Sexual & Reproductive Health education in rural Uganda

29th June 2017

written by Leah Kenny I take a short boda ride from Busembatia to Bulogoda every week on a Wednesday morning. I have been living in Busembatia for one month now, where alongside Meg, I have been running the Sexual and Reproductive Health and Rights (SRHR) programme. Part of our programme involves delivering sessions to women at health centres, before they attend their antenatal clinics. We do not need a lot for these sessions, aside from a plan and a large box of condoms. As we pull away from the slightly hectic main street of Busembatia, it gets quieter and the houses increasingly sparse until much of what you pass are large fields with women and children busy working on them. Bulugoda Health Centre appears to our right. It is a small two-roomed Level II Health Centre. This means that it is supposed to serve up to 5,000 people and provide preventive, promotive and outpatient services. Although it does not provide maternity services, we are told that sometimes emergency deliveries are performed here. Ruth shows us where the placentas are disposed of, out back. As you pull up to the health centre, you are distracted by a large tree

21st June 2017

written by Meg Beare There are lots of ways in which teaching in Busembatia sometimes seems like an insurmountable challenge. At times the SRHR [Sexual and Reproductive Health & Rights] team of Leah and I truly feel like strangers in a strange land. The classrooms we teach in are unplastered with no glass in the windows. Inside they are dark and cramped; desks packed so tightly together that students climb over each other to get to their seats.

“There is little to no formal education about contraceptives, so when they become sexually active, their reproductive control is limited”

But the state of the classrooms doesn’t even figure as a concern here. The girls who pile into our classrooms face sexual health challenges that are immediate and intense. A quarter of girls in Uganda between ages 15 to 19 are pregnant or already have a child. There is little to no formal education about contraceptives, so when they become sexually active, their reproductive control is limited. In addition, poverty makes them easy targets for older men,