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Equal Division of Unpaid Care Work is The Way To Go

By Seth Nimwesiga

“So they are no longer two, but one flesh. 

… therefore, what God has put together, 

no man shall put asunder…” 

Matthew 19:6

In the verse above, the Holy Bible emphasizes union and oneness upon marriage of man and woman with crystal clarity. For the non-believers, the supreme law of the land suffices. The Constitution of Uganda is explicit on equality in marriage. It prescribes the entitlement of married people to enjoy equal rights during and at the dissolution of marriage. 

For a couple, their equal rights necessitate equal duties and responsibilities, equal obligations, and equal contribution to acquisition, development and maintenance of matrimonial property. This contribution can be direct or indirect; monetary or non-monetary.

In a recent judgement vide Ambayo v Aserua (Civil Appeal 100 of 2015), the Court of Appeal recognized unpaid care work as that form of work that is not compensated by way of wages. It includes caring for children, cooking, cleaning, doing laundry, fetching water, et cetera. Court reasoned that the non-monetary contribution or unpaid domestic care work ought to be computed at the market value of the of the services offered based on the knowledge, skills and character of the service provider labourer, a spouse in this instance, so as to determine the value of one’s contribution to matrimonial property.

The judgment followed a divorce petition filed by a wife, and a counter petition filed by her husband in the High Court of Uganda wherein they both settled by consent on all grounds bar the wife’s claim for an equal share in the matrimonial property. At the court of first instance, the judge ordered for a sale of the matrimonial home and an equal division of the proceeds. In the opinion of the husband, the High Court occasioned a miscarriage of justice when it found that the wife contributed to the acquisition and development of their matrimonial property, and ordered for a 50% share of the proceeds from the sale of that property, which prompted him to appeal. The Court of Appeal has now reversed the decision of the High Court in part and instead deemed a 20% share sufficient to compensate for the wife’s unpaid care work.

The question of compensation for unpaid care work is a reasonable one. It is good music to my ears that unpaid care work is recognized, though unfitting to put a price to it for a married person. In fact, unpaid care work in a home should be shared. That way, the men would get to appreciate how priceless such work is. In prescribing for equal rights in marriage as stated before, the Constitution also implies equal duties, such as equal division of care. This, however, is not the practice in our society, generally.

The case in discussion could not have come at a better time for the court to give the text ‘equal rights in marriage” as is in the provision of a progressive constitution, their true and natural meaning. The case came at the time when our society is progressing on affirmative action for women empowerment. According to a 2022 UN Women gender snapshot of the progress on the Sustainable Development Goals, it will take about 286 years to overcome discriminatory laws and close the gaps in the legal protections for women and girls. Through judicial activism, courts have the power to build on the current steps to achieve gender equality, especially in a society that has apportioned gender roles that set men as the providers and women as primary caregivers, which creates power imbalances and often works against the latter.

It is not uncommon that many times, women lay their hands on domestic unpaid care work to act as springboards for men to run the errands that ‘put food on the table’. By shouldering this domestic work and creating room for men to do paid work, the women are directly contributing to the economic wellbeing of the family most times at the expense of their own careers. For married people, it should neither be categorized nor valued as a business.

Equality is just that; equality. It was never the intention of our Constitution to give with one hand and take away with the other, equal rights in marriage. Courts should therefore proactively promote gender equality and steer clear of any norms, customs, beliefs and practices that promote the opposite.

There is a need for a government policy to regulate and regularize equal division of care work in families. This would go a long way in countering the gender imbalances in our society.

The writer is a Policy Advocacy Officer, Generation Gender Project, CEHURD.

A version of this article was published in the New Vision newspaper on March 8th 2023.

Justice Prevails: CEHURD’s Legal Aid Clinic’s successful mediation results in compensation for the victim’s family

The CEHURD legal aid clinic successfully mediated a case where a young man lost his life due to negligence. The man, Kiiza Muhabuba Kayinda, was involved in an accident and was rushed to Topen Link Medical Centre (not real name) for emergency treatment. 

Despite being treated for his wounds for ten days, the hospital failed to provide him with the necessary tetanus vaccine, which led to him contracting tetanus. His condition worsened, and his family had to transfer him to Kampala Hospital and later to Uganda Martyrs Hospital Lubaga, where he was diagnosed and treated for tetanus. However, Kayinda was mismanaged in all three hospitals, as his family claims he was kept in open rooms with excessive light, which worsened his condition. He eventually passed away on January 19th, 2021, at Uganda Martyr’s Hospital Lubaga due to tetanus. 

As a result of CEHURD’s mediation, the hospital compensated Kayinda’s family for their loss.

Call for Expression of Interest to Conduct a Retrospective Research on Teenage Pregnancies and Abortion in Three Districts

Center for Health, Human Rights and Development (CEHURD) is seeking for a consultant to undertake a retrospective research on the situation of teenage pregnancy and unsafe abortion among young people in three districts (Kamuli, Mayuge and Wakiso) to inform advocacy, policy considerations, service provision and community actions to change the situation.

Deadline for application : Tuesday 9th May 2023

Find details below;

CALL FOR PROPOSALS FOR SUBGRANTS 2023; Small Grants To Support Innovative Sexual And Reproductive Health And Rights (SRHR) Projects

Centre for Health Human Rights and Development (CEHURD) started a pilot small grants initiative to support innovative projects among the membership of CSMMUA and the Community Health Advocates with the aim of supporting members to address the recommendations from the Advocacy Capacity Assessment and to strengthen grassroot advocacy. The Coalition to Stop Maternal Mortality due to Unsafe Abortion (CSMMUA) which was established with a mission to ensure that Uganda’s Legal and Policy framework advances and reproductive health and equity for women and girls.

