Kampala

Uganda / Kampala

OVERVIEW

Contraception (Birth Control)

General Note: There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click here.

Laws & Social Stigmas

In Uganda, you can purchase contraception (birth control) without a prescription. It is estimated that 30% of married Ugandan women and 52% of sexually active unmarried Ugandan women use some form modern contraception. For married women, the most common contraceptive method were injectables (14-16%), implants (3.5%), male sterilization (2.3%) and condoms (2%). For unmarried women, the most popular methods were condoms (19%) and injectables (18%).

Ugandan women typically know about at least one contraceptive method, yet there isn't widespread contraceptive use. According to a 2015 report, 33.4% of Ugandan women (in marriages or in unions) have unmet family planning needs. In Uganda, the median age for first time mothers is 18.9 years old, and 18% of Ugandan teens have already had a child. This can be partially attributed to lack of access to contraceptives, especially in rural areas, and lack of information about family planning services. There is also some male prejudice against birth control, which is sometimes falsely claimed to cause cancer, cause infertility or promote promiscuity.

What to Get & Where to Get It

• You can find condoms in pharmacies and chain stores. They're very common and easy to find.
• Marie Stopes Uganda: "We provide both short and long term methods including contraceptive implant, IUD, contraceptive injection and press, condoms, contraceptive pills and voluntary surgical contraception (VSC). Family planning counseling, side effects management and removal services are also available at all of our service delivery points. MSU also markets the LifeGuard condom." Phone: +256 393 263 318/ 0414510337. Email: info@mariestopes.or.ug
• Kampala Hospital Limited: Pills are New Fem, Pill Plan Plus, Microgynon. They cost one thousand shillings.

Warning: You should visit a pharmacy you trust. Some pharmacies (that are not vouched for) may sell fake pills.

Costs

Birth control pills can be purchased for about $1 (though this information may be outdated; we'll need confirmation).

Emergency Contraception (Morning After Pill)

Important Notes: Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC as soon as possible after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click here and here.

Laws & Social Stigmas

In Uganda, you need a prescription to obtain emergency contraception (the morning after pill). According to a 2014 report, "Following a period of restrictions, national policies now support the use of emergency contraception (EC) in Uganda, and EC has been incorporated into national norms and guidelines, including the reproductive health commodity security plan. Although knowledge of EC in Uganda is higher than in many other African countries, more than two-thirds of Ugandan women have still never heard of EC, and EC use remains low."

What to Get & Where to Get It

• In Uganda, once you have a prescription, you can get emergency contraception (the morning after pill). You can find EC at pharmacies, public sector clinics and IPPF-affiliated systems. Some of the brands you may find are P2, Pill 72, Postinor-2, Pregnon, Revoke 1.5 and Revoke 72.
• If you can't get a prescription for emergency contraception, or if you cannot access it, you can use regular birth control pills as EC. You can do this with progestin-only or combined progestin-estrogen pills. For progestin-only pills, you can take Ovrette (take 40 pills within 120 hours after unprotected sex). You can also take Microval (take 50 pills within 120 hours after unprotected sex). For combined progestin-estrogen pills, remember to only take the first 21 pills in 28-day packs. You can take Neogynon (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). You can also take Lo-Femenal or Microgynon-30 (take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later).

Warning: You should visit a pharmacy you trust. Some pharmacies (that are not vouched for) may sell fake pills.

Sexually Transmitted Infections (STIs/STDs)

Important Notes - Learn about PEP and PrEP: If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click here. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click here.

Laws & Social Stigmas

There are no travel or residency restrictions attached to STI status. You don't need to present any medical certificate in order to enter the country.

In Uganda, as of 2015, there are 1.5 million people living with HIV and 7.1% of adults (between the ages of 15-49) are HIV positive. You can access Post-exposure prophylaxis (PEP) and Pre-exposure prophylaxis (PrEP) in Uganda. Visit the "Medications & Vaccines" section of this page for details. The HIV epidemic disproportionally impacts young women, with higher infection rates for young women than young men. According to AVERT, "Robust treatment and prevention initiatives have been implemented in recent years, leading to improved conditions for people living with HIV. Due to the implementation of antiretroviral treatment throughout the country there has been a gradual increase in the number of people living with HIV receiving treatment. In 2013, Uganda reached a tipping point whereby the number of new infections per year was less than the number of people beginning to receive antiretroviral treatment. However, as of 2015 around 40% of adults living with HIV were still not on treatment. Persistent disparities remain around who is accessing treatment and many people living with HIV experience stigma and discrimination."

In Uganda, cervical cancer and HPV are also concerns for women. Each year, 3915 women in Uganda are diagnosed with cervical cancer and 2275 die from the disease. According to a 2016 report, cervical cancer is the common cancer for women in Uganda and 3.6% of women in the general population have HPV, which is a leading cause of cervical cancer. For these reasons, it's very important for women in Uganda to obtain the HPV vaccine (for more details, visit the "Medications & Vaccines" section).

