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Articles by Uganda
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Uganda: denying NGO registration fails democratic principles
Geneva/London, 15 March 2024 - The Ugandan Court of Appeal’s decision to deny Sexual Minorities Uganda (SMUG) legal registration fails the democratic principles enshrined in the country’s Constitution and should be reversed, ILGA World and The International Planned Parenthood Federation (IPPF) said today. Despite having worked to protect the human rights of people of diverse sexual orientations, gender identities and expressions for more than twenty years, Sexual Minorities Uganda has repeatedly been denied legal recognition: first in 2012 and then in 2018, when the High Court upheld the initial decision by the Uganda Registration Services Bureau. Six years later, in March 2024, the Court of Appeal shut down SMUG’s hope to register and be recognised as an independent legal entity under the law. “For civil society organisations working on sexual, gender and bodily diversity issues, registration allows them to serve more effectively those parts of societies that States fail to protect,” said ILGA World and IPPF. “Without this opportunity, they cannot conduct their activities formally or receive funding for their work. Ultimately, this decision restricts freedom of association and further pushes those who are already targeted by discriminatory laws to the margins of society.” “The Constitution of Uganda,” continue ILGA World and IPPF, “claims that ‘The State shall be based on democratic principles which empower and encourage the active participation of all citizens at all levels in their own governance.’ Ultimately, the extremely disappointing decision to reject SMUG’s registration goes in the entirely opposite direction. We are in solidarity with the organisation and join them in calling out this missed opportunity to protect better the rights of some of the most vulnerable populations in Ugandan society.” In Uganda, registration is banned for those organisations with goals that allegedly are “in contravention of the laws”. In January 2023, a report by the NGO Bureau detailed how the agency investigated and acted upon several organisations for promoting the rights of LGBTI people and recommended authorities take stricter measures against NGOs that "promote LGBTIQ activities" — including stepping up the criminalisation of activism. A few months later, the Anti-Homosexuality Act was signed into law, further cracking down also on organisations found guilty of “promoting homosexuality”. These actions against LGBTI human rights NGOs are part of a larger crackdown on Ugandan civil society. In November 2019, the Ugandan government shut down more than 12,000 organisations. Such actions have since continued, with as many as 54 organisations suspended in a single day in August 2021. “Across the world, State and non-state actors are mobilising voter bases by attacking our identities and freedoms: we see the same tactics at play here, too,” ILGA World and IPPF conclude. “At this critical time, politicians need to focus on the things that matter – a stable economy and vibrant communities — rather than attacking those who work to support vulnerable parts of societies. LGBTI people and cisgender heterosexual women and girls are marginalised and excluded by policies, legislation and narratives that strip away reproductive rights and criminalise sexuality and gender. But our communities stand united to defend and secure democratic and economic rights for all.” Notes to editors: ILGA World is a global federation of more than 2,000 organisations from 170 countries and territories, advocating for the human rights of people of diverse sexual orientations, gender identities and expressions, and sex characteristics worldwide. https://ilga.org The International Planned Parenthood Federation (IPPF) is a global healthcare provider and a leading advocate of sexual and reproductive health and rights for all. Led by a courageous and determined group of women, IPPF was founded in 1952, and today, it is a movement of 150 member associations and collaborative partners with a presence in over 146 countries. https://www.ippf.org/ Contacts for media enquiries: ILGA World: Daniele Paletta, communications manager, [email protected] IPPF: Alice Ackermann, communications adviser, [email protected]
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IPPF Africa Condemns Uganda's Anti-Homosexuality Act as a Violation of Human Rights and Sexual and Reproductive Rights
