The Center for Health, Human Rights, and Development (CEHURD) with support from Swedish International Development Cooperation Agency (Sida) wishes to develop a community advocacy dashboard to allow grassroots community structures and partners to identify, document, and report Sexual and Reproductive Health Rights (SRHR) violations. The platform will be a central web-based online system where Community Health Advocates (CHAs) will identify, document, and remotely report any health rights violations in their communities. The 24/7 hour-up time online system will enable CHAs to submit identified SRHR and health rights complaints along with the associated evidence to support CEHURD’s case follow-up and advocacy.

Download details below;

One in every five children aged 13-17 years experience emotional abuse while violence, sexual harassment and drug addiction have recently escalated. The World Health Organisation (WHO) estimates that 100 to 140 million girls and women worldwide presently live with the consequences of Female Genital Mutilation. To further note, in recent months, Uganda has been grappling with harmful practices like child sacrifice, child trafficking, child labour, and early marriages which have tremendously affected the progress of young children in our society.

By Sandra Ndagire

African children, Ugandan children in this case, face a lot of issues that harm them physically, emotionally and psychological ranging from cultural and traditional norms and practices, upbringing, neighbourhood and the legal environment. With the onset of the COVID-19 pandemic, many children and young people especially young girls were exposed to teenage pregnancies and unsafe abortions, early marriages, child labour, to meet individual and family needs, sexual exploitation, violence, abuse and failure to continue with school.

The pandemic resulted in a massive closure and unprecedented loss of jobs and incomes of many families leading many children to enter the workforce to help their families survive, forced to work long hours and or enter more hazardous and exploitative conditions and exposed to sexual engagement both consensual and non-consensual.
Additionally, according to the Ministry of Gender, Labour and Social Development survey report of 2018, 44 per cent of girls and 59 per cent of boys aged 13-17 years had experienced physical violence and all forms of abuse. Of this, one in every five children aged 13-17 years experienced emotional abuse. Additionally, the National Violence Against children survey noted that 25 of girls and 11 per cent of boys reported sexual violence.

As Uganda joins the rest of the world to commemorate the Day of the African Child under the theme; Eliminating Harmful Practices Affecting Children: Progress on Policy and Practice since 2013”, it is presented with an opportunity to take stock. This stock includes looking at what has been done in regards to the adoption of policies and practices and reflect on what needs to be done to effectively eliminate harmful practices affecting children in Uganda.
The 2013 theme emphasised putting an end to harmful social and cultural practices against children, and highlighted the roles and responsibilities of various stakeholders, particularly children who would be provided with an opportunity to express their views on harmful social and cultural practices. Harmful practices listed on the 2013 Day of the African Child were majorly child marriage and female genital mutilation. However, violence, sexual harassment and drug addiction have recently escalated. Female Genital Mutilation (FGM) is rife in our society and the World Health Organisation (WHO) estimates that 100 to 140 million girls and women worldwide presently live with the consequences of FGM.

In Uganda, the Female Genital Mutilation practice is common among the Pokot and Tepeth in Karamoja sub-region and the Sabiny in Kapchorwa. As per UNICEF and the Uganda Bureau of statistics, it is ranging at 13 per cent in Kapchorwa and 52 per cent (highest) in Moroto. This practice is majorly happening, especially among females aged 15-19 years across the six districts of Kween, Bukwo, Kapchorwa, Moroto, Nakapiripirit and Amudat, according to the 2017 survey report concerning FGM.
To further note, in recent months, Uganda has been grappling with harmful practices like child sacrifice, child trafficking, child labour, and early marriages, which have tremendously affected the progress of young children in our society. Uganda was ranked 14th among the 25 countries with the highest rates of early marriages 46 per cent of whom are girls marrying before the age of 18 years. According to the 2016 Uganda Demographic and Health Survey, 34 per cent of women aged 20-24 years were married before the age of 18 years.

