News / Africa

Family Planning Faces Hurdles in Uganda

Women wait for family planning counseling outside a health clinic in Kanungu District, western Uganda, June 19, 2012. (VOA / Hilary Heuler)
Women wait for family planning counseling outside a health clinic in Kanungu District, western Uganda, June 19, 2012. (VOA / Hilary Heuler)
KANUNGU, Uganda — As world leaders prepare for this month’s Global Family Planning Summit in London, many developing countries are struggling to control their population growth. Local authorities say they are trying to bring down the birth rate for the sake of the country’s future.

Hight birth rate

Last year, Editha Tumwebaze became pregnant with her ninth child. In her village in the western part of Uganda, a country with the world’s second highest birth rate, her case is not unusual. The average Ugandan woman will give birth to about seven children during her lifetime.

But during the difficult delivery, Tumwebaze developed an obstetric fistula, a tear in the birth passage that has caused her to leak urine ever since.

She says that now she rarely leaves home because of her condition. Tumwebaze says her husband Wilson cannot look for work because he has to take care of her and the new baby.

Women's health

Wilson says women who have many children often develop medical problems.  If they had had access to family planning services, he says, they would not have had so many children.

This is something the Ugandan Ministry of Health and the United Nations Population Fund are working to change.

In the town of Kanungu, hundreds of women and a scattering of men gathered around a health clinic to learn about family planning methods. These “camps” are held several times a year.  And according to local doctor Seth Tibenda, they have been a resounding success.

“In April, we were overwhelmed," said Tibenda. "Very many people were turned back after the four-day camp, and we thought we would come back here and finish up those. Now those who are taking methods for controlling birth are many.”

Authorities in Kanungu say that because of this family planning drive, the size of families in the district has declined during the past decade. At about six children per woman, the birth rate is below the national average.

Family planning

On July 11, World Population Day, a global summit will be held in London to help raise awareness and money for family planning around the world.

Babatunde Osotimehin, executive director of the United Nations Population Fund, says high birth rates can take a serious toll on a country’s development and the lives of women.

“They have children that they cannot look after as well as they’d like to," said Osotimehin. "And in a good number of them [i.e., countries], they start having children early in life, so they are not as educated and as skilled as they probably would like to be. You would have intergenerational poverty in those kinds of circumstances. And that, of course, tells of the country itself, because the country would then have to provide infrastructure to sustain that population.”

Population growth

Uganda’s population is growing at more than 3 percent a year. The Ugandan government predicts that the population will likely triple by 2050 - from 34 million to more than 100 million people. The country’s public services are already struggling to keep up, says Jennifer Wanyana of the Ministry of Health.

“When you compare the population growth rate with the number of facilities that have been constructed, they are not proportional to the rate of growth," said Wanyana. "As for the health workers, the number of patients they have to attend to has grown. The supplies are not really as sufficient as they used to be.”

Access to family planning is not the only problem, says Wanyana, who adds that many Ugandans oppose contraception for cultural reasons or they associate family planning with promiscuity.  

Experts say that beliefs like this might be the most difficult challenge.

Niwagaba's story

Savio Niwagaba holds his newborn baby as his wife Chrisente, behind him, has a contraceptive implant inserted in her arm, Kanungu, Uganda, June 19, 2012. (VOA / Hilary Heuler)Savio Niwagaba holds his newborn baby as his wife Chrisente, behind him, has a contraceptive implant inserted in her arm, Kanungu, Uganda, June 19, 2012. (VOA / Hilary Heuler)
x
Savio Niwagaba holds his newborn baby as his wife Chrisente, behind him, has a contraceptive implant inserted in her arm, Kanungu, Uganda, June 19, 2012. (VOA / Hilary Heuler)
Savio Niwagaba holds his newborn baby as his wife Chrisente, behind him, has a contraceptive implant inserted in her arm, Kanungu, Uganda, June 19, 2012. (VOA / Hilary Heuler)
Savio Niwagaba and his wife Chrisente were among those waiting for family planning counseling outside a Kanungu clinic last month. Chrisente says she was happy with the four children the couple already had, but that Niwagaba wanted to have more.

