Photo by Pathfinder Uganda

Pathfinder’s work in Uganda dates back to 1957, when our founder’s “Pathfinder Fund” provided seed money to form the Family Planning Association of Uganda and establish clinical reproductive health services in several centers in Kampala.

Photo by Sarah Day

Since that time, and throughout the country’s 20-year civil war, Pathfinder remained committed to expanding access to critical sexual and reproductive health services. Today, we continue this work in Northern Uganda.

Photo by Sarah Day

In an area plagued by instability, high HIV and AIDS prevalence, and lack of access to contraceptives—despite high demand—we reach some of the country’s most neglected populations, including internally displaced refugees, women, and youth.

Photo by Sarah Day

Through one project, women and couples in 11 post-conflict districts can access anti-retroviral therapy, choose a method of contraception, and learn how protect their children from HIV—an integrated package of services.

Photo by Sarah Day

Through another project, Pathfinder and our partners are empowering families to meet their health needs and sustainably manage natural resources on which they depend.

Pathfinder International works in Uganda on a range of health issues—from maternal health to HIV and AIDS with special focus on family planning and youth.

Why Pathfinder Works in Uganda

Uganda is a country that has been plagued by political instability, high HIV and AIDS prevalence, and a lack of access to contraceptives-despite high demand. The total fertility rate in Uganda is 6.7, which is the second highest in the world. The high rate of unmet need for contraceptives (41 percent), combined with Uganda's increasing rate of population growth (3.4 percent), continues to hinder economic development, deepen poverty, and detract from the achievements that have been made in the social sector.

Pathfinder first began to work in Uganda in the late 1950s, when it helped to establish the Family Planning Association of Uganda (now known as Reproductive Health Uganda). Throughout the ongoing 20-year civil war and the changing, and often challenging, political climate, Pathfinder programs strived to ensure quality family planning assistance to those in need.

Today, Pathfinder's programs address a wide range of issues, including the lack of availability of services in post-conflict settings, the limited capacity of district health services and local community-based organizations to deliver services, the intersection of population growth, health needs and the environment, as well as youth and adolescent sexual and reproductive health. Through these programs, Pathfinder has reached some of the country's most underserved populations, including internally displaced refugees, women, youth, and the fishing communities on Lakes Victoria, Edward, and George.

Only 18 percent of married women (aged 15-49) in Uganda use a modern method of contraception.

Evidence for Decision-Making

A key aspect of Pathfinder's approach to systems' strengthening is collecting evidence that enables public, private, and community partners to make informed health-related decisions. In Uganda, examples of the kinds of evidence we collect to range from the "percentage of HIV-positive women seen at clinics who report unmet need for family planning services" and the "number of children under 5 years of age who received vitamin A supplements" to the "number of targeted health units offering youth-friendly services in the area of reproductive health and family planning." Some illustrative data in Uganda suggests that, in a one-year period, Pathfinder projects achieved the following results:

  • 10,484 clients received antenatal care and malaria prevention services from a project-affiliated private sector service provider.
  • 1,687 new adopters of family planning
  • 27,370 HIV-positive women received HIV services that provided family planning.

Building Capacity, Strengthening Systems

Pathfinder is a leader in community engagement and capacity building for family planning and reproductive health in Uganda. Pathfinder's community approach supports village health teams in their family planning outreach efforts, while continuing to equip selected health facilities with basic equipment that would otherwise not be available for service delivery.

Through the Ministry of Health and district health offices, Pathfinder has trained various cadres of the health service sector, from the community to the national level. Pathfinder has also trained trainers for health workers, peer educators, and village health teams on family planning, adolescent and youth sexual and reproductive health, HIV and AIDS integration, and child survival services. The trainers play a supervisory role to the trained groups and keep orienting the members that need support in terms of knowledge updates. Pathfinder is also promoting the use of data to improve evidence of effective programming by training health facility records officers/assistants, in charges and district records officers and biostatisticians in data collection, recording, verification, storage, and strategic use. To follow up and ensure quality after these trainings, Pathfinder provides supervision and on-the-job mentorship as key components of our comprehensive systems' strengthening approach.

As a result of our community training experience in Uganda, Pathfinder has taken a central role in chairing review sessions of the village health teams' national curriculum and is a member of a coalition to advocate for increased family planning commodities and supplies, on behalf of the Ministry of Health and major family planning donors.


Pathfinder International focuses on improving a range of reproductive health issues in Uganda, a country that has been plagued by political instability, high HIV prevalence, and a lack of access to contraceptives. Your gift of $25 or $50 is critical to ensuring that our work continues.

Our Projects

Photo by Sarah Day

Community-Based Organization Capacity Building Project

Nigeria, Tanzania,
Maternal & Newborn Health

In Nigeria, Tanzania, and Uganda, Pathfinder aims to improve the capacity of community-based organizations to better prevent mother-to-child transmission of HIV.

Health of People & Environment in Lake Victoria Basin

Behavior Change Advocacy Contraception & Family Planning

The HoPE project reduces threats to biodiversity conservation and ecosystem degradation in the Lake Victoria Basin while increasing access to family planning and sexual and reproductive health to improve maternal and child health in local communities.

Related Publications

July 2014

HoPE LVB Advocacy

Since the launch of the Health of People and Environment in the Lake Victoria Basin project, staff and partners have engaged key district, national, and regional health and environment officials in Kenya and Uganda.

July 2014

HoPE LVB Model Households

Model households are a key aspect of the Health of People and Environment in the Lake Victoria Basin, an integrated Population, Health, and Environment project with sites in Kenya and Uganda.

July 2014

HoPe LVB Beach Management

A new approach to conservation in the basin is the Health of People and Environment in the Lake Victoria Basin project. It seeks to reduce threats to biodiversity conservation and ecosystem degradation while simultaneously increasing access to family planning and reproductive health services.

July 2014

HoPE LVB Energy Efficient Stoves

Bussi Island is located in the Wakiso district, which suffers a deforestation rate of 86.7 percent. To promote hassle-free cooking and a healthy environment for women in their homes, the Health of People and Environment in the Lake Victoria Basin project introduced two types of energy-efficient smokeless stoves.

Related News

Entrepreneurs in Africa Find Opportunity in Scarcity

A visitor to Pathfinder's Health of People and Environment project discusses the project's unique approach to tying education on family planning in with lessons on sustainability an economic dependence.

Annet Samaya leads a cluster of five model households on Bussi Island. HoPE has taught them sustainable agriculture and animal husbandry, sanitation and hygiene, and family planning. With income from her small farm, she has earned enough to send two of her children to boarding school on the mainland. She teaches other residents how to be similarly entrepreneurial.

Strength, Resilience and Selflessness: A Mother's Love is Universal

Haroon Mokhtarzada writes about his recent visit to Pathfinder's Health of People and Environment project in the Lake Victoria Basin, Uganda.

With assistance and training from the Hope Project, Annet had learned sustainable agricultural practices and developed her land to such a point that it now yields more than enough to support her family. When I asked how she spends her surplus she replied that she sends her two oldest children to a good boarding school so that they may have more opportunities in the future.

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