Health
New study: 46% of Women in Uganda say they had unintended pregnancies in 2021
Published
4 years agoon

Women in Uganda continue to report high levels of unintended pregnancies. Results from Phase 2 cross-sectional survey of the Performance Monitoring for Action -PMA Uganda project at Makerere University School of Public Health (MakSPH) show that 46 percent of pregnancies in 2021 were unintended.
Of the 2,159 women of ages 15-49 from across the 141 enumeration areas (villages) in 15 sub regions of Uganda interviewed by the study team, at least 54% said their current/ recent pregnancy was intended.
The women were asked whether they were pregnant by intention of their most recent birth or current pregnancy. 33% said they wanted a pregnancy later while a total of 13% said they wanted no more children but ended up getting pregnant.
The proportion of those who had unintended pregnancy varied from the those that were in urban and rural areas. For instance, a whopping 48.5% of those who had unintended pregnancies were rural based women while 35.9% were in urban areas.
Also, results show that more than 50% of women who said they never wanted to be pregnant or wished to delay child birth were aged 35 and above. A higher proportion (more than 60%) of women who experienced unintended pregnancy in 2021 were teenagers aged between 15 and 19.

The enumeration areas are sampled by the Uganda Bureau of statistics (UBOS). The survey was conducted together with the Ministry of Health, supported by Jhpiego, a Johns Hopkins University Affiliate, MakSPH and the Uganda Bureau of Statistics – UBOS and the overall technical guidance from the Bill & Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health.
At MakSPH, PMA Uganda project is led by Principal Investigator Dr. Fredrick Makumbi and Co-Principal Investigator Dr. Simon Peter Kibira. The results were released on February 15, during a stakeholder breakfast engagement meeting at Golden Tulip in Kampala.
For trends in use of contraceptives among married women, the prevalence stands at 50.2%. “It is the first time we are hitting this indicator and the modern method of family planning standing at 43%. So, we are rising though not first enough given the Covid-19 implications for the last 1-3 years. But it is amazing that we have had some adoption from the Ministry of Health and the implementing partners and the results show that at least, there is progress,” says Dr. Simon Peter Kibira, the PMA Uganda Co-Principal Investigator.
Dr. Kibira cites that among a few challenges Uganda has faced is the struggle with the quality of services provided. For instance, data shows that only 43% of women were told about the side effects of a modern contraceptive method they were using, how to cope up with them, and the availability of other alternative methods.
“This is not a good indicator and we still have a long way to go around that,” he says.
The survey interrogated service delivery points offering Family Planning services in 255 public health facilities and 118 private facilities that included 46 hospitals, 58 Health Center 4s and 96 Health Center IIIs and 55 Health Center 2s.
There was a general drop in stock outs for family planning services. For instance, Oral contraceptive pills in public health facilities stood at 48% in 2021 down from 68% in 2020.
According to the Principal Investigator Dr. Fredrick Makumbi the study team assessed availability of family planning services largely in public health facilities because they are many and can give stable statistics.

