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Spotlight

A selection of stories from across the Federation

2024 trends
Story

What does the year 2024 hold for us?

As the new year begins, we take a look at the trends and challenges ahead for sexual and reproductive health and rights.
Assinah, peer educator., Uganda
story

| 05 January 2022

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.

Assinah, peer educator., Uganda
story

| 28 March 2024

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.

Youth volunteers
story

| 10 October 2018

In pictures: The Benin community working together to tackle abortion stigma

Geneviève Head of Youth and Stigma project and fundraising at the Association Beninoise pour la promotion de la famille (ABPF) Since joining ABPF in 1995, Geneviève has worked closely with community leaders to reduce stigma around abortion. Talking about the importance of young women having choice and access to abortion care, Geneviève says, “the law only applies in three circumstances, meanwhile everyday people need to access these services. Reproductive rights do exist, but that is something many people choose to ignore.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Hélène ABPF youth champion with the Young People’s Action Movement  27-year-old Hélène acts as a link between young people’s activities and the ABPF board. She has advocated for abortion rights at conferences locally and internationally.  “In my school there were a fair number of pregnant girls so I was already looking for a way to help. Every week I went to different classes to educate them about abortion and stigma. When my mother found out, she told me this was a movement of depravity! But after a while my mum became a member of the association and came with me, and even my dad. Now they say they are proud of what I’ve achieved.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Simon Gnansounou Community leader In the small town of Cocotomey-La Paix, Simon works closely with ABPF supporting their work to reduce abortion stigma within local communities. “It’s a project for social development, and I am all for that. It’s going to limit harm done to these girls. Parents don’t talk about this with their children. It’s taboo. This project helps us negotiate this difficult parent-child question. There is no development without health, and the politics of health are very complex.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Kader Youth champion 26-year-old Kader says his first youth meeting at ABPF was a positive experience. “They told me that there was a jam session at the event. What I liked is that it was run by young people. Everything that I know about reproductive health I learnt at the centre. A lot of young women I know got pregnant very early. I know people who have died because of unsafe abortion. We can avoid so much of it if people have the right information.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Souliya Mevo Tairou Midwife “Stigmatization complicates our work. Fourteen and 15-year olds come here without their parents and it’s hard to work with them. The girls are so scared that they can’t really explain what’s happening to them. They come here after going to the traditional healers when that hasn’t worked and they are bleeding or have an infection. Here, with the Youth and Abortion Stigma Project, we have awareness sessions. The young people and those supervising give out their numbers and tell them to call if they have a problem.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Amour University student “Her friends told her to take laxatives and other products, to put things in her vagina, to wash with hot water, to move about a lot.” 21-year-old Amour talks about a friend who confided in him when she discovered she was pregnant. “When we talk about abortion in Benin, it’s something people don’t want to hear about. It’s not well seen. Talking about sex is a problem. It’s still taboo. Thanks to the Youth and Abortion Stigma Project, I had benefited from training on how to talk to girls if they came to ask about abortion.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Flore Literature teacher Flore says some of her students go to her for support and advice: “They are quite shy because at home the subject of sex is always taboo. They are reticent; they think it’s a shame. We will only correct this problem over time. There is chatting and whispering in class ‘you know what she did?’ Can’t we support these children instead of stigmatizing them?” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Ida University student 19-year-old Ida attended a workshop on abortion and stigma for teachers and students at the Fiyegnon collège d’enseignement général. “It really helped. If we take our own decisions we will make it to the end, we will get what is right for us.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email

Youth volunteers
story

| 28 March 2024

In pictures: The Benin community working together to tackle abortion stigma

Geneviève Head of Youth and Stigma project and fundraising at the Association Beninoise pour la promotion de la famille (ABPF) Since joining ABPF in 1995, Geneviève has worked closely with community leaders to reduce stigma around abortion. Talking about the importance of young women having choice and access to abortion care, Geneviève says, “the law only applies in three circumstances, meanwhile everyday people need to access these services. Reproductive rights do exist, but that is something many people choose to ignore.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Hélène ABPF youth champion with the Young People’s Action Movement  27-year-old Hélène acts as a link between young people’s activities and the ABPF board. She has advocated for abortion rights at conferences locally and internationally.  “In my school there were a fair number of pregnant girls so I was already looking for a way to help. Every week I went to different classes to educate them about abortion and stigma. When my mother found out, she told me this was a movement of depravity! But after a while my mum became a member of the association and came with me, and even my dad. Now they say they are proud of what I’ve achieved.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Simon Gnansounou Community leader In the small town of Cocotomey-La Paix, Simon works closely with ABPF supporting their work to reduce abortion stigma within local communities. “It’s a project for social development, and I am all for that. It’s going to limit harm done to these girls. Parents don’t talk about this with their children. It’s taboo. This project helps us negotiate this difficult parent-child question. There is no development without health, and the politics of health are very complex.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Kader Youth champion 26-year-old Kader says his first youth meeting at ABPF was a positive experience. “They told me that there was a jam session at the event. What I liked is that it was run by young people. Everything that I know about reproductive health I learnt at the centre. A lot of young women I know got pregnant very early. I know people who have died because of unsafe abortion. We can avoid so much of it if people have the right information.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Souliya Mevo Tairou Midwife “Stigmatization complicates our work. Fourteen and 15-year olds come here without their parents and it’s hard to work with them. The girls are so scared that they can’t really explain what’s happening to them. They come here after going to the traditional healers when that hasn’t worked and they are bleeding or have an infection. Here, with the Youth and Abortion Stigma Project, we have awareness sessions. The young people and those supervising give out their numbers and tell them to call if they have a problem.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Amour University student “Her friends told her to take laxatives and other products, to put things in her vagina, to wash with hot water, to move about a lot.” 21-year-old Amour talks about a friend who confided in him when she discovered she was pregnant. “When we talk about abortion in Benin, it’s something people don’t want to hear about. It’s not well seen. Talking about sex is a problem. It’s still taboo. Thanks to the Youth and Abortion Stigma Project, I had benefited from training on how to talk to girls if they came to ask about abortion.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Flore Literature teacher Flore says some of her students go to her for support and advice: “They are quite shy because at home the subject of sex is always taboo. They are reticent; they think it’s a shame. We will only correct this problem over time. There is chatting and whispering in class ‘you know what she did?’ Can’t we support these children instead of stigmatizing them?” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Ida University student 19-year-old Ida attended a workshop on abortion and stigma for teachers and students at the Fiyegnon collège d’enseignement général. “It really helped. If we take our own decisions we will make it to the end, we will get what is right for us.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email

Clinic in Uganda
story

| 22 August 2018

“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.

