WHEN SURVIVAL IS DEMOLISHED: Women, Violence, and the Silent Mental Health Crisis in Uganda’s Urban CrackdownΒ 

By Nakalembe Judith CEHURDΒ 

When Uganda’s authorities began demolishing roadside kiosks and informal structures in early 2026, the narrative was framed around order, cleanliness, and modernization. However, behind the rubble lies a deeper, more painful story, one that is rarely told. It is the story of women, especially single mothers, whose lives have been destabilized not only economically, but emotionally and physically, in ways that expose the harsh realities of living in a patriarchal society. 

For many of these women, the informal economy is not a choice it is survival. In a society where structural inequalities limit women’s access to formal employment, land ownership, and financial stability, roadside businesses offer a rare form of independence. These small enterprises allow women to feed their children, pay school fees, attend to their health needs, afford housing and maintain a sense of dignity. 

The government’s action of taking away these spaces, with or without notice, sometimes enforced through intimidation or force, the impact goes far beyond lost income. It creates a ripple effect of vulnerability that places women at increased risk of violence, exploitation, and psychological trauma. Economic loss often becomes the first step toward deeper harm. 

In patriarchal settings, financial dependence can trap women in abusive environments. A woman who loses her income may be forced to return to or remain in relationships where she faces domestic violence, simply because she no longer has the means to survive on her own. Others may enter exploitative arrangements-transactional relationships or unsafe work in order to provide for their children. This is where the link between economic displacement and gender-based violence becomes painfully clear. 

The demolitions, though administrative in intent, can unintentionally reinforce power imbalances that already exist. When a woman’s financial autonomy is stripped away, her bargaining power in both the household and society diminishes. In many cases, this increases her exposure to physical, emotional, and sexual abuse. At the same time, a silent mental health crisis unfolds.  

Nalongo Justine, a mother from Kalagi in Mukono District, whom we interacted with about this order said,Β 

We do not have a designated marketplace, that is why I have been doing roadside vending to earn a living. Now that we have been chased away, I have no means to pay my children’s fees. We do not have plots for farming, by chasing us away, they are simply telling us to commit suicide.Β 

Watch >> Nalongo JustineΒ 

Like many women, Nalongo is calling on the government to provide a safe, designated market space in Kalagi so they can support their families with dignity and stability. 

Women affected by these demolitions are not only grieving lost businesses – they are grappling with fear, shame, anger, and uncertainty. For single mothers, the psychological burden is immense. The constant pressure of not knowing how to feed their children or keep them in school can lead to chronic anxiety and depression. 

But in a patriarchal context, mental health struggles are often dismissed or silenced. Women are expected to β€œendure,” to remain strong for their families, and to avoid speaking openly about emotional distress. This cultural expectation turns suffering into isolation. 

What emerges is a dangerous, self-reinforcing cycle. When livelihoods are lost, the immediate impact is stress and economic desperation. That desperation, in turn, heightens vulnerability to violence and exploitation, as options narrow and survival becomes more urgent. Exposure to such violence deepens trauma and worsens mental health, creating wounds that go beyond the physical ones that can be visible. And as mental health deteriorates, the ability to recover, rebuild, or even seek out new opportunities becomes significantly harder, trapping individuals in a loop that is difficult to break. Breaking this cycle requires more than policy adjustments it requires a shift in how we understand development. 

Urban order cannot come at the cost of human dignity. Enforcement strategies that ignore gender realities of risk deepening inequality and harm. Women are not just informal traders; they are caregivers, providers, and the backbone of many households. When they fall, entire families and future generations are affected. 

A more humane approach would start by recognizing how deeply these issues are connected. It would move beyond narrow enforcement and instead respond to the full reality people are living through. That means embedding protection against gender-based violence within displacement responses, so safety is not treated as an afterthought. It also means integrating mental health and psychosocial support into urban enforcement policies, acknowledging the emotional and psychological toll of disruption. 

At the same time, there is a need for economic recovery programs intentionally designed for women, addressing the specific barriers they face in rebuilding their livelihoods. Importantly, creating safe, affordable trading spaces would help preserve women’s independence, allowing them to sustain themselves and their children with dignity rather than pushing them further into vulnerability.  

If Uganda is to build cities that truly thrive, it must confront not only the structures on its streets, but the structures within its society. Until then, the cost of progress will continue to be paid by those who can least afford it, including women struggling every day, not just for income, but for survival, safety, and peace of mind. The time is now for the government to re-think its trade order, considering the implication to the rights of women. As a country, we can approach this, in a more humane way.  

A Nation at the Crossroads of Social Justice

Edgar Rodney Buregeya

As we mark World Day of Social Justice, Uganda finds itself at a defining moment. This year’s theme, Empowering Inclusion: Bridging the Gaps for Social Justice, challenges us to examine whether the rights guaranteed in our Constitution are reflected in people’s daily lives, especially in a period shaped by political transition and socio-economic strain that continue to weigh heavily on the most vulnerable.

The recent parliamentary elections signal this shift. Only 40 percent of Members of Parliament were re-elected. The remaining 60 percent include legislators who championed social justice causes. Whether that legacy endures will depend on how firmly these issues remain anchored in national priorities.

