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Endometriosis: what you should know

March is Endometriosis Awareness Month.

While it can be difficult to identify endometriosis, many people around the world suffer the effects of it. We explain the causes, symptoms, impact, and diagnosis and treatment methods. Click here for details

Uganda Celebrates 16 Days of Activism for Reproductive Health and Gender Violence

Uganda— The Director of Finance at Reproductive Health Uganda (RHU), Peter Mark Mutebi, has asked public and private organizations and other related players to take the fight against gender-based violence (GBV) outside workplaces and homes.

Presiding over the high-level stakeholder engagement in Hoima district by the RHU and partners Federation of Uganda Employers (FUE), Mutebi, said most of the GBV cases are happening in the homes, workplaces, and in countryside communities.

“Most of the cases that we do hear about are happening at work or in villages where women and girls are not empowered to report,” Mutebi said, adding that as “a young boy, I witnessed a lot of gender-based violence and bullying in my village.”

The Director of Finance also asked public and private sector players to refocus, find, and stop the drivers of gender-based violence.

“In rural areas mainly, I think it’s due to low levels of education, poverty, alcohol, and primitive beliefs that a man is above a woman even when a woman is feeding a man,” he said, committing, together with religious, cultural, and political leaders, to continue deliberate action in supporting communities in their campaign to end violence towards girls, boys, men, and women.

Sheik Musa Mabanja Atwooki, Hoima District Khadi, said religious leaders realized developments in creating an enabling environment for eliminating GBV through preaching and advocating for the enactment of laws such as the Domestic Act 2010, the Prevention of Trafficking in Persons Act 2009, the Penal Code Act Cap 120, and the FGM Act 2010, among others.

He added: “We want to ensure that we preach and advocate decision-makers to pass laws and policies and ensure that they are fully implemented.”Parliament established the Post Legislative Scrutiny Committee to ensure that the laws passed are implemented while also identifying gaps that need to be filled.

Approximately 650,000 teenage pregnancies were recorded during the COVID-19 lockdown in Uganda, according to the United Nations Population Fund (UNFPA).

Figures from UNFPA show that since March 2020, when COVID-19 hit the world, an estimated 354,736 teenage pregnancies have been reported following the closure of all schools in the country for at least eight months.

An additional 290,219 pregnancies were reported between January and September 2021.

The above figures were highlighted during the 2022 commemoration of the 16 days of activism in Kampala, Bukwo, Isingiro, Rakai, and Hoima districts.

RHU did the activities in partnership with the Ministry of Gender, Labour, and Social Development (MGLSD), district local governments (DLGs), and under projects like PROMISE II, Power to Youth (PYT), Advance Family Planning (AFP), and Right Here, Right Now II.

Ruth Mwangangi, Chairperson of FUE, believes “there is no production when employees are sick or are abused at work.” we don’t need to marginalize them if we need good productivity,” and added that “I commit on behalf of this institution to ensuring that issues of gender-based violence, maternal rights, and sexual reproductive rights and services are incorporated in the 2023-2024 national budget by private employers.”

Gender-based violence, according to Kiiza Beatrice of Bugambe Tea, affects not only individual victims but also the development of the country’s workforce:

“so many are suffering from sexual harassment; please reach out and organizations put up anti-violence policies.”

Francis Eyilu, Hoima Sugar’s Human Resources Manager, thanked RHU, saying, “We partner with FUE and RHU to put in place policies to curb violence and harassment at work.” “Safety tools are important, but so are health safety tools too.”

Bwendero Darius Bainomugisha, Peer Educator: “We sensitize people about HIV/AIDS at workplaces.”

Joyce Katwesige, Miss Y+ Western Uganda, called for Ugandans to turn on the voices of marginalized people and advocate for their rights.

Violence against girls, boys, and women has recently taken new, more sophisticated forms. An increasing number of them are, for instance, reporting cyberbullying and abuse through social media and smartphones.

Nuliyati Nabiwande, Principal Labour Officer MGLSD said Gender Based Violence affects not only the individual victims but also the development of the country.

“To address Gender-Based Violence, we need to lay back and tackle the root causes of gender inequality. If we don’t address the root cause of violence, our efforts to eliminate it will be significantly less effective, the Principal Labor Officer said.