Clinic in Uganda
story

| 28 March 2024

“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.

Pretty Lynn, a sex worker and beneficiary of the Little Mermaids Bureau project, at the LMB office in Kampala, Uganda.
story

| 21 May 2017

A graduate in need turns to 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. One such organisation which received support under the last round of funding is called Lady Mermaid's Bureau. I am Pretty Lynn, aged 25. I am a sex worker but I went to university. I graduated with a Bachelor's Degree in Tourism in 2013. But now, during the day I’m sleeping and during the night I’m working. That is how my day goes every day. I got into sex work through friends. Okay it is not good but I am earning.  I tried to get a job when I graduated. I have been applying since I graduated in 2013. I’m still applying but I’m not getting anywhere. You know to get jobs in Uganda; you have to know someone there and no one knows me there. To be a sex worker is like a curse. People look at you like, I don’t know, as someone that has no use in society. People look at you in a bad way. They even don’t consider why you are selling. They just see you as the worst thing that can happen in the society. So it is not comfortable, it is really hard but we try and survive. The fact sex working is illegal means you have to hide yourself when you are selling so that police cannot take you. And then you get diseases, men don’t want to pay. When the police come and take us, sometimes they even use us and don’t pay. So it is really hard. They want a free service. Like if they come and take you and pay that would be fair. But they say it is illegal to sell yourself. But they still use you yet they are saying it is illegal. You can’t report the police because there is no evidence.  Abortion and unwanted pregnancies are really common because men don’t want to use condoms and female condoms are really rare and they are expensive. Though at times we get female condoms from Lady Marmaid’s Bureau (LMB) because there are so many of us they can’t keep on giving you them all the time. At times when we get pregnant we use local methods. You can go and use local herbs but it is not safe. One time I used local herbs and I was successful. Then the other time I used Omo washing powder and tea leaves but it was really hard for me. I almost died. I had a friend who died last year from this. But the good thing is that LMB taught us about safe abortion. I have had a safe abortion too. There are some tabs they are called Miso (misoprostol). It costs about fifty thousand shillings (£10 pounds or $20.) It is a lot of money. But if I’m working and I know I’m pregnant, I can say, "this week I’m working for my safe abortion". So if I’m working for twenty thousand, by the end of the week I will have the money. It is expensive compared to Omo at five hundred shillings but that is risky. So if I say I will work this whole week for Miso (misoprostol) it is better. But I'm working and I'm not eating. A project like this one from Lady Mermaid's can help young girls and women. But to take us from sex work, it would really be hard. They would not have enough money to cater for all of us. So what they have to do is to teach us how to protect ourselves, how to defend ourselves. Safe abortion yes. They will just have to sensitise us more about our lives, protection, female condoms and all that. I don't have a boyfriend but maybe when I get money and leave this job I will. But for now, no man would like a woman who sells. No man will bear the wife selling herself. And that will happen only if I get funds, settle somewhere else and become responsible woman. I don’t want this job. I don’t want to be in this business of sex work all the time. I want be married, with my children happily, not selling myself. Stories Read more stories about the amazing success of SAAF in Uganda

Pretty Lynn, a sex worker and beneficiary of the Little Mermaids Bureau project, at the LMB office in Kampala, Uganda.
story

| 28 March 2024

A graduate in need turns to 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. One such organisation which received support under the last round of funding is called Lady Mermaid's Bureau. I am Pretty Lynn, aged 25. I am a sex worker but I went to university. I graduated with a Bachelor's Degree in Tourism in 2013. But now, during the day I’m sleeping and during the night I’m working. That is how my day goes every day. I got into sex work through friends. Okay it is not good but I am earning.  I tried to get a job when I graduated. I have been applying since I graduated in 2013. I’m still applying but I’m not getting anywhere. You know to get jobs in Uganda; you have to know someone there and no one knows me there. To be a sex worker is like a curse. People look at you like, I don’t know, as someone that has no use in society. People look at you in a bad way. They even don’t consider why you are selling. They just see you as the worst thing that can happen in the society. So it is not comfortable, it is really hard but we try and survive. The fact sex working is illegal means you have to hide yourself when you are selling so that police cannot take you. And then you get diseases, men don’t want to pay. When the police come and take us, sometimes they even use us and don’t pay. So it is really hard. They want a free service. Like if they come and take you and pay that would be fair. But they say it is illegal to sell yourself. But they still use you yet they are saying it is illegal. You can’t report the police because there is no evidence.  Abortion and unwanted pregnancies are really common because men don’t want to use condoms and female condoms are really rare and they are expensive. Though at times we get female condoms from Lady Marmaid’s Bureau (LMB) because there are so many of us they can’t keep on giving you them all the time. At times when we get pregnant we use local methods. You can go and use local herbs but it is not safe. One time I used local herbs and I was successful. Then the other time I used Omo washing powder and tea leaves but it was really hard for me. I almost died. I had a friend who died last year from this. But the good thing is that LMB taught us about safe abortion. I have had a safe abortion too. There are some tabs they are called Miso (misoprostol). It costs about fifty thousand shillings (£10 pounds or $20.) It is a lot of money. But if I’m working and I know I’m pregnant, I can say, "this week I’m working for my safe abortion". So if I’m working for twenty thousand, by the end of the week I will have the money. It is expensive compared to Omo at five hundred shillings but that is risky. So if I say I will work this whole week for Miso (misoprostol) it is better. But I'm working and I'm not eating. A project like this one from Lady Mermaid's can help young girls and women. But to take us from sex work, it would really be hard. They would not have enough money to cater for all of us. So what they have to do is to teach us how to protect ourselves, how to defend ourselves. Safe abortion yes. They will just have to sensitise us more about our lives, protection, female condoms and all that. I don't have a boyfriend but maybe when I get money and leave this job I will. But for now, no man would like a woman who sells. No man will bear the wife selling herself. And that will happen only if I get funds, settle somewhere else and become responsible woman. I don’t want this job. I don’t want to be in this business of sex work all the time. I want be married, with my children happily, not selling myself. Stories Read more stories about the amazing success of SAAF in Uganda