Niwagaba says his father died before he could have more than three children, and that neighbors looked down on his family as being small and weak. He says that even if he cannot afford to educate his children, a big family is a strong family. Niwagaba adds that if Chrisente does not agree to have more children, he will leave her and marry another woman.

After counseling, Niwagaba eventually agreed to allow Chrisente to receive a three-year contraceptive implant inserted under the skin of her arm - a procedure that took only five minutes.

Niwagaba might still find another wife, but Chrisente says she is prepared to take that risk. With or without her husband’s help, Chrisente says she is determined to have only as many children as she can support.

Local authorities say they hope more Ugandan women will be able to make the same decision.

You May Like

Video Analysts: Beijing Parade a 'Bazaar' of Stolen Technology

Show commemorating victory over Japan in World War II involved long, medium and short range missiles, a range of tanks and 200 fighter aircraft More

Bernie Sanders Surge Reflects US Shift on Socialism

Although most analysts say it is unlikely he will get the Democratic nomination, Sanders' campaign opens up questions and issues that are otherwise marginalized More

Video On IS Frontline, Kurdish Fighters Ready for Offensive

Peshmerga soldiers say although they need more heavy artillery, they are poised to take the fight to the Islamic State extremists on their turf More

This forum has been closed.
Comment Sorting
Comments
     
by: Lydia Tuhaise from: Uganda
July 11, 2012 12:05 PM
I would like to add to the reasons many Ugandan families. In addition to being a pride in having many children, especially to men and in the rural areas, many times, a woman may be 'forced to bear more and more children to have a baby boy in the family. In the African culture, it is the boys who can 'reproduce' to expand the clan. Men are usually interested in an heir (who should be a boy) and many boys to expand their lineage. Even in the urban areas, women who give birth to girls first tend to go up to five or even seven children hoping to get a baby boy,

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Drowned Migrant Toddler Photo Triggers European Outragei
X
Henry Ridgwell
September 04, 2015 11:36 AM
The harrowing picture of a drowned three-year-old Syrian boy washed up on a Turkish beach appears to have galvanized Europe’s leaders into doing more to address the refugee crisis. France, Germany and Italy issued a joint call Thursday for compulsory quotas of refugees for all EU states. But there were chaotic scenes in Hungary as police tried to force migrants off a train heading for Austria. Henry Ridgwell has more. And a caution, some of the images in this report may be disturbing.
Video

Video Drowned Migrant Toddler Photo Triggers European Outrage

The harrowing picture of a drowned three-year-old Syrian boy washed up on a Turkish beach appears to have galvanized Europe’s leaders into doing more to address the refugee crisis. France, Germany and Italy issued a joint call Thursday for compulsory quotas of refugees for all EU states. But there were chaotic scenes in Hungary as police tried to force migrants off a train heading for Austria. Henry Ridgwell has more. And a caution, some of the images in this report may be disturbing.
Video

Video Russians Observe 11th Anniversary of Beslan School Attack

This week, Russians have been observing the 11th anniversary of the attack by Islamic militants on a school in Russia's North Caucasus region that killed more than 330 hostages, including 186 children. The three-day siege and massacre that started on September 1, 2004 took place in Beslan, a town in the republic of North Ossetia, and is one of the bloodiest terrorist acts ever in Russia. VOA's Mike Richman reports.
Video

Video Native Americans Debate: Father Serra, Saint or Sinner?

