ZACHEDO continues to work with the local communities with a specific focus on vulnerable groups (Women, Adolescents, Youth, Orphans, Refugees, Commercial Sex Workers and People with Disabilities) in and around the urban slums of Kampala City and other urban areas in Uganda to prevent diseases leading to ill-health and death. Zachedo works in partnership with community leaders, other CBOs, governmental and non-governmental, national or international bodies that have similar objectives and aspirations.
Our team brings together an experience of mixed professionals from midwifery to community psychology and business administration at the masters` level of academic excellence.
We believe that impacting women, children and youths is impacting a nation that will thrive tomorrow for a bright future ahead.
There are extensive community service opportunities for those looking for volunteer work that will help the impoverished and suffering throughout Uganda. Our work around the Pearl of Africa is only possible because of our dedicated volunteers, whose work is dearly appreciated.
Zaam Community Health Development Organisation (ZACHEDO) was started initially in 1993 as a health component called Zaam clinic for implementing health facility based interventions and providing curative/ treatment services to outpatient children and disadvantaged adults living in the slum communities within Makindye division. As the demand for inpatient and maternity services increased, Zaam clinic was expanded to Zaam Medical Centre providing a comprehensive health care package with an inpatient capacity of 20 beds. However from the analysis, 75% of the disease burden handled at the health facility could be prevented by the community itself at household level once given the necessary knowledge and skills. It was also noted that the high poverty levels within the urban slum communities created a barrier to the access of quality health care. Therefore in 2011, ZACHEDO was formed and it attained a legal status as a fully registered Community Based Organisation. (CBO).
Strategic Plan 2016 – 2020.
The strategic plan has been developed to provide a road map for the next five years and at the same time ensure that the plan is in line and contributes to the plans of KCCA: Makindye Division, the National Health Policy II, the National Health Sector Development Plan 2016-2020, and the UN-Sustainable Development Goals..
A healthy community free from preventable causes of ill health and death. Zachedo’s approach to resolving community problems is to work with communities themselves especially women because “WHEN YOU TEACH A WOMAN, YOU TEACH A NATION”.
To empower disadvantaged communities (particularly women) in urban slums to overcome preventable causes of ill-health and deaths through economic sustainabilty . health promotion and disease prevention programs.
1. Transparency and accountability: In all our transactions we ensure transparency and accountability with clients and partners.
2. Quality service: we are obliged to provide quality service in whatever we do.
3. Strategic partnerships: ZACHEDO is not a jack of all trade. It values partnership with donors,institutions,ministries, CSOs, the private sector and other CBOs to provide synergy or support and avoid duplication.
4. Integrated health care delivery:To be effective and achieve impact with our interventions include health promotion, disease prevention and curative care.
1. Community involvement for sustainability: In order to attain a critical mass and sustainability for our interventions, we involve communities/households in decision making for their health particularly in health promotion and disease prevention.
2. Equality and non-discrimination: All human beings are equal and entitled to their human rights without discrimination of any kind, such as race, color, sex, ethnicity, age,language, religion, political or other opinion.
3. Pro-poor: we strive to ensure the right of disadvantaged slum communities to enjoy the highest attainable standard of physical and mental health.
4. Team work: we believe in team work.
5. Gender-sensitive: we are gender-sensitive and responsive to gender issues in health delivery. We endeavor to disaggregate health data by age and sex and carry out gender analysis on the results in order to enhance the effectiveness and efficiency of our interventions.
To contribute to the reduction of morbidity and mortality due to communicable and preventable diseases/conditions among disadvantaged communities living in urban slums of Kampala city, Wakiso and Iganga
districts of Uganda.
1. SO1 – To reduce morbidity and mortality arising from preventable
causes of ill health through integration of health promotion and disease
prevention interventions into curative services.
2. SO2 – To expand a community based health approach to health service
delivery within the urban slums of Kampala and beyond to Wakiso/Iganga
3. SO3 – Strengthen Zachedo’s capacity to mobilize technical, material and
financial resources to subsidize quality health care for the poor.
4. SO4- To enhance community’s social-economic status through building
capacity for entrepreneurship skills,vocational skills training and formation
of savings co-operatives for micro-enterprise development.
