Archive for category: Women and Female Empowerment

information and Stories about woman and female empowerment.

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A Voice for Gender Equity: Spotlighting Dr Murabit

Alaa MurabitIn a society that prioritizes the rights, freedoms, power, and authority of men, women and girls are all too often pushed to the margins. Due to socio-cultural values and systems that view women as disposable and distill their contributions to society to their reproductive capacity, women experience disenfranchisement and inequality across sectors.

Background

Unfortunately, the North African country of Libya is not excluded from its involvement in gender disparities and violence. The U.N. reports that the most prominent obstacles to gender equality are:

  • “Women face high rates of unemployment due to the lack of recognition of their contribution to the economy.”
  • “Women are significantly underrepresented in politics, humanitarian response, conflict resolution and peacebuilding.”
  • Women and girls experience violence and the current legal framework does not have adequate resources to protect these communities from the various forms of gender-based violence.
  • Humanitarian and protection crises often impact the most vulnerable populations at disproportionate rates, including women.

Transforming Communities

With the knowledge of the harm so many girls and women encounter daily purely because of their gender and where they come from, activists have invested in transformative work focused on giving gender equity the platform it deserves, showcasing it as necessary to the protection and livelihood of women globally. Global Strategist and activist, Dr Alaa Murabit, has done just this.

As a Canadian-born woman of Libyan descent, Murabit, from a young age, has been focused on social justice. Her work now stems from organizations, programs, and initiatives worldwide centered on health, innovation, equity, security and peace. Indeed, as the founder of Voice for Libyan Women, Murabit has first-hand experience in global policy and programs invested in gender equity, sustainable development, and more.

A Voice to be Heard

Dr Murabit founded the Voice of Libyan Women (VLW) in 2011, when she was 21. Having established the organization in response to the Libyan Revolt of 2011, Murabit described the VLW as a women’s rights organization that focuses on peace and security.

With this vision, the youth-led group invited girls and women of all backgrounds to radically imagine a different Libya where they were a part of political participation. These women envisioned gender equity by increasing political participation, economic empowerment and speaking out against gender-based violence.

In an article she wrote for New America Weekly and Yes! Solutions Journalism, Dr Murabit shared why it was so imperative to adopt a dialogue-driven approach for VLW. She writes, “It hands the community words and tools to fight against violence, poverty, fear, and corruption—weapons of strength and self-actualization. It offers youth weapons of peace against an enemy that wants to drag them into war.” This approach not only empowers girls and women, allowing them agency and the opportunity to use their voices towards social change, but also prioritizes dialogue as integral to international peace.

Supporting Rising Leaders

In addition to the Voice of Libyan Women, Dr Murabit is one of the founding leaders of The NewNow. Similar to the VLW, through collective action, The NewNow “tackles the world’s toughest challenges by amplifying, supporting, and developing” rising leaders. With a vested focus on the Global South, the mission of the organization includes:

  • Amplifying and supporting the voices of young leaders in their commitments to global transformation.
  • Challenging the status quo.
  • Sharing knowledge and approaches fostering “systems-thinking.”

As much of Murabit’s work illustrates, the perspective and methodology of The NewNow interrogates the systems of power that make up our society and cultures. Furthermore, by analyzing the disparities that emerge from these structures, leaders are better able to understand how the obstacles and challenges that foster poverty, climate change, racial discrimination, gender inequality, etc., are interlocking and interconnected.

Through a grassroots approach, the nonprofit empowers and supports young people in their mission to cultivate a sustainable, equitable future.

There is No Future Without Women

In a 2023 keynote speech for One Young World Manchester, Dr Murabit stresses the expansive effect and reach of devaluing women and girls. She says, “We cannot resolve poverty if women cannot access a bank account. […] And, we cannot build beyond COVID-19 or build back from it if women and girls don’t have access to health care.”

This exclusion and devaluing of women extends far beyond a so-called “single issue” or “women’s issue.” Gender inequality permeates all facets of life, shaping our socio-cultural, political, and environmental landscape. It is a matter of human rights and survivability.

