Ministerial Press Statement in Commemoration of the World Contraception Day 23rd September 2015 HON. Dr. Elioda Tumwesigye MINISTER OF HEALTH MINISTRY OF HEALTH P. O. BOX 7272, KAMPALA - UGANDA 1 Press Statement in Commemoration of the World Contraception Day On behalf of the Ministry of Health and the Government of Uganda, I take this opportunity to welcome you all to this Press Conference, organized in commemoration of the World Contraception Day that is held every year on the 26th Day of September. As a country, we honour this day to create awareness about Contraception and its benefits to the health of the mother, child, and family and to the nation as a whole. This is the first time that Uganda is honouring this day. Internationally, the day is being under the theme “It is your life, know your future, Know your partner.” This theme encourages young people to feel confident talking to their partners about sexual health and to take a planned approach to their contraception choice. However, as Uganda, the day is being held under the theme “Mobilizing men as Partners and champions in accessing and utilizing contraception”. This theme reminds us of the critical role men play in ensuring that mothers, babies and the entire family have a better life. Much as most of the available contraceptive technologies are used by women, it has been shown that in our society, men play a big role in determining the number and spacing of children. Research has shown that men's support or opposition to their partners' practice of family planning has a strong impact on contraceptive use. In many of our communities; most decisions that affect family life are made by men. Men typically have more say than women in the decision to use contraception and in the number of children that the couple will have. In addition, a number of programmatic and cultural factors have limited men’s abilities to take an active role in family planning practice and reproductive health decision making. Most services have tended to be aimed at women and children. Most family planning and reproductive health services are designed to meet women’s or children’s needs and, as a result, men often do not consider them as a source of information and services. 2 As Government, we believe that involving men in Family Planning and Conceptive use will give us a major mile stone in increasing Contraception intake in the country. Involving men in family planning will not only ease the responsibility borne by women in terms of decision-making for family-planning matters, but will also accelerate the understanding and practice of family planning in general. The government of Uganda, together with development partners have considerably increased funding for procurement of contraceptives in Uganda over the past years, however awareness and utilization of these commodities has remained low. This financial year, the Government of Uganda has committed sh17billion ($6.9million) for Reproductive Health Commodities of which sh13billion has been allocated for procurement of Contraceptives. Additionally, partners, majorly UNFPA, USAID, DFID and Global Fund have also committed sh67billion this financial year to boost the national stock. However, more funds are still need to for programs geared towards increasing the uptake and awareness of the contraceptives. For every 100 women in Uganda who wish to either delay a pregnancy or stop childbearing altogether, 34 lack access to modern contraceptives (34% unmet need for contraception), yet only 26% of women of reproductive age are using modern contraceptives. As a result of low levels of uptake of contraception, Uganda has one of the fastest growing populations in the world, with a fertility rate of about 6 children per woman. This has continued to exert pressure on our natural resources, thereby threatening the future of the country. Districts in the Karamoja region and West Nile have the lowest Contraceptive prevalence rate between 0 and 15% while Kampala has the highest uptake of upto 37%. The uptake in the eastern and northern region stands between 16 and 26%. This, according to the World Health Organization, shows that the country is still lagging behind Contraceptive use. These low levels contribute to the country’s unacceptably high maternal mortality rate, with, 438 deaths for every 100,000 live births. Mothers die while 3 giving birth to life or shortly after that. This ratio has stagnated for a while, and results from unsafe abortions due to unplanned pregnancies. Under the Ministry of Health Costed Implementation Plan (CIP) for Scaling up Family Planning, the Government of Uganda is promoting both Long term and short term family Planning methods. These services are provided free of charge in both public and private health facilities. The short term methods being provided are; Condom Use, Pills, Emergency Contraception, Injectables, and Breast Feeding. The Long term methods provided in the health facilities are; the IUD (coil), Implants, Vasectomy and Tubal Ligation. As we commemorate this date, we appeal to the men to do the following; 1. Use contraceptive methods that require their direct participation such as condoms, natural family planning, and vasectomy. 2. Support their partners’ use of contraception through joint decision making about contraceptive method use and family size 3. Encourage and support their peers to use Family Planning services (male champions) As a Ministry, we are undertaking a number of strategies to increase awareness about modern contraceptive technologies, and marking the World Contraception Day is one such strategy. I also wish to appeal to stakeholders to strengthen male involvement by: 1. Developing well-targeted, focused male-involvement programs that can have an impact on uptake of contraception 2. Design Targeted IEC directed at men to change men's attitudes towards family planning, stimulate discussion between partners and motivate men to support the practice of family planning. 3. Involve men in program design and implementation. Men themselves are the best sources of information about effective outreach and service delivery strategies to men. As such, it is essential to involve men 4 throughout program design and implementation to ensure that services and informational materials address their concerns and needs. 4. Find ways of adapting existing services to make them more accommodating and attractive to men include dedicating hours for men; make use of community events e.g Football matches and other community-specific events that tend to bring men together 5. Reach men through organized groups e.g Male Action Groups; special focus on young men-adolescents- so they can appreciate from early on their role in contraceptive use and making decision with their partners about how best to space births and plan their families. I wish to thank the health development partners and all implementing partners, who have supported the cause for Contraception in Uganda. Special thanks go to UNFPA, USAID, Global Fund and partners who support Contraceptive use in Uganda. This year’s National celebrations will be held on Saturday 26th September in Lwengo District. I once again take this opportunity to welcome you all to the district as we honour the day. I thank you all For God and My Country Hon. Dr. Elioda Tumwesigye Minister of Health 5
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