1. To involve disadvantaged communities in urban slums in identifying root causes of morbidity and mortality through problem identification, priority setting, developing plans of action, managing and evaluating interventions.
2. To promote individual and community responsibility for better health through behavior change, capacity building, participatory planning and governance amongst marginalized groups living in urban slums of Kampala Wakiso and Iganga districts of Uganda.
3. To increase access to integrated health promotion, disease prevention and curative initiatives with a focus on malaria, HIV/AIDS, STIs,TB, Cholera, Dysentery, Ebola, maternal and child health, adolescent sexual and reproductive health rights, access to water and sanitation amongst the vulnerable groups living in urban slums of Kampala city, Wakiso and Iganga districts of Uganda.
4. To strengthen co-ordination and collaboration of interventions with key partners such as government line ministries, local governments and other relevant stakeholders that promote health for disadvantaged communities in urban slums of Kampala city, Wakiso and Iganga districts of Uganda.
5. To generate, document and share best practices of primary health care and community based health care approaches for communities in urban slums with emphasis on health promotion, disease prevention and early health seeking behaviour.
6. To advocate for appropriate policies and strategies that promote better health for disadvantaged communities living in urban slums of Kampala, Wakiso and Iganga districts of Uganda.
7. To spearhead the planning, implementation, monitoring and evaluation of projects managed by the Organization funded by donor agencies and/or members at all levels.
8. To engage in resource mobilization to enhance health and development initiatives amongst disadvantaged communities in urban slum areas of Kampala city, Wakiso and Iganga districts of Uganda.
Priority Intervation Areas.
To achieve its vision and mission, the ZACHEDO provides technical support in its thematic areas to the vulnerable and marginalized groups living within the urban slums and rural areas in Uganda. These mainly include children, adolescents, women, sex workers and refugees. Our key focal areas are as listed below:
In Uganda, children below 15 years and women of child bearing age constitute 46% and 20% of the population respectively. Maternal deaths remain high with a maternal mortality ratio (MMR) of 435/100,000 The rate of reduction of MMR is slow, and far from the UN-SDG target of 131 by 2015.The leading direct causes of these deaths are hemorrhage (26%), sepsis (22%), obstructed labour (13%), unsafe abortion (8%) and hypertensive disorders in pregnancy (6%). The major determinants of MMR are the high fertility rate (6.7), high rate of adolescent pregnancy (25 percent), low contraceptive prevalence rate (24 per cent), low proportion of deliveries supervised by a health professional (42 per cent), and inadequate access to emergency obstetric care (EmOC). Lack of decision making at household level by women affects their health seeking behavior even during pregnancy. The referral mechanism faces challenges of poor road networks or terrain. Infant and under-five child mortality rates stand at 76/1,000 `and 137/1,000 respectively. Neonatal deaths which occur in the first month of infancy contribute to 38% of all infant deaths. Over a half of the total newborn deaths occur during the first week of life, mainly in the first 24 hours of life. Majority of newborn deaths result from infections (febrile illness), asphyxia, birth injuries and complications of pre-maturity. Low birth weight underlines 40-80% of newborn deaths. Malaria/febrile illness (49%), neonatal causes (14%), diarrheal disease (10%), acute respiratory infection and HIV/AIDS (4.0%) are the main causes of childhood morbidity and mortality. Malnutrition is an important underlying cause in around 60% of child deaths (UNICEF, 2012). An estimated 20% of under-fives are underweight and 32% are stunted.
ZACHEDO’s interventions on improving maternal and child health include youth sensitization programs to prevent recourse of unintended pregnancies which lead to unsafe abortions, child nutrition and immunization programs, increasing access to antenatal care services and safe deliveries.
She brings over 10 years of international nonprofit experience to Zachedo, with key professional positions focused on the well-being of women and children.
Project Coordinator email@example.com
She is passionate in fighting for youth rights and livelihood development. For the past three years she has worked in community projects within Uganda addressing access of health services and financial inclusion for women and youth.
Project Director firstname.lastname@example.org
She is passionate about gender equality and women economic empowerment with a focus primarily on the integration of women’s health and economic empowerment.
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