Tagged as: Contraceptives

The First Deputy Prime Minister of Uganda Commends Reproductive Health Uganda Efforts to Improve Sexual Reproductive Health Access and Address Disparities

The First Deputy Prime Minister of Uganda and Minister for East African Community Affairs, the Rt. Hon Rebecca Alitwala Kadaga, has applauded Reproductive Health Uganda for its efforts in improving access to sexual reproductive health services in Uganda, particularly among vulnerable and marginalised communities.

Speaking during the RHU 67th annual general meeting held in Kampala, Hon Kadaga lauded the organisation for its dedication to improving the health status of Ugandans through increased access to sexual reproductive health services.

The emeritus Speaker of the ninth and tenth Parliament of Uganda acknowledged RHU’s key role in providing vital services including HIV and STI testing and counseling, family planning, and maternal health care to millions of people across Uganda.

Despite the commendable efforts of RHU in providing key sexual and reproductive health services, Hon Kadaga acknowledged that there was still a considerable gap in the availability of these essential services to communities.

Her remarks highlighted an unfulfilled need among vulnerable and marginalised groups, underlining the continued importance of work towards expanding provision of such vital health services in Uganda.

“Data clearly show that we have a significant disparity in access to sexual and reproductive health services, with my home region of Busoga alone accounting for over seven percent of the overall national figures on teenage pregnancies,” Hon Kadaga said, before adding, “This is a sobering statistic, and it underscores the urgent need for greater access to the range of vital sexual reproductive and health services.”

“The frequency of these inequalities represents an alarming failure of our collective efforts to safeguard young Ugandans, with damaging consequences for both individuals and society at large,” she said.

Hon Kadaga, emphasised the need for a comprehensive approach to addressing such sexual and reproductive health-related challenges, with increased involvement of men and boys.

“Despite well-intentioned interventions and programmes aimed at promoting sexual and reproductive health, many fail to engage men and boys adequately, limiting the effectiveness and reach of these initiatives,” she said.

Hon Kadaga highlighted the vital role that men and boys must play in addressing these issues and advocated for the inclusion of effective outreach, education, and support programmes targeted not only women and girls but also men and boys.

She said, by ensuring the active involvement of both women and men in such initiatives, it would be possible to drive change and make tangible inroads towards addressing sexual and reproductive health-related challenges, promoting more positive and healthy outcomes for all of Uganda’s citizens.

“We need to broaden our approach because it is not only girls who need education and support around sexual reproductive health. We also need to engage boys and men to ensure they are prepared for the responsibilities that come with sexual relationships,” Hon Kadaga noted.

This could be done by adopting comprehensive and holistic approaches that include mindset change to promote safer, healthier relationships.

She emphasised the collective responsibility to ensure sexual health and wellbeing of all Ugandans, of which everyone needed to rise to the challenge.

In a meeting filled with key stakeholders and partners, RHU showcased its recent achievements, unveiling several new initiatives aimed at reaching the underserved and vulnerable communities in Uganda.

Hon Kadaga called upon other organisations to emulate RHU’s efforts and support the establishment of essential health service delivery points in order to guarantee access to such services among the marginalised and vulnerable communities.

She pledged continued government support to RHU and other similar organisations devoted to improving reproductive health of Ugandans.

RHU easily has become a force to reckon with when it comes to sexual reproductive health services, mobilising communities and elites alike to ensure no one is left behind regardless of their ability to pay for the services.

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

In Uganda, acceptance of family planning is increasing

“It’s preferable to have one child than many,” Nyekuch, 28, at the Pagirinya health Centre III family planning section in Adjumani district, explained.

This is the counsel she provides to both men and women, yet she has had a totally different experience.

She married at the age of 14 and gave birth to her first child a year later, before the war in Sudan forced her to Uganda as a refugee. Before then, she was not required, like many other child brides, to seek an education, thus she never learned to read or write. She now has five children, all of whom she wishes to have a totally different destiny than she had.

“I hope that when my daughter is at least 22 years old, she will make the correct decisions and become a mother,” Nyekuch remarked. “By then, she’ll have completed her university education.” All of my children, I hope, will be able to receive an education.”

Nyekuch embodies the plight of Uganda’s vulnerable village women in many ways. According to the 2020 State of World Population report, the country’s fertility rate is five (4.6) children per woman, and on average 25% of women give birth while still teens.

The maternal mortality rate in the country is high, in part because health risks increase as women have more pregnancies. According to a recent joint United Nations study, over 368 women die during giving birth for every 100,000 owing to pregnancy-related causes.

