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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.
Masitula, a sex-worker and beneficiary of the SAAF funded project by Lady Mermaid's Bureau at her home in Kampala, Uganda.
story

| 20 May 2017

Life-changing post-abortion care for sex workers

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. My name is Masitula. I’m a single mother of two sons and I'm a sex worker. I live in Nansana Wakiso district, it is near Kampala. Every evening I travel 10 kilometres to Natete, a Kampala city suburb where I am a sex worker. I got pregnant after a client refused to wear a condom. I attempted to abort using some unsafe abortion practices but I was unsuccessful. I now have a two-month old baby whose father I do not know. My eldest son is seven years, he is in primary school. The other one is two months. I became a sex worker after a friend advised me that this job can provide me with some income. My husband left me six years ago for another woman when my eldest was only one. He doesn’t give me a single penny for taking care of his son. I used to be a teacher but the income is little. So I have been a sex worker for six years. There are many problems for sex workers here. One is with the police. The police catch us, take our money and sometimes force us to have sex. The other problem is that those men who buy us, some of them don’t pay. They just use us and they don’t pay. It affects me because when you go to work and you don’t get any income, it is bad. They use you for free. And I don’t have anyone to take care of my kids. So sometimes I don’t work I just stay at home because no one will take care of my kids. I live only with my children. I don’t have anyone else. Sometimes I have to take my baby with me and if I get a job, then I give him to my friend until I finish. It is difficult with such a little baby but there is nothing I can do. I don’t even know the father. He just forced me. He said that he will not put on a condom. So that is why I tried to abort with herbs, but it didn't work.They caused me a lot of pain and I was about to die. I didn’t go for a safe abortion because with this government of ours, it is not easy to go to the hospital and tell them that I want to abort. You just go and tell them that you want medicine for ulcers. But Lady Mermaid's Bureau, supported by SAAF, has helped me and other sex workers. When you call them they come immediately. When you are sick they take you to hospital. In everything they are good. When I get some problems, I just go and tell them. They do what other people can’t do. It has changed my life because I now have a friend. They are my friends. I take them as part of my family because I don’t have any family. My father died, I don’t have a mother and my husband left me. They are my family now. Abortion should be legal and also sex work because it is a job. We don’t want to do it. It's just because we don’t have anything else and that is why we do it. So the government should also take us as human beings. No one treats us as human beings. And to prevent women from having unsafe abortions the government should provide people with jobs and factories to work in. So that they don't have to do sex work because it affects these girls, and some of them are like me. We don’t have jobs, you go and look for a job, you don’t find the job and you just find yourself doing this sex working job instead. Stories Read more stories about the amazing success of SAAF in Uganda

Masitula, a sex-worker and beneficiary of the SAAF funded project by Lady Mermaid's Bureau at her home in Kampala, Uganda.
story

| 29 March 2024

Life-changing post-abortion care for sex workers

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. My name is Masitula. I’m a single mother of two sons and I'm a sex worker. I live in Nansana Wakiso district, it is near Kampala. Every evening I travel 10 kilometres to Natete, a Kampala city suburb where I am a sex worker. I got pregnant after a client refused to wear a condom. I attempted to abort using some unsafe abortion practices but I was unsuccessful. I now have a two-month old baby whose father I do not know. My eldest son is seven years, he is in primary school. The other one is two months. I became a sex worker after a friend advised me that this job can provide me with some income. My husband left me six years ago for another woman when my eldest was only one. He doesn’t give me a single penny for taking care of his son. I used to be a teacher but the income is little. So I have been a sex worker for six years. There are many problems for sex workers here. One is with the police. The police catch us, take our money and sometimes force us to have sex. The other problem is that those men who buy us, some of them don’t pay. They just use us and they don’t pay. It affects me because when you go to work and you don’t get any income, it is bad. They use you for free. And I don’t have anyone to take care of my kids. So sometimes I don’t work I just stay at home because no one will take care of my kids. I live only with my children. I don’t have anyone else. Sometimes I have to take my baby with me and if I get a job, then I give him to my friend until I finish. It is difficult with such a little baby but there is nothing I can do. I don’t even know the father. He just forced me. He said that he will not put on a condom. So that is why I tried to abort with herbs, but it didn't work.They caused me a lot of pain and I was about to die. I didn’t go for a safe abortion because with this government of ours, it is not easy to go to the hospital and tell them that I want to abort. You just go and tell them that you want medicine for ulcers. But Lady Mermaid's Bureau, supported by SAAF, has helped me and other sex workers. When you call them they come immediately. When you are sick they take you to hospital. In everything they are good. When I get some problems, I just go and tell them. They do what other people can’t do. It has changed my life because I now have a friend. They are my friends. I take them as part of my family because I don’t have any family. My father died, I don’t have a mother and my husband left me. They are my family now. Abortion should be legal and also sex work because it is a job. We don’t want to do it. It's just because we don’t have anything else and that is why we do it. So the government should also take us as human beings. No one treats us as human beings. And to prevent women from having unsafe abortions the government should provide people with jobs and factories to work in. So that they don't have to do sex work because it affects these girls, and some of them are like me. We don’t have jobs, you go and look for a job, you don’t find the job and you just find yourself doing this sex working job instead. Stories Read more stories about the amazing success of SAAF in Uganda