She also wants the Parliament and district local governments to advocate for and advertise shelters where women and girls facing violence can take refuge as they seek justice.

RHU put on the orange color and created “orange” virtual spaces, and communication methods e.g., drama by Tunaca Troupe, websites, social media accounts, etc., on November 25, 2022, and throughout the next 16 days until December 10, 2022.

 

The author Aldon Walukamba is the Media Advocacy and Documentation Coordinator at Reproductive Health Uganda

Call for RHRN-2 programme Mid Term Review consultant

TERMS OF REFERENCE

 Post Title :                            National consultant for MTR RHRN2 

Project title:                       Right Here Right Now (RHRN2) programme mid-term review

Duration:                             Approx. 20 days between January – November 2023 (focus February to May)

Country:                             Uganda

 

Background

 

Aim of consultancy: Reproductive Health Uganda (RHU), Wereld in Woorden Global Research and Reporting (WIW), and Results in Health (RiH) seek: a national-level consultant to carry out an in-country mid-term review (MTR) of the Right Here Right Now (RHRN2) programme (2020 – 2025) in Uganda as part of the external mid-term review the RHRN2 Programme.

 

The Right Here Right Now (RHRN2) programme is a strategic partnership between Rutgers (lead), ARROW, AMPF, CHOICE for youth and sexuality, Reproductive Health Uganda and RNW Media. The programme runs from 2020 to 2025, taking place in 10 countries in Africa (Benin, Burundi, Ethiopia, Kenya, Morocco, Tunisia and Uganda) and Asia (Bangladesh, Indonesia, and Nepal) and at a global level.

The RHRN2 programme has formulated the following four Long Term Outcomes (LTOs):

  • LTO 1: Empowered young people make decisions about their sexuality, voice their needs and claim their rights.
  • LTO 2: A critical mass reinforces positive norms and values regarding young people’s SRHR and gender justice.
  • LTO 3: Governments adopt, implement and account for human rights-based policies and laws that enable young people’s SRHR and gender justice.
  • LTO 4: Strengthened civil society for young people’s SRHR and gender justice.

 

Right Here Right Now enables young people in all their diversity to enjoy their sexual and reproductive health and rights in societies where there is equity and equality between genders in all aspects of life. The programme places young people at the forefront, and strives towards young people, especially girls, young women and young LGBTQI+ people being empowered to make decisions about their sexuality, voice their needs and claim their rights. The partnership boldly tackles taboos. RHRN2 advocates for the rights of marginalised groups, based on its robust experience, and because few others do. The programme lobbies governments to adopt and be accountable for inclusive human rights-based policies and laws which enable young people’s sexual and reproductive health and rights and gender justice. RHRN2 calls on governments to give young people access to comprehensive sexuality education, information and youth-friendly services – including safe abortion – so they can make choices free from stigma, discrimination and violence.

 

The MTR of RHRN2 is led by two Netherlands-based consultancy organizations:

Wereld in Woorden Global Research and Reporting (WIW) and Results in Health (RiH), together named the ‘international evaluation team’.

For more details: download PDF file here

ToR national consultants RHRN2-MTR uganda_final (Repaired)

RHU Launches Safe Hands App at ICFP 2022 in Thailand

The Youth Empowerment Digital Storytelling platforms for Reproductive Health Uganda (RHU) were internationally launched today at the International Conference on Family Planning (ICFP) 2022 in Thailand.

The launch coincided with the official launch of the Safe Hands exhibition booth and the ICFP 2022 exhibition hall at the Royal Cliff hotel in Pattaya city, Thailand.

Jackson Chekweko, RHU Executive Director, revealed that the Safe Hands and ASK RHU platforms enabled young people to access information about their sexual and reproductive health and rights (SRHR) issues.

“Young people are empowered to tell their stories using digital platforms, these stories are then presented to policymakers to initiate or enhance debates,” Chekweko said.

Chekweko was in the company of Tomoko Fukuda, Regional Director of the International Planned Parenthood Federation (IPPF) for the East, South East Asia, and Oceania Region, and Erica Belanger from Safe Hands.

