Village savings groups changing healthcare access in rural Uganda among expectant mothers.

  • Village savings groups changing healthcare access in rural Uganda among expectant mothers.

With a due date drawing closer, Kajumba Joselyne in Bweramule Sub-County, Ntoroko district is preparing for one of the most significant moments of her life—giving birth. Unlike many other expectant mothers in her community who struggle to afford medical care, she has a plan. Through the Kyotuha Village Savings and Loans Association (VSLA), Joselyne has been diligently setting aside money every week, ensuring she can access quality healthcare when she needs it most.  

“I save between 1,000 to 2,000 Ugandan shillings every week,” she shares with determination. “Since I started, I haven’t needed to borrow yet, but I know that when the time comes for delivery, I will have the funds to get to a health center and receive proper care”, added Joselyne.  

For many expectant mothers in Ntoroko district, accessing maternal healthcare is challenging. With public health facilities often miles away and costly transport fares, some women are left with no choice but to seek help from Traditional Birth Attendants (TBAs), despite government restrictions on their services since 2010.  

Joselyne said that many women in the community walk long distances to public health centers for antenatal and other maternity services. However, when labor begins, they may not have the money needed for transport to health facilities or to afford services from private facilities, so they turn to Traditional Birth Attendants.  

Through Enabel’s Social Protection Project, Joselyne’s Village Savings and Loans Association group was among those selected for capacity-building training on financial management and saving for health promotion. The training equipped the group members with knowledge on managing their income and saving weekly for health to address the existing barriers to healthcare access in the community especially among expectant mothers.  

By promoting saving for health among the VLSA groups, community members are empowered to take control of their health by preparing for health emergencies. Kajumba Roselyne has now saved a total of 130,000 UGX for health.  

The Community Development Officer for Bweramule Sub-County, Biira Sylvia, said she has witnessed the impact of the health savings firsthand. “I visited one of the groups recently, and four expectant mothers had saved over 700,000 UGX. It’s inspiring to see women embracing this initiative, and preparing for health emergencies,” she said.  

With five months left until her due date, Joselyne remains hopeful. By the time she is ready to give birth, she expects to have saved at least 250,000 UGX—enough to cover transport to Bweramule Health Center III and purchase essentials for her newborn baby.  

While many expectant mothers in Uganda still face challenges in accessing proper medical care and timely maternity services, Joselyne is determined to change the narrative by being an active saving for health member. She is determined to ensure that when she welcomes her baby, she will be in the safe hands of a trained midwife.

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