Milly, a teacher and VODA community volunteer, wears a t-shirt advocating for safe abortions in Kasawo, Uganda.
story

| 20 May 2017

Working to stop unsafe abortion for school girls

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. One such organisation which received support under the last round of funding is called Volunteers for Development Association Uganda (VODA). Unsafe abortion is a huge problem in Uganda with an estimated 400,000 women having an unsafe abortion per year. The law is confusing and unclear, with abortion permitted only under certain circumstances. Post-abortion care is permitted to treat women who have undergone an unsafe abortion, however lack of awareness of the law and stigma surrounding abortion mean that service providers are not always willing to treat patients who arrive seeking care. The VODA project aims to ensure that young women in Uganda are able to lead healthier lives free from unsafe abortion related deaths or complications through reducing abortion stigma in the community, increasing access to abortion-related services and ensuring the providers are trained to provide quality post-abortion care services. I am Helen. I have been a midwife at this small clinic for seven years and I have worked with VODA for four years. Unsafe abortion continues and some schoolgirls are raped. They then go to local herbalists and some of them tell me that they are given emilandira [roots] which they insert inside themselves to rupture the membranes. Some of them even try to induce an abortion by using Omo [douching with detergent or bleach]. At the end of the day they get complications then they land here, so we help them. Unsafe abortion is very common. In one month you can get more than five cases. It is a big problem. We help them, they need to go back to school, and we counsel them. If it is less than 12 weeks, we handle them from here. If they are more than 12 weeks along we refer them to the hospital. Most referrals from VODA are related to unwanted pregnancies, HIV testing, family planning, and youth friendly services. A few parents come for services for their children who are at school. So we counsel them that contraception, other than condoms, will only prevent pregnancy, but you can still get HIV and STIs, so take care. I am Josephine and I work as a midwife at a rural health centre. I deal with pregnant mothers, postnatal mothers, and there are girls who come with problems like unwanted pregnancy. I used to have a negative attitude towards abortion. But then VODA helped us understand the importance of helping someone with the problem because many people were dying in the villages because of unsafe abortion. According to my religion, helping someone to have an abortion was not allowed. But again when you look into it, it’s not good to leave someone to die. So I decided to change my attitude to help people. Post-abortion care has helped many people because these days we don’t have many people in the villages dying because of unsafe abortion. These days I’m proud of what we are doing because before I didn’t know the importance of helping someone with a problem. But these days, since people no longer die, people no longer get problems and I’m proud and happy because we help so many people.   My name is Jonathan. I am married with three children. I have a Bachelor of Social Work and Social Administration. I have worked with VODA as a project officer since 2008. Due to the training that we have done about abortion many people have changed their attitudes and we have helped people to talk about the issue. Most people were against abortion before but they are now realising that if it’s done safely it is important because otherwise many people die from unsafe abortion. I have talked to religious leaders, I have talked to local leaders; I have talked to people of different categories. At first when you approach them, they have a different perception. The health workers were difficult to work with at first. However they knew people were approaching them with the problems of unsafe abortion. Due to religion, communities can be hard against this issue. But after some time we have seen that they have changed their perception toward the issue of safe and unsafe abortion. And now many of them know that in some instances, abortion is inevitable but it should be done in a safe way.   I’m Stevens and I am nurse. We have some clients who come when they have already attempted an unsafe abortion. You find that it is often inevitable. The only solution you have to help those clients is to provide treatment of incomplete abortion as part of post-abortion care. Because of the VODA project there is a very remarkable change in the community. Now, those people who used to have unsafe abortions locally, know where to go for post-abortion care - unlike in the past. I remember a schoolgirl, she was in a very sorry state because she had tried some local remedies to abort. I attended to her and things went well. She went back to school. I feel so proud because that was a big life rescue. A girl like that could have died but now she is alive and I see her carrying on with her studies, I feel so proud. I praise VODA for that encouragement. This service should be legalised because whether they restrict it or not, there is abortion and it is going on. And if it’s not out in the open, so that our people know where to go for such services, it leads to more deaths. Stories Read more stories about the amazing success of SAAF in Uganda

Milly, a teacher and VODA community volunteer, wears a t-shirt advocating for safe abortions in Kasawo, Uganda.
story

