Bringing sexual health to the workplace, FACTSHEET MAY 2013

Reaching small Using unique Uganda Population: 34.51 million (2011) scale industries in approaches to Life expectancy: 54 yrs (2011) Adult HIV prevalence rate: 6.5% reach industry (2011) No. of people living with HIV: Kawempe in district of Uganda workers 1200,000 (2011) is home to many small scale industries. No. of people on HIV treatment: Most workers here are employed on a By employing a multifaceted, strategic 313.1 thousand (2011) casual basis on very low wages. They have approach Reproductive Health Uganda (References overleaf) limited access to services like voluntary HIV (RHU), supported by the IPPF Japan Trust counselling and testing (VCT) and prevention Fund (JTF), explored a unique solution to Project Facts and management of sexually transmitted cater for sexual health needs for this group. Organisation: Reproductive infections (STIs). A lack of awareness of This included an initial needs assessment and Health Uganda sexual and reproductive health and rights creating a tailored response to the needs Donor: IPPF Japan Trust Fund (SRHR) adversely impacts their ability to make of industry workers in the area. RHU used Project for HIV and Reproductive empowered decisions relating to safer sex innovative methods to reach the group, such Health practices, relationships and lifestyles. There is as outreach visits at factory sites, establishing Location: Kampala district- a huge unmet need for SRHR, HIV and STIs condom banks for condom distribution and Kawempe Division services among employees in these settings. education efforts amongst local sex workers. Objective: This project aimed to RHU also undertook a peer educator training increase access to SRH and HIV programme. They worked in collaboration and AIDS related information with industrial managers to increase and services to small scale sustainability of the initiative. industries of Kawempe Industrial Area. This project increased knowledge and Period: 2009-2011 promoted skill building for safer sex and SRHR choices through different approaches Project Service Statistics tailored to meet audience needs. Specific 911 men and 613 women knowledge among the targeted group on received voluntary HIV counselling and testing HIV prevention increased from 52% at baseline to 79% at the end of the project. 942 men and 780 women General HIV awareness increased to 100%. accessed SRH services Skills on condom negotiation increased by 64,000 male condoms 11% and condom use in last encounter distributed increased from 45% to 54%. 11,251 female condoms distributed continued overleaf 14 condom banks established 42 family planning charts developed

“Before the project, I was afraid to test for HIV, but now I do it very freely. I have gained a lot of confidence...”, adding that her boyfriend works in Rwanda and can be away for as long as six months. “Whenever he comes Couples are encouraged to undergo HIV counselling back, I always ensure that we first get tested for HIV and testing together, before we have sex.” Janet N*, 23, a casual worker at Kwera Ltd in Bringing sexual health to the workplace in Uganda 1

The project also increased the overall use of was the right thing for me. I talked to my family planning (FP) methods and subsequent partner and he agreed. I am now using couple years of protection due to an overall condoms to avoid pregnancy and also to shift from use of short acting methods like prevent HIV and STIs. I can now face a man pills, condoms and injections (during the and negotiate that he uses a condom. I can baseline) to more long acting methods even offer to assist him to put it on properly such as intra-uterine devices, implants and if he does not know. I don’t need to fear sterilization. While 36% employees reported anymore because I know how to protect that they were not using any FP method myself”. during the baseline survey, this proportion reduced to 14% at the end of the project. Condoms (63%) were used more than any 2 other FP method, possibly because of the From the easy accessibility and availability through the condom banks, outreach services and peer workplace to the educators. Increased use and acceptability of the condom is a clear sign of the intensive wider community sensitization by the project and the fact that RHU recognizes that the ultimate success employees could now protect themselves of the project depends on the wider against both unintended pregnancies and dissemination of safer sex messages to the HIV and STIs. community. By working with employees, families were indirectly reached. Further, by training peer educators and working Case study with industry management, an element of sustainability was built into the project The project has influenced the way people from the outset. A good referral mechanism make decisions about their sexuality and with a wide network of organizations fertility. complemented and enhanced co-operation across similar groups working in the Esther L*, a machine operator at Kwera project sites. factory in Kawempe explains: “I have one child and I wanted a good FP method to This IPPF JTF-funded project provided an avoid having a second. I had no time to go opportunity for RHU staff to enhance the Photos to the health centre because it could take capacity in areas such as conducting needs 1. Flip charts being used for almost a whole day to be seen by the health assessment surveys, documenting and a community sexual health staff. When this project brought the services reporting, and monitoring and evaluation. education session. right to our factory, they taught us about FP. It has also enabled staff to update their 2. Mural promoting positive After seeing the condom use demonstrations knowledge related to HIV counselling and messages related to HIV stigma and learning about its advantages, I felt it laboratory testing. and discrimination.

Photos: Flip chart: RFU/Alex Kiwanuka/Uganda Front cover and mural: * name changed to protect confidentiality RFU/James Tumusiime/Uganda

International Reproductive Health Uganda country information Planned Uganda Parenthood P.O BOX 10746, World Bank County Datasets – Uganda (2011). Federation Kampala 4 Newhams Row, 256 London SE1 3UX Tel +256 414 540 665 Uganda statistics – UNICEF (2011). http://www.unicef. Tel +44 20 7939 8200 [email protected] org/infobycountry/uganda_statistics.html#98 Email [email protected] UNAIDS Country progress report – Uganda (2012). UK Registered Charity No.229476 uganda/

The IPPF Japan Trust Fund for HIV and Reproductive Health was set up by the Government of Japan in 2000, to increase access to HIV and sexual and reproductive health services for women, young people and key populations in developing countries. Since its establishment, it has supported more than 117 projects in 46 countries.