Testing Facilities

It's very easy to get an HIV and general STI test in Kampala. They are offered at nearly all hospitals and clinics, and it costs around $2 for a series of tests. However, if you want to know a few places that offer tests, here are some options to consider:

• Marie Stopes Uganda: "Our centres offer testing and syndromic management for STIs including gonorrhoea, genital herpes and syphilis. Voluntary, confidential HIV counselling and testing and prevention of mother to child transmission (PMTCT) services are also offered." Phone: +256 393 263 318/ 0414510337. Email: info@mariestopes.or.ug
• Kampala Independent Hospital: "STD tests and check-ups are available at KIH with fast access and fast results. We offer convenient, confidential testing for the sexually transmitted diseases: HIV, Chlamydia, Gonorrhoea, Syphilis, Hepatitis B and C, Trichomonas, NSU (non-specific urethritis), Mycoplasma genitalium, Herpes and Genital warts. Fast access to treatment is available where necessary." Address: Kampala Independent Hospital, 869 Nalya Road, Ntinda, Uganda. Phone: +256 414 289 834. Email: customer.services@kihug.com

Support

• Mulago Hospital: This may be the largest hospital in Uganda. They have HIV treatment/counseling.
• Mild May Clinic: They have HIV treatment/counseling.
• UNAIDS Uganda: Contact: Musa BunguduUNAIDS (Country Director). Telephone: + (256 41) 33 55 10, Fax: + (256 41) 34 01 13. Email: BUNGUDUM@UNAIDS.ORG.

Medications & Vaccines

What to Get & Where to Get It

• If you have a yeast infection, you can ask the pharmacist for Fluconazole.
• "PEP (Post Exposure Prophylaxis) is available at many hospitals around Kampala and may work up to 72 hours later. If taken within 24 hours it is your best bet to prevent HIV. Hep B immunization will also be needed, and a bunch of other invisible and predictable diseases can be prevented by a single dose of 2 tablets of an antibiotic."
• PrEP (Pre-Exposure Prophylaxis) is available in Uganda and it's mentioned in the National Strategic Plan (though there are no specific policies for implementation, as of January 2017). Truvada is registered in Uganda for treatment. According to PrEpWatch: " Uganda has been the site of trials and demonstration projects of daily oral PrEP in serodiscordant couples; PrEP is slated to be included in the PEPFAR-supported DREAMS initiative focused on young women and adolescent girls." There are also many advocacy groups focusing on PrEP in Uganda, such as Global Advocacy for HIV Prevention. Here's a study from the group, published in 2015, focused on PrEP in Uganda.
• Uganda has a national HPV vaccination program, launched in 2012, which targets girls at age 10.

Menstruation

Note: In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click here. To learn more about menstrual underwear, click here.

What to Get & Where to Get It

In Kampala, you can easily find pads in stores. It's much more difficult to find tampons, though you can find them in some stores (try Game store in Lugogo, Shoprite and Nakumatt). If you want a menstrual cup, you can buy a FleurCup from Moyo Jena, a group based out of Kampala. They can be contacted through their Facebook page or by email: moyojena2013@gmail.com. There appears to be no official sellers of menstrual cup brands, like Lunette, MoonCup and DivaCup. There are also many sellers of RubyCup in Nairobi, if you happen to make a trip to Kenya.

• Feminine Health Management @ Grace Works Initiative: "GWI implements a series of specially designed approaches to promote women’s health with specific focus on menstrual care and elimination of female Genital mutilation. This is a unique and innovative program which combines interactive education with training sessions for women and girls in emergency situations, prisons, schools and remote villages. Activities include; Equipping adolescent girls with basic skills on how to make low-cost sanitary pads with locally available materials and raising awareness of the health risks of female genital mutilation, as well as counseling and support to victims of FGM." Phone (+256) 414-665993. Email: uganda@graceworksinitiative.org.

Gynecological Exams

What to Get & Where to Get It

• Marie Stopes Uganda: "MSU works in collaboration with the ministry of health to provide cervical cancer screening to hundreds of thousands of women in Uganda at heavily subsidised service prices." Phone: +256 393 263 318/ 0414510337. Email: info@mariestopes.or.ug

Pregnancy

What to Get & Where to Get It

• Marie Stopes Uganda: "We provide antenatal and postnatal care through our network of centres. MSU also socially markets Misoclear, our brand of Misoprostol used to prevent post-partum hemorrhage." Phone: +256 393 263 318/ 0414510337. Email: info@mariestopes.or.ug

Abortion

Important Note: There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click here.

Advocacy & Counseling

What to Get & Where to Get It

• Marie Stopes Uganda Hotline: "Our Hotlines – Call us free of charge on 0800 120 333 & 0800 220 333. Our client-focused hotline provides free, friendly and confidential counselling and information as well as referral for the following services: Family planning, Cervical Cancer, HIV/AIDS, Post Partum Hemorrhage, Condom use, Other products and services provided by MSU. Operating Hours: Monday-Friday, 7.00am – 10.00pm & Saturday, 8.00am – 5.00pm. CALL NOW: 0800 120 333 or 0800 220 333. Speak to our counselors in your preferred language of communication, with the assurance of confidentiality. You could also send us an SMS and we’ll respond to your question. Simply type FP leave a space then your message and send to 8228.

List of Additional Resources

• Grace Works Initiative: "Grace Works Initiative (GWI) is a registered not-for profit Organisation in Uganda, established in 2013. The Organization promotes delivery of health services and wellness support to isolated and impoverished rural communities focusing mainly on women and Children."