| 28 March 2024

Working to stop unsafe abortion for school girls

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. One such organisation which received support under the last round of funding is called Volunteers for Development Association Uganda (VODA). Unsafe abortion is a huge problem in Uganda with an estimated 400,000 women having an unsafe abortion per year. The law is confusing and unclear, with abortion permitted only under certain circumstances. Post-abortion care is permitted to treat women who have undergone an unsafe abortion, however lack of awareness of the law and stigma surrounding abortion mean that service providers are not always willing to treat patients who arrive seeking care. The VODA project aims to ensure that young women in Uganda are able to lead healthier lives free from unsafe abortion related deaths or complications through reducing abortion stigma in the community, increasing access to abortion-related services and ensuring the providers are trained to provide quality post-abortion care services. I am Helen. I have been a midwife at this small clinic for seven years and I have worked with VODA for four years. Unsafe abortion continues and some schoolgirls are raped. They then go to local herbalists and some of them tell me that they are given emilandira [roots] which they insert inside themselves to rupture the membranes. Some of them even try to induce an abortion by using Omo [douching with detergent or bleach]. At the end of the day they get complications then they land here, so we help them. Unsafe abortion is very common. In one month you can get more than five cases. It is a big problem. We help them, they need to go back to school, and we counsel them. If it is less than 12 weeks, we handle them from here. If they are more than 12 weeks along we refer them to the hospital. Most referrals from VODA are related to unwanted pregnancies, HIV testing, family planning, and youth friendly services. A few parents come for services for their children who are at school. So we counsel them that contraception, other than condoms, will only prevent pregnancy, but you can still get HIV and STIs, so take care. I am Josephine and I work as a midwife at a rural health centre. I deal with pregnant mothers, postnatal mothers, and there are girls who come with problems like unwanted pregnancy. I used to have a negative attitude towards abortion. But then VODA helped us understand the importance of helping someone with the problem because many people were dying in the villages because of unsafe abortion. According to my religion, helping someone to have an abortion was not allowed. But again when you look into it, it’s not good to leave someone to die. So I decided to change my attitude to help people. Post-abortion care has helped many people because these days we don’t have many people in the villages dying because of unsafe abortion. These days I’m proud of what we are doing because before I didn’t know the importance of helping someone with a problem. But these days, since people no longer die, people no longer get problems and I’m proud and happy because we help so many people.   My name is Jonathan. I am married with three children. I have a Bachelor of Social Work and Social Administration. I have worked with VODA as a project officer since 2008. Due to the training that we have done about abortion many people have changed their attitudes and we have helped people to talk about the issue. Most people were against abortion before but they are now realising that if it’s done safely it is important because otherwise many people die from unsafe abortion. I have talked to religious leaders, I have talked to local leaders; I have talked to people of different categories. At first when you approach them, they have a different perception. The health workers were difficult to work with at first. However they knew people were approaching them with the problems of unsafe abortion. Due to religion, communities can be hard against this issue. But after some time we have seen that they have changed their perception toward the issue of safe and unsafe abortion. And now many of them know that in some instances, abortion is inevitable but it should be done in a safe way.   I’m Stevens and I am nurse. We have some clients who come when they have already attempted an unsafe abortion. You find that it is often inevitable. The only solution you have to help those clients is to provide treatment of incomplete abortion as part of post-abortion care. Because of the VODA project there is a very remarkable change in the community. Now, those people who used to have unsafe abortions locally, know where to go for post-abortion care - unlike in the past. I remember a schoolgirl, she was in a very sorry state because she had tried some local remedies to abort. I attended to her and things went well. She went back to school. I feel so proud because that was a big life rescue. A girl like that could have died but now she is alive and I see her carrying on with her studies, I feel so proud. I praise VODA for that encouragement. This service should be legalised because whether they restrict it or not, there is abortion and it is going on. And if it’s not out in the open, so that our people know where to go for such services, it leads to more deaths. Stories Read more stories about the amazing success of SAAF in Uganda

Margaret, who lost her daughter to an unsafe abortion, photographed at her home in Kasawo, Uganda.
story

| 20 May 2017

A mother's heart break after losing teen daughter to unsafe abortion

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. One such organisation which received support under the last round of funding is called Volunteers for Development Association Uganda (VODA). Margaret's daughter, Gladys, was raped by a relative as a teenager and became pregnant. She did not tell her mother what had happened and not wanting to have a child at such a young age conceived through incest, Gladys tried to terminate the pregnancy herself using local herbs but got an infection and died. "My name is Margaret and I am a widow." "I lost my daughter in 2011. She was called Gladys and she was 16. I didn’t know that she was pregnant. She tried to use local herbs to abort. I only found out about it three days later when she was bleeding very heavily. I tried to take her to the hospital but unfortunately she died on the way." Despite being the cause of many deaths in the region, the stigma surrounding abortion means that most people do not mention the cause of death publically. However at Gladys' funeral one of her school friends spoke out and said that she had died due to unsafe abortion. This prompted VODA to start working on the issue and when the project started they included Margaret in their training on how to prevent unsafe abortion. "The training made me stronger to talk about it. Now, I continue to tell my remaining two girls about the dangers of unsafe abortion, sexually transmitted infections and unwanted pregnancies. VODA has really helped us. I think my girl wouldn’t have died if VODA was active then like it is now." "I have used VODA's information to carry on with my parental work. That information has been helpful because we are noticing change. I keep on reminding them, 'didn’t you see what happened to your friend here?'. So they have really changed especially with the ongoing help of the people from VODA." "Unsafe abortion was rampant in the past. We had tried to speak to the students, as parents, but it seemed that our information was not enough. But now we have another helping hand from VODA, especially with those seminars targeting the girls."   Stories Read more stories about the amazing success of SAAF in Uganda

Margaret, who lost her daughter to an unsafe abortion, photographed at her home in Kasawo, Uganda.
story

| 28 March 2024

A mother's heart break after losing teen daughter to unsafe abortion

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. One such organisation which received support under the last round of funding is called Volunteers for Development Association Uganda (VODA). Margaret's daughter, Gladys, was raped by a relative as a teenager and became pregnant. She did not tell her mother what had happened and not wanting to have a child at such a young age conceived through incest, Gladys tried to terminate the pregnancy herself using local herbs but got an infection and died. "My name is Margaret and I am a widow." "I lost my daughter in 2011. She was called Gladys and she was 16. I didn’t know that she was pregnant. She tried to use local herbs to abort. I only found out about it three days later when she was bleeding very heavily. I tried to take her to the hospital but unfortunately she died on the way." Despite being the cause of many deaths in the region, the stigma surrounding abortion means that most people do not mention the cause of death publically. However at Gladys' funeral one of her school friends spoke out and said that she had died due to unsafe abortion. This prompted VODA to start working on the issue and when the project started they included Margaret in their training on how to prevent unsafe abortion. "The training made me stronger to talk about it. Now, I continue to tell my remaining two girls about the dangers of unsafe abortion, sexually transmitted infections and unwanted pregnancies. VODA has really helped us. I think my girl wouldn’t have died if VODA was active then like it is now." "I have used VODA's information to carry on with my parental work. That information has been helpful because we are noticing change. I keep on reminding them, 'didn’t you see what happened to your friend here?'. So they have really changed especially with the ongoing help of the people from VODA." "Unsafe abortion was rampant in the past. We had tried to speak to the students, as parents, but it seemed that our information was not enough. But now we have another helping hand from VODA, especially with those seminars targeting the girls."   Stories Read more stories about the amazing success of SAAF in Uganda

Assinah, peer educator., Uganda
story

| 05 January 2022

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.