For this second year for the small community grants initiative, CEHURD will award small grants of between one thousand (1000) to five thousand (5000) USD to institutional members of CSMMUA and Community Health Advocates (CHAs) through an unsolicited/competitive process. The small grants are primarily for one-off innovative projects, with a duration of no more than six months. We are thus calling upon all suitable applicants to submit their proposals for these subgrants.

The main objective of this subgrant under the project is to prevent and/or reduce maternal mortality due to unsafe abortion and other causes in Uganda, especially at the community level. This is in order to reduce abortion stigma and increase access to safe abortion services.

The Centre for Health Human Rights and Development (CEHURD) is an indigenous non-profit organization advancing health rights for vulnerable communities through litigation, advocacy and research. Over the past 12 years, CEHURD has been focused on advancing sexual reproductive and health rights in Uganda through movement building, campaigns, national level and sub-national level advocacy and capacity building as well as empowering communities to demand for their human rights.

MultiDrug Resistant Tuberculosis: The Challenge of Adherence among Women in Uganda

In 2018, there were over 484,000 cases of MultiDrug Resistant Tuberculosis recorded around the world, which contributed to 44.21% of deaths caused by tuberculosis. Women diagnosed with MDR-TB are more vulnerable to low mental and social well-being than men, it is imperative that immediate action be taken to address the difficulties experienced by female patients as well as their support networks. This can be accomplished by putting emphasis on ’patient-centered care’, and a strong Primary Health Care system that is adequately facilitated would go a long way in ensuring efficient prevention and response to MDR-TB especially among women. 

By Christopher Ogwang

Christopher Ogwang

Multi-drug-resistant tuberculosis (MDR-TB) is a major public health hazard on a global scale. It is a kind of tuberculosis (TB) infection caused by bacteria that are resistant to treatment with at least two of the most powerful first-line anti-tuberculosis (anti-TB) medications. This is caused by non-adherence to the treatment regimen or poor prescription. In 2018, there were over 484,000 cases of MDR-TB recorded around the world, which contributed to 44.21% of deaths caused by tuberculosis. Over 62% of these instances were not treated, which is more than half. Noteworthy, the treatment of MDR-TB is much more expensive than the treatment of susceptible TB. In Uganda, various health challenges impede the scale-up of Drug-Resistant Tuberculosis treatment and care, treatment is either inadequate or lacking and in some cases, diagnosed patients delay on the treatment waiting list. Having one or more drug stock outs in health facilities treating susceptible TB was significantly associated with the risk of developing MDR-TB which has been noted as one of the factors contributing to poor outcomes and risk of developing drug-resistant TB, especially in rural communities. 

Women diagnosed with MDR-TB are more vulnerable to low mental and social well-being than men. Married women and women of childbearing age are most vulnerable to MDR-TB’s socio-economic, and mental health consequences, such as isolation, financial difficulties, and despair. Besides the intricacies and length of treatment, psychosocial difficulties frequently aggravate MDR-TB. It is essential to broaden patients’ access to psychotherapy and other forms of mental healthcare while they are undergoing treatment for MDR-TB.

The reproductive and parental roles of women and mothers compound the difficulties they already face in coping with, remaining adherent to, and ultimately benefiting from MDR-TB treatment. In most cases, a female patient is also a wife or mother who provides essential care for other members of her family, including those who also suffer from MDR-TB. Women have the social obligation to care for their sick children and spouses, but they may be denied even the most fundamental needs when they are ill themselves.

It is imperative that immediate action be taken to address the difficulties experienced by female patients as well as their support networks. This can be accomplished by putting emphasis on the requirement for ’patient-centered care’” and enhancing the services offered at local health facilities that are closer to the patients. This would cut indirect related costs associated with treatment that female patients may not be able to afford. This is critical because most women are incapable of maintaining adherence to the treatment regimen, yet worse when it comes to women in rural areas that mainly engage in unpaid care work and have no room to create and focus on income streams.

Along the therapy continuum, we need to emphasise  the significance of psychosocial stresses and social support as intermediary predictors for successful treatment results. To be able to ensure that female patients have a supportive environment to sustain adherence, families, patients and their family members should each receive the appropriate health information relevant to the condition and treatment plan in order to establish a support system that is both enabling and supportive. This is critical in sustaining adherence to treatment and care for Tuberculosis.

In addition, in order to improve the overall level of care provided, the screening for and treatment of mental health disorders should be incorporated in the national recommendations for the management of MDR-TB cases.

There is need to develop and implement a comprehensive mechanism for contact tracing of new tuberculosis cases and defaulters, implement an all-inclusive surveillance system such as the community awareness, screening, testing, prevention and treatment to combat TB. As evidenced from the work by the Center for Health, Human Rights and Development (CEHURD) contact tracing in northern Uganda, continuous tracing and reintegration into treatment saves lives not just of those who had dropped out of treatment but also the ones in their communities. A strong Primary Health Care system that is adequately facilitated would go a long way in ensuring efficient prevention and response to MDR-TB especially among women. 

The writer is a Senior Programme Officer at the Center for Health, Human Rights and Development (CEHURD).