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Context

The busy A109 highway to Kampala in eastern Uganda is the trunk road connecting Uganda and Kenya. This major trucking corridor accounts for almost 90% of the goods transported by road into Uganda. Over 1,100 trucks per day enter Uganda, bound for towns across the country or en route to neighbouring countries. The transit towns of Malaba, Busia, Naluwerere, Idudi and Mbiko have become epicentres of child sexual exploitation and abuse and the HIV and AIDS pandemic in Uganda.

The Problem

A 2011 report from ECPAT (Every Child Protected Against Trafficking) found that 6,000 Ugandan girls had been recruited into sex work since 2006, with the average age of entry being 13. Poverty, gender discrimination, violence and abuse at home, in schools and in communities are forcing girls into sexual exploitation. The majority (63%) are orphans and 80% live without any connection to their families.

Girls are attracted to transit towns with promises of education and a better life made by groomers and traffickers.However, once in town they find a very different reality. Left with little alternative, they use their bodies to survive, despite the considerable health risks and the constant fear of harassment and arrest as sex work is illegal in Uganda. High demand from truck drivers and poor community awareness of child rights and protection measures fuel the trade.

The health and safety of these girls is at serious risk. Sex work accounts for 10% of new HIV infections in Uganda with HIV prevalence amongst sex workers standing at 34.2% (UNAIDS, 2013), as compared to an average of 6.5% nationally amongst those aged 15-49 years (2016 Uganda AIDS Indicator Survey). Since sex work is illegal in Uganda, sex workers are vulnerable to coercion, violence and rape and are unable to report abuse. Discrimination prevents them accessing government health services.

Project Objectives

We have recently completed a four-year project funded by Big Lottery Fund aimed at reducing the risk to children living in five towns along the main highway. We:

  • Supported girls to find alternative ways of earning money.
  • Improved access to quality sexual and reproductive health information and services for adult female sex workers.
  • Expanded awareness of children’s and women’s rights and HIV and AIDS among truck drivers.

​Our local partner

Uganda Reproductive Health Bureau has been active since 1994 and a ChildHope partner since 2004. It operates a hospital in the capital, Kampala, two district health centres and works with community networks and volunteers around the country. It focuses on groups who are at very high risk of becoming getting HIV, including sex workers, truck drivers and fishermen. It provides free medical care for abused children and sex workers.

​Our donor

We are currently seeking new partnership opportunities for our work with Uganda Reproductive Health Bureau. If you are interested in investing this area, please get in touch.


​Our activities

Children we consulted while planning this project told us that they were unaware of their rights or how to report abuse. They explained that they were involved in sex work as it was the most lucrative livelihood option. They all said they would exit if given a viable alternative. We worked with girls aged 13 – 17 to help them find those viable alternatives.

We provided intensive counselling and rehabilitation support, family reunification and educational and livelihoods support. Of the girls we supported to leave sex work, all were enrolled back into school or onto skills training courses. At the end of the programme 100% of the girls said they were not at risk of returning to sex work.

Even though sex work is illegal in Uganda, providing services for sex workers is not. We created Knowledge Rooms located in each of the five towns. Through training and joint implementation activities, we supported local government health facilities to improve the quality of their services for sex workers. Uganda Reproductive Health Bureau also provided direct health services for adult sex workers and their male clients through its existing clinic and weekly outreach programmes.

One of the most ambitious aspects of the project was working directly with truck drivers. Although many HIV and AIDS projects target truck drivers with safe sex messages, ours was the first project in Uganda to also promote child rights and child protection to drivers. We wanted them to understand that they were engaging in child sexual exploitation and abuse when they bought sex from young girls. We worked with networks of truck drivers’ associations to help develop codes of conduct and we delivered training in child protection issues to hundreds of drivers who are now sharing that learning with their peers.

206 girls were supported to withdraw from sex work. 31 girls went back to school and 175 enrolled onto vocational training courses.

1321 adult sex workers and their male clients received health information and services.

120 public health workers received mentoring.

Five professional codes of conduct were put in place by the truck drivers' associations of all the towns of Busia, Malaba, Naluwerere, Idudi and Mbiko.

1262 truck drivers actively participated in the project activities, such as testing and attending information events.

420 truck drivers received training in child protection, safe sexual practices and sexual exploitation.

131 recorded cases of child abuse were handled by the Child Protection Committees we helped to establish.

225 school governors, PTA members, and Education Officers were trained in child protection.

In their words

“I feel confident whereas before I just had fear.”

When Uganda Reproductive Health Bureau (URHB) first met Stella, she was engaged in sex work on the streets of eastern Uganda. Life was dangerous for Stella - she was frequently beaten and raped. Unaware that she had contracted HIV and with her health deteriorating, she was struggling to survive.

Then Stella met social workers from URHB. With their support, she learned about her HIV status. She was given guidance on living positively and how to take treatment to improve her health. She enrolled onto a six-month hairdressing course and when she completed it, she was given a start-up kit to help her launch her own salon.

Stella was determined to make the most of these opportunities and she worked hard to make her salon a success. It didn’t happen overnight: she gradually had to regain the trust and respect of her community. But one year on, Stella was earning enough money to hire her first employee.

“I feel confident whereas before I just had fear,” says Stella. “I now work hard, believe in myself, and feel good.”

Today Stella earns three times as much per day as she did from sex work.She has invested in two goats and is saving for a cow. She also puts money aside every month in case of emergencies.

Stella is helping her family to thrive too. Thanks to support from her daughter, Stella’s mother has set up her own business selling shoes. Together Stella and her mother pay for Stella’s two younger brothers to go to school. Stella is very proud to give them the opportunities she missed out on.

Inspired by the support she had from URHB and with her new zest for life, Stella wants to encourage other young girls away from sex work. Without any extra support, Stella reaches out to girls she meets on the streets, counselling them and inviting them to her salon to learn hairdressing skills. She has also established a forum for young people living with HIV and encourages her community to provide support to those who need it. Her dream is to develop this group further, ultimately helping children with HIV to access education.

We think Stella is an inspiration. Her story shows that through access to education and training, many women can reach their potential and transform their own lives - and the lives of those around them.

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