In her words, Tomoko Fukuda encouraged the use of digital platforms among young people to create awareness about SRHR through photographs, text, video, and sound, and the need for better care and parenthood from parents. She says that the platforms are user-friendly and easy to access, which is an advantage to the user, and others can learn from Uganda.

“Other countries and organizations, I believe, can learn from Uganda and use the same methods to share and receive SRHR messages for young people,” Tomoko said.

Erica Belanger from Safe Hands which supports RHU under the Knowledge and Information on Safe Sex (KISS) appreciated strides taken by RHU in creating, and innovating digital tools and ways to communicate SRHR messages to young people.

Nakanjako Babirye Aidah, KISS project, and RHU Communications Officer say the goal of the KISS digital storytelling project is to use these digital stories to raise awareness about the SRHR day-to-day social policy challenges, barriers to accessing SRHR services, budgets, and SRHR commodity needs, and aspirations of young people in Uganda. At the same time, adolescents are trained in basic interview, communication, and video recording techniques. They also learned how technology can be used to address social issues in communities and how they can play a role as change agents.

“Hundreds of boys and girls in Kabalore district have participated in this project, resulting in stories about topics including sexual & reproductive health challenges, social & economic challenges, voices of youth leaders, and youth & entrepreneurship. The videos can be viewed in the project’s Facebook group,” Nakanjako said.

RHU desires to hear stories from young people themselves. In a bid to achieve this, efforts to establish a number of regionally based platforms to collect and disseminate SRHR information to and for young people, some in their native languages. This is ongoing in a number of Ugandan projects aimed at young people. A digital hub and toll-free line have already been put in place, particularly for young people to share, ask, and receive information about SRHR by RHU in Uganda.

The ICFP 2022 is ongoing under the theme: “Family Planning + Universal Health coverage: Innovate, collaborate, accelerate” at the Royal Cliff hotel in Pattaya city, Thailand.

 

The author of this article Aldon Walukamba is the RHU Media Advocacy and Documentation Coordinator

Read more about RHU digital platforms

Ask RHU launch in Uganda

Global Youth Connect Project Calls for Small Grants Applications

Introduction:

Reproductive Health Uganda (RHU) under funding from the International Planned Parenthood Federation (IPPF) on the Global Youth Connect project announces the call for applications of project proposals through the small grant scheme.

About the Global Youth Connect Project:

Global Youth Connect is a digital platform established by the International Planned Parenthood Federation (IPPF) and hosted by Reproductive Health Uganda (RHU). It is centered on empowering diverse young people with vast, accurate, and age-appropriate information on sexual and reproductive health hence improving their well-being. The platform, whose major strategy is meaningful and inclusive youth engagement/ participation takes on the form of an online information portal that features a website with vast interactive features and linkages with other IPPF youth communication channels.

The global youth connect platform performs explicitly three core functions:

  • Collation, sharing, and debating youth participation practice (tools, standards, policies, ideas)
  • Connecting and amplifying IPPF youth communications channels
  • Scanning for and sharing opportunities to advance the IPPF youth agenda i.e. training, grants, advocacy forums, etc.

What does the small grants scheme seek to achieve?

The scheme seeks to support youth-driven initiatives and innovations that advance adolescents and Youth Sexual and Reproductive Health across the federation.  We believe that young people have the ability to develop and implement solutions geared towards improving their own sexual and reproductive health and being provided with a financial stimulus, their capability would be accelerated.

Who should apply?  The scheme targets:

Young people (10-24years) within or attached to the IPPF Member associations are interested in designing and implementing interventions aimed at improving the SRHR of fellow young people.

Themes under which the application should be based:  Note: Your application can be directed in any of the themes listed below.

  1. Creative Artistic Art or videos to promote SRHR for adolescents and young people
  2. Strategies to increase SRHR for vulnerable populations, especially Persons with disabilities (PWDs), Young people LGBTQI+, Young people living with HIV, Young people living in poverty, young people using drugs, etc
  3. Strategies/ideas to increase access to Comprehensive Sexuality Education for adolescents and young people
  4. Using digital media to amplify youth networks and empower young people with SRHR information across the federation

Please note:

  • Your proposal should be in pdf format
  • Your submission should be shared in English
  • Your proposal should include all the details included in the project proposal summary
  • There should be no administration costs as per budget.
  • Young people can apply either as individuals or groups. Only young people affiliated with IPPF associations are eligible.

