Med, have also been working with the Ministry of Health to train and maintain VHTs.[18] An assessment of VHT abilities led to the creation of a Community Health Extension Worker (CHEW) Program, which involves the training of health workers for a year in all districts of the nation.[17]Unlike VHTs, CHEWs will possess elevated skills in addressing the health needs of their communities, will be based at the Health Center II level.[17] The CHEW program is planned for implementation in 2017 and 2018.[17] Health financing Total public and private health expenditure per capita was US$59 in 2013. Public financing for health was 4.3 percent of GDP in 2013, well below the target of 15 percent set in the 2001 Abuja Declaration. See also Health in Uganda Service delivery In 2006, there were 3,237 health facilities in Uganda. Seventy-one percent were public entities, 21 percent were not-for-profit organizations, and 9 percent were for-profit. The doubling in public and not-for-profit facilities was primarily driven by the government’s initiative to improve access to services. However, 68 percent of these services are located in the capital Kampala and the surrounding central region, while rural areas face a gross shortage of such facilities. According to the Uganda National Household Survey 2012/2013, the majority of those who sought health care first visited a private hospital orclinic (37 percent) or a government health centre (35 percent). Twenty-two percent of the urban population used government health centers, while that proportion rose to 39 percent in the rural areas. Thirty-five percent of government health centers visited by persons who fell sick were within a radius of from the population. Fertility rate and family planning Uganda has the second-highest fertility rate in the East African Community, behind only Burundi. According to 2014 data, a Ugandan woman, on average, gives birth to 5.8 children during her lifetime compared to 7.1 in 1969 and 6.8 in 2001. The age-specific fertility rates indicate that fertility peaks when women are aged between 20 and 24 years and then declines slowly until age 34. According to 2011 data, the fertility rate in urban areas (3.8 per woman) was significantly lower than in rural areas (6.7 per woman). Based on 2012 data, 30 percent of married Ugandan women are using some method of contraception, with 26 percent using modern contraceptive methods (MCM), such as female and male sterilization, pill, intrauterine device, injectables, implants, male condom, diaphragm, and