“Implant stockouts were very common compared to the IUDs which had lower use. What about Oral contraceptive pills stockouts, I daresay nearly half of the facilities were stocked out either at the time of the survey or in the past three months,” Dr. Makumbi.
The reasons advanced for stock out of FP commodities in Public Service Delivery Points, a higher percentage (46%) of the facilities said they had ordered but not received shipment. At least 20% said they had ordered but not received right quantities while 9% said there was unexpected increased consumption and just 2.8% said they lacked stock due to COVID-19 disruption.
“For as long as Family Planning partners, Ministry of Health and the rest as mobilizing and creating awareness, people are coming and using the methods and particularly in this study 9% said they did not have enough pills,” Dr. Makumbi says.
In terms of education background, the study noticed a difference in women of primary and secondary levels of education in terms of contraceptive use.
“The highly educated have a significantly high proportion of use of modern planning methods implying that education is key, factor and we need to make sure that women, men and couples using family planning are educated,” says Dr. Kibira.
The Uganda Family Planning Costed Implementation Plan, 2015–2020, launched by the government in November 2014 sought to increase the modern contraceptive prevalence rate among married women to 50 percent by 2020. This target was however not met.
According to Dr. Kibira, we have not yet reached it even in 2022 currently at 47.7%. “We are still struggling a little bit and if we work on that we, shall make sure that we hit on the target of 50%, and that’s for 2020. Much as we set a conservative target, there are adaptations we have seen otherwise we wouldn’t see any usage of family planning methods during Covid-19,” he said.
He adds that what has contributed to the high prevalence rate for contraceptives has been the use of modern methods and therefore the adaptations by the Ministry of Health and other implementing partners worked citing that if they did not work, Uganda would have seen worse indicators.
“Regardless of the effects of Covid-19, I am glad we had good indicators. I think this Covid-19 situation could have been a speed jump because couples stayed at home hence exposed to having more sex and that would lead them to take on the modern family planning method. And sometimes you have the challenges and the same challenge propel you to better indicators,” he noted.
In each of the 141 numeration areas the research team interviewed all eligible women aged 15 and 49 years in 35 households.
“We interview and we ask them issues about sex, and if there is any form of pregnancy control method being used. If someone says condom, implants or any other method, we don’t go ahead to interrogate why they are using that method. We are actually interested in asking, if you are not using, then why are you not using,” says Dr. Kibira.
There are various family planning methods and women / couples should be at liberty to choose with full information at the facility where you are receiving the method, for example among the pills, injectables, IUDs.
Notably Dr. Kibira asserts that implants and IUDs are long acting reversible methods and they are the most active compared to the short-term methods that are recommendable for people who want longer time delays for example space for 5 years.
He adds that; “The beauty with long term methods is that they are cheaper, effective and offer long years of protection and it should be ideal that people use what is ideal to their needs either short term and long term and it’s a choice.”
Dr. Makumbi says each development partner has a role to play in ensuring access to family planning services to Ugandans. “I think everyone of us has an opportunity to play their role, we generate evidence, we work with Ministry of Health, implementing partners, Population Council and everybody so that we can have evidence-informed decisions and that can make a significant difference and I am glad to see members of parliament who can help us support when all this information comes to parliament.”

Dr. Charles Ayume the Chair of the Committee on Health in Parliament of Uganda said they (committee) were extremely happy to engaging in a dissemination of PMA results citing that it sharpens the way they tackle issues on the floor of parliament.
“We really want a parliament that articulates issues based on evidence and very strong data. We do not only represent our constituencies, we are also dutybound to represent the views of health workers on the floor of parliament and good enough we have health workers on the committee,” said Dr. Ayume.
Adding that; “this is where data is produced. But then fortunately or unfortunately the policies are made on the floor of parliament. So if you don’t arm us well, then we do a poor job on the floor. We pledge total support.”
You may like
-
Uganda National Academy of Science inducts Professor Edward Bbaale as Distinguished Fellow
-
NACNDC & 19th JASH Symposium Breaks Silence on Mental Health in Schools & Universities
-
Parenting Course ends with call for those trained to share knowledge and be good ambassadors
-
Makerere Reaffirms Leadership in AI Partnerships at the 16th Annual CEO Forum 2025
-
Makerere University & UNESCO Deepen Partnership to Strengthen Student Skills and Innovation
-
Mak-CoNAS Launches NutriFishPlus Project
Health
NACNDC & 19th JASH Symposium Breaks Silence on Mental Health in Schools & Universities
Published
1 day agoon
November 3, 2025By
Eve Nakyanzi
The Ministry of Health (MoH), Makerere University School of Public Health (MakSPH), Makerere University College of Health Science (MakCHS) and other partners are jointly hosting the National Annual Communicable and Non-Communicable Diseases (NACNDC) and 19th Joint Annual Scientific Health (JASH) Conference 2025, running from 3rd to 7th November. Ahead of the official opening on Wednesday, 5th November, a Mental Health Pre-Conference Symposium was held under the theme “Breaking the Silence: Advancing Mental Health Awareness and Resilience,” with a sub-theme on “Advancing Mental Health in Schools and Universities — Research and Policy Perspectives.” The session, held at Victoria Hall, Speke Resort Munyonyo, brought together mental-health experts, policymakers, researchers and education stakeholders to explore how learning institutions can strengthen emotional well-being, resilience and support systems for young people across Uganda.