The International Planned Parenthood Federation Africa Region (IPPFAR) is appalled and deeply disturbed by the recent enactment of the anti-homosexuality act 2023 by President Museveni of Uganda. This regressive law represents a grave violation of human rights and sexual and reproductive rights, affecting not only the LGBTIQ+ community but all Ugandans. The draconian and abhorrent provisions of this law criminalize same-sex relationships and any promotion of homosexuality, subjecting individuals to severe penalties, including life imprisonment. Its implementation will have dire consequences, fostering a climate of homophobia, hatred, and hate crimes. The law instills fear not only among those directly targeted and their families but also among health workers providing essential Sexual and Reproductive Health (SRH) services in Uganda. IPPFAR is extremely concerned that this law blatantly violates numerous human rights, including the right to bodily autonomy. The right to life and dignity, freedom of expression and association, protection from discrimination, the right to a fair trial, protection against arbitrary arrest, and access to health services are all undermined, compromising the full realization of sexual and reproductive health and rights. "The IPPF Africa region vehemently condemns the anti-homosexuality act 2023, which targets the LGBTIQ+ community and their allies in Uganda. This law marks a sorrowful day for Uganda and its people," stated Marie-Evelyne Petrus-Barry, IPPF Africa Regional Director. "Targeting a community based solely on their shared characteristics is extremely dangerous and an undeniable violation of human rights. Instead, we should strive to empower all members of our society to be positive contributors, rather than driving them into hiding and marginalization," Petrus-Barry added. Since March 2023, IPPF has witnessed a surge in physical attacks against the LGBTIQ+ community, threats to the safety of civil society organizations, and an alarming increase in hate speech targeting LGBTIQ+ individuals and their allies. The anti-homosexuality act 2023 is discriminatory and flagrantly violates the fundamental freedoms enshrined in the Uganda constitution. By isolating itself from the international community, Uganda risks alienating potential collaborators and donors. Already, the U.S. Government has expressed intentions to suspend development funding to Uganda, including through the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund and UNAIDs, potentially jeopardizing the progress in the fight against the HIV pandemic in Uganda. As the foremost provider of sexual and reproductive health (SRH) services in Africa, IPPFAR is immensely concerned that this law will deter individuals from seeking vital SRH services due to fear of being targeted. This will inevitably hinder access to life-saving services, including HIV/AIDS testing and treatment, provision of antiretroviral therapy, contraceptive services, and accurate SRH information. Moreover, the law obstructs healthcare professionals from fulfilling their duties and providing high-quality care in a safe and confidential environment. IPPFAR joins the chorus of condemnation against this harmful and regressive law. The safety, health, and dignity of all Ugandans must remain paramount. IPPF stands resolutely with the LGBTIQ+ community and their allies in Uganda and worldwide during this challenging time. For media enquiries, please contact [email protected] About the International Planned Parenthood Federation The International Planned Parenthood Federation (IPPF) is a global service provider and advocate of sexual and reproductive health and rights for all. For 70 years, IPPF, through its 118 Member Associations and seven partners, has delivered high-quality sexual and reproductive healthcare and helped advance sexual rights, especially for people with intersectional and diverse needs that are currently unmet. Our Member Associations and partners are independent organizations that are locally owned, which means the support and care they provide is informed by local expertise and context. We advocate for a world where people have the information they need to make informed decisions about their sexual health and bodies. We stand up and fight for sexual and reproductive rights and against those who seek to deny people their human right to bodily autonomy and freedom. We deliver care that is rooted in rights, respect, and dignity - no matter what.