Assinah, peer educator., Uganda
story

| 28 March 2024

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.

Youth volunteers
story

| 10 October 2018

In pictures: The Benin community working together to tackle abortion stigma

Geneviève Head of Youth and Stigma project and fundraising at the Association Beninoise pour la promotion de la famille (ABPF) Since joining ABPF in 1995, Geneviève has worked closely with community leaders to reduce stigma around abortion. Talking about the importance of young women having choice and access to abortion care, Geneviève says, “the law only applies in three circumstances, meanwhile everyday people need to access these services. Reproductive rights do exist, but that is something many people choose to ignore.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Hélène ABPF youth champion with the Young People’s Action Movement  27-year-old Hélène acts as a link between young people’s activities and the ABPF board. She has advocated for abortion rights at conferences locally and internationally.  “In my school there were a fair number of pregnant girls so I was already looking for a way to help. Every week I went to different classes to educate them about abortion and stigma. When my mother found out, she told me this was a movement of depravity! But after a while my mum became a member of the association and came with me, and even my dad. Now they say they are proud of what I’ve achieved.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Simon Gnansounou Community leader In the small town of Cocotomey-La Paix, Simon works closely with ABPF supporting their work to reduce abortion stigma within local communities. “It’s a project for social development, and I am all for that. It’s going to limit harm done to these girls. Parents don’t talk about this with their children. It’s taboo. This project helps us negotiate this difficult parent-child question. There is no development without health, and the politics of health are very complex.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Kader Youth champion 26-year-old Kader says his first youth meeting at ABPF was a positive experience. “They told me that there was a jam session at the event. What I liked is that it was run by young people. Everything that I know about reproductive health I learnt at the centre. A lot of young women I know got pregnant very early. I know people who have died because of unsafe abortion. We can avoid so much of it if people have the right information.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Souliya Mevo Tairou Midwife “Stigmatization complicates our work. Fourteen and 15-year olds come here without their parents and it’s hard to work with them. The girls are so scared that they can’t really explain what’s happening to them. They come here after going to the traditional healers when that hasn’t worked and they are bleeding or have an infection. Here, with the Youth and Abortion Stigma Project, we have awareness sessions. The young people and those supervising give out their numbers and tell them to call if they have a problem.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Amour University student “Her friends told her to take laxatives and other products, to put things in her vagina, to wash with hot water, to move about a lot.” 21-year-old Amour talks about a friend who confided in him when she discovered she was pregnant. “When we talk about abortion in Benin, it’s something people don’t want to hear about. It’s not well seen. Talking about sex is a problem. It’s still taboo. Thanks to the Youth and Abortion Stigma Project, I had benefited from training on how to talk to girls if they came to ask about abortion.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Flore Literature teacher Flore says some of her students go to her for support and advice: “They are quite shy because at home the subject of sex is always taboo. They are reticent; they think it’s a shame. We will only correct this problem over time. There is chatting and whispering in class ‘you know what she did?’ Can’t we support these children instead of stigmatizing them?” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Ida University student 19-year-old Ida attended a workshop on abortion and stigma for teachers and students at the Fiyegnon collège d’enseignement général. “It really helped. If we take our own decisions we will make it to the end, we will get what is right for us.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email

Youth volunteers
story

| 28 March 2024

In pictures: The Benin community working together to tackle abortion stigma

Geneviève Head of Youth and Stigma project and fundraising at the Association Beninoise pour la promotion de la famille (ABPF) Since joining ABPF in 1995, Geneviève has worked closely with community leaders to reduce stigma around abortion. Talking about the importance of young women having choice and access to abortion care, Geneviève says, “the law only applies in three circumstances, meanwhile everyday people need to access these services. Reproductive rights do exist, but that is something many people choose to ignore.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Hélène ABPF youth champion with the Young People’s Action Movement  27-year-old Hélène acts as a link between young people’s activities and the ABPF board. She has advocated for abortion rights at conferences locally and internationally.  “In my school there were a fair number of pregnant girls so I was already looking for a way to help. Every week I went to different classes to educate them about abortion and stigma. When my mother found out, she told me this was a movement of depravity! But after a while my mum became a member of the association and came with me, and even my dad. Now they say they are proud of what I’ve achieved.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Simon Gnansounou Community leader In the small town of Cocotomey-La Paix, Simon works closely with ABPF supporting their work to reduce abortion stigma within local communities. “It’s a project for social development, and I am all for that. It’s going to limit harm done to these girls. Parents don’t talk about this with their children. It’s taboo. This project helps us negotiate this difficult parent-child question. There is no development without health, and the politics of health are very complex.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Kader Youth champion 26-year-old Kader says his first youth meeting at ABPF was a positive experience. “They told me that there was a jam session at the event. What I liked is that it was run by young people. Everything that I know about reproductive health I learnt at the centre. A lot of young women I know got pregnant very early. I know people who have died because of unsafe abortion. We can avoid so much of it if people have the right information.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Souliya Mevo Tairou Midwife “Stigmatization complicates our work. Fourteen and 15-year olds come here without their parents and it’s hard to work with them. The girls are so scared that they can’t really explain what’s happening to them. They come here after going to the traditional healers when that hasn’t worked and they are bleeding or have an infection. Here, with the Youth and Abortion Stigma Project, we have awareness sessions. The young people and those supervising give out their numbers and tell them to call if they have a problem.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Amour University student “Her friends told her to take laxatives and other products, to put things in her vagina, to wash with hot water, to move about a lot.” 21-year-old Amour talks about a friend who confided in him when she discovered she was pregnant. “When we talk about abortion in Benin, it’s something people don’t want to hear about. It’s not well seen. Talking about sex is a problem. It’s still taboo. Thanks to the Youth and Abortion Stigma Project, I had benefited from training on how to talk to girls if they came to ask about abortion.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Flore Literature teacher Flore says some of her students go to her for support and advice: “They are quite shy because at home the subject of sex is always taboo. They are reticent; they think it’s a shame. We will only correct this problem over time. There is chatting and whispering in class ‘you know what she did?’ Can’t we support these children instead of stigmatizing them?” Share on Twitter Share on Facebook Share via WhatsApp Share via Email Ida University student 19-year-old Ida attended a workshop on abortion and stigma for teachers and students at the Fiyegnon collège d’enseignement général. “It really helped. If we take our own decisions we will make it to the end, we will get what is right for us.” Share on Twitter Share on Facebook Share via WhatsApp Share via Email

Clinic in Uganda
story

| 22 August 2018

“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.