Speaking as Guest of Honour, Justice Duncan Gaswaga of the African Court on Human and Peoples’ Rights urged stakeholders to recognise the deep connection between mental health and human rights, noting that mental well-being cannot be separated from the social and economic realities in which people live. He commended the theme on “breaking the silence,” arguing that open conversations and early prevention offer the most cost-effective path to protecting communities, especially learners. Drawing from his judicial experience, he shared first-hand accounts of emotional trauma faced by judges who regularly encounter distressing evidence in court, including cases from the LRA conflict, and observed that legal professionals, like health workers and teachers, are not immune to psychological strain. Justice Gaswaga raised concern over rising mental-health challenges in schools and universities, citing data showing increased depression, substance use, and emotional distress among students, particularly girls. He attributed these trends to pressures such as long study hours, parental absence, peer influence, online risks, poverty, and untreated trauma. He called for stronger government funding, implementation of school mental-health policies, closer parental involvement, and coordinated action across sectors, adding that legal reforms, including debate on decriminalising attempted suicide, may be necessary to ensure individuals can seek help without fear of punishment.

The Deputy Inspector General of Government (IGG), Mrs. Anne Twinomugisha Muhairwe emphasised the urgent need to prioritise mental health across all sectors, noting that society often treats the subject as taboo despite its profound impact on productivity, ethics and service delivery. She argued that mental well-being is not only a personal concern but a governance issue, pointing out that health workers, who shoulder enormous responsibility, also require structured support systems to safeguard their psychological welfare. Citing recent incidents, including a case in Masaka where a patient reportedly died after a medical worker allegedly refused treatment over a payment dispute, she warned that unresolved mental-health challenges can influence behaviour and decision-making in critical service spaces. The IGG further highlighted a link between mental health and corruption, suggesting that addressing emotional strain and psychological pressures among public servants could contribute to ethical conduct and better public service outcomes. She encouraged continued engagement on the topic, calling for mental-health considerations to be integrated into anti-corruption strategies and institutional reforms, and expressed readiness to contribute more deeply to future discussions.

Delivering the keynote at the Mental Health Pre-Conference Symposium, Dr Racheal Nuwagaba of Makerere University urged stakeholders to confront mental health as it is today and abandon siloed approaches, calling for full integration of services into primary health care and evidence-led policy. She said nearly two decades of clinical practice and teaching have shown her that young people carry mounting pressures, highlighting Uganda’s youthful demographics and pointing to drivers such as sleep deprivation, academic strain, abuse and neglect. Citing recent trends, she warned against sensational statistics and urged clear differentiation between mild, moderate and severe symptoms, noting post-COVID rises in depression, higher burdens among refugees and significant risks for girls and senior students. Dr Nuwagaba stressed the frequent co-occurrence of mental illness with addictions and physical conditions, explaining that untreated disorders worsen over time and can impair brain function, while treatment and adherence improve outcomes. She encouraged mindfulness and presence in classrooms and clinics, and pressed institutions to use research to guide decisions, reduce stigma, and design culturally grounded, community-based responses. Concluding, she appealed for sustained collaboration across sectors and for the deliberate hiring and fair remuneration of professional mental-health providers to safeguard learners’ emotional, social and academic well-being.

The symposium also featured a panel discussion on Mental Health in Schools and Universities, chaired by Dr Kenneth Kalani from the Ministry of Health, and bringing together experts including Dr Harriet Abbe, Prof Ane-Marthe Solheim of the Norwegian Institute of Public Health, and Ms Rebecca Namakula from the Ministry of Education and Sports. Panelists underscored the urgency of addressing mental-health challenges among learners, with insights highlighting early substance use among children as young as six, the need for teacher training in mental-health literacy, and the critical role of schools as early-detection points. They emphasised stronger linkages between health facilities and learning institutions, investment in prevention and early intervention, and the importance of equipping teachers, parents and school leaders with the skills to identify and respond to distress. The panel agreed that mental-health support must extend across the entire school community and be backed by policy enforcement, coordinated services and sustained collaboration across sectors.

