoul does, took a boat ride on the beautiful lake Victoria, and finally picked up our guests into the night as their flight arrived.

Day 2:

Still in Entebbe, our team spent their first FullSoul day in Uganda; Waking up to our first real views of the country, we took strolls through the city of Entebbe, meeting Ugandans and exploring the art and beauty that Uganda as to offer! Ending with the Wildlife Education Centre and the beaches of Lake Victoria, it was a perfect day to adjust to the home of FullSoul.

Day 3:

The rest of our team joins us in Uganda! Another experience with the great Lake Victoria, our team spent the day out on the water!  We made our way to the equator on Lake Victoria, went fishing on the lake- and caught a Nile Perch for our dinner!  Back to the airport for two more pickups, we finally have the whole team with us back to Kampala for the end of the night- ready for the FullSoul Experience to begin!

Day 4:

Exploring the busy city of Kampala! Our team took to the markets and taxi park to really get a feel of the hustle and bustle of Uganda’s capital city. Onward to Mukono, where the Save the Mothers accommodations would be hosting us for a few days as we prepare the Safe Birth Medical Kits for delivery! We were able to attend the Mukono Rotary meeting and bring greetings from three different Canadian Rotary clubs as well, joined by members of the Ugandan club and the Mayor of Mukono! Ending the night showing off our dance moves, it was a great welcome to the town where the idea for FullSoul began.

Day 5:

Getting to work; Preparing the medical kits for delivery. Each kit has the same number and type of tools. They are all purchased within Uganda and engraved with the Health Centre’s name, before delivery. These two aspects of FullSoul’s model are extremely important to us:

  1. This not only keeps the cost of the kits lower (than it would be to import them from Canada), but it also keeps the money within Uganda, and with Medical Supply Companies that cater to the entire country- this means that they will be able to continue to grow in their reach and what they are able to offer, which benefits our partnerships as well as others.
  2.  This gives a sense of ownership, pride and responsibility to the hospitals that we deliver the engraved kits to- they know that they belong to them and are proud to use and care for them as needed. This also helps decrease the risk of theft and loss of materials, and makes it easier for us to track where our donations are and how they function and deliver in their respective hospitals and health centres.

Our team then, as safely as possible, took boda-bodas to the Mukono Health Centre IV to deliver the first 5 of our kits! We met with the head midwife on duty and were able to see more of the health centre, as well as meet some mothers and their babies- all safe and healthy! Mukono Health Centre has grown substantially since FullSoul began, and it’s very exciting for us to witness the positive changes that we see at this centre!

Ending our evening with a bit more culture, the group joined the Ndere Troupe; a group of incredibly talented young Ugandans who preform cultural dances, songs and stories from around the country- this is a great, and very fun, introduction to many of the areas and cultures within Uganda! Of course, we end out evening, again, with dancing.

Day 6:

New Years’ Eve Day- Off to the second Medical Kit delivery of our time here, we travelled to Kawolo Hospital. Meeting with the head midwives that were just finishing off their overnight duty shifts, this hospital held many many mothers that had just delivered and some still waiting to labour- the midwives were thankful to share with us the importance of the kits delivered, and expressed again how important it is for them as well to have these tools- to keep themselves safe and work most effectively!

From Kawolo, we continue to Jinja, and take another boat onto Lake Victoria to the Source of the Nile River! The longest river in the world, this amazing natural wonder begins in Uganda-and our team was able to stand at this very spot!

At midnight, we joined others from around the world to celebrate and welcome in the new year! 2017 was off to an amazing start!

Day 7:

Heading north-east from Jinja, the team joined our FullSoul Ugandan Team member- Asha, with her project (MENTOR) in delivering school supplies to one of the schools that she works with in Mbale District. While the students were not currently in school, it was an oppurtunity for our team to see another aspect of Ugandan life and the education system.

Day 8:

Beginning our day at the beautiful Sipi Falls in Kapchorwa District of Eastern Uganda; Armed with our handy hiking sticks our team began the day hiking through the rainforest, coffee plantations and hills to reach the spectacular falls. The team joined a radio station in the region to speak more about the importance of maternal health and safe motherhood- Radio is an important tool in Uganda to share information throughout the population- it is accessible since most homes have access to a radio, it is availible in local and many languages and with a high illiteracy rate, it is an easy medium to understand.

