{"id":1727,"date":"2020-02-27T11:07:55","date_gmt":"2020-02-27T08:07:55","guid":{"rendered":"https:\/\/www.rhu.or.ug\/?p=1727"},"modified":"2026-02-12T13:31:22","modified_gmt":"2026-02-12T13:31:22","slug":"were-not-baby-factories-the-refugees-trying-injectable-contraceptives","status":"publish","type":"news","link":"https:\/\/dev.qrolic.com\/rhu-block-theme\/news\/were-not-baby-factories-the-refugees-trying-injectable-contraceptives\/","title":{"rendered":"‘We’re not baby factories’: the refugees trying injectable contraceptives"},"content":{"rendered":"\n

‘We’re not baby factories’: the refugees trying injectable contraceptives- Article from the Guardian.com <\/a><\/b><\/p>\n\n\n\n

Women who\u2019ve fled South Sudan to Uganda are overcoming social stigma to explore new family planning options.<\/strong><\/p>\n\n\n\n

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Christine Lamwaka fled South Sudan and now lives in the Palabek refugee settlement in Uganda. Photograph: Samuel Okiror<\/figcaption><\/figure>\n\n\n\n

C<\/strong>hristine Lamwaka and her husband gathered their six children and fled. It was April 2017 and their town in South Sudan<\/a> had just been attacked. They walked for two days from Eastern Equatoria before crossing the border into Uganda.<\/p>\n\n\n\n

\u201cIt was hard to flee with the young children. We struggled to run. I thought we couldn\u2019t make it alive,\u201d says Lamwaka, who was 22 at the time of the attack.<\/p>\n\n\n\n

\u201cWe suffered a lot. I had given birth just a few months before and was breastfeeding. The children were crying. We are lucky to be alive.\u201d<\/p>\n\n\n\n

As well as ensuring her children were safe and the family had food and shelter, Lamwaka wanted to make sure she didn\u2019t have any more children. But she was unable to access family planning services.<\/p>\n\n\n\n

many children is very hard. We don\u2019t have money for treating them, feeding and providing basic necessities,\u201d says Lamwaka, from the safety of Palabek refugee settlement in Lamwo, northern Uganda<\/a>. \u201cWe couldn\u2019t afford to add more children.\u201d<\/p>\n\n\n\n

Research<\/a> conducted by the Liverpool School of Tropical Medicine last year found that more than 40% of women in refugee settlements in northern Uganda who wanted to use contraceptives were unable to obtain them.<\/p>\n\n\n\n

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\u201cMany health facilities in refugee camps are out or under-stocked,\u201d said Simon Richard Mugenyi, advocacy and communications manager at Reproductive Health Uganda<\/a> (RHU). Those seeking services often have to wait for organisations such as RHU to provide them.<\/p>\n<\/blockquote>\n\n\n\n

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South Sudanese refugees in the Palabek camp in Lamwo, northern Uganda. Photograph: James Akena\/Reuters<\/figcaption><\/figure>\n\n\n\n

Last year, however, Lamwaka enrolled in a pilot programme for a single-use, self-injectable contraceptive, Sayana Press. The contraceptive is being rolled out by the NGO Path Uganda, with support from the UN population fund (UNFPA), to promote increased uptake of family planning among refugees.\u201d<\/p>\n\n\n\n

In South Sudan, deep-rooted socio-cultural factors discourage family planning. The inevitable upshot is larger families. On average, women in South Sudan have 4.6 children<\/a>. Among women aged 15 to 49 who are married or in a relationship, only 10% use any form of contraception. According to the UNFPA, this is the lowest rate in east and southern Africa, and many women have their first child while in their teens.<\/p>\n\n\n\n

\u201cI started giving birth while still a teenager. I was giving birth almost every year. There was no time to rest or for child spacing,\u201d says Lamwaka.<\/p>\n\n\n\n

\u201cThey need you to produce more children. Women are looked at as factories for babies. Men expect women to be producing a child every year.<\/p>\n\n\n\n

\u201cWomen are not allowed to decide the number, timing and spacing of children.\u201d<\/p>\n\n\n\n