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IPPF Africa Region urges Ugandan government not to enact harmful anti – LGBTIQ+ law
Nairobi, Kenya: On 21st March 2023 the Ugandan parliament approved a law which, if enacted, would criminalise people for identifying as a member of the LGBTIQ+ community. The proposed law has been through two readings in parliament and is awaiting a third before it is put forward to the President for Assent. If passed, it will be a gross violation of and undermine the human rights and safety of people identifying as LGBTIQ+ in Uganda. IPPF Africa Region is strongly concerned about the numerous ways in which the passing of this law will violate international human rights including the right to life and dignity, freedom of expression and association, protection from discrimination, and will compromise the full and complete attainment of sexual and reproductive health and rights. Additionally, IPPF is extremely concerned about the dangerous message the law sends. In addition to criminalising consent, it encourages hatred, may escalate violence and gender-based violence targeting persons from LGBTIQ+ communities, popular justice, hinders the right to a fair trial, makes it easier to target minority groups, and harder for them to access justice and redress for hate crimes. At a time when countries around the world and in Africa are decriminalising same sex relationships, this law, if passed, will be a serious step backwards for Uganda. Marie-Evelyne Petrus-Barry, IPPF’s Africa Regional Director, said: "IPPF works to ensure the sexual and reproductive health and rights of all people regardless of their sexual orientation, gender identity and/or expression, and sex characteristics (SOGIESC) – including lesbian, gay, bisexual, trans, and intersex people – and ensure they have access to the full set of human rights enshrined in international human rights laws” “IPPF is willing to work with the Ugandan Government and other stakeholders to ensure that all Ugandan people can access their sexual and reproductive rights without fear, discrimination, or restraint", added Petrus-Barry. IPPF strongly urges the President of Uganda to not sign off on this discriminatory law, uphold and safeguard the Universal Declaration and African Charter on Human Rights, and treat all Ugandans equally. IPPF stands with the LGBTIQ+ community in Uganda and globally at this difficult time. For further information or to request an interview, please contact: Mahmoud Garga, Lead Specialist - Strategic Communication, Media Relations and Digital Campaigning, IPPF Africa Regional Office (IPPFARO) – email: [email protected] / Tel: +254 704 626 920 ABOUT IPPF AFRICA REGION (IPPFAR) The International Planned Parenthood Federation Africa Region (IPPFAR) is one of the leading sexual and reproductive health (SRH) service delivery organization in Africa, and a leading sexual and reproductive health and rights (SRHR) advocacy voice in the region. Headquartered in Nairobi, Kenya, the overarching goal of IPPFAR is to increase access to SRHR services to the most vulnerable youth, men and women in sub-Saharan Africa. Supported by thousands of volunteers, IPPFAR tackles the continent’s growing SRHR challenges through a network of Member Associations (MAs) in 40 countries. We do this by developing our MAs into efficient entities with the capacity to deliver and sustain high quality, youth focused and gender sensitive services. We work with Governments, the African Union, Regional Economic Commissions, the Pan-African Parliament, United Nations bodies among others to expand political and financial commitments to sexual and reproductive health and rights in Africa. Learn more about us on our website. Follow us on Facebook, Twitter, Instagram and You Tube.
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Together we decide: An interactive game that promotes gender equality!
In a bustling meeting room in Lira, Northern Uganda, a group of cultural leaders from the Lango kingdoms are engaged in a lively discussion. The topic at hand is sexual and reproductive health, the advancement of women and girls, and the health of their families. Reproductive Health Uganda (RHU), the International Planned Parenthood Federation member association, has organised and is facilitating the sessions through their team and community health workers. The situation of Women and Girls in Northern Uganda In Northern Uganda, the Lango and Acholi kingdoms are the strongholds of the Lango and Acholi communities. The kingdoms have a rich cultural heritage observing ancient local traditions, practices, and social norms, however some of these norms are restrictive for women’s development and equality such as wife inheritance, child marriage, discouraged education of girls, dangerous traditional termination of pregnancy and harmful practices that halt female development is still the order of the day. Uganda has a high unmet need for family planning, with high teenage pregnancy rates, a Maternal Mortality Rate (MMR) of 336 and the unmet need for family planning stands at 31.1 and yet many