The Future

Through her work, Dr Murabit asks of herself and of us, “Are you leveraging your sphere of power to create justice and opportunity and space for others?” Dr. Murabit is not the only one in this work. Indeed, worldwide, every day, people are taking action and speaking out to fill the gaps of disparity. Every day, human rights and our collective survival are at stake. And, voices speaking out against injustice have the power to make a lasting impact.

– McKenzie Rentie

McKenzie is based in Dallas, Texas, USA and focuses on Celebs and Politics for The Borgen Project.

Photo: Wikimedia Commons

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Addressing Child Marriage in Guatemala  

Child Marriage in GuatemalaChild marriage in Guatemala is a serious issue that has devastating repercussions for young girls. Education is no longer seen as a priority, so often girls are forced to leave school early. Without adequate support or oversight, many face mental, physical and sexual abuse. Their underdeveloped bodies, combined with a reliance on homebirths, leave both young mothers and their infants at a heightened risk of maternal and infant mortality. Reducing and ultimately eradicating child marriage is therefore a crucial step in safeguarding girls’ futures.

Thankfully, Guatemala banned child marriage in 2017. This legislation and the continued work of both global and local organizations have already helped protect many vulnerable girls. However, despite the recent ban, Girls not Brides found that, as of 2022, 30% of young girls in Guatemala are still victims of child marriage. There are multiple and complex reasons for the continuation of such a damaging practice.

Key Factors Behind the Persistence of Child Marriage in Guatemala

  1. Rural Areas Make Monitoring Difficult: There are numerous tight-knit communities in Guatemala that are extremely rural and so informally govern themselves. Many communities still support child marriage; to avoid monitoring and legal consequences, they hold unofficial unions. The indigenous Maya community, who often live in rural areas, experience higher rates of child marriage than the rest of the country.
  2. COVID-19: Governments across the world struggled to monitor vulnerable children during the COVID-19 pandemic. This led to a worldwide increase of 10 million additional girls susceptible to child marriage.
  3. Poverty: In 2020, 68% of Guatemalan children were living in poverty. Many families use dowries to ease their situation, while at the same time reducing the number of mouths to feed. Some girls, desperate to escape their destitute home lives, choose to marry while still young. They hope marriage will offer a more stable and secure life, unaware of just how vulnerable it can leave them.
  4. Teenage Pregnancies: Due to lack of sex education, pregnancy among adolescent Guatemalans is fairly common. Between January 2020 and December 2020, there were 99,656 recorded teenage pregnancies in Guatemala. Many families hold traditional values, so they believe their daughters should be married immediately if they are pregnant. This often overlooks the circumstances under which the pregnancy occurred, placing young survivors of rape in particularly harmful and unjust situations.

Efforts to Eradicate Child Marriage in Guatemala

Although there are still many issues that need to be addressed when tackling child marriage in Guatemala, the country is heading in the right direction. UN Women, UNFPA and UNICEF are working to reduce the number of young Guatemalan brides. They are implementing a Regional Program in the Latin American and Caribbean region. These organizations are currently focusing on Colombia, Mexico, Guatemala, El Salvador and the Dominican Republic. They aim to raise awareness of child marriage and its harmful effects on young people, while also empowering young girls and providing opportunities for them to build a better future for themselves.

There is also the Women’s Justice Initiative (WJI), a Guatemalan-based organization founded in 2011, that is dedicated to combating gender inequality and ending violence against women and girls, especially in rural communities. They run multiple programs to help Guatemalan women and girls. These include:

  • Legal Services: They offer free, legal support to women and girls in a variety of vulnerable positions such as domestic abuse, child marriage and divorce.
  • The Women’s Rights Education Program: It is a three-month program educating women on topics related to women’s issues. This includes property rights and domestic and sexual violence.
  • The Adolescent Girls Program: The Adolescent Girls Program is a six month course to teach girls about their rights, female empowerment and to provide them with leadership skills so that they have more opportunities open to them in the future.
  • The Community Advocates Program: This program provides Maya women with the knowledge and skills to transform their community firsthand. They begin by taking part in a two-year training program, where they deepen their understanding of women’s rights and develop leadership skills. With this knowledge, they go on to support, educate and guide other Guatemalan women and girls.

