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Content
Acronyms (1)

About Us (2)

Programmatic areas (4)

Outcome #1: Increased

individual awareness of
sexual and reproductive
health rights (SRHR) as
human rights. (6)

Outcome #2: Access to

sexual and reproductive
health (SRH) resources,
information and services.
(9)

Outcome #3: Change of

policies, bi-laws, attitude
and ending stigma. (15)

Theory of change (18)

2018 service statistics
(19)

Contact information (24)

 1
Acronyms
AIDS Acquired Immuno Deficiency Syndrome MEU Men Engage Uganda

AGYW Adolescent Girls and Young Women MNL MARPs Network Limited

AWAC Alliance of Women Advocating for Change MU-JHU Makerere University and John Hopkins

CBO Community Based Organization University

DiC Drop in Centre NSWP Global Network for Sex Work Projects

EADWA Empowered At Dusk Women’s Association PREFA Protecting Families Against HIV and AIDS

FC2 Female Condom 2 SLUM Serving Lives Under Marginalization

FP Family Planning SRHR Sexual and Reproductive Health and

GCWR Golden Centre for Women Rights Rights

HIV Human Immuno-deficiency Virus STI Sexually Transmitted Infections

HPTN HIV Prevention and Trial Network WOPEIN Women Positive Empowerment Initiative

A team of international internees that visited our former offices in Kazo Muganzirwaza posing for a
photo with SLUM staff members
 2
About Us
A rights based sexual and reproductive
health and rights (SRHR) service
delivery community based organization
(CBO) with registration number
WCBO/1369/17 by Wakiso District
established in 2016 for and by youths
vulnerable to and in sex work to
strengthen HIV prevention, access to
non-discriminatory sexual and
reproductive health rights and services,
strategic partnership and advocacy for
the marginalized populations.
We deliver SRHR services at our static and
mobile clinic(s), drop in centre & through
community, school and hotspot outreaches
A team from MARPI Mulago and some of our members after an orientation
meeting about PrEP at our former offices in Kazo Muganzirwaza
Membership and affiliations
1. Global Network for Sex Work
Projects (NSWP)
2. MARPs Network Limited (MNL)
3. Alliance of Women Advocating for
Change (AWAC)
4. Uganda Network of Sex Workers’
Organizations (UNESO)
5. Men Engage Uganda (MEU).
With a membership of 127 adolescent
girls and young women vulnerable to
and in sex work trained as peer
educators/volunteers and attached to
hotspots and 48 people living with
HIV and enrolled in care
 3

A community where the marginalized populations

access and utilize sexual and reproductive health
services in a friendly manner.

Daisy Nakato the UNESO coordinator posing for a photo with some our staff members after
successfully mapping SLUM as an eligible member organization

To strengthen HIV prevention, access to non-

discriminatory sexual and reproductive health rights and
services, strategic partnerships and advocacy for the
marginalized populations.
 4
OUR FOUR PROGRAMMATIC AREAS

AREA #1: HEALTH CARE DELIVERY AREA #2: HEALTH CARE PROMOTION

We call
upon your
support in
any of
these
areas
AREA #3: ADVOCACY AREA #4: ECONOMIC AND LIVELIHOOD ENHANCEMENT
 5

How we understand Marginalization

“Marginalization is the process of pushing a particular group or groups
of people to the edge of society by not allowing them an active voice,
identity, or place in it. Through both direct and indirect processes,
marginalized groups may be relegated to a secondary position or made to
feel as if they are less important than those who hold more power or
privilege in society. Marginalization can be as a result of age, sexual
orientation, socioeconomic status, sexuality, gender or gender identity,
religion etc. Some individuals identify with multiple marginalized groups
and may experience further marginalization as a result of their
intersecting identities.”
“I came to Kampala as a maid and Ever since we implemented HIV
worked for a period of five (5) self-testing among the sex
months with my boss paying me less workers’ community, the numbers
money than what we had agreed. But of new HIV positives identified
I was ok with that but what hurt me and linked into care and
most was when she found out that I treatment has increased
was HIV positive and had been taking compared to the past years.
ARVs without her knowledge and And with the trust we have from
then she fired me. I could not go back those that access our services and
to the village but joined a group of those linked in care, there is need
young women who initiated me into to operate a community ART refill
sex work as a means of getting quick programme at our DiC/Clinic for
money for survival.” Said one of the friendly and convenient ART
young women we linked into care at services for the marginalized
Nabweru Health Center III populations
 6