Clinic in Uganda
story

| 28 March 2024

“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.

Pretty Lynn, a sex worker and beneficiary of the Little Mermaids Bureau project, at the LMB office in Kampala, Uganda.
story

| 21 May 2017

A graduate in need turns to 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. One such organisation which received support under the last round of funding is called Lady Mermaid's Bureau. I am Pretty Lynn, aged 25. I am a sex worker but I went to university. I graduated with a Bachelor's Degree in Tourism in 2013. But now, during the day I’m sleeping and during the night I’m working. That is how my day goes every day. I got into sex work through friends. Okay it is not good but I am earning.  I tried to get a job when I graduated. I have been applying since I graduated in 2013. I’m still applying but I’m not getting anywhere. You know to get jobs in Uganda; you have to know someone there and no one knows me there. To be a sex worker is like a curse. People look at you like, I don’t know, as someone that has no use in society. People look at you in a bad way. They even don’t consider why you are selling. They just see you as the worst thing that can happen in the society. So it is not comfortable, it is really hard but we try and survive. The fact sex working is illegal means you have to hide yourself when you are selling so that police cannot take you. And then you get diseases, men don’t want to pay. When the police come and take us, sometimes they even use us and don’t pay. So it is really hard. They want a free service. Like if they come and take you and pay that would be fair. But they say it is illegal to sell yourself. But they still use you yet they are saying it is illegal. You can’t report the police because there is no evidence.  Abortion and unwanted pregnancies are really common because men don’t want to use condoms and female condoms are really rare and they are expensive. Though at times we get female condoms from Lady Marmaid’s Bureau (LMB) because there are so many of us they can’t keep on giving you them all the time. At times when we get pregnant we use local methods. You can go and use local herbs but it is not safe. One time I used local herbs and I was successful. Then the other time I used Omo washing powder and tea leaves but it was really hard for me. I almost died. I had a friend who died last year from this. But the good thing is that LMB taught us about safe abortion. I have had a safe abortion too. There are some tabs they are called Miso (misoprostol). It costs about fifty thousand shillings (£10 pounds or $20.) It is a lot of money. But if I’m working and I know I’m pregnant, I can say, "this week I’m working for my safe abortion". So if I’m working for twenty thousand, by the end of the week I will have the money. It is expensive compared to Omo at five hundred shillings but that is risky. So if I say I will work this whole week for Miso (misoprostol) it is better. But I'm working and I'm not eating. A project like this one from Lady Mermaid's can help young girls and women. But to take us from sex work, it would really be hard. They would not have enough money to cater for all of us. So what they have to do is to teach us how to protect ourselves, how to defend ourselves. Safe abortion yes. They will just have to sensitise us more about our lives, protection, female condoms and all that. I don't have a boyfriend but maybe when I get money and leave this job I will. But for now, no man would like a woman who sells. No man will bear the wife selling herself. And that will happen only if I get funds, settle somewhere else and become responsible woman. I don’t want this job. I don’t want to be in this business of sex work all the time. I want be married, with my children happily, not selling myself. Stories Read more stories about the amazing success of SAAF in Uganda

Pretty Lynn, a sex worker and beneficiary of the Little Mermaids Bureau project, at the LMB office in Kampala, Uganda.
story

| 28 March 2024

A graduate in need turns to 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. One such organisation which received support under the last round of funding is called Lady Mermaid's Bureau. I am Pretty Lynn, aged 25. I am a sex worker but I went to university. I graduated with a Bachelor's Degree in Tourism in 2013. But now, during the day I’m sleeping and during the night I’m working. That is how my day goes every day. I got into sex work through friends. Okay it is not good but I am earning.  I tried to get a job when I graduated. I have been applying since I graduated in 2013. I’m still applying but I’m not getting anywhere. You know to get jobs in Uganda; you have to know someone there and no one knows me there. To be a sex worker is like a curse. People look at you like, I don’t know, as someone that has no use in society. People look at you in a bad way. They even don’t consider why you are selling. They just see you as the worst thing that can happen in the society. So it is not comfortable, it is really hard but we try and survive. The fact sex working is illegal means you have to hide yourself when you are selling so that police cannot take you. And then you get diseases, men don’t want to pay. When the police come and take us, sometimes they even use us and don’t pay. So it is really hard. They want a free service. Like if they come and take you and pay that would be fair. But they say it is illegal to sell yourself. But they still use you yet they are saying it is illegal. You can’t report the police because there is no evidence.  Abortion and unwanted pregnancies are really common because men don’t want to use condoms and female condoms are really rare and they are expensive. Though at times we get female condoms from Lady Marmaid’s Bureau (LMB) because there are so many of us they can’t keep on giving you them all the time. At times when we get pregnant we use local methods. You can go and use local herbs but it is not safe. One time I used local herbs and I was successful. Then the other time I used Omo washing powder and tea leaves but it was really hard for me. I almost died. I had a friend who died last year from this. But the good thing is that LMB taught us about safe abortion. I have had a safe abortion too. There are some tabs they are called Miso (misoprostol). It costs about fifty thousand shillings (£10 pounds or $20.) It is a lot of money. But if I’m working and I know I’m pregnant, I can say, "this week I’m working for my safe abortion". So if I’m working for twenty thousand, by the end of the week I will have the money. It is expensive compared to Omo at five hundred shillings but that is risky. So if I say I will work this whole week for Miso (misoprostol) it is better. But I'm working and I'm not eating. A project like this one from Lady Mermaid's can help young girls and women. But to take us from sex work, it would really be hard. They would not have enough money to cater for all of us. So what they have to do is to teach us how to protect ourselves, how to defend ourselves. Safe abortion yes. They will just have to sensitise us more about our lives, protection, female condoms and all that. I don't have a boyfriend but maybe when I get money and leave this job I will. But for now, no man would like a woman who sells. No man will bear the wife selling herself. And that will happen only if I get funds, settle somewhere else and become responsible woman. I don’t want this job. I don’t want to be in this business of sex work all the time. I want be married, with my children happily, not selling myself. Stories Read more stories about the amazing success of SAAF in Uganda