Day 9:

A truly amazing day, our team visited FullSouler Asha’s mother and village in Mbale district. An amazingly warm welcome, the team was able to celebrate the day with the men, women and children in the village- with songs, hugs, food and of course, dancing! Such a special treat to be able to connect with the families of our Team FullSoul Uganda members!

Day 10-13

The remaining days of our FullSoul Uganda Experience took our team across the country and across the equator again.

After taking a bus back to Mukono, our team then met with our safari van to head to Queen Elizabeth National Park, to meet some amazing Ugandan wildlife, from Marabou Storks to chimpanzees in the trees! We walked the tea plantations and saw how one of Uganda’s largest exports is harvested, and were able to meet many other Ugandans- and other travellers- along the way.

Finally, the majority of our team headed back to Entebbe to catch the flights back to Canada.


We are so thankful and truly honoured to be able to share our FullSoul Experience and our work with this team- connecting our Ugandan team and friends to those in Canada has been amazing- and we’re very excited to be able to continue building these connections and creating more #sindica for change.

FullSoul in Uganda, 2016-2017

For more of a look into the daily adventures of FullSoul, head over to our youtube channel!

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Co-op Gives Fullsoul the #Sindica it Needs

FullSoul and the Co-op Student of the Year & International Co-op Of the Year Awards!

Christina has always been dedicated to her work, whether it was for academics or for widely known institutions and organizations such as St. Michael’s Hospital, Save the Mothers or FullSoul. Thus, it is only fair that she is rewarded for her hard work and determination. As a part of the Health Studies co-op program, she participated in four different co-op placements, first three placements lasting four months, while the final placement lasted eight months long. Throughout these co-op placements, she has shown strong work ethics, commitment and achievements.

Christina & Dr. Eve

[Christina & Dr. Eve (from Save the Mothers), on one of their 24 hour shifts at Uganda's National Referral Hospital]

The University of Waterloo is known as “the world’s leader” for its co-operative education program, which consists of six faculties with approximately 31,000 undergraduate students. The program annually hosts a Co-op Student of the Year award and only one student from each of the six faculties have a chance to win this award. Thus, students with exceptional contribution to their work term as well as community involvement and academic excellence are recognized. Soon after completing an outstanding work term at St. Michael’s Hospital as a project manager, Christina was honoured to be the Co-op Student of the Year representing the Applied Health Science Faculty. This marks as one of the early stepping-stones of her career.

“Christina is a fantastic communicator — both for the discouraged midwife in rural East Africa who Christina encourages to continue to help voiceless mothers… to the large crowd of Canadians who have gathered to hear Christina share her experiences. Her dedication to saving the lives of mothers and their babies around the world is inspiring. I’m confident that as she moves through her career, her influence will only grow stronger and deeper.”–Dr. Jean Chamberlain- Executive Director and Founder of Save the Mothers

Another accomplishment was just around the corner while finishing her last year at the University of Waterloo. She began teaching at Ugandan Christian University through Save the Mothers, an organization seeking to improve maternal health in Uganda. While teaching, she was given the opportunity to observe surgical operations in the maternity ward at a nearby hospital. But before she could wrap her head around the idea, she delivered 200 babies in addition to raising maternal health awareness in Uganda.  This ever-changing life experience aspired Christina to co-found FullSoul and as a result, was then selected for the International Student of the Year award from WACE (World Association for Cooperative Education) as well. Amazing accomplishments, and such an honour for FullSoul to be recognized in such a way- we’re excited about the continued momentum of support and excitement surrounding the FullSoul message and cause!

 

 

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Art for the Soul

 

“Art washes away from the soul the dust of everyday life”-Pablo Picasso

Art is a great way to connect with people, nearly anywhere in the world. Whether at an exhibit in Canada, or a craft market in Uganda, conversations can strike up easily, and culture, ideas and emotions can transcend language, distance and difference.

This was the idea behind the fundraiser “Art for the Soul”, held on Sept 25th, 2015 at St. Paul’s University at the University of Waterloo.

