Climate change is having a profound impact on public health, affecting communities worldwide in numerous ways. The increased frequency and intensity of heatwaves, prolonged droughts, and severe flooding are just a few of the challenges that disrupt access to essential health services. Warmer temperatures are also expanding the habitats of disease-carrying vectors like mosquitoes and ticks, leading to a rise in illnesses. In Moyo District, Uganda, these climate change-related events have significantly strained the health and well-being of the local communities.

PICSA Uganda and Madiro recently collaborated on a project in Moyo District, Uganda, targeting the health challenges exacerbated by climate change. This initiative went beyond addressing immediate health concerns; it was about empowering communities to maintain their health and well-being despite climate-related disruptions. By focusing on preparedness, education, and the distribution of essential supplies, the project helped the people of Moyo District build resilience, ensuring that women and children continue to have access to crucial health services in the face of ongoing environmental challenges.

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At the core of this initiative was a focus on preparedness. Moyo District is no stranger to the whims of weather, and when heavy rains sweep through the region, they can make it difficult for communities to access essential services. But instead of being deterred by these challenges, the community, with the guidance of PICSA Uganda, is taking proactive steps to stay ahead. Early on, a thorough baseline assessment revealed areas where health services were most vulnerable, allowing the project team to tailor their approach to meet the specific needs of each location.

An example of this adaptability is the renovation of the Gwere Health Center II. Previously, the facility struggled with a leaky roof, a consequence of the relentless rains. The roof’s poor condition made it unappealing for mothers seeking a safe place to give birth, leading many to choose the risks of home births over an unreliable clinic. However, this has changed dramatically since the facility’s renovation. With a new roof in place and the clinic's infrastructure strengthened, the health center has regained the community's trust. Mothers are now more likely to seek care and give birth at the clinic, ensuring safer deliveries and better outcomes for both mother and child.

"Climate change has affected our district, causing low turnout and reduced service delivery due to fear of falling debris. We're relieved and joyful to see the improvements." said Mr. Stephen Amoko, Assistant District Health Officer in charge of Environmental Health.

Education has been another powerful tool in this project. Twenty dedicated health workers from across the district were trained in delivering climate-resilient reproductive health services. These individuals, armed with new knowledge and skills, are now leading the charge in their communities. From providing emergency contraception to guiding expectant mothers through safe pregnancies, these health workers are helping to ensure that even in the face of climate variability, the health and well-being of women and children are prioritized. "Receiving doorstep family planning services was a lifesaver, as traveling to the health center in strong heat was difficult." said Maliama, mother of five.

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Preparation also means being well-stocked with the necessary supplies. Recognizing that unpredictable weather can disrupt the flow of resources, the project made sure that health facilities were equipped with essential items like Mama kits and mosquito nets. These simple but crucial supplies are helping expectant mothers feel more confident and secure, knowing they have what they need to navigate childbirth safely, even during challenging times.

The distribution of these supplies extended beyond the health facilities, reaching directly into the communities where they were needed most. Young women and girls received not only essential items but also valuable information on reproductive health and menstrual hygiene. With over 2,300 women and girls benefiting from these efforts, the project is not just providing temporary relief—it’s laying the foundation for long-term empowerment.

Over the course of the project, more than 2,500 mothers have accessed climate-resilient maternal care, ensuring safer pregnancies and healthier babies. Newborns and young children are receiving vaccinations and care, setting them up for strong starts in life. And through community outreach, essential health services are reaching even the most remote areas, ensuring that no one is left behind.

“The most significant impact of the project has been in empowering communities to take charge of their own health”, says Judith Draleru Maturu, executive director of PICSA Uganda. “With the right tools, education, and support, they are not just weathering the storms—they can thrive.”

This initiative has shown that by embracing preparedness and resilience, communities can continue to take care of their health despite the challenges of climate change.

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