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

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. My name is Atunaisa Rayasi. I am 65-years-old and I live in the village of Natalecake, with my son, daughter-in-law and their three children. During the storm the branch of the mango tree broke off and it hit the roof which was damaged. The roof stayed intact but was damaged so everything got drenched. The children were really scared. In my room the roofing iron came out and blew away. We can still see the watermark over there on the wall, where a dark patch marks out the spot where the rains hit. Even though the house was badly damaged, I actually found it far more difficult later, when I wanted to get to the hospital to see a doctor. After the cyclone, the road to the hospital was destroyed completely. We only got to the hospital after three weeks. I had to ask my son to get a car. There were so many other people there. I had to sit in a queue and wait for my number to be called up. You get there in the morning and the number gets called at 2pm. I am not able to leave home often, so I wasn't amongst those in the village hall when the NGOs (non-governmental organisations) came around. My daughter-in-law, who was pregnant at the time, received assistance from IPPF. She got some help with the buckets which helped the whole family. We were able to store fresh drinking water inside.   Stories Read more stories about our work in Fiji after the Cyclone Winston

Nancy Lakisa, a 19-year-old nursing student, volunteers at Reproductive Health Uganda Gulu branch. Nancy first went to the clinic as a client when she was suffering from a burning urinary tract infection. RHU clinics offer integrated youth-friendly services to encourage young people to use health services and staff have been trained to listen and offer services to adolescents with ease and respect.    “When I came for the service, I was welcomed, I felt at home because the service provider handled me in a very good way. Though I was afraid of telling her what was happening to me but the way she was talking to me, I really got that courage and explained to her everything. "I am inspired to be a caring nurse and now I spend my holiday time at the clinic as a volunteer. I really admired how they do their things and I really wanted to learn more about reproductive health." Nancy said her experience had changed her life. “I had many boyfriends, I used not even to care whether somebody talked me. I didn't even used to respect my mum when she tried to advise me but I had counselling about that. I only have one life. Gulu is changing the lives of many people." Follow a day in the life of our team and clients in Gulu, Uganda 07:00 08:00 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 22:00 Prev Next 7am: The team prepare for the long day ahead "Every year tens of thousands of Ugandans come to our clinic. Everyone is welcome. Here are just a few of the people that we served in one day last month." READ MORE 8am: Nancy, 19, becomes a volunteer "I was suffering but when I came here, I was treated and I got better. Now I'm inspired to volunteer here" READ MORE 9am: Monica, 25, a sex worker's story "I am sex working. I came here for Hepatitis B testing and also counselling. I have so many personal problems, but here….they’re so caring." READ MORE 10am: Jane, 23, saved by family planning "After multiple miscarriages, family planning here has helped me a lot. I'm glad we've been able to space the number of children we've had. I am not growing old, I am fresh." READ MORE 11am: Vicky, handling disabilities "I'm deaf so accessing services is hard, but here they really try to speak in sign language." READ MORE 12pm: Dorcus, first time patient "This is the first time I've ever come here, I like the service. They give good counselling so I recommend coming." READ MORE 1pm: Christine, 45, a grandmother's tale of living with HIV "I am living with HIV and had HPV. They treated me and now I'm free of cervical cancer." READ MORE 2pm: Lilian, struggling mother of six with sickle cell " I have sickle cell disease and so do all my children. I want to have my tube removed so that I don't get pregnant again but I don't know if my husband will allow it." READ MORE 3pm: Brenda and Francis get fertility treatments "Fertility treatment is a sensitive issue in Uganda but they help us a lot and we get proper treatment." READ MORE 4pm: Joyce, 25, repected regardless of her disability "I realised that at this place they don't segregate. Us people with disabilities have challenges at the main hospitals. You go there, people around look at you as if you are not a human being and you don't fall sick." READ MORE 5pm: Mobile clinic provides outreach services to remote villages "Our outreach to remote communities is a 'one-stop-centre'. We give family planning, vaccines for HPV, malaria, and Hepatitis B, HIV testing and more." READ MORE 22pm: Still giving the last client our very best "Together, we have great teamwork. Sometimes we're still working up to 10pm because we never chase out our clients. We’ll never close the place when we have a client inside. People come when they have no hope." READ MORE

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.

Julie was a midwife with the Ministry of Health for 20 years before she joined the Vanuatu Family Health Association (VFHA) as nurse and project manager for IPPF's SPRINT Initiative response in Vanuatu. When Cyclone Pam hit Vanuatu, the SPRINT Initiative and VHFA started providing life-saving services to the Island, Tanna, which was the population worst affected by the typhoon. Many communities there live remotely, in grass huts, with no immediate access to medical care.  Julie was there with the VFHA team. “When I first came here we used the kitchen to operate from. On my second trip, we created a clinic in our youth centre, and used the nearby health post for clinical procedures. Soon we saw more patients pouring in, which created a huge demand for space." Health conditions are very low. Even before the cyclone hit the island, it was reported that the average mother loses two pregnancies each, in her lifetime. Every person in the village knows at least one mother who has died during child birth. Access and knowledge to family planning is overlooked as traditional practices are used first. As Julie explains, advocating about family planning is a challenge in the area, also for language barriers. “Talking about birth-spacing and talking in the regional dialect of Tanna is a problem. Most of us in Vanuatu speak Bislama, but people here in Tanna aren’t well versed with it. However, we try our level best with all possible methods including sign language and demos to impart knowledge about family planning.” Family planning services are just a part of the IPPF-SPRINT Cyclone Pam response, that also included general health check-up, counselling and awareness about Sexual and Gender Based Violence, maternal care and awareness and prevention of HIV and Sexually Transmitted Infections (STI).