Outcome #1:
Increased individual awareness of SRHR as Human Rights
Approach: Non-discriminatory
inclusion 7
Strategy #1: Provision of a safe space

827
Female sex workers estimated to live
and or work in Wakiso district.
The act of exchanging sex for money and
or goods, either regularly or occasionally is
termed as sex work. In Uganda, sex work is
an illegal act criminalized by law as
prostitution under the Penal Code act
section 139. However this has not stopped
adolescent girls and young women joining
the sex work industry. A population size
estimate by Crane Survey, 2018 in 12
districts estimated between 7,138-18,965
(9,996 average) female sex workers in
Grater Kampala (made up of three districts
Kampala Capital City, Wakiso and Mukono)
while 827 are estimated to work and live
in Wakiso district.
“The prevalence of HIV
among sex workers is 37%”
This is far higher than 6.7% in the general
population (Uganda AIDS Commission,
2014). This is attributed to violence, social
and legal issues, migration, mobility and
people trafficking, multiple sex partners,
inconsistence in condom use, drug and
alcohol abuse, discrimination and stigma
that hinders them from accessing health
care service and justice.

We are supported by MARPs Network Limited (MNL) to provide a safe space where female
sex workers (FSWs) can meet and freely take part in HIV programming, prevention, care
and support, referral and linkage to health and legal services.

SLUM drop in center is co-located with a clinic (SLUM-Nabweru Umbrella Clinic) for
provision of comprehensive and integrated sexual and reproductive health rights and
services.

232 FSWs
Reached with 41,313 services
These services that include; psychosocial
support, information, referral, financial literacy
classes, medical care are directly provided to
sex workers at the DiC and from their hotspots.

A total of 294 HIV testing, 262 STI screening and

management, 351 psychosocial, 132 referral and
linkage services were provided

Health 31,790 1,733 4,227

commodities Male condoms Female condoms Sachets of lubricants
distributed
Strategy 2: Hotspot outreaches
8
Strategy 2: Hotspot Outreaches
Hotspot activities reach more sex workers

Hotspot mapping and FSWs Piloting injectable PrEP

population size estimate
35
Hotspots
Working with female sex workers, we mapped
35 hotspots that included; bars, brothels,
streets/main road stages and lodges where
female sex workers stage to wait for their
clients. This mapping was done in Nansana
Municipality town centers but due to limited
funds we did not exhaust all parts of the
municipality and hope hotspots might be more
than what we mapped.
“The injectable PrEP
innovation is better than
taking a pill every day,” one
sex worker said.
Working with MU-JHU (Makerere) under
the HIV Prevention Trial Network
(HPTN), we mobilized a total of 28 sex
workers (18 KPs at Emirates bar and
lodge and 10 KPs at Bentez bar and
lodge Katooke) that were educated
about the injectable pre exposure
prophylaxis (PrEP) that is under study
amongst the most at risk groups
especially women in a discordant
relationship, sex workers among
others.

During the mapping exercise, we observed that

there are more adolescent girls and young women
(AGYW) (14-24 years) engaged in sex worker than
older women (25 years and above).

AGYW who are new entrants in sex work are

characterized by low self-esteem, low knowledge
about HIV and other SRHR information, poor
condom negotiation skills and high rates of self-
stigma and isolation. Nothing for us
The local leaders we talked with prioritized
income generating skills training for children Without us
between 14 and 17 years as an alternative.
 9

Outcome #2:
Access to SRH resources, information and services
 10
Strategy: Youth led community and school outreaches
Age appropriate sexual and reproductive health and rights information
Increased awareness of sexual and reproductive health and rights.