Looking Ahead

The WJI has had an astounding impact in helping to reduce child marriage in Guatemala. While larger organizations, such as the U.N., can influence the country (and region) as a whole, smaller ones like WJI work face-to-face in remote and often overlooked communities. By addressing child marriage in these hidden, hard-to-track areas, they gradually dismantle the problem at its roots. For many Maya women in rural areas, this organization is the only way for them to seek support.

With varied and determined organizations at the forefront of tackling women’s and girls’ issues in Guatemala, child marriage is slowly but steadily declining. It is the work of individuals that can and will bring an end to child marriage in Guatemala.

Until Guatemala completely eradicates child marriage, the fight continues. WJI makes a meaningful difference in the lives of vulnerable women and girls.

– Lysia Wright

Lysia is based in Derby, UK and focuses on Global Health for The Borgen Project.

Photo: Wikimedia Commons

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Guam Fights Maternal Mortality Through Guahan Doula Project

Guahan Doula ProjectThe maternal mortality rate in Guam (a U.S. island territory in Micronesia) is high, mainly due to the lack of obstetric care available on the island. As of 2021, the maternal mortality rate in Guam was 30.4 per 1,000 births. An extreme lack of OBGYN providers is believed to be the cause of the high mortality rates for mothers. The Guahan Doula Project seeks to rectify this gap in care by providing a program in which women can become certified as doulas and assist in pregnancy care.

Lack of Access to Hospitals Restricts Medical Care

Guam has only three hospitals, one of which is located on the Guam Naval Base, which exclusively provides care to those serving and their families. The Guam Regional Medical City, located in Dededo, is a private hospital. This leaves only one public hospital, Guam Memorial Hospital in Tamuning, where most people in Guam can obtain medical care. It is also the only hospital with a labor and delivery wing.

Those residing in the southernmost parts of the island face up to an hour-long drive to the Guam Memorial Hospital. If there are any complications during labor and delivery, the distance may increase the odds of fatality for the mother or baby.

Due to the difficulties accessing health care, the Health Resources and Services Administration deems Guam a Medically Underserved Area. Specialized care, such as obstetrics, is even harder to access. More than half of maternity-related deaths are due to hemorrhage and pregnancy-induced high blood pressure. Both are less likely to be fatal with routine, preventative doctor visits.

Provider Shortages

According to OBGYN Dr. Tom Shieh, there are only 6.5 OBGYNs left to handle the delivery of the roughly 250 babies born monthly. This shortage of medical professionals, coupled with the lack of hospitals, undoubtedly increases maternal mortality in Guam.

Guam, with a population of 167,777, has only 6.5 practicing OB-GYNs—far too few to adequately meet the needs of expecting and delivering mothers.

Guahan Doula Project

Bill 318-47 seeks to address the maternal mortality in Guam through certifying doulas. The bill proposes allocating $400,000 to the Bureau of Women’s Affairs’ Guahan Doula Project. Doulas can provide pregnancy care to help fill the gap that the lack of OBGYNs and gynecologists leaves. There are 13 doulas in Guam as of February 2025, but that number would surely increase if the bill passes.

Doulas are not licensed medical professionals in the same way that doctors are. However, they provide support and knowledge of the birthing process that has been proven to reduce maternal mortality rates, shorten labor times and reduce emergency cesarean sections.

More doulas would offer more possibilities of access to care than the Guam Memorial Hospital does alone. Practices can be set up anywhere and don’t need to be based in a hospital. This allows more women the opportunity to receive some pregnancy care before, during and after birth.

Doulas Supplement Maternal Care

Increasing access to prenatal and postnatal care will decrease the rates of maternal mortality in Guam. Medical problems that may prove fatal are more likely to be caught and treated if the expectant woman can be seen by a provider regularly.

– Sydney Uhl

Sydney is based in Vancouver, WA, USA and focuses on Good News and Technology for The Borgen Project.