Fiji community leader working with IPPF
story

| 16 May 2017

Leaders tackling taboos in Fiji

Cyclone Winston, which devastated Fiji, was the strongest to ever hit the South Pacific. IPPF’s humanitarian response there was carried out with our Member Association, the Reproductive & Family Health Association of Fiji, and is part of our SPRINT Initiative, funded by the Australian Government. Despite its flourishing international tourism industry, Fiji remains a deeply conservative and traditional society, bound by long-held rules on culture and conduct. In particular, any discussion about sex and sexuality is taboo: including talk of sex, condoms, pregnancy and sexually transmitted infections. Given Fiji’s relatively high rate of teen pregnancy (36 in 1000 in the 15-19 age group, according to UNFPA 2016 statistics), it is an issue of growing concern. It falls upon the village headman to provide guidance on how the issue is tackled: and when there is one who is progressive and not afraid to discuss taboo topics, it augers well for the sexual health of the entire community. Sevuama Sevutia is one such leader. The deputy headman of Naiserelegai village is a proud advocate of condom-use, telling the young people of the village that it is vital to wear them to prevent pregnancy. “My experiences, I share with the kids,” says Sevuama. “I tell the children, get to that stage of knowing what the sexual relationship is all about. Please look after yourself and if you have a problem, with the young boys or if someone is giving you the wrong advice, please tell people. It’s my job to tell them, to call their mother, their father.” “Nowadays, as the education level rises, we have to open up. But in the village, in the olden days, when people would see condoms they would say, 'no no, don’t talk about that'. But I am encouraging them to open up.” His children, too, are encouraged to be open. “I tell them, this is a condom,” he says, brandishing an imaginary condom. “Safe sex. If you want to have sex, use a condom. Use the condom! And protect yourself from the other things.” Sevuama, 53, a former marine engineer, spent decades in Suva before returning to his bayside home village of Naiserelegai. He was in the city at the time of the cyclone but managed to get back three or four days later when the roads had re-opened. He found his home damaged but intact and his five children safe, but much of the village destroyed and his wife still in shock. He received a small amount of money from the government to help fix his roof. Earlier this year, he, along with other men in the village, participated in IPPF information sessions on male sexual health and fertility, which he described as very helpful in complementing and reinforcing his existing knowledge. “We had a lot of questions, like mostly for the man, something might have happened to them during a difficult time. All this information helps the communities.” Stories Read more stories about our work in Fiji after the Cyclone Winston

Fiji community leader working with IPPF
story

| 29 March 2024

Leaders tackling taboos in Fiji

Cyclone Winston, which devastated Fiji, was the strongest to ever hit the South Pacific. IPPF’s humanitarian response there was carried out with our Member Association, the Reproductive & Family Health Association of Fiji, and is part of our SPRINT Initiative, funded by the Australian Government. Despite its flourishing international tourism industry, Fiji remains a deeply conservative and traditional society, bound by long-held rules on culture and conduct. In particular, any discussion about sex and sexuality is taboo: including talk of sex, condoms, pregnancy and sexually transmitted infections. Given Fiji’s relatively high rate of teen pregnancy (36 in 1000 in the 15-19 age group, according to UNFPA 2016 statistics), it is an issue of growing concern. It falls upon the village headman to provide guidance on how the issue is tackled: and when there is one who is progressive and not afraid to discuss taboo topics, it augers well for the sexual health of the entire community. Sevuama Sevutia is one such leader. The deputy headman of Naiserelegai village is a proud advocate of condom-use, telling the young people of the village that it is vital to wear them to prevent pregnancy. “My experiences, I share with the kids,” says Sevuama. “I tell the children, get to that stage of knowing what the sexual relationship is all about. Please look after yourself and if you have a problem, with the young boys or if someone is giving you the wrong advice, please tell people. It’s my job to tell them, to call their mother, their father.” “Nowadays, as the education level rises, we have to open up. But in the village, in the olden days, when people would see condoms they would say, 'no no, don’t talk about that'. But I am encouraging them to open up.” His children, too, are encouraged to be open. “I tell them, this is a condom,” he says, brandishing an imaginary condom. “Safe sex. If you want to have sex, use a condom. Use the condom! And protect yourself from the other things.” Sevuama, 53, a former marine engineer, spent decades in Suva before returning to his bayside home village of Naiserelegai. He was in the city at the time of the cyclone but managed to get back three or four days later when the roads had re-opened. He found his home damaged but intact and his five children safe, but much of the village destroyed and his wife still in shock. He received a small amount of money from the government to help fix his roof. Earlier this year, he, along with other men in the village, participated in IPPF information sessions on male sexual health and fertility, which he described as very helpful in complementing and reinforcing his existing knowledge. “We had a lot of questions, like mostly for the man, something might have happened to them during a difficult time. All this information helps the communities.” Stories Read more stories about our work in Fiji after the Cyclone Winston