Duration: 6 Months (December 2022 –May 2023)

Grant amount: $5,000

Deadline: 20th November 2022

Download the PDF's below

Call- English, French, Spanish

Call- Arabic

Proposal summary template

Budget template_GYC

All proposals should be sent to info@youthsconnect.org. Please also keep in copy rhu@rhu.or.ug

RHU signs Memorandum of Understanding with Lango Cultural Foundation

On October 18, 2022, cabinet leaders from the Lango Cultural Foundation (LCF) in northern Uganda signed a five-year memorandum of understanding (MoU) with Reproductive Health Uganda (RHU).

According to Robert James Ajal, LCF Prime Minister who led the cabinet delegation, integrating sexual reproductive health (SRH) into the LCF plan for 2022 to 2026 is critical in order to manage the LCF population and harness development in homes and as a foundation.

“Lango Cultural Foundation will educate and sensitize communities about sexual reproductive health and family planning, as well as strengthen the enforcement of existing laws against gender-based violence, defilement, child neglect, marriages, and land conflicts. Encourage and support the education of girls,” Ajal said.

The signing of the MoU was witnessed by the Lira district local government and the office of the Presidency, which vowed to protect the partnership and thus reached and birthed between RHU and LCF.

Dennis Otim Otto, Principal Assistant Secretary from the Office of the Chief Administrative Officer, pledged to support the partnership which aims to achieve demographic dividends for Lira district local government and also the Lango sub-region of Northern Uganda.

“We will support the partnership between Reproductive Health Uganda and Lango Cultural Foundation because it aligns with the Government of Uganda’s development goals like the NDP III, vision 2040, and the Parish Development Model pillar number four (4),” Otim said.

In his remarks, Jackson Chekweko, RHU Executive Director, said that as we climax with what we started in 2020 with the Lango Cultural Foundation (LCF), a resolution to promote family planning was jointly signed. LCF is now ready to cruise on its own.

“We are now putting in place a framework that will help our relationship progress. Our partnership with the Lango Cultural Foundation is based on work that improves the lives and social welfare of Lango residents and the foundation,” Chekweko said.

RHU and LCF signed a group resolution before, to promote family planning in September 2020, with support from Advance Family Planning (AFP).

The resolution, which focuses on educating communities about family planning and incorporating family planning into the LCF’s budget and development plan, has had an impact on all eight districts in the Lango region.

Cultural leaders in the Lango Kingdom are stewards of local traditions and powerful influencers of community values and health-seeking behaviors.

Dr. Buchan Patrick Ocen Lira, district health officer, disclosed that the signing of the MoU will help achieve Family Planning commitments 2030 by reducing the unmet need for family planning in the Lango region, now at 27.4% among married women and girls [1]. Cultural preferences for large families and substantial dowries for young brides have traditionally hampered family planning. This all contributes to a teen pregnancy rate of 35.2% in the region, which is higher than the national average [2].

While closing the signing ceremony, Lawrence Egole, Resident City Commissioner for Lira City, stated that Lira and the Lango subregion have many street people because parents were not guided about how to many children’s birth and care in the community.

He encourages other cultural, religious, and educational institutions in Uganda to join efforts to capitalize on demographic dividends.

Advance Family Planning (AFP) local partner Reproductive Health Uganda (RHU) has supported family planning advocacy in the Lira district of Lango since 2017. In 2019, during a meeting with the Lira district advocacy working group, a local district speaker identified the challenge of cultural leaders speaking negatively about family planning within the community. In August 2020, the National Population Council (NPC), a national governing body, held a meeting in Lira with representatives of the Lango Cultural Foundation, the kingdom’s governing body, on how to engage with cultural leaders to promote family planning. They identified the council of clan chiefs, overseen by the paramount Chief, His Highness the Won Nyaci me Lango Yossam Odur Ebii, as key to their advocacy efforts.