Milly, a teacher and VODA community volunteer, wears a t-shirt advocating for safe abortions in Kasawo, Uganda.
story

| 20 May 2017

Working to stop unsafe abortion for school girls

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. One such organisation which received support under the last round of funding is called Volunteers for Development Association Uganda (VODA). Unsafe abortion is a huge problem in Uganda with an estimated 400,000 women having an unsafe abortion per year. The law is confusing and unclear, with abortion permitted only under certain circumstances. Post-abortion care is permitted to treat women who have undergone an unsafe abortion, however lack of awareness of the law and stigma surrounding abortion mean that service providers are not always willing to treat patients who arrive seeking care. The VODA project aims to ensure that young women in Uganda are able to lead healthier lives free from unsafe abortion related deaths or complications through reducing abortion stigma in the community, increasing access to abortion-related services and ensuring the providers are trained to provide quality post-abortion care services. I am Helen. I have been a midwife at this small clinic for seven years and I have worked with VODA for four years. Unsafe abortion continues and some schoolgirls are raped. They then go to local herbalists and some of them tell me that they are given emilandira [roots] which they insert inside themselves to rupture the membranes. Some of them even try to induce an abortion by using Omo [douching with detergent or bleach]. At the end of the day they get complications then they land here, so we help them. Unsafe abortion is very common. In one month you can get more than five cases. It is a big problem. We help them, they need to go back to school, and we counsel them. If it is less than 12 weeks, we handle them from here. If they are more than 12 weeks along we refer them to the hospital. Most referrals from VODA are related to unwanted pregnancies, HIV testing, family planning, and youth friendly services. A few parents come for services for their children who are at school. So we counsel them that contraception, other than condoms, will only prevent pregnancy, but you can still get HIV and STIs, so take care. I am Josephine and I work as a midwife at a rural health centre. I deal with pregnant mothers, postnatal mothers, and there are girls who come with problems like unwanted pregnancy. I used to have a negative attitude towards abortion. But then VODA helped us understand the importance of helping someone with the problem because many people were dying in the villages because of unsafe abortion. According to my religion, helping someone to have an abortion was not allowed. But again when you look into it, it’s not good to leave someone to die. So I decided to change my attitude to help people. Post-abortion care has helped many people because these days we don’t have many people in the villages dying because of unsafe abortion. These days I’m proud of what we are doing because before I didn’t know the importance of helping someone with a problem. But these days, since people no longer die, people no longer get problems and I’m proud and happy because we help so many people.   My name is Jonathan. I am married with three children. I have a Bachelor of Social Work and Social Administration. I have worked with VODA as a project officer since 2008. Due to the training that we have done about abortion many people have changed their attitudes and we have helped people to talk about the issue. Most people were against abortion before but they are now realising that if it’s done safely it is important because otherwise many people die from unsafe abortion. I have talked to religious leaders, I have talked to local leaders; I have talked to people of different categories. At first when you approach them, they have a different perception. The health workers were difficult to work with at first. However they knew people were approaching them with the problems of unsafe abortion. Due to religion, communities can be hard against this issue. But after some time we have seen that they have changed their perception toward the issue of safe and unsafe abortion. And now many of them know that in some instances, abortion is inevitable but it should be done in a safe way.   I’m Stevens and I am nurse. We have some clients who come when they have already attempted an unsafe abortion. You find that it is often inevitable. The only solution you have to help those clients is to provide treatment of incomplete abortion as part of post-abortion care. Because of the VODA project there is a very remarkable change in the community. Now, those people who used to have unsafe abortions locally, know where to go for post-abortion care - unlike in the past. I remember a schoolgirl, she was in a very sorry state because she had tried some local remedies to abort. I attended to her and things went well. She went back to school. I feel so proud because that was a big life rescue. A girl like that could have died but now she is alive and I see her carrying on with her studies, I feel so proud. I praise VODA for that encouragement. This service should be legalised because whether they restrict it or not, there is abortion and it is going on. And if it’s not out in the open, so that our people know where to go for such services, it leads to more deaths. Stories Read more stories about the amazing success of SAAF in Uganda

Milly, a teacher and VODA community volunteer, wears a t-shirt advocating for safe abortions in Kasawo, Uganda.
story