story

| 20 April 2017

Sex workers in Uganda find hope

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. Joanne is a sex-worker who has been involved in the project run by Lady Mermaid's Bureau, funded by SAAF. "My name is Joanne, I have been a sex-worker for two years." Joanne was abused as a child and became pregnant at a very young age. She was forced to leave school with only a primary education and could not speak English very well. When she moved to Kampala from her village she was told she could get a good job but she had nowhere to stay and ended up becoming a sex-worker in order to support herself and her two children. While sex-work offers some financial support, the fact that it is illegal and that gender inequality is high in Uganda make sex workers very vulnerable to rape and violence. "The problems are very many. Men don’t want to pay. Someone uses you but he does not want to pay. We are being beaten, and there's a lot of stress and competition."   "There is a lot of competition between sex workers. Sometimes you go on the streets and no man is going to buy you and you end up not earning a single coin. Other times, when that man buys you, he tells you the money, you negotiate when you go to the lodge the man does not pay you. That is the most hard thing because you need to feed your children, but someone does not pay you. The men beat us when we are in the lodges. They are rough, they don’t want to use condoms, you tell him to use a condom, and he does not want to use a condom. So they end up infecting you sometimes. My other sex workers most of them got infected through that. We are even being raped by policemen sometimes. They come on the streets to chase us away and if we stay on the streets to work, the policemen force you. When a policeman arrests you, he takes you to a police station because you don’t have money. He asks what you can offer if you want to leave jail. You will say, "I have nothing I don’t have money." So the only thing you can do is to have sex with him. Then he will release you. Women cells are not the same as the ones for men - sometimes you are there alone at night. So police cells are being used to rape women. He has not paid you so that is rape - he has just forced you. There are many women who got pregnant because of this rape. Even me. I have had two abortions." Joanne used local herbs to terminate her pregnancy which led to complications. Then her friend told her about Lady Mermaid's Bureau and they referred her to IPPF's Reproductive Health Uganda (RHU) who were able to help her. Since being involved with Lady Mermaid's Bureau Joanne has been taught English and computer skills and has also got access to contraception and legal support. She thinks that both sex-work and abortion should be legalised in Uganda to reduce the stigma that leads to violence and abuse. "At times men don't respect us as sex-workers. Because it is illegal they abuse you. If they legalise it, it will be good." Stories Read more stories about the amazing success of SAAF in Uganda

story

| 29 March 2024

Sex workers in Uganda find hope

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. Joanne is a sex-worker who has been involved in the project run by Lady Mermaid's Bureau, funded by SAAF. "My name is Joanne, I have been a sex-worker for two years." Joanne was abused as a child and became pregnant at a very young age. She was forced to leave school with only a primary education and could not speak English very well. When she moved to Kampala from her village she was told she could get a good job but she had nowhere to stay and ended up becoming a sex-worker in order to support herself and her two children. While sex-work offers some financial support, the fact that it is illegal and that gender inequality is high in Uganda make sex workers very vulnerable to rape and violence. "The problems are very many. Men don’t want to pay. Someone uses you but he does not want to pay. We are being beaten, and there's a lot of stress and competition."   "There is a lot of competition between sex workers. Sometimes you go on the streets and no man is going to buy you and you end up not earning a single coin. Other times, when that man buys you, he tells you the money, you negotiate when you go to the lodge the man does not pay you. That is the most hard thing because you need to feed your children, but someone does not pay you. The men beat us when we are in the lodges. They are rough, they don’t want to use condoms, you tell him to use a condom, and he does not want to use a condom. So they end up infecting you sometimes. My other sex workers most of them got infected through that. We are even being raped by policemen sometimes. They come on the streets to chase us away and if we stay on the streets to work, the policemen force you. When a policeman arrests you, he takes you to a police station because you don’t have money. He asks what you can offer if you want to leave jail. You will say, "I have nothing I don’t have money." So the only thing you can do is to have sex with him. Then he will release you. Women cells are not the same as the ones for men - sometimes you are there alone at night. So police cells are being used to rape women. He has not paid you so that is rape - he has just forced you. There are many women who got pregnant because of this rape. Even me. I have had two abortions." Joanne used local herbs to terminate her pregnancy which led to complications. Then her friend told her about Lady Mermaid's Bureau and they referred her to IPPF's Reproductive Health Uganda (RHU) who were able to help her. Since being involved with Lady Mermaid's Bureau Joanne has been taught English and computer skills and has also got access to contraception and legal support. She thinks that both sex-work and abortion should be legalised in Uganda to reduce the stigma that leads to violence and abuse. "At times men don't respect us as sex-workers. Because it is illegal they abuse you. If they legalise it, it will be good." Stories Read more stories about the amazing success of SAAF in Uganda

girl
story

| 26 May 2016

Options: Maya contemplates abortion

He seemed so nice, I felt excited. I never thought he would push me to the ground and pull my underwear down. I should have fought harder, but he was so strong. He was hurting me so much – I was just crushed.  I wish I had said something to Mama straight away but as the time passed it became harder to talk about it so I told no one. My friends would have said it was my fault – I always said I fancied him. Mama and Papa would never understand or support me.  Mama found my diary and read it. The hardest thing was figuring out what to do. We were both confused. She had heard of a woman who helped girls like me to get an abortion. We went to the woman’s house, it was dirty and she was not friendly to us – just asked if we had money. Mama didn’t like it so we left. She said it didn’t look safe and it would be bad for me to be seen there. She decided that we would go to a clinic in the next town so no one would know me.  I felt scared. Because I had left it a long time the nurse told me I was 17 weeks pregnant. She then went through all the options with me. It was a lot of information to take in, but I felt like it was my decision and the most important thing was I didn’t feel ready to be a mama myself. It was quite a long medical check up with lots of embarrassing questions. I don’t remember much of what happened next. I was quite scared. I had an injection so I don’t remember anything until it was all over. The nurse came to talk to me about contraception. Then I had an STI and HIV test and that was ok.  It still shocks me when I think about all that has happened. I am sure that I made the right decision to have an abortion. It let me get on with my life and studies.