The writer of this article Aldon Walukamba is the RHU Media Advocacy and Documentation Coordinator

References

Uganda Bureau of Statistics (2016). Uganda Demographic and Health Survey 2016. Retrieved from https://dhsprogram.com/publications/publication-FR333-DHS-Final-Reports.cfm

Uganda Ministry of Health. Uganda District Health Information System (DHIS) 2. Accessed October 2022.

 

In Uganda nearly a third of all women become mothers during adolescence

As we celebrate the International Day of the Girl Child 2022, under the theme: “Our time is now – our rights, our future” research released by UNFPA, the UN sexual and reproductive health agency, reveals that nearly a third of all women in developing countries begin childbearing at age 18 or younger, and nearly half of first births to adolescents are to children or girls aged 16 or younger.

While global fertility has declined, the UNFPA data showed that women who began childbearing in adolescence had almost 5 births, with Uganda having 4.8 by the time they turned 40 in 2020.

“When nearly a third of all women in Uganda are becoming mothers during adolescence, it is clear the country is unknowingly ruining the future of adolescent girls,” said Dr. Peter Ibembe, Reproductive Health Uganda (RHU) Director of Programs.

“The repeat pregnancies we see among adolescent mothers are a glaring signpost that they desperately need sexual and reproductive health information and services” said Bishop Kipto Masaba of Sebei Diocese.

This is evident in the Butaleja district, where Uganda’s youngest grandma, aged 27, was born in 2021.

Additional childbirth in adolescence is frequent among child moms after having their first kid. Nearly three-quarters of females who have their first child at the age of 14 or less have a second child in adolescence, and 40% of those who have two children have a third before leaving adolescence.

Giving birth complications are a primary cause of mortality, 368 deaths per 100,000 in Uganda (UBOS,2021) and injury among teenage girls, but being an adolescent mother may also result in grave abuses of their human rights and serious societal implications, such as child marriage, intimate-partner violence, and mental health concerns. The youngest child mothers face the most dangers.

There is positive evidence of decreased levels of motherhood in childhood and adolescence over the world. However, the rate of reduction has been frighteningly sluggish, frequently falling by barely three percentage points every decade.

“Governments need to invest in adolescent girls and help expand their opportunities, resources, and skillsets, thereby helping avoid early and unintended pregnancies,” said UNFPA Executive Director Dr. Natalia Kanem. “When girls can meaningfully chart their own life course, motherhood in childhood will grow increasingly rare.”

The report makes policymakers recommendations such as providing comprehensive sexuality education, mentorship, social support, and quality health services to girls, as well as providing economic support to families and engaging local organizations, all within a supportive policy and legal framework that recognizes the rights, capacities, and needs of adolescents, particularly marginalized adolescent girls.

We think, in collaboration with our partners, that girls are ready for a lifetime of rapid progress. It is time for all of us to take responsibility – with and for girls – and invest in a future that values their agency, leadership, and potential.

A call to action

From October 2022 through October 2023, we will urge for increased focus, investment, and action on:

  • Supporting teenage girls’ leadership at the forefront of change initiatives, including hearing their views, responding to their requests, and creating places for their involvement in decision-making
  • Increasing resources and investments in teenage females, including networks and organizations that advocate for excellent, inclusive education and promote their well-being
  • Improving access to and utilization of inclusive teenage girl-centered services at all times, but particularly during crisis response and recovery

The writer of this article Aldon Walukamba is the Media Advocacy and Documentation Coordinator at Reproductive Health Uganda

In Uganda safe spaces, toll free line offers SRHR information for young people

Uganda – “We’ve been told that our clinics bear peace – the clinic and what is offered in it,” said Demeter Margaret Namuyobo. She is the Medical Coordinator at Reproductive Health Uganda (RHU), where we present a safe space for women and young people in Uganda, to access sexual reproductive health services and information (SRHI).

Over the past 65 years, millions of marginalized and underserved people have entered Uganda, including internally displaced persons (IDPs), refugees, young people, and migrants fleeing economic and political instability in Sudan, South Sudan, Ethiopia, Somalia, the Democratic Republic of the Congo (DRC), Burundi, and Rwanda.

