U-Decide 2.0: Youth-led Social Accountability to Improve the Quality of Sexual and Reproductive Health and Rights

Reach A Hand Uganda developed a youth-led social accountability system to improve the quality of sexual and reproductive health services in Uganda.

Reach A Hand Uganda created a youth-led social accountability system to improve the quality of adolescent and youth sexual and reproductive health services in Uganda. The project is comprised of three interlinked sets of activities: youth accountability to assess and monitor the quality of services, an e-referral card system referred to as SAUTIPlus, and results-based bonuses for high-performing health centers. The SAUTIPlus e-referral card taps into locally-developed technology to confidentially refer adolescents and young people to health centers for youth-friendly sexual and reproductive health services. The SAUTIPlus app operates on phones used by peer educator and computers and tablets used by health centers to collect and monitor data on the quality and provision of youth-friendly sexual and reproductive health information and services. Through local communities partnerships, Reach A Hand Uganda identified and strengthened social accountability systems as one way to improve sexual and reproductive health care. This project draws upon learnings from an earlier phase of U-Decide, also implemented by Reach a Hand-Uganda and Reproductive Health Uganda. This 18-month project will launch in 2019.

Quality in reproductive and sexual health services means the service meets my need, my choice is respected with urgency and within an affordable cost for me as a young person.

Many young people are being referred to services that are not meeting their quality needs! This leads to a low return of young people to services.