In her closing remarks, Dr Hafsa Lukwata, Assistant Commissioner for Mental Health and Control of Substance Abuse at the Ministry of Health, urged Ugandans to break the silence around mental well-being and be intentional about seeking help and supporting one another. She noted that mental-health challenges are widespread across schools, homes and workplaces, and emphasised that silence only deepens the burden. Dr Lukwata encouraged institutions to appoint mental-health focal persons and called for sustained dialogue, continued collaboration and proactive efforts to build resilience in communities. She reminded participants that improving mental health begins with individual awareness and collective action, urging them to treat the day’s engagement as a starting point for strengthening support systems across the country.
Health
Parenting Course ends with call for those trained to share knowledge and be good ambassadors
Published
1 day agoon
November 3, 2025By
Zaam Ssali
On 24th October 2025, the 3rd cohort (65 professionals) of the ‘Science of Designing Adaptation and Implementation of Evidence–Based Parenting Interventions’ graduated at a ceremony held at Africana Hotel, Kampala, Uganda. The professionals were advised to be good ambassadors and share the knowledge from the training.
The training is a collaboration between Child Health Development Centre (CHDC) at Makerere University College of Health Sciences (MakCHS) and Ministry of Gender Labour and Social Development (MoGLSD) through their Parenting Agenda Initiative.
The graduation brings the total of those trained to 130 since cohort 1, and marks a significant milestone in the journey of standardising parenting interventions in Uganda and testament of the nation’s commitment to strengthening families and communities.

In his remarks at the graduation, Dr. Godfrey Siu – Senior Lecturer at CHDC, Programme and Course Lead congratulated the participants for successfully completing the intensive parenting course. He said, ‘I am filled with an immense sense of pride and hope, not just for what we have accomplished during the training but the ripple effect this will have across Uganda’.
Dr. Siu highlighted that the course was not conceived in isolation, but is a vital pillar in the ambitious and crucial efforts by the Government of Uganda (GoU) through MoGLSD with an aim to strengthen and standardise parenting interventions in the country.
‘We extend our appreciation to GoU and MoGLSD in particular for the unwavering commitment and steadfast support. The vision for stronger families is a collective one, and leadership by government is its cornerstone. Let us go and build a future where every child in Uganda can thrive in a nurturing, supportive, and loving family’, Dr. Siu said.

Dr. Siu thanked the various partners who supported the training including the ELMA Foundation, Global Parenting Initiative and Uganda Muslim Supreme Council (UMSC); facilitators of the programme, drawn from a diverse spectrum of expertise. He advised the graduands to be champions, as standard-bearers for a new-era of parenting in Uganda.
He also called for support from development partners, donors and GoU in funding the next phase of the critical work noting that investment in parenting is an investment in the health, stability, and prosperity of the nation.
Dr. Herbert Muyinda, Director-CHDC noted the multi-dimensional benefits of the course including standardisation. He said, ‘all researchers dream about their work making impact and influence policy which Dr. Siu has achieved with this training programme’.

The Director-CHDC thanked all partners, MakCHS and CHDC administration for ensuring the success of the training. He commended the participants for the commitment and resilience during the training and expressed hope that they will use the knowledge when they return to their communities and organisations.
Professor Richard Idro, Deputy Principal-MakCHS represented the College administration at the graduation. In his speech he congratulated the participants on the milestone, thanked MoGLSD for entrusting the University with this work and also thanked CHDC for undertaking the programme not only for research but also as a contribution to the nation.
Professor Idro noted that parenting today is so different from what many of us experienced, highlighting that many parents work away from home also spending less time with their children.

