USHAPE: New Era of Reflection and Growth

Anita Dam

USAID Global Health Bureau, Office of Population & Reproductive Health | Family Planning Workforce & Communications Intern

USHAPE Training Session 1

USHAPE Training Session ©USHAPE/Margaret Pyke Trust

We are excited to once again feature USHAPE (Uganda Sexual Health and Pastoral Education) on the Family Planning Training Resource Package website as it begins a new chapter under the management of the Margaret Pyke Trust. The Margaret Pyke Trust is based in the United Kingdom and has around 50 years of history providing sexual and reproductive health services along with implementing research and training for health care workers. They have the broadest range of sexual and reproductive health training courses in the UK for health care staff. In the last few years, the Margaret Pyke Trust have started working internationally to address the need to advance sexual and reproductive health services and trainings in low- to middle-income countries. Taking over the management of USHAPE only seemed natural, since USHAPE was originally created by UK based volunteer doctors. It has been an optimistic transition for USHAPE to come under the Margaret Pyke Trust as there has been a continued effort to increase capacity of USHAPE’s training programs.

USHAPE continues efforts to improve family planning outreach and delivery

Catherine Clarke


USHAPE parent consultation

Parents hear from USHAPE educators during a hillside consultation.

National Context

Sexual Health in Uganda

USHAPE: Training and Outreach

Over the last year, we have shared the successes of USHAPE (Uganda Sexual Health & Pastoral Education) in its continued efforts to provide quality training in family planning service provision using the Training Resources Package (TRP). In 2015, we noted USHAPE’s adaptations the TRP and its use in two training programs at the Bwindi Community Hospital to build knowledge among family planning service providers and expand the ability of providers to deliver services to the community.

Family Planning in a Rural Setting in Uganda: The USHAPE Initiative

Dr. Emily Clark

Royal College of General Practitioners | UK First-5 General Practitioner; Beyond Europe Lead, Junior International Committee

Dr. Clare Goodhart

Cambridge University | Senior Clinical Tutor (hon), General Practitioner, Trainer, Training Programme Director

Family planning and the Millennium Development Goals

Family planning and the Millennium Development Goals2


Family planning can save lives. The total fertility rate in Uganda is 5.9 children per woman, higher than in neighbouring countries.1. Ugandan women are having, on average, 1.7 more children than they plan. At least one woman in the world dies every minute due to pregnancy and childbirth; the risk is 100 times greater in developing countries. Family planning prevents maternal deaths for a number of reasons:

Developing Competencies of Nurses and Midwives During Pre-Service Education in Uganda: Using Evidence-Based FP and RH Resources and Tools

Diana Kabahuma Muhwezi

Uganda Family Planning Consortium | Communications and Knowledge Management Officer

Context: Uganda

In Uganda, there is a shortage of health workers, and the available health workers (HWs) often perform below expectation because they lack the specific skill mix to effectively respond to the health needs. The total estimated health workforce is about 45,598, serving a total projected population in Uganda of about 31.8 million. This means that there is one health worker for every 697 people, taking the entire health work force together. According to the WHO, a country with less than 2.28 health workers (doctors, nurses and midwives only) per 1000 population is regarded to be in severe shortage of health workers to meet its health needs; for Uganda it is about 1.55. This challenge is augmented by low proficiency levels of the health work force in the country. (Midterm review report of the health sector strategic and investment plan (HSSIP) 2010/11-2014/15.)

Introducing TRP in Action

Simone Parrish

Hopkins CCP | Senior Program Officer, KM Unit

Welcome to's new feature, "TRP in Action." We will be using this feature to showcase stories of people in the field adapting Training Resource Package materials for use in local contexts.

Our first two articles illustrate how TRP materials were adapted as part of a family planning initiative in Uganda and a midwifery and newborn care curriculum for delivery in Tanzania.