9,932
Young people equipped with SRHR information

The photo above was taken during a seven days skills development for children 10 to 14
years Credit goes to Red Cross and PREFA the organizers

SLUM works with partner organizations to
educate adolescents and young people both in
and out of schools about their sexuality. We
regularly conduct outreaches in communities,
rehabilitation centres, schools and hotspots.
To attract young people we integrate games,
music and drama, debates/dialogues. These
programmes are also led and conducted by
young people themselves as way to gain trust
from the participants.

The services provided include the following;
SRHR information, family planning, pregnancy
test, STI screening, HIV/Hep B testing,
cervical and breast cancer examination,
These activities have been done at partner
organizations like; Action for Fundamental
Change and Development (AFFCAD), Set Her
Free (SHF), Somero Uganda, Lugoba Skills
development and Hope Against Violence
(HAV).
 11
In school sexual and reproductive health education

Through outreaches we were

able to visit 20 schools and
institutions of higher learning
were we educated 4,125
adolescents and young people
about their sexuality.

However, there is still much to

do by the Ministry of Education
(MoE) to implement the
sexuality framework that was
launched in 2018 amidst
criticism due to
misinterpretation by some key
This photo was taken during a school outreach at St. Johns stakeholders.
High School Kazo

Pupils of Oxford Primary school together with our trainers flashing young talk newspapers
after a session on growth and development
 12
Building capacity of internees in sexual and reproductive health and
rights and leadership

The photo above was taken during a sharing meeting between female and transgender women sex
workers and internees

We provided a platform for university students to learn about their sexuality and also empowered
them to pass on the same information to other youths.
 13
Male involvement in family planning services

The photo above was taken during a dialogue on the role of men in promotion of family
planning services

“Several studies conducted in both urban and rural areas show that
lack of male involvement in making family planning decisions is one of
the highly cited reasons why women and youth get discouraged from
using contraception.”
We conducted dialogues between women, men and
health care providers about the role of men in
promoting family planning services.

Women suggested innovation of a variety of male

contraceptives if men are to get directly involved
in family planning than the a few know methods
since men have the ability to make more than 2
women pregnant in one year yet it is rare for a
woman to concieve twice in a year.

Our family planning services have been limited to

information due to shortage of supplies especially
short term reversible contraceptives.
 14
Sexual and Reproductive Health Services

91,000 902 tested for HIV 1,368 tested for STIs

SRH Services
10,763 clients
Services are provided at the static clinic,
mobile community clinics, school/institutions
and through our peer educators.

Client load
A total of 10,763 clients accessed our services;
157 (0-9 years), 9,318 (10-24 years) and 1,291
(above 25 years).

CLIENT LOAD
6000
5000
4000
3000 Male

2000 Female

1000
0
0-9 10-24 25+

Family planning

A total of 944 family planning

2000 HIV RELATED SERVICES
services received; 460 injectable, TOTAL Service
1500 Referall
368 cycles of COCs/pills and 116
Implanon and Jadelle. 1000

STI/HIV related services 500

1,540 HIV prevention, 902 tested
for HIV, 563 tested for Syphilis, 0
805 received STI counseling and
562 treated for STI/UTIs.
 15

Change of policies,
bi-laws, attitude
and ending stigma
Revising the Sexual
Offenses Bill

Influence Policy on
Sex exploitation of
children

Prevention of alcohol
and drug abuse among
minors

Ending
Abortion, HIV and
Menstrual related
stigma

Outcome #3:
Change of policies, bi-laws, attitude and ending
stigma
 The Sexual Offenses Bill
16
SLUM was one of the organizations that influenced
the revision of the SOB a campaign led by the
Alliance of Women Advocating for Change (AWAC)
against some clauses that criminalize sex workers,
brothel owners among others for a period of seven
years in case one was found guilty of engaging in
what they defined as sex work.