Photo: Pixabay

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Sustainable Farming in Bihar: Bridging the Poverty Gap

Sustainable Farming in BiharThe Sophia Akash Foundation (SAF), in partnership with nonprofit organization PRADAN, is addressing the challenges faced by vulnerable women farmers in Bihar, India. Founded in 2010, SAF aims to combat poverty in underserved and rural communities through collaboration and social impact.

In March 2023, the foundation joined forces with PRADAN to empower women in Bihar with knowledge, tools and resources. The partnership focused on improving traditional farming methods through more sustainable, climate-resilient practices.

Agriculture in Bihar

Bihar, known for its fertile land and rich natural resources, relies heavily on agriculture, which employs about 76% of the state’s population. However, many farmers still rely on ineffective traditional farming practices that use harmful chemical fertilizers and pesticides to sustain their livelihoods.

The growing impact of climate instability, including unpredictable rainfall, droughts and extreme temperatures, has made it even harder for farming communities to earn a stable income and support their families.

Why Women Farmers Matter

This joint initiative focuses on women in rural areas, who often lack access to the necessary tools, agricultural training, support and financial resources. According to SAF founder Shailendra Patel, initial research showed that empowering women empowers communities.

“If you enable the female members of these households, there is empirical evidence that because of maternal instincts, they are going to use that transfer of knowledge, tools and resources to improve the circumstances of their family and children,” Patel said. “They are likely to do that with greater consideration than the male household members.”

Training for Sustainable Farming

The initiative addresses ineffective farming practices in several ways. It trains women farmers in sustainable techniques such as climate-resilient greenhouses and drip irrigation. These methods protect crops during erratic weather conditions. They also increase both harvest size and crop quality.

The hands-on training covers land preparation, seed selection, bio-fertilizer preparation, water conservation, crop diversification and greenhouse management. These skills create a strong foundation for more resilient and productive farming methods.

“Through the transfer of knowledge and sharing of tools, means and resources with these communities will help them to progress on their journey out of poverty,” Patel said.

Success Story

This shift from traditional practices to sustainable farming in Bihar has already shown positive results, including healthier soils, improved harvest and reduced vulnerability to extreme weather conditions. Among the program’s early success stories is Sheetal, a local participant who began cultivating saplings through the Climate-Resilient Farming Program.

With training and support, she established a small nursery business that supplies saplings to other farmers in her village. This has diversified her income sources and positioned her as an entrepreneur, while uplifting her village community.

Along with empowering women in leadership roles in their villages, this program has contributed to greater food security, reduced input costs and more stable incomes through sustainable farming in Bihar.

“Empowering women benefits the families, communities and households,” Patel stated. “We need to find ways to lift the women to some form of equitable status in their families, give them agency in their families and knowledge with which they can make decisions.”

– Sahana Shastry

Sahana is based in Newtown Square, PA, USA and focuses on Good News for The Borgen Project.

Photo: Flickr

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HPV Self-Test Kits: Cervical Cancer Screening in El Salvador

Cervical Cancer Screening in El SalvadorCervical cancer is one of the most preventable yet deadly cancers among women worldwide. More than 90% of cervical cancer-related deaths occur in low and middle-income countries, including El Salvador. In this Central American nation, cervical cancer remains the leading cause of cancer-related deaths in women, with limited access to traditional screening programs posing a major barrier to prevention efforts.

A Promising Alternative: Self-Collection

To combat this gap in gynecological care, the Salvadoran Ministry of Health partnered with Basic Health International to pilot self-collected HPV testing in rural areas. In the Cervical Cancer Prevention in El Salvador (CAPE) study, more than 500 women participated in self- and provider-based screening. Many preferred self-sampling, citing privacy, comfort and ease of use. This low-cost alternative has the potential to transform cervical cancer screening in El Salvador, especially for women who were under-screened or had never received a cervical exam.