Pope Francis will canonize an 18th century missionary to Spanish California during a papal visit to the United States this month.  But some Native Americans have criticized the elevation to sainthood of the missionary priest, Junipero Serra. VOA's Mike O’Sullivan has more from Los Angeles.
Video

Video Calais School Offers Another Face of Europe’s Migrant Crisis

Europe is facing mounting criticism over how it’s handling its biggest migration crisis since World War II. But not all Europeans believe building walls or passing repressive policies are the answer. A school for migrants in the French port city of Calais, is opening doors and building bonds across nationalities. VOA's Lisa Bryant reports.
Video

Video Kurdish Fighters on IS Frontline Ready for Offensive

Finger on the trigger, the Kurdish Peshmerga soldier stared across the dust at a village taken over by Islamic State extremists. The Kurdistan’s Khazir frontline, just 45 minutes from the Islamic State stronghold of Mosul. And at this point, the militants were less than two kilometers away. VOA's Sharon Behn reports.
Video

Video China Announces Troop Cuts at WWII Parade

Chinese President Xi Jinping Thursday announced plans to cut the world’s largest military force by 300,000 troops. The announcement was made during a massive military parade to commemorate victory over Japan in World War II. The event was shunned by most Western leaders and for some is raising fresh concerns about China’s military ambitions. VOA’s Bill Ide has more from Beijing.
Video

Video Russia-Japan Relations Cool as Putin Visits China for WWII Anniversary

Russian President Vladimir Putin is in Beijing for commemorations of the 70th anniversary of China's WWII victory over Japan. Putin is expected to visit Japan later this year, but tensions between Tokyo and Moscow over islands disputed since the war, and sanctions over Ukraine, could pour cold water on the plan. VOA's Daniel Schearf reports.
Video

Video Yemen ‘on Brink of Disaster’ as Medical Shortages Soar

Aid agencies warn Yemen is on the brink of humanitarian disaster – with up to half a million children facing severe malnutrition, and hospitals running out of basic medicines. There are fears Yemen's civil war could escalate as the coalition led by Saudi Arabia tries to drive back Houthi rebels, who seized control of much of the country earlier this year. Henry Ridgwell reports.
Video

Video Apps Helping Kenyan Businesses Stay Ahead of Counterfeiters

Counterfeit goods in Kenya cost the government as much as $1 billion each year in lost tax revenues. The fake goods also hurt entrepreneurs who find it hard to carve out a niche in the market and retain customers. But as Lenny Ruvaga reports from Nairobi, information technology is being used to try to beat the problem.
Video

Video Nobel Prize Winner Malala Talks to VOA

Nobel Peace Prize winner Malala Yousafzai met with VOA's Deewa service in Washington Sunday to talk about women’s rights and unveil a trailer for her new documentary. VOA's Katherine Gypson has more.
Video

Video War, Drought Threaten Iraq's Marshlands

Iraq's southern wetlands are in crisis. These areas are the spawning ground for Gulf fisheries, a resting place for migrating wildfowl, and source of livelihood for fishermen and herders. Faith Lapidus has more.
Video

Video Colombians Flee Venezuela as Border Crisis Escalates

Hundreds of Colombians have fled Venezuela since last week, amid an escalating border crisis between the two countries. Last week, Venezuelan President Nicolas Maduro ordered the closure of a key border crossing after smugglers injured three Venezuelan soldiers and a civilian. The president also ordered the deportation of Colombians who are in Venezuela illegally. Zlatica Hoke reports.
Video

Video Rebuilding New Orleans' Music Scene

Ten years after Hurricane Katrina inundated New Orleans, threatening to wash away its vibrant musical heritage along with its neighborhoods, the beat goes on. As Bronwyn Benito and Faith Lapidus report, a Musicians' Village is preserving the city's unique sound.
Video

Video In Russia, Auto Industry in Tailspin

Industry insiders say country relies too heavily on imports as inflation cuts too many consumers out of the market. Daniel Schearf has more from Moscow.
Video

Video Scientist Calls Use of Fetal Tissue in Medical Research Essential

An anti-abortion group responsible for secret recordings of workers at a women's health care organization claims the workers shown are offering baby parts for sale, a charge the organization strongly denies. While the selling of fetal tissue is against the law in the United States, abortion and the use of donated fetal tissue for medical research are both legal. VOA’s Julie Taboh reports.

VOA Blogs