Art for the Soul Event 2015

Art for the Soul- Fundraising Event

Thanks to the time and energy of an amazing team of volunteers, we had many groups and individuals come and showcase their talents during this event, from visual artists, dancers and slam poets; it was an evening of creativity and innovation. FullSoul’s own co-founder, Christina Hassan, joined the evening to speak about how creativity, collaboration and innovation shape- and re-shape- FullSoul as well.

Art for the Soul- Fundraising Event

Art for the Soul- Fundraising Event

Art for the Soul- Fundraising Event

Thanks to all of those that came out to support, and those that put this event together.

 

 

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Calgary Gala

On July 27th, 2014, FullSoul partnered with the talented Prosad for an amazing afternoon of soulful music, dancing and fundraising- all done in the name of Safe Motherhood in Uganda. Through this event, we were able to purchase over 20 safe birth kits for health facilities in Uganda!

Calgary Gala

Coverage of this event was promoted by the Calgary Sun, whose article can be found here: http://www.calgarysun.com/2014/07/23/calgary-woman-reaches-back-to-africa-to-help-improve-conditions-for-pregnant-women

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The FullSoul Experience in Uganda [Dec 2016-Jan 2017]

The FullSoul Experience in Uganda- a group of 12 FullSoulers, Canadian and Ugandan, spend 12 days in Uganda. From medical kits to villages, our team of FullSoulers were able to see a lot of Uganda in 12 days, meeting a lot of folks along the way, and most importantly, delivering safe medical kits to hospitals and health care workers along the way. Making delivery a safer experience for mothers and babies throughout Uganda is our goal- we’re so thankful that we are able to share this with our team and supporters!

Learn more about what the experience meant to each of us, how we got connected and invested in living soulfully for this cause, and what our time together in Uganda means for the future. Special thanks to our Rotarians on the trip, who speak so passionately about the cause and about FullSoul to their own clubs and districts; after sharing Uganda with us, we know they have big plans for the FullSoul Future!

Check out our day to day adventures in our next post coming soon!

Interested in joining us in Uganda? Follow here for updates on future experience trips- we would love to share Uganda with you!

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Evaluation: The Process, Importance and How We Are Innovative in Our Model

Canada’s infant mortality rate (IMR; the number of infant deaths per 1,000 live births) and maternal mortality ratio (MMR; the number of maternal deaths per 100,000 live births) are some of the lowest in the world with 4 infant deaths/1,000 live births and 7 maternal deaths/100,000 live births recorded in 2015, respectively (World Bank, 2016). As a result of this, childbirth is not considered to be a risk to a mother’s or an infant’s life in Canada or in most other Western countries. On the other hand, “childbirth” and “a safe procedure” are not synonymous concepts in many underdeveloped countries of the world such as Uganda where delivery-related complications cost the lives of roughly 17 women per day (World Health Organization, 2013). Despite experiencing a slow decline in such statistics over the past few years (World Bank, 2016; Mbonye et al., 2007), Uganda still had some of the highest MMRs and IMRs in the world in 2015 with 343 maternal deaths/100,000 live births and 38 infant deaths/1,000 live births, respectively (World Bank, 2016). Rather than being a risk-free process that symbolizes the beginning of one’s life, in Uganda childbirth is more of a dangerous task that could cost the life of the mother, the child, or both.

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Fullsoul co-founder Christina Marchand (middle) discussing deliveries for Mukono Health Centre IV with Dr. Kasirye (left) and Josephine (right) from Save The Mothers

With this in mind, an organization that is highly aware of the poor state of such health indicators in Uganda is FullSoul Canada, anon-profit social enterprise dedicated to reducing such alarming statistics within this African country. FullSoul aims to improve and protect the health and safety of delivering mothers, their infants, and the medical staff involved in the birthing process by providing necessary Ugandan hospitals with locally made, safe, and reusable medical kits. With each sterile kit consisting of a needle holder, a dissecting forceps, 3 artery forceps, 3 surgical scissors, and 2 kidney dishes, such medical equipment is believed to contribute towards significantly reducing the burdensome tertiary delays – delays in receiving adequate or timely care once present at a health facility due to a lack of available medical resources, personnel, and/or services – that are responsible for roughly 50% of Uganda’s high MMR (Thaddeus & Maine, 1994; AOGU, 2013).