girl
story

| 29 March 2024

Options: Maya contemplates abortion

He seemed so nice, I felt excited. I never thought he would push me to the ground and pull my underwear down. I should have fought harder, but he was so strong. He was hurting me so much – I was just crushed.  I wish I had said something to Mama straight away but as the time passed it became harder to talk about it so I told no one. My friends would have said it was my fault – I always said I fancied him. Mama and Papa would never understand or support me.  Mama found my diary and read it. The hardest thing was figuring out what to do. We were both confused. She had heard of a woman who helped girls like me to get an abortion. We went to the woman’s house, it was dirty and she was not friendly to us – just asked if we had money. Mama didn’t like it so we left. She said it didn’t look safe and it would be bad for me to be seen there. She decided that we would go to a clinic in the next town so no one would know me.  I felt scared. Because I had left it a long time the nurse told me I was 17 weeks pregnant. She then went through all the options with me. It was a lot of information to take in, but I felt like it was my decision and the most important thing was I didn’t feel ready to be a mama myself. It was quite a long medical check up with lots of embarrassing questions. I don’t remember much of what happened next. I was quite scared. I had an injection so I don’t remember anything until it was all over. The nurse came to talk to me about contraception. Then I had an STI and HIV test and that was ok.  It still shocks me when I think about all that has happened. I am sure that I made the right decision to have an abortion. It let me get on with my life and studies.

Woman in Palestine. Credits: IPPF/Graeme Robertson
story

| 03 May 2016

Palestine: talking about sex to help sexual violence victims

In Palestine sexual violence against women, especially within the family, is common. Women's virginity is linked to the honour of their family, and will face threats of death for dishonouring their family. Mariam needed help to get out of a coerced “relationship”, fearing for her life if her relatives find out. “In the beginning my nephew wanted to kiss me. “I resisted. But then he started touching my body. It became a relationship between lovers. To “preserve” virginity, it was always anal sex.  “I knew it was wrong. But who I should talk to? If my brother found out he would have beaten me - killed me.”  At the Palestinian Family Planning and Protection Association (PFPPA)'s clinics, social workers give awareness sessions on sexual violence in the waiting rooms, hoping to catch the attention of women there for other reasons who are hiding the fact they have been abused. It was this kind of session that proved vital for Mariam. “When my sister was pregnant I went with her to the PFPPA clinic,” she remembers. “The social worker there, Ruba, started speaking about sexual violence. When my sister went in with the doctor, I went to Ruba's office and told her I needed help; I cried.” Mariam kept visiting Ruba, and ended things with her nephew. “What happened to me is not rare. It would have been impossible for me to approach a relative and tell them what was going on; I was too frightened. And nobody would have believed me over a man. “I've found there are other women of my age who've had similar experiences to me but women are frightened to speak about it.  “Before, I despised myself. Now I feel powerful. I leave the house, I meet people. I feel I'm responsible for myself, that I have to protect myself, and that I need to help others if they need me. Everyone's telling me 'you've changed, you're stronger'.” Through its association with religious and community leaders, the PFPPA seeks to persuade the public of the importance of talking openly about sexual health and relationships, and dispel the idea that sexuality education for young people goes against the teachings of Islam.

Woman in Palestine. Credits: IPPF/Graeme Robertson
story

| 29 March 2024

Palestine: talking about sex to help sexual violence victims

In Palestine sexual violence against women, especially within the family, is common. Women's virginity is linked to the honour of their family, and will face threats of death for dishonouring their family. Mariam needed help to get out of a coerced “relationship”, fearing for her life if her relatives find out. “In the beginning my nephew wanted to kiss me. “I resisted. But then he started touching my body. It became a relationship between lovers. To “preserve” virginity, it was always anal sex.  “I knew it was wrong. But who I should talk to? If my brother found out he would have beaten me - killed me.”  At the Palestinian Family Planning and Protection Association (PFPPA)'s clinics, social workers give awareness sessions on sexual violence in the waiting rooms, hoping to catch the attention of women there for other reasons who are hiding the fact they have been abused. It was this kind of session that proved vital for Mariam. “When my sister was pregnant I went with her to the PFPPA clinic,” she remembers. “The social worker there, Ruba, started speaking about sexual violence. When my sister went in with the doctor, I went to Ruba's office and told her I needed help; I cried.” Mariam kept visiting Ruba, and ended things with her nephew. “What happened to me is not rare. It would have been impossible for me to approach a relative and tell them what was going on; I was too frightened. And nobody would have believed me over a man. “I've found there are other women of my age who've had similar experiences to me but women are frightened to speak about it.  “Before, I despised myself. Now I feel powerful. I leave the house, I meet people. I feel I'm responsible for myself, that I have to protect myself, and that I need to help others if they need me. Everyone's telling me 'you've changed, you're stronger'.” Through its association with religious and community leaders, the PFPPA seeks to persuade the public of the importance of talking openly about sexual health and relationships, and dispel the idea that sexuality education for young people goes against the teachings of Islam.