Contraceptives reduce the risk of maternal injury and death by lowering the number of unplanned pregnancies, which account for 43% of all pregnancies in Uganda. Couples can also determine the appropriate family size for their situation by using family planning. Despite this, many people are wary of using family planning.

“This is due to a lack of comprehensive information, inadequate counselling skills among health service providers, limited access to contraception, users’ fear of side effects, and misinterpretation of religious doctrine regarding family planning,” Dr. Peter Ibembe, Reproductive Health Uganda Director of Programs, explained.

Some cultural influences, such as the inclination and desire to have a big family, by some couples also play a key role.

Advance Family Planning (AFP) initiative is working closely with the Reproductive Health Uganda (RHU), Ministry of Health to ensure a reliable supply of contraceptives to government health facilities. RHU also trains health workers and provides technical support to health facilities, like the family planning units at health centers in Uganda, through its 20 clinics and branches spread across the country.

RHU, in partnership with AFP is also increasing the family planning choices available to women, but also executing out advocacy activities among policy makers, media and the community. At the centre in Uganda’s vulnerable communities, women are able to select from a variety of safe, reliable contraceptive methods, including condoms, pills, injections, implants and bi-tubal litigation or vasectomy.

Contraception is steadily gaining traction in this traditionally conservative society. According to a government survey, barely 30% of married Ugandan women employed contemporary techniques of family planning in 2016. As per Performance Monitoring for Action (PMA) reports, 40% of married women utilized contraception by 2020.

Most of the women Nyekuch knows take injections, implants, or tablets, according to her. “Only a handful couples I know employ alternative ways. I, too, utilize the injection “she stated

However, there is still considerable skepticism. Contraceptive implants, for example, are feared by many people, despite the fact that they are safe and provide long-term protection against unintended pregnancy. “People are reluctant to use them, and husbands won’t let them because they’re worried their wives won’t be able to have children again,” Rhoda Namukwana, a registered midwife at RHU Bwaise branch, stated.

Nkonanyi, was also visiting the RHU outreach family planning Centre in Kyangwali refugee camp. She was married at only 13, and her first baby was born the following year. Now, at age 25, she has two children and relies on family planning.

“We barely scrape by,” Nkonanyi explained, revealing that the family relies on her husband’s salary as a community digger to make ends meet. “If I send my son to school, we will want more funds for his school uniform, books, notebooks, and other necessities.” That’s something we can’t afford.”

She wants both of her children to expect more from life. For instance, she hopes her daughter will not get married until she is 20, and Nkonanyi herself wants to wait before having more children.

“I’d like to wait at least three years before having another child.”

Aldon Walukamba G, the author, is the RHU Media Advocacy and Documentation Coordinator.

Why Contraceptives?

Every 26th of September is World contraception day. The theme this year is ”The power of options ”. There’s 7 billion of us on this planet and the population just keeps growing. Babies are awesome. They have cute beady eyes, infectious smiles, that baby talk we love but don’t understand, the adorable outfits for the gram… and when they grow up you can send them to fetch the remote. It’s all too precious. But we can’t keep popping them out like there’s free resources just lying around. As awesome as babies can be, do not get entrapped by the peer pressure from friends or family to have as many than you can feed!

How long till you pop out the next kid?

It all depends on the couple’s plan. Some babies are oops babies. Precious nonetheless. A newborn can take over your life. So try to think about whether you and your partner have the time and energy a baby requires. And ask yourselves whether your other children are ready to deal with the reality of a baby in the home. Studies suggest that getting pregnant within 18 months after your first child is born can make it more likely that your second child will be born early, underweight, or smaller than usual. So…. you might want to wait for at least 24 months.

What Can I get on?

What works for your unique body and lifestyle won’t necessarily work for someone else. There’s no “perfect” one, but there is probably one out there that’s perfect for you. And what works for you now might not work for you in 10 years. Mum and dad need to work this out together. Talk to your doctor. Based on your age, lifestyle and medical conditions, they’ll let you know what works best. Our professional doctors at all our branches country wide are happy to take you through a range of options that might work to you! Click here to reach out!

Short Term Options??

• Contraceptive injection (renewed every eight weeks or every 12 weeks, depending on the type)
• Combined pill (taken every day for three weeks out of every month)
• Progesterone-only pill (taken every day)
• Contraceptive patch (renewed each week for three weeks in every month)
• Condoms
• Rhythm method

Long term options?

• Vasectomy
• Tubal Ligation
• IUD