New Patient care Centres in all 19 static RHU clinics and a toll-free line (0800299003), assist new arrivals in gaining access to SRHI services and information, as well as addressing urgent needs such as protection, shelter, food, and counseling.

Amid the noise, crowds, and queues at community outreaches and the static clinics, there is a door marked with the words

“This is the RHU safe space” – a place where young people and survivors of gender-based violence can come for guidance, care, and referrals to local networks of public services as well as resources on sexual and reproductive health.

“The people who come here have SRHI issues that require urgent attention, in most cases privately. They don’t understand most of the dialects spoken in Uganda, they haven’t eaten properly for a while, they hitchhiked – they are anxious and distressed,”. Namuyobo explained.

New arrivals, particularly women and young people, are welcomed into the safe space at the end of often long and difficult journeys.

While comprehensive data are unavailable, research and news reports have indicated women and young people face threats of gender-based violence and a lack of SRHI as they seek out better lives in the country.

To address these rights violations, RHU maintains 19 safe spaces across the country and the toll-free line (0800299003), where staff offer SRHI and work to identify instances of gender-based violence, offer case-management support, and refer survivors to corresponding public services. Teams also work with survivors to access health services, build safety plans, and monitor cases until resolution.

“RHU’s toll-free line and humanitarian response in Uganda is important to guarantee the health rights of marginalized and underserved people, especially young people, women, and girls,” said Tom Kulumba, who heads the RHU Gender and Youth department in Uganda.

In addition to sexual and reproductive health advice and gender-based violence support, each space accommodates breastfeeding mothers, and infant beds and provides free condoms and educational videos and games. Everyone is welcome, and the door is always open.

“Hundreds of vulnerable and underserved people have benefited from calling the RHU toll-free line,” Talent Emily, RHU toll-free line officer said. She contends that the callers are interested in family planning, infertility management, HIV, location of RU clinics, making appointments, and sexually transmitted infections (STI) management.

For some, this makes all the difference. “During an appointment, one woman mentioned her desire to use family planning,” Demeter Namuyobo recalled. “She put both hands on the table and said, ‘You are the first person so far who has looked at me, so I felt safe to open up – I think this is what sets us apart.”

As Ugandans face ongoing threats to their SRHI safety in some places – from a lack of essentials such as spaces, toll free lines, and medicine to political and socioeconomic crisis – RHU will continue its critical work of providing marginalized and vulnerable persons in their diversity a safe place to rest and recover.

The author Aldon Walukamba is a Media Advocacy and Documentation Coordinator at Reproductive Health Uganda

Why Family Planning Is Beneficial to Uganda’s development stride

Given the state of Uganda today, it is urgent that humanity and nature exist in balance. The burden, of course, is on the people to make this happen. In a country of 42.9 million people that could grow to 100 million by 2050, we are making this more difficult.

It doesn’t have to be that way. We know what must be done, but we must find the political and societal/cultural will to make it happen, in a manner that supports having a proper conversation about the best approaches. The solutions to attaining a healthy population count are grounded in the principles of rights and empowerment and are things the world should be doing anyway.

One of the first things to do is to invest in young people, who make up more than 75% of Uganda’s population and a population of 24 million women in health, particularly by providing deliberate and voluntary family planning services. This is often referred to as “low-hanging fruit,” because it is the right thing to do, relatively simple to provide, and something that most women and men desire. Everyone should have the right to plan if and when to have a family, and have the tools, resources, and access to do so, or not do so.

There are more than 23.19 million women in Uganda, including 10 million that are of reproductive age, but 17% want to delay or avoid pregnancy but are not using a modern contraceptive method. It is also true that 46 percent of Uganda’s estimated 36 births per thousand pregnancies in 2020 were unintended (PMA,2020).

The estimated current annual cost of providing modern contraceptive services in Uganda has gaps, including direct and indirect costs.

According to the National Family Planning (FP) Cost Implementation Plan (CIP) II (2021/22–2024/25), the overall funding need for FP commodities is the US $332.3 million. The government’s overall commitment to the reproductive health (RH) supplies budget over this time period, however, is the US $ 25 million. If this were to be expanded and improved to address all men and women’s needs for modern contraception in Uganda, a funding gap of US $ 307.3 million needs to be avoided.

