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.  

How Family Support and Consistent Follow-Up Revived the Health of an Elder Living with HIV

In Owoor Sub-County, an elderly man living with HIV had been battling his condition alone. With little support from his family, he often went days without proper meals and lived in unhygienic conditions. Overwhelmed and discouraged, he eventually stopped taking his antiretroviral medication.

During our routine home visits, we sat with him and his family for honest conversations about care, responsibility, and why staying on treatment matters. Bit by bit, the family stepped up. They began preparing his meals, cleaning his living space, and reminding him to take his medication.

On our latest visit, the change was striking. His health had improved, his energy was back, and his outlook had shifted from despair to hope.

His journey shows how steady follow-up and genuine family involvement can restore dignity and transform the lives of people living with HIV.

Compiled by Andrew Simbo, Executive Director, Keru Women’s Action ORUM-KWAF-Gulu

Strengthening Community Health Through Partnership Bringing Health Services Closer to the People of Bardege-Layibi Division, Gulu City

The Early Childhood Development Organisation (ECDO) has been working with the Center for Health, Human Rights and Development (CEHURD) to build stronger community systems, improve programme delivery, and expand access to essential health services. The work focuses on HIV prevention and testing, malaria prevention, TB response, and community referrals – all anchored in the theme: Improving Maternal and Child Health, Malaria, HIV, and TB Prevention in Bardege-Layibi Division, Gulu City.

This partnership is supported through the Global Fund’s health systems strengthening mechanism, implemented by TASO Uganda as the Principal Recipient (PR2) and CEHURD as the Sub-recipient (SR). Through this arrangement, ECDO has received both technical and financial support, especially through mentorship sessions on planning, implementation, financial management, reporting, and running effective community dialogues, referrals, and outreaches.

Between April and September, ECDO organized more than ten community health outreaches with the support of Alokolum HC II, Oitino HC II, and Bardege HC III. These health facilities provided trained staff, testing kits, and essential medicines, allowing successful outreach activities in Katikati, Abuga, St. Daniel, Oitino, and Cuk Lanebi villages.

More than 1,500 people received vital health services right in their communities. Each outreach drew an average of 128 participants, and more than half of all households in the targeted villages took part. That level of turnout shows how community trust in local health services is growing.

A major highlight was the increase in maternal health service uptake. Over 200 women, most of them aged 20 to 24, received antenatal care. Malaria, which accounted for 28 percent of all recorded cases, was tackled head-on through health education and timely treatment.

This progress is the result of many hands working together. The leadership of Bardege-Layibi Division, including the Community Health Officer, Community Development Officer, and Town Clerk, provided steady guidance. Health facilities such as Alokolum HC II, Oitino HC II, and Bardege HC III supplied medical staff and essential supplies. CEHURD’s mentorship, both in person and online, strengthened ECDO’s systems, leaving the organisation better prepared to manage larger projects and deliver sustainable community programmes.

Village Health Teams (VHTs) and Local Council leaders played a huge role in mobilising residents house-to-house, while families across the villages opened their compounds to host the outreach sessions. Because of this collective spirit, entire communities became hubs of learning, care, and support.

Impact Beyond Numbers

The value of these outreaches goes far beyond the statistics. They brought health workers and communities closer, built trust, encouraged accountability, and nurtured a stronger sense of shared responsibility for health. The conversations, education, and follow-up support are already shaping healthier habits and deeper awareness across Bardege-Layibi Division.

ECDO and its partners look forward to growing this work and reaching even more families. Donors, government agencies, and community leaders have a key role to play in keeping these outreach efforts alive. When support continues, access improves, and communities thrive. A healthier, better-informed, and more resilient Northern Uganda is within reach – and it starts with partnerships just like this one.

By Emmanuel Bongomin (ECDO)