Masitula, a sex-worker and beneficiary of the SAAF funded project by Lady Mermaid's Bureau at her home in Kampala, Uganda.
story

| 20 May 2017

Life-changing post-abortion care for sex workers

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. My name is Masitula. I’m a single mother of two sons and I'm a sex worker. I live in Nansana Wakiso district, it is near Kampala. Every evening I travel 10 kilometres to Natete, a Kampala city suburb where I am a sex worker. I got pregnant after a client refused to wear a condom. I attempted to abort using some unsafe abortion practices but I was unsuccessful. I now have a two-month old baby whose father I do not know. My eldest son is seven years, he is in primary school. The other one is two months. I became a sex worker after a friend advised me that this job can provide me with some income. My husband left me six years ago for another woman when my eldest was only one. He doesn’t give me a single penny for taking care of his son. I used to be a teacher but the income is little. So I have been a sex worker for six years. There are many problems for sex workers here. One is with the police. The police catch us, take our money and sometimes force us to have sex. The other problem is that those men who buy us, some of them don’t pay. They just use us and they don’t pay. It affects me because when you go to work and you don’t get any income, it is bad. They use you for free. And I don’t have anyone to take care of my kids. So sometimes I don’t work I just stay at home because no one will take care of my kids. I live only with my children. I don’t have anyone else. Sometimes I have to take my baby with me and if I get a job, then I give him to my friend until I finish. It is difficult with such a little baby but there is nothing I can do. I don’t even know the father. He just forced me. He said that he will not put on a condom. So that is why I tried to abort with herbs, but it didn't work.They caused me a lot of pain and I was about to die. I didn’t go for a safe abortion because with this government of ours, it is not easy to go to the hospital and tell them that I want to abort. You just go and tell them that you want medicine for ulcers. But Lady Mermaid's Bureau, supported by SAAF, has helped me and other sex workers. When you call them they come immediately. When you are sick they take you to hospital. In everything they are good. When I get some problems, I just go and tell them. They do what other people can’t do. It has changed my life because I now have a friend. They are my friends. I take them as part of my family because I don’t have any family. My father died, I don’t have a mother and my husband left me. They are my family now. Abortion should be legal and also sex work because it is a job. We don’t want to do it. It's just because we don’t have anything else and that is why we do it. So the government should also take us as human beings. No one treats us as human beings. And to prevent women from having unsafe abortions the government should provide people with jobs and factories to work in. So that they don't have to do sex work because it affects these girls, and some of them are like me. We don’t have jobs, you go and look for a job, you don’t find the job and you just find yourself doing this sex working job instead. Stories Read more stories about the amazing success of SAAF in Uganda

Masitula, a sex-worker and beneficiary of the SAAF funded project by Lady Mermaid's Bureau at her home in Kampala, Uganda.
story

| 29 March 2024

Life-changing post-abortion care for sex workers

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. My name is Masitula. I’m a single mother of two sons and I'm a sex worker. I live in Nansana Wakiso district, it is near Kampala. Every evening I travel 10 kilometres to Natete, a Kampala city suburb where I am a sex worker. I got pregnant after a client refused to wear a condom. I attempted to abort using some unsafe abortion practices but I was unsuccessful. I now have a two-month old baby whose father I do not know. My eldest son is seven years, he is in primary school. The other one is two months. I became a sex worker after a friend advised me that this job can provide me with some income. My husband left me six years ago for another woman when my eldest was only one. He doesn’t give me a single penny for taking care of his son. I used to be a teacher but the income is little. So I have been a sex worker for six years. There are many problems for sex workers here. One is with the police. The police catch us, take our money and sometimes force us to have sex. The other problem is that those men who buy us, some of them don’t pay. They just use us and they don’t pay. It affects me because when you go to work and you don’t get any income, it is bad. They use you for free. And I don’t have anyone to take care of my kids. So sometimes I don’t work I just stay at home because no one will take care of my kids. I live only with my children. I don’t have anyone else. Sometimes I have to take my baby with me and if I get a job, then I give him to my friend until I finish. It is difficult with such a little baby but there is nothing I can do. I don’t even know the father. He just forced me. He said that he will not put on a condom. So that is why I tried to abort with herbs, but it didn't work.They caused me a lot of pain and I was about to die. I didn’t go for a safe abortion because with this government of ours, it is not easy to go to the hospital and tell them that I want to abort. You just go and tell them that you want medicine for ulcers. But Lady Mermaid's Bureau, supported by SAAF, has helped me and other sex workers. When you call them they come immediately. When you are sick they take you to hospital. In everything they are good. When I get some problems, I just go and tell them. They do what other people can’t do. It has changed my life because I now have a friend. They are my friends. I take them as part of my family because I don’t have any family. My father died, I don’t have a mother and my husband left me. They are my family now. Abortion should be legal and also sex work because it is a job. We don’t want to do it. It's just because we don’t have anything else and that is why we do it. So the government should also take us as human beings. No one treats us as human beings. And to prevent women from having unsafe abortions the government should provide people with jobs and factories to work in. So that they don't have to do sex work because it affects these girls, and some of them are like me. We don’t have jobs, you go and look for a job, you don’t find the job and you just find yourself doing this sex working job instead. Stories Read more stories about the amazing success of SAAF in Uganda

