Background:
Unsafe abortion is a major contributor to maternal mortality in Uganda, responsible for about 25% of maternal deaths. Although Uganda’s legal and policy framework allows abortion under specific circumstances (such as rape, incest, or life-threatening maternal conditions), many health workers are unaware or misinformed about these provisions. Fear of criminal liability, unclear guidelines, and social stigma often prevent health practitioners from providing life-saving care, even when legally permitted. This contributes to over 300,000 unsafe abortions annually and significant harm to women and girls.

About the project:
This change project aimed to improve understanding of Uganda’s abortion laws and policies among health workers in the OBGYN department at MRRH. The team conducted a legal review, developed simplified guidance materials, and held training seminars. Pre- and post-training assessments were used to measure knowledge improvement. Staff received printed legal reference materials, and “abortion champions” were identified within the department to continue sharing information and supporting their peers.

Results:
Health practitioners showed significant increases in knowledge about Uganda’s abortion laws and the national policy guidelines. The project helped dispel misconceptions and promoted safer, legally compliant service provision. Health workers also reported feeling more empowered to provide care without fear of legal repercussions.