view comprehensive sexuality education as the promotion of early sexual debut and the promotion of promiscuity. As is the case in many cultures, harmful social norms and practices form the basis of gender inequality. The WISH2ACTION programme is implemented in Uganda by RHU and is working towards accelerating gender equality in sexual and reproductive health (SRH), by addressing the root cause. To achieve this goal, the programme has recognised the crucial role that men play in shaping the lives of women and girls in Northern Uganda. WISH2ACTION is working to form a pool of men peer cultural mobilisers to act as SRHR champions in these communities. They have engaged cultural leaders in educative dialogue sessions. An Innovative Approach To demystify myths and misconceptions around family planning, WISH2ACTION has collaborated with Intrahealth Uganda to introduce an innovative game called Together We Decide. This interactive tool provides men with sexual and reproductive information and advocates for gender equality by demonstrating how men should have health discussions with their partners and how to keep their families healthy. As the cultural leaders play the game, they are prompted to think about the realities of having children, the economics of child-rearing, and the importance of contraceptive use, birth spacing, subsequent pregnancies, and the health of their children. The game is played with a board, tokens, dice, and cards. The leaders are divided into households and instructed to build families and wealth as through their moves in the game. As the cultural leaders play the game, they are prompted through the cards to think of the realities of having children, the economics, the importance of contraceptive use, healthy birth spacing, subsequent pregnancies and the overall health of their children. At various stages of the game, the facilitators play video on the audio cards to reinforce the information shared and the importance of sexual and reproductive health. As the game ends, the leaders tally up the wealth per child, discuss what they have learned and ask questions. They are encouraged to share the information with their partners and bring them to clinics or outreaches to receive the information first-hand. A multiple-pronged approach The results of the approach have been promising so far. To date, 24 clan leaders, including the ministers of health from these kingdoms, have been trained in conducting community-based dialogues. In addition, the programme has engaged and empowered women and girls in these communities through small group dialogues, market events, and listening sessions, utilising front-line workers who resonate with them such as community health volunteers, peer educators and satisfied clients. The community engagement is geared to creating awareness of SRHR, understanding their barriers, and linking them to service delivery points where they can access affordable services. As we celebrate International Women’s Day and the progress of women and girls everywhere, we acknowledge that there is much more work that needs to be done to achieve gender equality for all. Taking an inclusive and innovative approach brings all stakeholders to the table and empowers men and women alike to fight for gender equality. With the engagement of all stakeholders, we stand a better chance at empowering the women and girls of Northern Uganda. The Foreign, Commonwealth and Development Office (FCDO) funded WISH2ACTION programme seeks to scale up integrated sexual and reproductive services to the most hard-to-reach populations including the youth under 20, people living in poverty, persons with disabilities and those in humanitarian crisis. The programme aims to empower women and girls to make their own choices on shaping their family from how many children to have, to when they would like to have them.
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Ugandan LGBTQI+ organization banned by government
On 3 August 2022, the Ugandan National Bureau for Non-Governmental Organizations unfairly halted the activities of Sexual Minorities Uganda (SMUG) – a prominent lesbian, gay, bisexual, transgender, and queer (LGBTQI+) rights organization – for failing to meet the bureau's registration requirements. SMUG has provided sexuality education and advocated for LGBTQI+ healthcare since 2004 and is well-known for providing services and guidance to the LGBTQI+ community in Uganda. The organization also contributes to Uganda's health goals, including the country's HIV/AIDS strategy, which includes the provision of healthcare to vulnerable and marginalized populations. Although SMUG applied to the Uganda Registration Services Bureau (URSB) in 2012, the URSB declined the organization's request on the grounds that SMUG was "operating illegally", a position the organization petitioned with no positive response. In a clear case of harassment and restrictions against Ugandan rights groups working on LGBTQI+ rights, the URSB further asserted that registering SMUG's name would be difficult, calling it "undesirable and un-registrable". In response to the