Fiji community leader working with IPPF
story

| 16 May 2017

Leaders tackling taboos in Fiji

Cyclone Winston, which devastated Fiji, was the strongest to ever hit the South Pacific. IPPF’s humanitarian response there was carried out with our Member Association, the Reproductive & Family Health Association of Fiji, and is part of our SPRINT Initiative, funded by the Australian Government. Despite its flourishing international tourism industry, Fiji remains a deeply conservative and traditional society, bound by long-held rules on culture and conduct. In particular, any discussion about sex and sexuality is taboo: including talk of sex, condoms, pregnancy and sexually transmitted infections. Given Fiji’s relatively high rate of teen pregnancy (36 in 1000 in the 15-19 age group, according to UNFPA 2016 statistics), it is an issue of growing concern. It falls upon the village headman to provide guidance on how the issue is tackled: and when there is one who is progressive and not afraid to discuss taboo topics, it augers well for the sexual health of the entire community. Sevuama Sevutia is one such leader. The deputy headman of Naiserelegai village is a proud advocate of condom-use, telling the young people of the village that it is vital to wear them to prevent pregnancy. “My experiences, I share with the kids,” says Sevuama. “I tell the children, get to that stage of knowing what the sexual relationship is all about. Please look after yourself and if you have a problem, with the young boys or if someone is giving you the wrong advice, please tell people. It’s my job to tell them, to call their mother, their father.” “Nowadays, as the education level rises, we have to open up. But in the village, in the olden days, when people would see condoms they would say, 'no no, don’t talk about that'. But I am encouraging them to open up.” His children, too, are encouraged to be open. “I tell them, this is a condom,” he says, brandishing an imaginary condom. “Safe sex. If you want to have sex, use a condom. Use the condom! And protect yourself from the other things.” Sevuama, 53, a former marine engineer, spent decades in Suva before returning to his bayside home village of Naiserelegai. He was in the city at the time of the cyclone but managed to get back three or four days later when the roads had re-opened. He found his home damaged but intact and his five children safe, but much of the village destroyed and his wife still in shock. He received a small amount of money from the government to help fix his roof. Earlier this year, he, along with other men in the village, participated in IPPF information sessions on male sexual health and fertility, which he described as very helpful in complementing and reinforcing his existing knowledge. “We had a lot of questions, like mostly for the man, something might have happened to them during a difficult time. All this information helps the communities.” Stories Read more stories about our work in Fiji after the Cyclone Winston

Fiji community leader working with IPPF
story

| 29 March 2024

Leaders tackling taboos in Fiji

Cyclone Winston, which devastated Fiji, was the strongest to ever hit the South Pacific. IPPF’s humanitarian response there was carried out with our Member Association, the Reproductive & Family Health Association of Fiji, and is part of our SPRINT Initiative, funded by the Australian Government. Despite its flourishing international tourism industry, Fiji remains a deeply conservative and traditional society, bound by long-held rules on culture and conduct. In particular, any discussion about sex and sexuality is taboo: including talk of sex, condoms, pregnancy and sexually transmitted infections. Given Fiji’s relatively high rate of teen pregnancy (36 in 1000 in the 15-19 age group, according to UNFPA 2016 statistics), it is an issue of growing concern. It falls upon the village headman to provide guidance on how the issue is tackled: and when there is one who is progressive and not afraid to discuss taboo topics, it augers well for the sexual health of the entire community. Sevuama Sevutia is one such leader. The deputy headman of Naiserelegai village is a proud advocate of condom-use, telling the young people of the village that it is vital to wear them to prevent pregnancy. “My experiences, I share with the kids,” says Sevuama. “I tell the children, get to that stage of knowing what the sexual relationship is all about. Please look after yourself and if you have a problem, with the young boys or if someone is giving you the wrong advice, please tell people. It’s my job to tell them, to call their mother, their father.” “Nowadays, as the education level rises, we have to open up. But in the village, in the olden days, when people would see condoms they would say, 'no no, don’t talk about that'. But I am encouraging them to open up.” His children, too, are encouraged to be open. “I tell them, this is a condom,” he says, brandishing an imaginary condom. “Safe sex. If you want to have sex, use a condom. Use the condom! And protect yourself from the other things.” Sevuama, 53, a former marine engineer, spent decades in Suva before returning to his bayside home village of Naiserelegai. He was in the city at the time of the cyclone but managed to get back three or four days later when the roads had re-opened. He found his home damaged but intact and his five children safe, but much of the village destroyed and his wife still in shock. He received a small amount of money from the government to help fix his roof. Earlier this year, he, along with other men in the village, participated in IPPF information sessions on male sexual health and fertility, which he described as very helpful in complementing and reinforcing his existing knowledge. “We had a lot of questions, like mostly for the man, something might have happened to them during a difficult time. All this information helps the communities.” Stories Read more stories about our work in Fiji after the Cyclone Winston