He said, ‘teachers and carers spend more time with children therefore standardisation from initiatives like this are welcome’.
Highlighting the new strategy of taking the University to communities and solving societal challenges, Professor Idro commended the CHDC for the work which is well aligned to the aforementioned strategy. He called on the graduands to cascade the initiative learned to the lowest level of local governments for the benefit of the whole population.
He expressed hope that for sustainability, funding of the programme would be included in the government budget cycle to ensure continuity. He thanked the UMSC for the support recognising time that Sheikh Ali Waiswa had spent at the event as a sign of commitment to improved parenting in Uganda.
‘Our children are vulnerable, I hope this training takes us back to the basics of parenting. I encourage everyone to start with their family and share with all those around them’, said Dr. Angela Nakafeero – Commissioner for Women and Gender Affairs who represented the Permanent Secretary-MoGLSD, Mr. Aggrey Kibenge.

She thanked partners, MoGLSD departments, and various government institutions that have contributed to work accomplished to-date. She reiterated the message of the previous speakers to the graduands not to keep what they had learned to themselves but share with others. ‘Don’t keep information acquired, share it, make better parents and raise better families’, she said.
‘The ministry remains committed to the parenting agenda. As a nation we have always stressed the importance of cultural and religious appropriateness; the University is on-board to offer technical knowledge and this partnership will continue to deliver results’, Dr. Nakafeero added.
She invited the Chief Guest, Sheikh Ali Waiswa – Deputy Mufti, UMSC who represented the Mufti to address the congregation.

Sheikh Waiswa reminded those present that holy books including the Quran and Bible prescribed the family as the cornerstone of society giving guidance on how to raise good families.
He warned against the increased violence against children present in our communities. Quoting statistics, he expressed disappointment that children endure acts of violence in places meant to be safe havens like homes and schools with acts committed by people meant to be trusted. ‘Nearly 6 out of 10 girls and 7 out of 10 boys have experienced physical violence, while 35% of girls are affected by sexual violence’, he said.
The Deputy Mufti commended the training course for bridging the gap between research and practice, saying it would revolutionise parenting, strengthen families and in-turn society. ‘Don’t underestimate the power of the work you are doing, as we celebrate, let us remember our blue print is this initiative and training’, he said.
Health
Minister calls on Scientists to translate Science to be understood by the general population
Published
6 days agoon
October 29, 2025By
Zaam Ssali
At the O.R. Tambo Africa Research Chairs Initiative (ORTARChI) Annual Meeting held 27th-28th October 2025 at Makerere University, Kampala, the Chief Guest, Hon. Monica Musenero – Minister for Science Technology and Innovations called on scientists to translate science to local lingua to be understood by the general population.
ORTARChI was launched in December 2018, aimed at building research and innovation capacity across Africa. The initiative has to-date established 10 Research Chairs in seven countries, addressing critical challenges like climate change, public health, and food security. The seven countries are Uganda, Botswana, Burkina Faso, Ghana, Mozambique, Tanzania, and Zambia. The Uganda Research Chair held by Professor David Bisagaya Meya focuses on infectious and neurological diseases at Makerere University College of Health Sciences.

Hon. Musenero highlighted that at present Africa is like a huge pothole in a road compared to other continents in the context of development, advising that we must look at science as a driver of national development and solution to our challenges.
Calling for translation of science to local lingua the Minister advised, ‘we must realise that science is not to the exclusion of non-scientists. Connect the local population to appreciate how science is a utility in their lives’.
She proposed the following for consideration:
- Collaborate with partners in the northern hemisphere but retain your knowledge and consider it a commodity for wealth creation.
- Science was always considered a product of the elite education system than use in day-to-day life, this must change.
- Other nations rose through making STI a priority. Cognizant of the low investment by governments in sub-Saharan Africa, researchers must engage with policy makers, simplify their results for the later to appreciate the return on investment from research.
- Working in silos will not take Africa far, collaboration on the continent is necessary to produce material useful to us other than remaining consumers of what is produced elsewhere.
- Engineer science and research to build the economies and wealth creation.