Self-collection allows women to collect cervico-vaginal samples, often at home, using a small brush. This eliminates the need for a speculum exam. Additionally, this is a game-changer for women in rural areas where clinics are far away and stigma around pelvic exams runs deep. In surveys, nearly 40% of participants preferred self-collection and most of those said they would choose it again for future screenings.

Integrating Self-Tests Into National Guidelines

Thanks to strong evidence from pilot studies and advocacy by public health leaders, El Salvador became one of the first countries in the region to integrate HPV testing into its national cervical cancer screening guidelines. This includes the option for women to collect their own samples, a move that improves access and encourages early detection.

The Ministry of Health is committed to screening 70% of eligible women by 2030, which aligns with the World Health Organization’s (WHO) global elimination strategy. Furthermore, the inclusion of HPV self-collection in national policy marks a critical step toward expanding cervical cancer screening in El Salvador to reach the WHO’s 2030 elimination targets.

Scaling up Nationwide

Since self-collection was introduced, cervical cancer screening in El Salvador has grown rapidly. The country has trained more than 4,500 health care workers and screened more than 145,000 women. Screen-positive women are offered treatment at one of 74 centers across the country. Innovations like self-sampling and portable thermal ablation devices are helping to make these services more accessible and affordable, particularly for women in hard-to-reach areas.

A Model for Other Countries

El Salvador’s success shows how simple, scalable innovations can dramatically increase access to life-saving care. Indeed, by removing logistical, financial and cultural barriers, HPV self-collection empowers women to prioritize their health on their terms. As other low and middle-income countries seek to meet the WHO’s 2030 targets, El Salvador’s model offers hope and a blueprint for equitable cancer prevention.

– Anna Chiaradonna

Anna is based in Philadelphia, PA, USA and focuses on Good News and Politics for The Borgen Project.

Photo: Wikimedia Commons

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The Flipflopi Project: Women Recycling Programs in Kenya

FlipflopiWomen’s recycling programs in Kenya are turning plastic waste into economic opportunity. Women like Lorna Rutto and Nzambi Matee are transforming plastic garbage into economic strength. Rutto, the founder of EcoPost, has repurposed more than 13 million kilograms of plastic into resilient fence posts, generating at least 300 employment opportunities, mostly for women in economically disadvantaged neighborhoods. Simultaneously, Matee, an engineer and the creator of Gjenge Makers, transforms plastic into colorful pavement bricks that, according to reports, are five times stronger than concrete, processing up to 25 metric tons of garbage weekly.

In Kenya, initiatives such as EcoPost and Gjenge Makers demonstrate how recycling serves as a mechanism for economic development, particularly for women. These projects provide more than employment; they cultivate technical skills, foster leadership and empower women to become environmental stewards and entrepreneurs. In a nation that produces more than 22,000 tons of garbage each day, these women-led initiatives are facilitating community sanitation while directly confronting gendered poverty.

Recycling as a Path to Economic Empowerment

In Kenya’s expanding green economy, recycling goes beyond simple street cleanliness; it is fundamentally about generating livelihoods, especially for women in marginalized communities. TakaTaka Solutions, a trash management and recycling company located in Nairobi, employs women in sorting facilities, where they get training to segregate plastics, metals and biological materials for resale. As of 2023, TakaTaka processed up to 95% of collected garbage and created hundreds of formal employment opportunities, mostly for women who were previously engaged in informal labor or were unemployed.

Some initiatives further integrate recycling with entrepreneurship. In Kibera, Nairobi’s biggest informal settlement, the Human Needs Project runs a Women’s Empowerment Center that trains women in trash management, recycled craft production and microenterprise business planning. These projects provide both money and access to computer literacy, accounting and leadership training; skills often inaccessible to women in underprivileged regions.

The Human Needs Project, in collaboration with Mr. Green Africa, has implemented a PET-plastic collecting “cage” system that allows residents, particularly women, to recycle bottles in return for points that can be exchanged for water, sanitation and skills training. Peter Muthaura, the Director of Training and Strategic Partnerships for the initiative, explains:

“This innovative approach incentivizes responsible waste management, promotes a cleaner environment and fosters economic empowerment in the community.” Women’s recycling programs in Kenya are redefining economic roles for women by formalizing waste collection work and offering technical and entrepreneurial training. A formerly inconspicuous, low-prestige occupation has suddenly become a pathway to enhanced autonomy and influence.