story

| 20 April 2017

Sex workers in Uganda find hope

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. Joanne is a sex-worker who has been involved in the project run by Lady Mermaid's Bureau, funded by SAAF. "My name is Joanne, I have been a sex-worker for two years." Joanne was abused as a child and became pregnant at a very young age. She was forced to leave school with only a primary education and could not speak English very well. When she moved to Kampala from her village she was told she could get a good job but she had nowhere to stay and ended up becoming a sex-worker in order to support herself and her two children. While sex-work offers some financial support, the fact that it is illegal and that gender inequality is high in Uganda make sex workers very vulnerable to rape and violence. "The problems are very many. Men don’t want to pay. Someone uses you but he does not want to pay. We are being beaten, and there's a lot of stress and competition."   "There is a lot of competition between sex workers. Sometimes you go on the streets and no man is going to buy you and you end up not earning a single coin. Other times, when that man buys you, he tells you the money, you negotiate when you go to the lodge the man does not pay you. That is the most hard thing because you need to feed your children, but someone does not pay you. The men beat us when we are in the lodges. They are rough, they don’t want to use condoms, you tell him to use a condom, and he does not want to use a condom. So they end up infecting you sometimes. My other sex workers most of them got infected through that. We are even being raped by policemen sometimes. They come on the streets to chase us away and if we stay on the streets to work, the policemen force you. When a policeman arrests you, he takes you to a police station because you don’t have money. He asks what you can offer if you want to leave jail. You will say, "I have nothing I don’t have money." So the only thing you can do is to have sex with him. Then he will release you. Women cells are not the same as the ones for men - sometimes you are there alone at night. So police cells are being used to rape women. He has not paid you so that is rape - he has just forced you. There are many women who got pregnant because of this rape. Even me. I have had two abortions." Joanne used local herbs to terminate her pregnancy which led to complications. Then her friend told her about Lady Mermaid's Bureau and they referred her to IPPF's Reproductive Health Uganda (RHU) who were able to help her. Since being involved with Lady Mermaid's Bureau Joanne has been taught English and computer skills and has also got access to contraception and legal support. She thinks that both sex-work and abortion should be legalised in Uganda to reduce the stigma that leads to violence and abuse. "At times men don't respect us as sex-workers. Because it is illegal they abuse you. If they legalise it, it will be good." Stories Read more stories about the amazing success of SAAF in Uganda

story

| 29 March 2024

Sex workers in Uganda find hope

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. Joanne is a sex-worker who has been involved in the project run by Lady Mermaid's Bureau, funded by SAAF. "My name is Joanne, I have been a sex-worker for two years." Joanne was abused as a child and became pregnant at a very young age. She was forced to leave school with only a primary education and could not speak English very well. When she moved to Kampala from her village she was told she could get a good job but she had nowhere to stay and ended up becoming a sex-worker in order to support herself and her two children. While sex-work offers some financial support, the fact that it is illegal and that gender inequality is high in Uganda make sex workers very vulnerable to rape and violence. "The problems are very many. Men don’t want to pay. Someone uses you but he does not want to pay. We are being beaten, and there's a lot of stress and competition."   "There is a lot of competition between sex workers. Sometimes you go on the streets and no man is going to buy you and you end up not earning a single coin. Other times, when that man buys you, he tells you the money, you negotiate when you go to the lodge the man does not pay you. That is the most hard thing because you need to feed your children, but someone does not pay you. The men beat us when we are in the lodges. They are rough, they don’t want to use condoms, you tell him to use a condom, and he does not want to use a condom. So they end up infecting you sometimes. My other sex workers most of them got infected through that. We are even being raped by policemen sometimes. They come on the streets to chase us away and if we stay on the streets to work, the policemen force you. When a policeman arrests you, he takes you to a police station because you don’t have money. He asks what you can offer if you want to leave jail. You will say, "I have nothing I don’t have money." So the only thing you can do is to have sex with him. Then he will release you. Women cells are not the same as the ones for men - sometimes you are there alone at night. So police cells are being used to rape women. He has not paid you so that is rape - he has just forced you. There are many women who got pregnant because of this rape. Even me. I have had two abortions." Joanne used local herbs to terminate her pregnancy which led to complications. Then her friend told her about Lady Mermaid's Bureau and they referred her to IPPF's Reproductive Health Uganda (RHU) who were able to help her. Since being involved with Lady Mermaid's Bureau Joanne has been taught English and computer skills and has also got access to contraception and legal support. She thinks that both sex-work and abortion should be legalised in Uganda to reduce the stigma that leads to violence and abuse. "At times men don't respect us as sex-workers. Because it is illegal they abuse you. If they legalise it, it will be good." Stories Read more stories about the amazing success of SAAF in Uganda

girl
story

| 26 May 2016

Options: Maya contemplates abortion

He seemed so nice, I felt excited. I never thought he would push me to the ground and pull my underwear down. I should have fought harder, but he was so strong. He was hurting me so much – I was just crushed.  I wish I had said something to Mama straight away but as the time passed it became harder to talk about it so I told no one. My friends would have said it was my fault – I always said I fancied him. Mama and Papa would never understand or support me.  Mama found my diary and read it. The hardest thing was figuring out what to do. We were both confused. She had heard of a woman who helped girls like me to get an abortion. We went to the woman’s house, it was dirty and she was not friendly to us – just asked if we had money. Mama didn’t like it so we left. She said it didn’t look safe and it would be bad for me to be seen there. She decided that we would go to a clinic in the next town so no one would know me.  I felt scared. Because I had left it a long time the nurse told me I was 17 weeks pregnant. She then went through all the options with me. It was a lot of information to take in, but I felt like it was my decision and the most important thing was I didn’t feel ready to be a mama myself. It was quite a long medical check up with lots of embarrassing questions. I don’t remember much of what happened next. I was quite scared. I had an injection so I don’t remember anything until it was all over. The nurse came to talk to me about contraception. Then I had an STI and HIV test and that was ok.  It still shocks me when I think about all that has happened. I am sure that I made the right decision to have an abortion. It let me get on with my life and studies.