We therefore, call upon Government and duty bearers to prioritise children’s rights as given to them, by protecting them against any challenges especially aggravated with the COVID-19 pandemic. This includes sexual exploitation and abuse including inducement, coercion and encouragement to engage in sexual activities and other customary and cultural/ traditional practices that are harmful to their wellbeing, health, education and socio-economic development.
More to this, the Government of Uganda needs to establish mandatory reporting responsibilities and protection orders; ensure the recovery and reintegration of child victims and restore their rights; establish a universal child registration system. The Governments should also engage strategic stakeholders including cultural and religious leaders; empower children to support the prevention and abandonment of harmful practices, and consolidate data and research on harmful practices. There is also a need to strengthen international, regional or bilateral cooperation to eliminate and protect children against harmful practices affecting them physically, emotionally, socially and mentally.

There is, therefore, a need to come up with strategies that protect children and young people, and also recognise their ability to make decisions about their future by creating an enabling environment for them to access information and services.

The writer is an intern at Centre for Health, Human Rights and Development (CEHURD) in the Community Empowerment Programme.

The small grants initiative aims at supporting innovative projects among the membership of the Coalition to Stop Maternal Mortality due to Unsafe Abortion (CSMMUA) working at community level. These small grants will strengthen capacities and enhance the work of these organisations. This initiative is supported by the Wellspring Philanthropic Fund (WPF) and administered by CEHURD.

Download Application details and Application form here;

Does it make business sense, if your product killed 8 million people especially when it is addictive?

Tobacco use has remained a significant public health challenge in Uganda and a leading cause of non-communicable diseases including heart diseases and premature deaths. Tobacco is also the only legally available consumer product that kills people when it is used entirely as intended.

Even when the law is in place, tobacco is still used in various forms including smoked and smokeless tobacco. The government needs to strengthen existing schemes to make tobacco producers more responsible for the environmental and economic costs of dealing with tobacco waste products.

~ By Esther Dhafa | Lawyer | Programme Officer – Strategic Litigation programme.

Background:
The tobacco epidemic is one of the biggest public health threats the world has ever faced, killing more than 8 million people a year, including around 1.2 million deaths from exposure to second-hand smoke (Global Burden of Disease database) Washington DC: Institute of Health Metrics 2009 IHME accessed 17th July 2021.) Tobacco is also the only legally available consumer product that kills people when it is used entirely as intended. It is the single greatest preventable cause of death in the world today, killing up to half of the people who use it.

Tobacco seriously threatens sustainable development in the world’s poorest nations through its impact on human health, high economic costs, and environmental damage due to massive land clearing and extensive felling of trees. In Uganda, tobacco-growing areas are among the poorest regions in the country. Scientific evidence has proved that tobacco farmers suffer from green leaf disease caused by the penetration of tobacco compounds into the skin of farmers while handling the tobacco leaves.

Tobacco use has remained a significant public health challenge in Uganda and a leading cause of non-communicable diseases including heart diseases and premature deaths. Tobacco use is regulated by the Tobacco Control Act, 2015. Section 16 of the law prohibits the sale of tobacco products in specific public places and within 50 meters of those places, bans electronic cigarettes, waterpipe tobacco delivery systems, smokeless tobacco, and flavored tobacco products, prohibits the sale of single cigarette sticks and bans prominent display of tobacco products at the point of sale. Section 17 of the law prohibits the sale of tobacco products to and by persons below 21 years. Even when the law is in place, tobacco is still used in various forms including smoked and smokeless tobacco.

Commemoration of the World No Tobacco Day (WNTD) 2022:
The World Health Organization (WHO) member states created the World No Tobacco Day (WNTD) to draw global attention to the tobacco epidemic and the preventable death and disease it causes. In 1987, the World Health Assembly (WHA) passed Resolution WHA40.38, calling for 7 April 1988 to be “a world no-smoking day.” In 1988, Resolution WHA42.19 was passed, calling for the celebration of World No Tobacco Day, every year on 31 May.