From Margins to Leadership

Women in Kenya’s recycling industry are not just generating income; they are assuming leadership positions, transforming community perceptions about garbage and gender roles. The Flipflopi Project in Coastal Kenya, a circular economy program that constructs boats and household products from recycled plastic, has emerged as a platform for empowering women as craftsmen, educators and environmental champions.

The initiative developed a plastic recovery and training center in Lamu County, targeting 60% of the archipelago’s population and provides vocational programs in plastic processing, upcycling, traditional boatbuilding and storytelling skills for women. In its 2019–2021 expeditions, women craftsmen had a significant role in both constructing the boat and facilitating workshops, addressing students and interacting with county authorities.

As Flipflopi co-founder Dipesh Pabari explains: “A multi-colored boat made of flip flops is a conversation starter, no matter who you are.” Women affiliated with Flipflopi are transforming norms by doing outreach events with politicians and media, therefore establishing themselves as prominent advocates in environmental and community development. 

Why Recycling Solutions in Kenya Work

The success of Kenya’s recycling projects is attributed not just to innovation but also to the ecosystem, including legislation, community ownership and cultural preparedness for change. Collectively, these elements foster an atmosphere in which women are not only included but essential to the development of the green economy.

  • Progressive Environmental Policies. Kenya has shown political commitment to garbage management. The 2017 national plastic bag ban was among the most extensive globally and its implementation established a foundation for enhanced recycling systems. The 2021 Sustainable Waste Management Act officially acknowledged the contributions of community-based waste pickers and required the incorporation of women and youth in county-level waste management plans.
  • Decentralized, Community-Driven Models. In contrast to many centralized systems, Kenya’s recycling infrastructure flourishes via local cooperatives and public-private partnerships, mostly managed or maintained by women. This decentralized approach guarantees that solutions are customized to local requirements, whether in urban informal settlements or coastal fishing communities. Flipflopi, for example, depends on local beach-cleaning organizations, mostly led by women, to gather plastic for its community boat-building workshops. M-taka in Kisumu exemplifies the use of technology, social incentives and organized training to educate 1,140 women, train 75 as recycling agents and process more than 103 tons of recyclables, facilitated by community-based buy-back shops and a mobile application.
  • Integration with Broader Development Goals. These projects extend beyond recycling; they connect waste management solutions to training, financial empowerment and health education. Companies such as M-taka integrate waste collection initiatives with teaching on responsible waste management and economic skills for women, using digital platforms. A UNDP-supported NAMA research outlines that Kenya’s circular economy program has the potential to generate 1,600 jobs, enhance health and promote income fairness, particularly favoring women in the waste industry.

Scaling the Model

As Kenya’s recycling industry expands, the current issue is to scale effective models while preserving their community-oriented and gender-inclusive foundations. Organizations, politicians and funders are increasingly prioritizing replication, extending validated projects to new counties, farther into informal settlements and allied industries like construction, agriculture and energy.

  • Geographic Expansion: M-taka’s Regional Rollout. M-taka, first tested in Kisumu, intends to duplicate its effectiveness across Western Kenya through new satellite centers and collaborations with both government and private stakeholders. It has obtained backing from climate technology investors to implement satellite gathering sites and integrate a mobile application in additional counties in 2025.
  • Community Replication: Flipflopi’s Open-Source Toolkit. The Flipflopi Project has progressed beyond the construction of the world’s first recyclable plastic dhow. Through its Lamu-based Design and Training Centre, it currently instructs boat and furniture fabrication using community-sourced plastic.
  • Cross-Border Knowledge Sharing Based on East African Campaigns. The Flipflopi Lake Victoria campaign, including a recycled plastic dhow that navigated Kenya, Tanzania and Uganda, highlighted transboundary plastic issues and stimulated regional collaboration. The campaign included community clean-ups and policy discussions in each nation, facilitating a collective vision for East African action on plastic. The women’s recycling programs in Kenya are currently transitioning into a scaling phase, characterized by technology-driven geographic expansion, open-source replication resources and regional advocacy collaborations. These initiatives aim to eliminate plastic waste while disseminating a proven, women-centric circular economy model across East Africa.