girl
story

| 29 March 2024

Options: Maya contemplates abortion

He seemed so nice, I felt excited. I never thought he would push me to the ground and pull my underwear down. I should have fought harder, but he was so strong. He was hurting me so much – I was just crushed.  I wish I had said something to Mama straight away but as the time passed it became harder to talk about it so I told no one. My friends would have said it was my fault – I always said I fancied him. Mama and Papa would never understand or support me.  Mama found my diary and read it. The hardest thing was figuring out what to do. We were both confused. She had heard of a woman who helped girls like me to get an abortion. We went to the woman’s house, it was dirty and she was not friendly to us – just asked if we had money. Mama didn’t like it so we left. She said it didn’t look safe and it would be bad for me to be seen there. She decided that we would go to a clinic in the next town so no one would know me.  I felt scared. Because I had left it a long time the nurse told me I was 17 weeks pregnant. She then went through all the options with me. It was a lot of information to take in, but I felt like it was my decision and the most important thing was I didn’t feel ready to be a mama myself. It was quite a long medical check up with lots of embarrassing questions. I don’t remember much of what happened next. I was quite scared. I had an injection so I don’t remember anything until it was all over. The nurse came to talk to me about contraception. Then I had an STI and HIV test and that was ok.  It still shocks me when I think about all that has happened. I am sure that I made the right decision to have an abortion. It let me get on with my life and studies.

Woman in Palestine. Credits: IPPF/Graeme Robertson
story

| 03 May 2016

Palestine: talking about sex to help sexual violence victims

In Palestine sexual violence against women, especially within the family, is common. Women's virginity is linked to the honour of their family, and will face threats of death for dishonouring their family. Mariam needed help to get out of a coerced “relationship”, fearing for her life if her relatives find out. “In the beginning my nephew wanted to kiss me. “I resisted. But then he started touching my body. It became a relationship between lovers. To “preserve” virginity, it was always anal sex.  “I knew it was wrong. But who I should talk to? If my brother found out he would have beaten me - killed me.”  At the Palestinian Family Planning and Protection Association (PFPPA)'s clinics, social workers give awareness sessions on sexual violence in the waiting rooms, hoping to catch the attention of women there for other reasons who are hiding the fact they have been abused. It was this kind of session that proved vital for Mariam. “When my sister was pregnant I went with her to the PFPPA clinic,” she remembers. “The social worker there, Ruba, started speaking about sexual violence. When my sister went in with the doctor, I went to Ruba's office and told her I needed help; I cried.” Mariam kept visiting Ruba, and ended things with her nephew. “What happened to me is not rare. It would have been impossible for me to approach a relative and tell them what was going on; I was too frightened. And nobody would have believed me over a man. “I've found there are other women of my age who've had similar experiences to me but women are frightened to speak about it.  “Before, I despised myself. Now I feel powerful. I leave the house, I meet people. I feel I'm responsible for myself, that I have to protect myself, and that I need to help others if they need me. Everyone's telling me 'you've changed, you're stronger'.” Through its association with religious and community leaders, the PFPPA seeks to persuade the public of the importance of talking openly about sexual health and relationships, and dispel the idea that sexuality education for young people goes against the teachings of Islam.

Woman in Palestine. Credits: IPPF/Graeme Robertson
story

| 29 March 2024

Palestine: talking about sex to help sexual violence victims

In Palestine sexual violence against women, especially within the family, is common. Women's virginity is linked to the honour of their family, and will face threats of death for dishonouring their family. Mariam needed help to get out of a coerced “relationship”, fearing for her life if her relatives find out. “In the beginning my nephew wanted to kiss me. “I resisted. But then he started touching my body. It became a relationship between lovers. To “preserve” virginity, it was always anal sex.  “I knew it was wrong. But who I should talk to? If my brother found out he would have beaten me - killed me.”  At the Palestinian Family Planning and Protection Association (PFPPA)'s clinics, social workers give awareness sessions on sexual violence in the waiting rooms, hoping to catch the attention of women there for other reasons who are hiding the fact they have been abused. It was this kind of session that proved vital for Mariam. “When my sister was pregnant I went with her to the PFPPA clinic,” she remembers. “The social worker there, Ruba, started speaking about sexual violence. When my sister went in with the doctor, I went to Ruba's office and told her I needed help; I cried.” Mariam kept visiting Ruba, and ended things with her nephew. “What happened to me is not rare. It would have been impossible for me to approach a relative and tell them what was going on; I was too frightened. And nobody would have believed me over a man. “I've found there are other women of my age who've had similar experiences to me but women are frightened to speak about it.  “Before, I despised myself. Now I feel powerful. I leave the house, I meet people. I feel I'm responsible for myself, that I have to protect myself, and that I need to help others if they need me. Everyone's telling me 'you've changed, you're stronger'.” Through its association with religious and community leaders, the PFPPA seeks to persuade the public of the importance of talking openly about sexual health and relationships, and dispel the idea that sexuality education for young people goes against the teachings of Islam.