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.

The Association Burundaise pour le Bien-Etre Familial's (ABUBEF) provides vital integrated services to local communities, including contraception, prevention and treatment of HIV, youth-friendly counselling and education, pre-marital counselling, and antenatal and post-natal care. ABUBEF has 18 service points, including static and mobile clinics, and community-based services. An estimated 80% of its clients are poor, marginalized, socially excluded and/or under-served. ABUBEF supports young people living with HIV, internally displaced persons, sex workers, drug users and street children.   The continuation of many of these vital health services are under threat following the reintroduction of the Global Gag Rule by the US Administration. The Global Gag Rule, or Mexico City Policy as it is formally known, stops US aid to all health programmes run by organisations who perform or counsel on abortion.  ABUBEF says: “Almost all contraceptives, HIV reagents, STI drugs, antiretroviral and consumables for HIV management are procured through UNFPA, USAID and US-financed government programmes, which will be affected by the Global Gag Rule.” 

Safe abortion is heavily restricted in Uganda, yet gender inequality and sexual violence are widespread. Hosted by IPPF, the Safe Abortion Action Fund is helping vulnerable women to turn their lives around. People are learning about safe abortion and fewer girls are dying. Community attitudes have been transformed and social stigma has started to give way to human rights and understanding. Read the success stories and meet the people behind the scenes

Many sex workers in Uganda end up having unwanted pregnancies often resorting to unsafe abortions. There are many myths and misconceptions about contraception as well as a lack of access. This issue was one of the reasons why Lady Mermaid's Bureau (LMB), a sex workers rights organisation from Kampala, decided to apply for a grant from the Safe Abortion Action Fund (SAAF) in 2013.  Founded in 2002 by a group of former sex workers, the Lady Mermaid's Bureau, the first organization of its kind in the region, works to prevent and reduce unsafe abortions amongst sex workers in Uganda and campaigns to decriminalize abortion and sex work.  The Safe Abortion Action Fund (SAAF) which is hosted by IPPF was set up in 2006 in order to support grass-roots organisations to increase access to safe abortion.  Photography © IPPF/Tommy Trenchard

Uganda has one of the highest fertility rates in the world, and as a result, it also has one of the most youthful populations - more than half of Ugandans are under the age of 15. Approximately, 755,000 unintended pregnancies occur annually out of which 297,000 result in unsafe abortions. We are working hard on the ground to tackle these issues. Our Member takes the approach of offering people as many services as possible to get all health needs met in the same place. See a day in the life of the staff and clients of Gulu clinic, Uganda.