With each medical kit costing $500 CND to produce, translating into an expense that is less than 5 cents for every baby delivered, each one is theoretically capable of assisting the birth of 2-3 babies per day for about 20 years thereby potentially safely delivering over 15,000 infants in its lifetime. With 15 kits having already been implemented in 3 different Ugandan hospitals, it is hypothesized that this will be able to statistically significantly improve the proportion of mothers and infants surviving childbirth in these locations. It is theorized that these medical kits will provide such hospitals with a larger quantity of safe medical resources allowing for more timely and efficient care to be provided which will lead to a significant reduction in the effects of tertiary delays on maternal mortality and therefore also significantly reduce the MMR in these respective Ugandan hospitals.                                                                                                                  However, in order to confirm that such medical kits are actually able to achieve these intended aims, their abilities must be measured both quantitatively and qualitatively; one way that this can be done is via a comprehensive program evaluation that systematically analyzes both the processes and outcomes of this initiative. The outcome assessment of such evaluations involves a step-by-step process that investigates how effectively a particular program is achieving its intended outcomes (Centers for Disease Control and Prevention, 2011). Alternatively, the process assessment is meant to specifically evaluate if a particular program is being implemented as planned as well as to deduce how the program is operating with respect to what tasks are being carried out, who is performing them, how these are being performed, and who is being affected as a result of such tasks in order to inform the continuous improvement of the program. Overall, both the process and outcome aspects are critical components of an evaluation because they determine not only if a program works and/or is sufficient for achieving the intended goals but also allow for exploring its strengths, weaknesses, and areas that can be potentially improved in order to better obtain the desired results (CDC, 2011). All of this is to be done while simultaneously and continuously incorporating the needs and desires of key stakeholders throughout the entire process with such findings then being communicated back to these individuals as a means of being accountable for the program’s effects on the projected goals.

With respect to the medical kits, their ability to significantly reduce the MMR will be evaluated in the three Ugandan hospitals where they have already been implemented. The overall objective of the outcome portion of this evaluation will be to determine if the MMRs in these three hospitals after the kits have been implemented are significantly lower than the MMRs in these same respective hospitals before the initiation of this program. Likewise, it will be assessed if the MMRs in these locations have been significantly reduced in comparison to Uganda’s average MMR to determine if this initiative improved the health of the mothers and their infants. Secondary data sources will be used to keep track of such rates at both the hospital and national levels in order to compare the pre- and post-treatment MMRs. For the process evaluation, how the medical kits are being implemented (i.e. if the medical personnel involved in the childbirth process are using the kits as they were instructed with respect to using them at the right time, applying the correct techniques, properly sanitizing the kits after each use, being the only qualified stakeholders to use such kits, etc.) will be assessed using site observations, interviews, focus groups, and case reviews with information being collected from the hospital staff as well as the mothers being cared for in order to evaluate if the program is being delivered according to plan and if the kits are being used as intended in order to achieve optimal effectiveness. This will also be used to detect if the delivering mothers are informed about and receptive to such medical kits by analyzing if more of them are choosing to have their babies in a hospital setting where such materials are available instead of attempting to give birth in private venues such as within their own homes. By evaluating the implementation of these medical kits in 3 distinct hospitals, the execution of this program within these different settings can be compared and contrasted in order to obtain information with respect to how the overall delivery of this program can be improved (i.e. by either having more kits, having more tools in each kit, developing better ways of teaching the medical personnel how to use the kits, etc.). Such a process can underline some potential barriers to the proper delivery of this program that may exist in one hospital and not in another whereas it may also point out if one hospital is doing something differently than the other two which could lead to a more successful delivery of this program.

All in all, implementing such an evaluation and disseminating its findings will inform the Ugandan mothers and hospital staff as well as the FullSoul team, the sponsors of this organization, and any other key stakeholders if the implementation of these medical kits is a sufficiently effective approach for significantly improving the safety of childbirth in such Ugandan hospitals. Similarly, this assessment will reveal to such stakeholders if this program is being carried out as planned with respect to the kits being used as intended and if they are reaching a sufficient number of mothers in need. Both components of the evaluation will be used to infer if this current approach is sufficiently effective and if it is ready to be implemented in more hospitals to achieve such goals or if more work needs to be done in order to develop this program into a more feasible and successful initiative before a significant impact on Uganda’s MMR can be attained.

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