This policy brief examines the gap between Uganda’s formal sexual and reproductive health and rights commitments and the real ability of vulnerable communities to access confidential, affordable, respectful, disability-inclusive, youth-friendly, and accountable SRHR services. It highlights barriers affecting adolescents, young women, persons with disabilities, refugees, rural and low-income communities, sex workers, key populations, and urban poor communities, and proposes policy actions to move from rights on paper to lived access.