Just to put that in perspective, the total per capita consumption of pure alcohol is 23.7 liters in Uganda. This approximately accounts for 480,000 shillings spent on alcohol by each Ugandan.

The government allocated a total of UGX 3.722 trillion for healthcare delivery in the financial year (FY) 2022/23. This has been largely geared towards the COVID-19 vaccination.

The good news is that with the celebration of 13 years of the Advance Family Planning initiative (AFP) in Uganda, the citizens know what to do, how to do it, and why to do it concerning family planning access. Let’s look at just two examples of why investing in family planning can make a huge difference in people’s lives in Uganda.

Most of the districts in Uganda are experiencing the highest rates of population growth in the world. In fact, Uganda’s population is expected to double, from 42.9 million today to 100 million by 2050. (UBOS, 2020)

One of the country’s fastest-growing populations in Wakiso. Its current population of 2.9 million is projected to reach 5.1 million by 2050, and it is one of Uganda’s youngest and most urbanized districts, with over 88 percent of the population under the age of 30. The district also has a number of street children and destitute.

One in four girls between the ages of 15 and 19 in Uganda has given birth or is carrying her first child, according to the United Nations Population Fund (UNFPA) country’s 2020 report. Reducing teen pregnancies will result in greater education and economic opportunities for young people. Meeting the reproductive rights and needs of youth through education, outreach, and access to services is imperative. Local organizations such as Reproductive Health Uganda and partners are working with youth to raise awareness and access to contraceptives and family planning services.

Unplanned teenage pregnancies account for 25% of all pregnancies in Uganda (PMA, 2020). The district of Iganga worked to change this situation through the Iganga Family Planning Initiative, which provided training, support, and low-or no-cost long-acting reversible contraceptives (LARCs) to low-income women, especially teens through the AFP and other interventions.

The Iganga district made more progress than any other district in using family planning to reduce unplanned pregnancies (UBOS, UNFPA, 2020). The district department of Health reported that teen pregnancies were nearly cut in half and that, ” the AFP initiative and other interventions empowered thousands of Iganga women to choose when and whether to start a family” Iganga’s experience is a model for other districts. They can now educate, treat and do other development activities with fewer, but manageable family sizes. If replicated, with fewer resources required to manage families, the surplus can go to agriculture, and business and help achieve Uganda’s national development plan III and vision 2040 indicators.

As we celebrate this year’s World Contraceptive Day on September 26, 2022, let’s focus on family planning as a development issue; make it visible; budget for it; and make policies that allow for its access in Uganda. It is good for the child, mother, father, and family.

The author of this opinion story Aldon Walukamba is a Media Advocacy and Documentation Coordinator at RHU

CONSULTANT TO CONDUCT THE REPRODUCTIVE HEALTH UGANDA (RHU) REORGANISATION, JOB EVALUATION AND GRADING, SALARY REVIEW AND PAY STRUCTURE

Reproductive Health Uganda (RHU) is a Member Association of the International Planned Parenthood Federation (IPPF), and its core mandate is to champion, provide and enable universal access to Sexual and Reproductive Health and Rights (SRHR) information and services to vulnerable and underserved communities, especially young people.

The Association has over 150 members of staff and over 4000 volunteers working with and for communities and individuals. RHU is also
committed to Universal Health Coverage (UHC) by contributing to the achievement of equitable access to life-saving, quality sexual and reproductive health care for all, including to the most marginalized and hard-to-reach population groups.

We are looking for a consultant/ firm to recommend a new or improved structure with roles that align well with the
organizational strategy, as well as conduct a Job Evaluation and Job Grading exercise, and Salaries and benefits review.

Application Process
Interested persons/consultancy firms must submit technical and financial proposals by Friday 24th June 2022 by 5:00pm to:
Office of the Executive Director, Reproductive Health Uganda Plot 2 Katego road, Off Kiira road, P.O Box 10746 Kampala
Tel: +256312207100/041 540658 Or Email: rhu@rhu.or.ug

CLICK TO DOWNLOAD TOR 

RHU will contact persons with whom further discussion is sought. Please note that we may be unable to respond to applicants who have not been selected for interview.