‘Africa has excellent labs, publications, presentations at international conferences without protecting intellectual property which translates to professors retiring on pension as opposed to loyalties for their peers in the western world through registration and sale of patents’, Hon Musenero added.
Create think tanks that ‘think’ rather than only research and give to others, recognise knowledge from research as wealth, the Minister further advised.
Hon. Musenero’s parting message to researchers and scientists was: artificial intelligence is going to rule this world, what is Africa’s role and portion?; re-examine whether the research in our institutions is aligned to industries; the new saying should be aligned to protecting our knowledge through a value chain of research-protect-product and then publish as opposed to publish or perish which gives away our knowledge to be used by others; develop pan-African mind-set and networks through benefit sharing; and be intentional in working on what works for us, measure performance by how many products are a result of your research as well as jobs created.

In his remarks, Professor Barnabas Nawangwe, Vice Chancellor – Makerere University welcomed participants to Uganda and Makerere University. He said, ‘this gathering reflects our shared commitment to science as a catalyst for inclusive development, resilience, and economic opportunity across the continent’.
Professor Nawangwe noted that Africa stands at a pivotal moment where a young population are pursuing education with determination, universities are expanding the frontiers of knowledge with collaborating partners enabling the institutions to translate ideas into impact.
‘However, true progress requires more than research excellence. Sustainable ecosystems that translate findings into policy, practice and prosperity are also required’, he reminded the gathering.

He expressed his hope that, conversations at this meeting are not only theoretical but concrete steps toward a self-sustaining research eco-system that aligns with Africa’s growth.
Dr. Ham-Mukasa Mulira delivered a keynote address where he called for stakeholders to advance Africa’s future-ready generation through research innovation and artificial intelligence. He challenged participants to reimagine Africa’s future through strategic investment in knowledge, technology and youth potential.
Some of the issues raised during discussions at the meeting included: Institutional uptake of Research Chairs in Universities in comparison to the research projects; Creation of Communities of Practice of scientists working in same arrears to leverage resources and capacity across borders; African nations should invest more in research and STI which enable the continent to set an agenda which is aligned to their needs; The research chairs introduced on the continent have to be aligned to the abundant natural resources and work towards developing final products for export as opposed to raw materials; Manufacturing capacity of Africa requires improvement and incentives to the private sector to be more responsive in collaborating with researchers in product development; Africa has to move away from business as usual in research with consideration that innovation isn’t random but has to be intentional to the needs of our societies; Acceleration of graduates to be job creators is required as opposed to incubation of idea which has been slow in delivering results; Science communication is necessary to local communities in simple language and engagement of policymakers both in country and regional bodies. Scientists can afford to be apolitical, as decision makers politicians are key partners in whatever is happening in research institutions; Inter-disciplinary collaboration and handholding, for example clinicians working with basic scientists; Identification of gifted scientists for mentorship, training and support through their career paths.

Dr. David Serukka, Ag. Executive Secretary of the Uganda National Council for Science and Technology delivered closing remarks of the ORTARChI gathering. He moved a vote of thanks to all the participants and partners for making the meeting possible.
Dr. Serukka reiterated Hon. Musenero’s message and called on everyone to reflect on the discussions at the meeting. ‘The future for Africa is a digital knowledge economy and we must strive to define what it means for us and how to use it for national development as well as wealth creation’, he said.

He underlined the importance of partnerships, capacity building, concrete steps for sustainability, championing STI to become actors not watchers, protect our knowledge through patents, develop a pan-African mind-set of knowledge sharing and re-examine research around us and which direction to take.
Dr. Serukka thanked the National Research Foundation, South Africa for organising the funding which has catalysed the networks created. He called on all the Chairs under ORTARChI to keep thinking to take us forward.
Trending
-
General2 weeks agoMak Endowment Fund 3rd Board of Trustees Inaugurated
-
Agriculture & Environment1 week agoMakerere hosts International Conference on Food Systems Transformation for Climate Actions
-
Research6 days agoAfrica’s Future through Research and AI: Makerere Hosts ARUA 5th Biennial Conference
-
General1 week agoStrengthening Partnerships for Transformative Education: Makerere University Hosts Delegation from University of Malmö
-
Research2 weeks agoFrom Print to Digital: A Historical-Political Economy Narrative of the Emergence and Adoption of ePapers in the Ugandan Press