ban the Africa Regional Director for the International Planned Parenthood Federation (IPPF) urged the Ugandan government to review its decision to suspend SMUG and to work towards accommodating the organization's mandate of advancing the rights of the LGBTQI+ community in Uganda. Marie-Evelynne-Petrus-Barry said: "As a global human rights organization and the world's largest sexual and reproductive healthcare provider, the International Planned Parenthood Federation upholds the rights of all people, regardless of their sexual orientation. "The Ugandan government's ban of SMUG has created huge anxiety among health service providers, human rights defenders, and members of the LGBTQI+ community, who risk their lives daily so that LGBTQI+ people can access healthcare and information just as any other person would. "We ask the Ugandan government to urgently reconsider its decision to suspend SMUG and to put an end to laws and policies that criminalize, target and endanger members of the LGBTQI+ community and the organizations that advocate for their rights." Petrus-Barry added: "IPPF works to ensure that people with diverse sexual orientation, gender identity and/or expression, and sex characteristics (SOGIESC) – including lesbian, gay, bisexual, trans, and intersex people have access to the full set of human rights enshrined in international human rights laws. IPPF is willing to work with the Ugandan government and other stakeholders to ensure that all Ugandan people can access these rights without restraint." For media enquiries, please contact Mahmoud Garga, Lead Specialist – Strategic Communication, Media Relations and Digital Campaigning, IPPF Africa Regional Office (IPPFARO) on [email protected] or +254 704 626 920 ABOUT IPPF AFRICA REGION (IPPFAR) The International Planned Parenthood Federation Africa Region (IPPFAR) is one of the leading sexual and reproductive health (SRH) service delivery organizations in Africa and a leading sexual and reproductive health and rights (SRHR) advocacy voice in the region. Headquartered in Nairobi, Kenya, the overarching goal of IPPFAR is to increase access to SRHR services to the most vulnerable youth, men and women, in sub-Saharan Africa. Supported by thousands of volunteers, IPPFAR tackles the continent's growing SRHR challenges through a network of Member Associations (MAs) in 40 countries. We do this by developing our MAs into efficient entities with the capacity to deliver and sustain high-quality, youth-focused and gender-sensitive services. We work with Governments, the African Union, Regional Economic Commissions, the Pan-African Parliament, and United Nations bodies, among others, to expand political and financial commitments to sexual and reproductive health and rights in Africa. Learn more about the IPPF Africa Region on their website or follow them on Facebook, Twitter, Instagram and YouTube.
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In pictures: The changemaker keeping her community healthy and happy
The Get Up, Speak Out! initiative works with and for young people to overcome barriers such as unequal gender norms, negative attitudes towards sexuality, taboos about sex, menstruation, and abortion. Empowering youth communities - especially girls and young women - with information and knowledge about sexual and reproductive health, and the provision of access to health and contraceptive care, is at the heart of the initiative. Get Up, Speak Out! is an international initiative developed by a consortium of partners including IPPF, Rutgers, CHOICE for Youth & Sexuality, Dance4Life, Simavi, and Aidsfonds, with support from the Dutch Ministry of Foreign Affairs.
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Meet Olgah: the sexual health activist challenging gender norms in Uganda
Olgah Daphynne Namukuza, a 25-year-old Ugandan Executive Committee member, has never let traditional gender roles hold her back. “When I was younger I was very argumentative”, she says. “I used to take part in a lot of debates, I used to participate in school competitions for delivering speeches. I wanted to be a lawyer.” Now Olgah is channeling those same skills into advocating for sexual health and reproductive rights for young people in Uganda. Currently the youth country coordinator for the Sexual Reproductive Health and Rights Alliance in Uganda, she was elected as the IPPF regional representative for the Youth Action Movement in 2016, and has volunteered at Reproductive Health Uganda, a non-governmental organization (NGO) since she was a student. Challenging gender roles from a young age Brought up primarily by her mother in a middle-class family in Kampala, she says her mother tried to raise Olgah and her two brothers and two sisters outside of traditional gender roles, asking each to take their turn to cook and do other households chores. But soon, she says, tradition took over. “The more we grew up, it wasn't up to her [Olgah’s mother] anymore, because she would tell the boys to cook and they would just not do it”, she says. “They'd be like, "Why should I cook? There's girls in the family"." In