The positive provisions of the Sexual Offenses Bill

include; redefinition of the offence of rape as
elaborated in Clause 2 and Cause 4, provision of
marital sexual assault as elaborated in Clause 2(3),
provision for aggravated rape as elaborated in
Clause 3, the explicit pronouncement on sexual
harassment as elaborated in Clause 7, sexual
offences to positions of trust and persons in
position of authority as elaborated in Clause 8,
detention with sexual intent as elaborated in
Clause 10, improper sexual activity with persons in
custody as elaborated in Clause 11, sexual act with
a person incapable of giving consent as elaborated
Commercial Sexual in Clause 9, redefinition of defilement for persons
Exploitation of Children (CSEC) with mental disability, the lowering of the standard
of standard of proof in sexual offences involving
Commercial Sex Exploitation of
children and; making rape gender neutral.
Children (CSEC) is a hidden and worst
trend of Child Labour manifesting in
several forms that include; trafficking,
karaoke, strip tease dance, sex tourism,
prostitution and pornography.

Commercial Sexual Exploitation of

Children is one of the worst forms of
child labour, which is hidden and its
impact extends beyond families of
those directly affected. It occurs in
homes, small towns, urban streets,
slums and bars.

SLUM is among the CSOs that work

together with Uganda Youth
Development Link (UYDEL) with SLUM staff presenting an activity report on commercial sex exploitation of children
support from terre des hommes (TDH)
to end sex exploitation of children in
Nansana municipality.
 17
Prevention of alcohol and drug Addressing abortion related stigma
abuse among minors
SLUM worked closely with Action for
SLUM is one of the CSOs in Nansana division Fundamental Change and Development
supported by UYDEL that have embraced and (AFFCAD) peer educators to provide
integrated prevention of alcohol and drug information about family planning, prevention
abuse among children; by creating awareness of teenage pregnancies, provision of post
about drug and alcohol abuse among in school abortion care and family planning service to
children and educating people living with HIV youths that benefited from their break the
about the dangers of alcohol abuse on their silence project.
health.
Health care workers from SLUM alongside
AFFCAD project coordinators were hosted on
Campaign against HIV related stigma radion and television to talk about the
challenges girls faces in receiving sexual and
Through media platforms, SLUM with Ssenoga
reproductive health services and where they
Hassan a young man who contracted HIV from
can receive youth friendly servies.
a “sugar mummy” conducted a campaign
aimed at prevention of new HIV infections,
promotion of HIV testing and enrollment into
care and treatment for proper adherence.
 18
Vision THEORY OF CHANGE A community where the marginalized populations
access and utilize sexual and reproductive health
rights and services in a friendly manner

Eliminate all Create a safe Access to rights Access to comprehensive Eliminate all forms of
space for the based SRH services, sexuality education and discrimination on grounds
forms of gender
Impact marginalized culturally information as well as of gender and sexual
based violence SRHR services for young
appropriate and orientation
populations
gender sensitive people

Increased individual Access to SRH

resources,
Change Economic
awareness of SRHR
Outcomes as human rights information and laws and independence
services policies

The marginalized populations, staff, local and national leaders,

policy makers, law enforcers, partners, donors

Strategies Service Health Advocacy Economic and livelihood

delivery promotion enhancement

To strengthen HIV prevention, access to non-discriminatory sexual and reproductive health rights and services,
strategic partnerships and advocacy for the marginalized populations.
 19
Tabular representation of 2018 statistics

CLIENT LOAD AGE DISTRIBUTION

0-9 10-24 25+

Male 61 4150 480

Female 93 5168 811

Total Services Provided

children 0-9 10-24 Above 25

SRH-HIV/AIDS M F M F M F Refs (EX)

HIV-Pre-Test Counselling 7 3 271 522 179 333 0

HIV-Post Test Counselling 7 3 248 413 154 243 0

HIV-Prevention Counselling 7 3 354 622 194 360 0

ARVs (HN=New) 0 0 0 0 0 0 13

ARVs (HR=Rev.) 0 0 0 0 0 0 10

HIV Supp. & Care (NEW) 0 0 0 0 0 0 1

HIV - PEP 0 0 0 0 0 0 5

HIV - Psycho-Social Support 0 0 5 12 9 4 0

HIV - Home Based Care 0 0 2 38 0 16 0

HIV-Sero-Status Test 7 3 188 318 147 239 0

 20
Total Services Provided

Children 0-9 10-24 Above 25

Refs
COUNSELLING SERVICES M F M F M F (EX)