The Center for Health Human Rights and Development (CEHURD) joins Uganda and the world to celebrate World No Tobacco Day and to mark 35 years since its inception in 1987. We are committed to informing the public about the dangers of using tobacco, the business practices of tobacco companies, what the World Health Organization (WHO) is doing to fight the tobacco epidemic, and what people around the world can do to claim their right to health and healthy living and to protect future generations.
Given that this 2022 year’s theme is “Tobacco: Threat to our environment”, we need to be more environmentally conscious as a country, choose more sustainable products, and step up our legislation including implementing and strengthening existing schemes to make tobacco producers more responsible for the environmental and economic costs of dealing with tobacco waste products.

The fact that the cost of tobacco use in Uganda exceeds the benefits, justifies government intervention to control and combat tobacco use in the country and protect youth from industry manipulation. We call upon the Government to further prevent the future generation from tobacco and nicotine use and enforce Uganda’s Tobacco Control Act 2015’s stringent measures that need enforcement.

Call to action:
“Does it make business sense, if your product killed 8 million people especially when it is addictive??? Wouldn’t you be targeting a new generation each year to face the consequences of using the harmful product???”
As advocates for tobacco control in Uganda, we implore the government this World No Tobacco Day in its non-delegable duty- that cannot be outsourced to a third party to:
• Continue to support the implementation of the Tobacco Control Act 2015, the Tobacco Control Regulations, and the WHO Framework Convention on Tobacco Control (FCTC).

•Support activities that promote healthy lifestyle choices and encourage the public to avoid the use of tobacco and related products.
• Educating members of the public themselves to support the Tobacco Control cause through complying with the tobacco control and public health measures in place.
• Create within the National budget a vote to finance the implementation of nationwide tobacco control programming.
• Establish a Tobacco Control Fund that sources funds from development partners and taxes from the Tobacco industry.

About a quarter of the world’s population is infected with TB. For the first time in over a decade, tuberculosis (TB) deaths increased in 2020 with 16 cases per 100,000 people. The Government should ensure access to TB care, services and policy making guided by human rights standards and principles.

We continue to educate the public about the impact of TB around the world. A tuberculosis free world for all is the way to go! “Invest to end tuberculosis, save lives” 

in commemoration of the World Tuberculosis Day 2022.

By Tracy Rita Achola & Dhafa Esther

Background:

Every year, the world commemorates and observes the World Tuberculosis Day on the 24^th March aimed at raising and building public awareness about the global epidemic of tuberculosis and efforts made to eliminate the disease. This year, the World TB Day is being commemorated under the theme “Invest to End TB, Save Lives” conveying the urgent need to invest resources to ramp up the fight against TB and achieve the commitments to end TB made by global leaders.

Context:

Tuberculosis (TB) is a communicable disease that is a major cause of ill health and one of the leading causes of death worldwide. Until the coronavirus (COVID-19) pandemic, TB was the leading cause of death from a single infectious agent, ranking above HIV/AIDS. Uganda is one of the 30 World Health Organization (WHO) designated countries with a high burden of TB.

According to the World Health Organization (WHO) Global Tuberculosis report 2021, TB is caused by the bacillus Mycobacterium tuberculosis, which is spread when people who are sick with TB expel bacteria into the air (e.g., by coughing), and the disease typically affects the lungs (pulmonary TB) but can also affect other sites. Most people (about 90%) who develop the disease are adults, with more cases among men than women, and about a quarter of the world’s population is infected with M. tuberculosis.

Also, according to the World Health Organization (WHO) Global Tuberculosis report 2020, an estimated 88,000 people fell ill with TB and an estimated 156,000 people died of TB in 2019, with men make up majority of the cases in the country (56%) and children accounting for 13%. It was estimated that each day 4,100 people lose their lives to TB and close to 28,000 fall ill with this preventable and curable disease.