| 28 March 2024

Working to stop unsafe abortion for school girls

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. One such organisation which received support under the last round of funding is called Volunteers for Development Association Uganda (VODA). Unsafe abortion is a huge problem in Uganda with an estimated 400,000 women having an unsafe abortion per year. The law is confusing and unclear, with abortion permitted only under certain circumstances. Post-abortion care is permitted to treat women who have undergone an unsafe abortion, however lack of awareness of the law and stigma surrounding abortion mean that service providers are not always willing to treat patients who arrive seeking care. The VODA project aims to ensure that young women in Uganda are able to lead healthier lives free from unsafe abortion related deaths or complications through reducing abortion stigma in the community, increasing access to abortion-related services and ensuring the providers are trained to provide quality post-abortion care services. I am Helen. I have been a midwife at this small clinic for seven years and I have worked with VODA for four years. Unsafe abortion continues and some schoolgirls are raped. They then go to local herbalists and some of them tell me that they are given emilandira [roots] which they insert inside themselves to rupture the membranes. Some of them even try to induce an abortion by using Omo [douching with detergent or bleach]. At the end of the day they get complications then they land here, so we help them. Unsafe abortion is very common. In one month you can get more than five cases. It is a big problem. We help them, they need to go back to school, and we counsel them. If it is less than 12 weeks, we handle them from here. If they are more than 12 weeks along we refer them to the hospital. Most referrals from VODA are related to unwanted pregnancies, HIV testing, family planning, and youth friendly services. A few parents come for services for their children who are at school. So we counsel them that contraception, other than condoms, will only prevent pregnancy, but you can still get HIV and STIs, so take care. I am Josephine and I work as a midwife at a rural health centre. I deal with pregnant mothers, postnatal mothers, and there are girls who come with problems like unwanted pregnancy. I used to have a negative attitude towards abortion. But then VODA helped us understand the importance of helping someone with the problem because many people were dying in the villages because of unsafe abortion. According to my religion, helping someone to have an abortion was not allowed. But again when you look into it, it’s not good to leave someone to die. So I decided to change my attitude to help people. Post-abortion care has helped many people because these days we don’t have many people in the villages dying because of unsafe abortion. These days I’m proud of what we are doing because before I didn’t know the importance of helping someone with a problem. But these days, since people no longer die, people no longer get problems and I’m proud and happy because we help so many people.   My name is Jonathan. I am married with three children. I have a Bachelor of Social Work and Social Administration. I have worked with VODA as a project officer since 2008. Due to the training that we have done about abortion many people have changed their attitudes and we have helped people to talk about the issue. Most people were against abortion before but they are now realising that if it’s done safely it is important because otherwise many people die from unsafe abortion. I have talked to religious leaders, I have talked to local leaders; I have talked to people of different categories. At first when you approach them, they have a different perception. The health workers were difficult to work with at first. However they knew people were approaching them with the problems of unsafe abortion. Due to religion, communities can be hard against this issue. But after some time we have seen that they have changed their perception toward the issue of safe and unsafe abortion. And now many of them know that in some instances, abortion is inevitable but it should be done in a safe way.   I’m Stevens and I am nurse. We have some clients who come when they have already attempted an unsafe abortion. You find that it is often inevitable. The only solution you have to help those clients is to provide treatment of incomplete abortion as part of post-abortion care. Because of the VODA project there is a very remarkable change in the community. Now, those people who used to have unsafe abortions locally, know where to go for post-abortion care - unlike in the past. I remember a schoolgirl, she was in a very sorry state because she had tried some local remedies to abort. I attended to her and things went well. She went back to school. I feel so proud because that was a big life rescue. A girl like that could have died but now she is alive and I see her carrying on with her studies, I feel so proud. I praise VODA for that encouragement. This service should be legalised because whether they restrict it or not, there is abortion and it is going on. And if it’s not out in the open, so that our people know where to go for such services, it leads to more deaths. Stories Read more stories about the amazing success of SAAF in Uganda

Margaret, who lost her daughter to an unsafe abortion, photographed at her home in Kasawo, Uganda.
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| 20 May 2017

A mother's heart break after losing teen daughter to unsafe abortion

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. One such organisation which received support under the last round of funding is called Volunteers for Development Association Uganda (VODA). Margaret's daughter, Gladys, was raped by a relative as a teenager and became pregnant. She did not tell her mother what had happened and not wanting to have a child at such a young age conceived through incest, Gladys tried to terminate the pregnancy herself using local herbs but got an infection and died. "My name is Margaret and I am a widow." "I lost my daughter in 2011. She was called Gladys and she was 16. I didn’t know that she was pregnant. She tried to use local herbs to abort. I only found out about it three days later when she was bleeding very heavily. I tried to take her to the hospital but unfortunately she died on the way." Despite being the cause of many deaths in the region, the stigma surrounding abortion means that most people do not mention the cause of death publically. However at Gladys' funeral one of her school friends spoke out and said that she had died due to unsafe abortion. This prompted VODA to start working on the issue and when the project started they included Margaret in their training on how to prevent unsafe abortion. "The training made me stronger to talk about it. Now, I continue to tell my remaining two girls about the dangers of unsafe abortion, sexually transmitted infections and unwanted pregnancies. VODA has really helped us. I think my girl wouldn’t have died if VODA was active then like it is now." "I have used VODA's information to carry on with my parental work. That information has been helpful because we are noticing change. I keep on reminding them, 'didn’t you see what happened to your friend here?'. So they have really changed especially with the ongoing help of the people from VODA." "Unsafe abortion was rampant in the past. We had tried to speak to the students, as parents, but it seemed that our information was not enough. But now we have another helping hand from VODA, especially with those seminars targeting the girls."   Stories Read more stories about the amazing success of SAAF in Uganda

Margaret, who lost her daughter to an unsafe abortion, photographed at her home in Kasawo, Uganda.
story

| 28 March 2024

A mother's heart break after losing teen daughter to unsafe abortion

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. One such organisation which received support under the last round of funding is called Volunteers for Development Association Uganda (VODA). Margaret's daughter, Gladys, was raped by a relative as a teenager and became pregnant. She did not tell her mother what had happened and not wanting to have a child at such a young age conceived through incest, Gladys tried to terminate the pregnancy herself using local herbs but got an infection and died. "My name is Margaret and I am a widow." "I lost my daughter in 2011. She was called Gladys and she was 16. I didn’t know that she was pregnant. She tried to use local herbs to abort. I only found out about it three days later when she was bleeding very heavily. I tried to take her to the hospital but unfortunately she died on the way." Despite being the cause of many deaths in the region, the stigma surrounding abortion means that most people do not mention the cause of death publically. However at Gladys' funeral one of her school friends spoke out and said that she had died due to unsafe abortion. This prompted VODA to start working on the issue and when the project started they included Margaret in their training on how to prevent unsafe abortion. "The training made me stronger to talk about it. Now, I continue to tell my remaining two girls about the dangers of unsafe abortion, sexually transmitted infections and unwanted pregnancies. VODA has really helped us. I think my girl wouldn’t have died if VODA was active then like it is now." "I have used VODA's information to carry on with my parental work. That information has been helpful because we are noticing change. I keep on reminding them, 'didn’t you see what happened to your friend here?'. So they have really changed especially with the ongoing help of the people from VODA." "Unsafe abortion was rampant in the past. We had tried to speak to the students, as parents, but it seemed that our information was not enough. But now we have another helping hand from VODA, especially with those seminars targeting the girls."   Stories Read more stories about the amazing success of SAAF in Uganda