FP-Counselling-Incl. Dual Protection 0 0 0 42 0 57 0

Unplanned Preg 0 0 24 63 14 46 0

Gender Based Violence (GBV) 0 0 0 30 0 8 0

SRH Counselling 0 0 149 378 102 190 0

Youth - Sexuality Counselling 0 0 4086 5009 373 464 0

Total Services Provided

children 0-9 10-24 Above 25

Refs
SRH-STI/RTI M F M F M F (EX)

STI/RTI Counselling 0 0 129 339 102 235 0

STI/RTI screening 0 0 77 181 63 108 154

STI/RTI Treatment 0 0 95 232 71 164 83

Total Services Provided

children 0-9 10-24 Above 25

Refs
SRH-GYNECOLOGY M F M F M F (EX)

Pap Smear 0 0 0 28 0 69 13

VIA Counselling 0 0 0 215 0 184 0

Breast Manual Exam 0 0 0 189 0 76 2

 21
ABORTION

Pre-Abortion Counselling-Incl.-FP 0 0 0 2 0 1 0

Post-Abortion Counselling-Incl.-FP 0 0 0 2 0 1 0

Post Abortion Care 0 0 0 2 0 1 0

MVA 0 0 0 2 0 1 0

SRH-Other

Circumscision 52 0 17 0 9 0 10

CONTRACEPTIVE New Acceptors Total Acceptors

SERVICES 10-24 25+ 10-24 25+ Refs (EX)

COC 27 171 98 270 23

ECP 0 0 0 0 17

Female Condom 136 0 0 0 0

Male Condom 267 178 379 289 0

Inj-1month 49 90 104 215 24

Inj-3month 89 79 182 279 15

Implanon - Insertion 13 51 46 70 12

Implanon - Removal 8 3 8 3 0

Jadelle - Insertion 4 13 5 13 0

Mgt of FP-Side Effects 33 17 33 17 5

 22
Total Services Provided

children 0-9 10-24 Above 25

NON SRH-Family/Community
Health M F M F M F Refs (EX)

Hypertension Screening 0 0 0 1 11 39 0

Diabetes Screening 0 0 0 0 0 0 5

Deworming 51 82 2 1 0 0 0

ITN 0 0 0 0 0 0 0

Pediatrics-Treatment 50 67 0 0 0 0 0

Minor Ailments 7 1 25 43 13 31 0

COUNSELLING SERVICES
FP-Counselling-Incl. Dual
Protection 0 0 0 42 0 57 0

Unplanned Preg 0 0 24 63 14 46 0

Gender Based Violence (GBV) 0 0 0 30 0 8 0

Life Skills Counseling 0 0 39 260 24 30 0

SRH Counselling 0 0 149 378 102 190 0

Youth - Sexuality Counselling 0 0 4086 5009 373 464 0

Total Services Provided

children 0-9 10-24 Above 25

LABORATORY SERVICES M F M F M F Refs (EX)

BS 19 27 46 37 29 33 0

Widal 11 8 31 27 14 20 0

HIV 7 3 188 318 147 239 0

 23
VDRL/RPR 3 6 69 171 130 184 0

Urinalysis 0 0 96 217 74 284 0

HCG/preg test 0 0 1 118 0 28 0

 24
Contact information

slumorg@gmail.com

+256 (0) 393 239 019

@SLUMORG

SLUM-Serving Lives Under

Marginalization

Along Nabweru
road/Nansana division/
Wakiso district

Executive Director
+256 (0) 752 707 778

deborahslum@gmail.com

Director of Programmes
+256 (0) 755 079 651

kayitaslum@gmail.com