Social justice is not abstract. It is the difference between a mother who accesses emergency obstetric care and one of the 12 women in Uganda who dies from preventable pregnancy-related complications, according to estimates from the Uganda Bureau of Statistics. At its core, social justice addresses the structural conditions that reproduce inequality: underfunded health systems, unsafe environments, and livelihoods stripped of dignity.

Uganda’s Constitution guarantees fundamental rights, and successive National Development Plans have committed to Universal Health Coverage and equitable service delivery. Yet the gaps are stark. Eighty-two districts operate without a general hospital. Many sub-counties lack a functional Health Centre III. More than half of Uganda’s youth are neither employed nor in education or training. Over seven million Ugandans, about 16.1 percent of the population, live below the national poverty line. These are not isolated statistics; they reflect systemic inequities.

For sixteen years, the Center for Health, Human Rights and Development (CEHURD), alongside other advocates, has worked to close these gaps through litigation, research, policy advocacy, and community empowerment. Our experience shows that change becomes possible when institutions are held accountable and communities understand and assert their rights.

In 2024, CEHURD secured a landmark judgment from the High Court holding Mulago National Referral Hospital liable for the disappearance of a newborn. The Court affirmed not only the right to health, but also the State’s obligation to provide psychosocial support to victims of health rights violations. Accountability, the Court made clear, is central to justice.

In May 2025, CEHURD filed a civil suit against the Kampala Capital City Authority and the National Environment Management Authority following the catastrophic collapse of the Kiteezi landfill. The disaster claimed lives and destroyed homes after prolonged warnings about hazardous waste leakage and environmental risk. The Kiteezi community, largely low-income, had long been exposed to preventable harm. The case seeks more than compensation. It calls for systemic reform, safe decommissioning of hazardous infrastructure, environmental restoration, and sustainable waste management that prioritises community health.

Beyond the courts, CEHURD has supported the development and implementation of Uganda’s National Guideline on Self-Care Interventions. This framework strengthens individuals’ ability to manage aspects of their reproductive, physical, mental, and emotional well-being. Through collaboration with the Ministry of Health and grassroots engagement, this work has advanced outcomes in sexual and reproductive health and rights, gender justice, communicable and non-communicable diseases, and mental health.

In September 2025, CEHURD convened the second Uganda National Conference on Health, Human Rights and Development, culminating in the Uganda Declaration on Social Determinants of Health. The declaration recognises a simple truth: most health outcomes are shaped outside hospital walls. Housing, education, environment, nutrition, and gender equality are not peripheral concerns. They determine who lives well and who does not.

World Day of Social Justice in 2026 should therefore serve as a benchmark for policy action. While the National Development Plan IV outlines ambitious commitments, implementation must be matched with equitable financing, functional infrastructure, and measurable accountability.

The Government of Uganda must operationalise the right to health through legislation, budgeting, and coordinated action across ministries including Education and Sports; Water and Environment; Justice and Constitutional Affairs; and Gender, Labour and Social Development. Environmental negligence must carry consequences. Independent oversight mechanisms are essential to prevent tragedies such as Kiteezi from recurring.

This also requires a civic space where public interest advocacy can function without undue restriction. When civil society and communities are constrained, accountability weakens and development outcomes suffer.

Advancing social justice is a shared responsibility. Government carries primary constitutional duties, but meaningful progress depends on cooperation among institutions, communities, and citizens. The promise is a Uganda where a newborn’s survival does not depend on geography or family income, where communities breathe clean air and drink safe water, and where health systems serve all with dignity.

The measure of this commemoration will not be speeches delivered, but structural gaps closed. Health justice and social justice are inseparable. Both demand sustained commitment, principled leadership, and collective accountability.

The writer is a Legal Clerk at the Center for Health, Human Rights and Development (CEHURD).

CALL FOR APPLICATIONS; TB Contact Tracing Officer

Centre for Health, Human Rights and Development (CEHURD) is seeking to recruit a qualified and motivated individual to fill the position of TB Contact Tracing Officer.

The TB Contact Tracing Officer will work closely with Facility-Based Health Workers and Community Health Workers attached to TB Diagnostic and Treatment Units (TDUs) to conduct contact tracing visits for confirmed TB cases. The officer will ensure that eligible contacts receive TB Preventive Therapy (TPT) in accordance with the Operations Guidelines for TB Contact Investigation (2019). The overall goal of this position is to increase TB detection and treatment/cure rates while reducing TB transmission within communities.

Interested and qualified candidates should submit their applications clearly marked β€œApplication for the Position of TB Contact Tracing Officer” via email to: support@cehurd.org

All applications must be received by Friday, 9th January 2026.

Download the detailed job description and requirements here;

EXTERNAL JOB ADVERT: Six (6) Key Positions Available

Center for Health, Human Rights and Development (CEHURD) is seeking competent, professional and experienced individuals committed to advancing social justice in health to fill the following vacant positions:

  • Grants Management Officer (1)
  • Head Compliance and Internal Audit (1)
  • Project Monitoring and Evaluation Officer (1)
  • Project Legal Officer (2)
  • Administration and Logistics Officer (1)
  • Project Finance Assistant (1)

How to apply
Interested candidates should submit their applications to the Head, Human Resources & Administration via email toΒ support@cehurd.orgΒ byΒ Friday, 19th December 2025. Only shortlisted applicants will be contacted.

Download Details and Job Descriptions Below;