COVID-19 and TB:

The Covid 19 pandemic has reversed years of progress made in the fight to end TB due to reduced access to TB diagnosis and treatment during the pandemic. For the first time in over a decade, TB deaths increased in 2020 with 16 cases per 100, 000 people. According to the WHO, the COVID-19 pandemic has put the previously encouraging global progress and gains on TB control at stake, by not only posing an increased risk to people with TB but also causing severe disruption to services.

Amidst the challenges of the pandemic, it has taught us that health is indeed a human right and not a luxury for only those who can afford it, hence investing in the health system and Universal Health Coverage (UHC) is key. To defeat both COVID-19 and end the TB epidemic, countries need to have solidarity, determination and equitably use the available tools and systems in place, as well as redoubling efforts and investments to urgently close widening gaps in access to much-needed prevention and care for the millions affected by the disease.

Global Commitments on TB:  

The struggle to end TB has not started just now, and it is not only a struggle against a single disease but also the struggle to end poverty, inequity, unsafe housing, discrimination and stigma, and to extend social protection and universal health coverage to all. Different global commitments have since been made on TB and its important that countries assess themselves on whether these are being fulfilled accordingly or not.

On this World TB Day, we call upon the Government of Uganda through the Ministry of Health to invest resources in TB prevention, treatment and control in order to ramp up the fight against TB but also aim at fulfilling and achieving the commitments to end TB made by the global leaders. These commitments include;

• The SDG Target 3.3: By 2030, end the epidemics of AIDS, TB, malaria and neglected tropical diseases, and combat hepatitis, water-borne diseases and other communicable diseases.
• WHO End TB Strategy: 80% reduction in the TB incidence rate (new and relapse cases per 100, 000 population per year) by 2030, 90% reduction in the annual number of TB deaths by 2030, and no households affected by TB face catastrophic costs by 2020.
• UN high-level meeting on TB, 2018: 40 million people treated for TB from 2018 to 2022.

Call to action:

The Government of Uganda, through the Ministry of Health and the Ministry of Justice and Constitutional Affairs, is committed to promoting and protecting the right of all Ugandans to attain the highest attainable standard of health.

We recognize the efforts of the Government of Uganda in promoting the right to health for all and doing their best to ensure that TB services are in place and sought for by the people in need of them. Nevertheless, more efforts can be undertaken to ensure 100% access to the TB care and services.

To achieve the set milestones and targets on ending the TB pandemic both in Uganda and beyond, it is critical to deal with the current violations being faced by people living with tuberculosis.

Some of the violations include among others; Inability to access health care services due to high treatment costs, Stigma & discrimination, Shortage of qualified staff in some health facilities to respond to the needs of patients, Inadequate/stock out of medicines, Inadequate supplies and medical equipment, Treatment without informed consent, Isolation and exclusion of people living with TB, and barring some travelers with a history of TB from having access into some countries.  

In order to effectively deal with these issues and in a bid to realize the global TB commitments, strategies and targets, for this World TB Day the Center for Health Human Rights and Development (CEHURD) calls upon the Government of Uganda to;

• Take on immediate action to put together resources, to support TB screening at the entrances of health facilities both private and public.
• Restore and support access to and provision of comprehensive care, treatment and essential TB services. The services should be made available, accessible, acceptable and of good quality.
• Emphasize the Human Rights based approach to health, where health policy making and programming for TB is guided by human rights standards and principles.
• Emphasize a multi sectoral approach with all stakeholders playing their roles towards ending the TB pandemic in Uganda.

Conclusion:

As we commemorate the World Tuberculosis (TB) Day 2022, we light a candle in remembrance of those whose lives were lost due to Tuberculosis.

More investment and commitment towards ending the TB pandemic will definitely save billions of lives, smoothen the end of the TB pandemic and enable us to achieve the World Health Organization (WHO’s) drive towards achieving a TB free world.

This Article is written by the Strategic Litigation team at Center for Health, Human Rights and Development (CEHURD).