Uganda now hosts more than 1.3 million refugees<\/a>, more than 850,000 of whom are from South Sudan.<\/p>\n\n\n\n

About 75% of the more than 50,000 South Sudanese refugees at Palabek are women and children.<\/p>\n\n\n\n

Lamwaka was pleased when she found out about the self-injectable contraception, which is taken every three months. It means she won\u2019t have to seek out a health worker when she needs it, which is not always straightforward in a refugee camp.<\/p>\n\n\n\n

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Christine Lamwaka and her husband Solomon Olum decided that Christine should enrol in the Sayana Press programme. Photograph: Samuel Okiror<\/figcaption><\/figure>\n\n\n\n

She and her husband, Solomon Olum, decided she should enrol in the programme. \u201cWe are struggling to raise these children. I don\u2019t have a job. I am a farmer. But I don\u2019t have enough land to farm here. I have to burn charcoal and do hard labour to get money to support the family,\u201d says Olum.<\/p>\n\n\n\n

More than 9,000 women began taking Sayana Press, a variation on the established contraceptive Depo-Provera, between April and November last year.<\/p>\n\n\n\n

Edson Twesigye, a programme officer for Sayana Press, says the pilot scheme resulted in 43% more women accessing contraceptive services.<\/p>\n\n\n\n

\u201cThis is a big achievement,\u201d he says. \u201cThese are refugee women who had never used any family planning method in their lives because of cultural beliefs, lack of access, or other reasons. Reaching 43% is a great milestone.\u201d<\/p>\n\n\n\n

Julitta Onabanjo, the UNFPA regional director for east and southern Africa<\/a>, says: \u201cThis is something we can take as a lesson learned as we look at how to introduce it into [our] programmes in other countries.\u201d<\/p>\n\n\n\n

Millions of women still don’t have access to contraceptives – report<\/strong><\/p>\n\n\n\n

There were social stigmas to overcome before the rollout of the new contraceptive, says Twesigye. His team had conversations with community and religious leaders, to position family planning \u201cnot as a way of stopping having children, as they thought, but as a way of planning how many children you want, when to have them and when to stop,\u201d he explains.<\/p>\n\n\n\n

He adds that men in village health teams in the area were also talking to other men to help them better understand family planning.<\/p>\n\n\n\n

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\u201cMany women in these settings have a desire to plan their families and don\u2019t have any method that suits them. Therefore being able to give them any option of [family planning] method is very important,\u201d says Onabanjo.<\/p>\n\n\n\n

Mugenyi says the Ugandan government must spend more on contraceptives, starting with the allocation of the $5m (\u00a33.8m) it committed to provide each year at the family planning summit<\/a> held in 2017.<\/p>\n\n\n\n

\u201cIf the government honored this commitment, this would help to stock family planning commodities in public facilities, including those in refugee camps,\u201d he says<\/p>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"

‘We’re not baby factories’: the refugees trying injectable contraceptives- Article from the Guardian.com  Women who\u2019ve fled South Sudan to Uganda are overcoming social stigma to explore new family planning options. Christine Lamwaka and her husband gathered their six children and fled. It was April 2017 and their town in South Sudan had just been attacked. They walked […]<\/p>\n","protected":false},"featured_media":3450,"template":"","news_category":[],"class_list":["post-1727","news","type-news","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/dev.qrolic.com\/rhu-block-theme\/wp-json\/wp\/v2\/news\/1727","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dev.qrolic.com\/rhu-block-theme\/wp-json\/wp\/v2\/news"}],"about":[{"href":"https:\/\/dev.qrolic.com\/rhu-block-theme\/wp-json\/wp\/v2\/types\/news"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dev.qrolic.com\/rhu-block-theme\/wp-json\/wp\/v2\/media\/3450"}],"wp:attachment":[{"href":"https:\/\/dev.qrolic.com\/rhu-block-theme\/wp-json\/wp\/v2\/media?parent=1727"}],"wp:term":[{"taxonomy":"news_category","embeddable":true,"href":"https:\/\/dev.qrolic.com\/rhu-block-theme\/wp-json\/wp\/v2\/news_category?post=1727"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}