Despite the government’s establishment of medical care services to support mothers requiring post-abortion care in all healthcare centers, a disheartening revelation was made by Dr. Charles Olaro, the Director of Curative Services in the Health Ministry.
In a press conference held on Friday, Dr. Olaro disclosed that many women, despite the awareness efforts regarding available post-abortion care services, still succumb to complications without seeking assistance. He emphasized that misinformation provided to health workers by these women contributes to this tragic trend.
In his words, ‘All our facilities are equipped to provide the necessary care, but unfortunately, some women provide incorrect information to health workers, leading to dire consequences. It is crucial to communicate honestly with your health worker.’
Dr. Olaro, addressing the media in anticipation of the World Contraception Day commemoration event in Kyenjojo on Saturday, highlighted that this misinformation results in unsafe abortion being a significant contributor to maternal mortality, accounting for 10% of all cases. The current estimate for maternal mortality stands at 189 women per 10,000 live births.
‘We have found that despite our efforts, misinformation persists, and it is affecting the overall maternal mortality figures. We urge women to be truthful when seeking assistance at all facilities,’ remarked Dr. Olaro.
However, it is essential to note that abortion is generally illegal in Uganda, as outlined in Article 22 of the 1995 Constitution, which guarantees the right to life. Article 22(2) specifically prohibits terminating an unborn child except to save the life of the mother.
The Penal Code Act of Uganda Cap 120 also imposes criminal penalties, including imprisonment for health workers aiding illegal abortions.
Activists, over the years, have criticized this legal framework, arguing that it contributes to women resorting to unsafe abortion or avoiding post-abortion care.
Rose Wakikona, a Senior Attorney at Women’s Link Worldwide, acknowledges the limitations in the law but asserts that safe abortions can be procured. The challenge arises when health workers misinterpret the law, denying women the care they need.
The majority of women resorting to unsafe abortions are reported to be younger girls facing unintended pregnancies. Esther Makula, a Communications Officer at Naguru Teenage Health and Information Center, stated that they are actively working to provide information to teenage girls through thirty-four youth-friendly corners at public health facilities across the country.
According to Health Ministry statistics, 75 billion shillings were spent on providing post-abortion care in the last financial year, underscoring the urgent need for addressing the challenges surrounding maternal health and safe abortion practices.”