school, traditional gender roles were reinforced, especially when it came to sex education. “It was a fear-based message”, she says. “Many of the talks were centered around: you need to abstain in order to not get pregnant and not get HIV, so that you can be successful in life.” Olgah says shame and fear were the main tools used by teachers and matrons, but she is thankful for her mother and aunts who taught her to speak openly about sexuality and pregnancy. Stigma & society Living in a country where one in four girls give birth before the age of 19, Olgah saw the repercussions of teenage pregnancy early in life, when two of her classmates dropped out aged fifteen because they were pregnant. Aside from the potential health complications, teenage mothers in Uganda face huge social stigma, and often struggle financially, falling into a poverty trap from which it’s almost impossible to escape. “It was very difficult for them. People in school were scared to talk to them”, says Olgah. “They seemed like they were these people who had some disease…They were rejected by their families, they were rejected in school...they had literally no support.” Volunteering at Reproductive Health Uganda While working towards her degree in Development Studies in Makerere University, Olgah was introduced by a friend to Reproductive Health Uganda, IPPF's Member Association in Uganda. After completing an internship during her university course, she continued to volunteer there after she graduated. “During my internship, I saw that there were a lot of young people who are employed, a lot of young people who were in positions of power, who were making decisions on behalf of the organisation”. She says this innovative approach was inspiring. “One thing became clear: that it's not about how old you are, it's about what you can do and how you can do it.” Olgah is determined that young people need to lead the way on sexual health and reproductive rights. “The current reality is, young people are very dynamic and the times we are dealing with are very dynamic. You need to involve young people because they understand those issues more. We're at a crossroads between breaking that generational hold of traditionalism and conservativeness and embracing the new reality of the influence of technology.” Throughout her career, Olgah has been using technology to help young people in Uganda access the information they need to empower them. As a volunteer and ICT coordinator with Reproductive Health Uganda, she worked with the organisation on a project which used ICT to improve access and utilization of SRHR information and services. Investing in youth She now helps run several programmes, including a club for teenage mothers which offers them a small investment and financial advice, to help them to start their own businesses and escape poverty, and the Get Up Speak Out programme, which aims to change the conversation around sexuality and education, and create a more open dialogue between young people and parents, teachers and service providers. The programme trains school staff in sex education, and uses music, dance, drama and lively debates to explore love and sex in an open atmosphere, free of the fear and mistrust she experienced in her own school days. And it’s not just women who benefit. Olgah runs programmes for men and boys to access contraception, and says it’s crucial for both partners to be comfortable discussing and using them. She is determined that men have to be a part of the change. “It is very important to bring them on board, to help them understand the issues”, she says. ”And to help them know that sharing power is not so bad after all - it will actually have greater results for them”.
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Celebrating passion and commitment this International Women’s Day
International Women's Day (8 March) is a time to celebrate the incredible achievements of fearless women around the world. Today (and every day) we’re honored to highlight the passion and continued commitment of doctors, nurses, peer educators, activists and volunteers who dedicate their efforts to advancing sexual and reproductive health and rights globally. These are just a few of them: Chathurika Jayalath, youth volunteer, Sri Lanka In May 2017, flash flooding in Sri Lanka triggered landslides resulting in many people losing their homes and forcing them to seek emergency shelter. 