Looking Ahead: From Plastic to Power

What started as grassroots initiatives to clean up Kenya’s streets, beaches and rivers has evolved into a robust paradigm of economic empowerment, environmental stewardship and gender fairness. In urban areas and coastal communities, women are transcending the periphery of informal trash labor; they are constructing boats, managing businesses, educating future leaders and influencing the grassroots perspective of sustainability. 

As initiatives like M-taka and Flipflopi expand their operations and distribute their frameworks, Kenya’s recycling movement is transitioning from a localized success to a regional model for inclusive green development. The message is clear: with appropriate assistance and foresight, waste is not only an issue to address, but it also serves as a foundation to build on.

– Ray Bechara

Ray is based in Glasgow, Scotland and focuses on Good News for The Borgen Project.

Photo: Flickr

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How Liberian Women Are Closing the Maternal Health Gap

Women are closing the maternal health gapLiberia’s health care system, devastated by civil war and the 2014–2015 Ebola outbreak, suffers from one of the highest maternal mortality rates globally, 628 deaths per 100,000 live births. Nonetheless, after the crisis, Liberian women are closing the maternal health gap and quietly spearheading a transformation.

Through decentralized networks of midwives, traditional birth attendants (TBAs) and grassroots advocates, they fill the gaps left by a fractured health system. Backed by nongovernmental organizations (NGOs) such as Last Mile Health, CARE Liberia and Mercy Ships, these women are lowering maternal mortality rates while challenging gender and political obstacles. Their approach, based on trust and cultural understanding, serves as a worldwide model for recovery in post-conflict settings.

Grassroots Networks: Midwives and TBAs on the Frontlines

In rural Liberia, where 44% of women deliver at home without skilled assistance, community health workers (CHWs) and TBAs are crucial. Initiatives like Last Mile Health have trained thousands of CHWs to provide prenatal care, make emergency referrals and treat malaria, reaching more than one million people in remote areas. Meanwhile, TBAs, often the only providers in villages, now collaborate with clinics through programs that combine traditional knowledge with medical training.

The Liberia Midwifery Program, supported by the World Health Organization (WHO) and the United Nations Development Fund (UNFPA), has expanded rural midwifery schools. The project achieved this, though shortages remain, with fewer than 200 midwives serving four million people. “We need midwives who can ensure safe pregnancies before conception,” Bentoe Tehoungue of the Liberian health ministry says. These efforts yield results: maternal mortality has decreased by 64% since 2000, demonstrating the impact of community-driven care.

Women’s Advocacy

Liberian women are closing the maternal health gap as they are not merely caregivers but also policymakers. Female-led local health committees actively lobby for improved clinics and higher midwife salaries. CARE Liberia supports these efforts through its Women’s Voice and Leadership program, which trains women to hold health budgets accountable.

Although patriarchal resistance is still strong, signs of progress are evident. For instance, in 2019, the Liberian Board for Nursing and Midwifery updated its curriculum to emphasise midwives’ roles as leaders, not just service providers. These changes illustrate a broader pattern: when women spearhead recovery efforts, the solutions tend to be more sustainable.

NGO Partnerships: Scaling Local Solutions

International allies offer vital support without replacing local expertise. Mercy Ships, active in Liberia since 2005, trains surgeons and donates equipment to tackle obstetric emergencies such as fistulas. Meanwhile, Last Mile Health helped establish Liberia’s National Community Health Program in 2016, which has become a global model for CHW systems. Challenges remain with USAID funding cuts straining services, but Liberian women maintain resilience.