24-year-old student Chathurika, a youth volunteer for IPPF’s Member Association the Family Planning Association of Sri Lanka (FPASL), took part in the response. She helped in organizing the health camps, and she even runs a youth club at her university to inform her peers about sexual health. Find out more about Chathurika inspiring community contributions Emma Watson, actor & activist, UK For almost as long as she’s been in the spotlight, actor Emma Watson has been well known for her feminist activism. Over the years she has lent her support to many vital issues including ending child marriage, violence against women and female genital mutilation, as well as fighting for abortion care and LGBTQI rights. She’s also a partner to IPPF! Keep up with Emma’s important work by following her on Twitter now Vicky Acora, volunteer, Uganda Vicky is a married mother-of-two. She faces all the usual challenges that women face when it comes to getting sexual and reproductive health services - but Vicky’s life is complicated further because she is deaf. In the past, she would have trouble communicating with health staff who did not understand her needs, but since seeking services at Reproductive Health Uganda’s clinic in Gulu (a Member Association of IPPF), she has been able to get the healthcare she needs. She has since then even been advising other deaf people to seek services with the clinic. Read more about Vicky’s experience Dr Leana Wen, president of PPFA, USA IPPF was thrilled when Dr Leana Wen was appointed as President of Planned Parenthood Federation of America last year. She is a dynamic public health leader, a practising physician and not least, a formidable woman. Since she started her demanding role, she has helped Planned Parenthood continue to provide high-quality care to the people who need it across the United States, and she is a powerful voice in our fight to ensure that women have the ability to make their own healthcare decisions. We look forward to seeing what she will achieve next. If you do too, then follow Dr Wen on Twitter Abla Abassa, health worker, Togo Abla is a community health worker. She spends her days cycling around her home village’s dusty streets in rural Togo visiting households who have signed up to an innovative programme that provides contraception in hard-to-reach places. She might visit as many as five households in one day, where she’ll discuss and provide family options including the Pill, condoms and injection, with people who might otherwise not know what their choices are. Find out more about what her vital job entails
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“A radio announcement saved my life” – Gertrude’s story
Gertrude Mugala is a teacher in Fort Portal, a town in Western Uganda. While Gertrude considered herself fairly knowledgeable about cancer, she had never considered taking a screening test or imagined herself ever having the disease. Then one day, she heard an announcement on the radio urging women to go for cervical cancer screenings at a Reproductive Health Uganda (RHU) clinic. “The radio presenter was talking about cervical cancer, and in her message she encouraged all women to get screened. I decided to go and try it out,” she said. Gertrude made her way to RHU's Fort Portal Branch clinic for the free cervical cancer screening. There, she met Ms. Irene Kugonza, an RHU service provider. Ms. Kugonza educated Gertrude and a group of other women about cervical cancer and the importance of routine screening. Gertrude received a type of cervical cancer screening called VIA (visual inspection with acetic acid). "I did not know what was happening" But Gertrude's results were not what she expected; she received a positive result. The good news, however, is that precancerous lesions can be treated if detected early. “I was so shaken when I was told I had pre-cancerous lesions. I did not know what was happening and I didn't believe what I was hearing. I had no idea of my health status. I thought I was healthy, but I was actually harbouring a potential killer disease in me. What would have happened if I didn't go for the screening? If I hadn't heard the radio announcement?” Gertrude was then referred for cryotherapy. “Following cryotherapy, I am now in the process of healing, and I am supposed to go back for review after three months,” said Gertrude. Community screenings Today, Gertrude advocates for cervical cancer screening in her community. She talks to women about cancer, especially cervical cancer, at her workplace, at the market, in meetings, and any other opportunity she gets. “I decided to let women know that cervical cancer is real and it is here with us, and that it kills. At the moment, those are the platforms I have, and I will continue educating women about cancer and encourage them to go for routine testing. I am also happy that I was near my radio that day, where I heard that announcement encouraging all women to get tested for cervical cancer. It might be because of that radio announcement that I am here today,” she said.
Integration of DMPA‑SC into the method mix contributes to increased uptake of all methods of family planning
Injectable contraceptives are an increasingly popular method of family planning. They are safe, discrete, highly effective, and generally last for several months. Sayana® Press, also known as subcutaneous depot medroxyprogesterone (DMPA‑SC), is a lower‑dose formula version of the already popular injectable Depo‑Provera. DMPA‑SC combines the drug and needle in a single‑use unit, which makes it easy to transport and simple to use with little training. DMPA‑SC can be administered by community health workers (CHWs) and women themselves – potentially making injectable contraceptives available to women who can’t easily travel to clinics.