Looking Forward

Liberia’s maternal health crisis persists, but women are closing the maternal health gap and have demonstrated that community trust can outperform top-down solutions. By blending traditional knowledge with modern health care, pushing for policy reforms and forming NGO collaborations, they save lives and reshape health care leadership. Their approach offers valuable lessons for societies recovering from crises: lasting change starts with those who understand the needs most.

– Emilia Bartle

Emilia is based in Watford, UK and focuses on Good News and Politics for The Borgen Project.

Photo: Wikimedia Commons

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Reducing Maternal Mortality in Nigeria: The Abiye Project

Reducing Maternal Mortality in NigeriaNigeria has around 2% of the world’s population, but accounts for nearly 10% of global maternal deaths. In 2008, the Nigeria Demographic and Health Survey (NDHS) identified Ondo State in southwestern Nigeria as one of the country’s most affected regions. At that time, Ondo State’s maternal mortality ratio (MMR) stood at 765 deaths per 100,000 live births.

In response to these shocking statistics, the Ondo State government launched the Abiye Project, meaning “Safe Motherhood,” in 2009. This program has become a pioneering initiative for reducing maternal mortality in Nigeria. The project is reducing maternal deaths by overhauling health care infrastructure, developing community-based services and eliminating financial barriers to maternal care.

Addressing the Four Delays

The Abiye Project was built around addressing the four leading delays responsible for the high rate of maternal deaths in the state:

  • Delays in patients recognizing danger signs and deciding to seek care.
  • Delays in reaching health facilities due to poor infrastructure, unreliable communication channels and lack of access to transport.
  • Delays in accessing proper care due to substandard facilities.
  • Delays in referrals to appropriate services in cases of complications or emergencies.

Before the implementation of the program, these delays had a devastating impact: only 16% of women registered at health facilities ended up delivering there, opting instead for far riskier home births.

The Abiye Project Strategies

  • Community Health Workers (Health Rangers). Health rangers are mobile health workers trained in basic obstetric care, intensive care and family planning support. Each ranger monitors the health of 25 pregnant women in their community, performing regular home visits and checkups.
  • Toll-Free Cellphones. The project provided these to every registered pregnant woman. It ensured free communication with health rangers, other pregnant women and emergency services.
  • A New and Improved Transport Fleet. It also provided a fleet of new ambulances suitable for multiple environments. They included motorcycles and speedboats, ensuring reliable transport is available so all pregnant women can access care safely and efficiently.
  • Facility and Staffing Improvements. It increased the number of Mother and Child Hospitals from two to seven. The government now trains all birth attendants in emergency obstetric and newborn care. It ensures every hospital and clinic is stocked with essential medical supplies.
  • Free Maternal Health Care. It made access to all services related to motherhood and childbirth free of charge at all government hospitals and clinics.

Impact on Maternal Health and Poverty

The results of the Abiye program were both rapid and transformative. Within its first year, antenatal registration surged by an astounding 1,855%, while facility-based deliveries increased by 1,602%.

By 2016, Ondo State’s MMR had dropped to 112 per 100,000, an 84.9% reduction within five years of the project’s inception. This achievement demonstrates how the program’s localized, person-centred strategies are invaluable for reducing maternal mortality in Nigeria.

The Abiye Project also had an impact on poverty levels. In 2022, Ondo State had the lowest poverty level in Nigeria, with around 27% of the population living in poverty, compared to the national average of 63%. These results demonstrate the capabilities of the project’s approach for not only saving lives but also improving the economic stability for all.

Conclusion

The Abiye Project is a powerful case study of how strategic health care interventions and a community-based approach can save lives and reduce poverty. By tackling the four key systemic causes of maternal deaths, it has set a new standard for reducing maternal mortality in Nigeria and beyond.

The project has earned recognition from the World Bank and UNICEF as a model for reform. With the project’s methods continuing to be adapted, the Abiye model has become a flagship in reducing maternal mortality in Nigeria, with the potential to revolutionize maternal care across developing countries.

– Reuben Avis-Anciano

Reuben is based in Oxford, UK and focuses on Good News and Global Health for The Borgen Project.

Photo: Unsplash

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WHO Advocates Progress for Syrian Women’s Health

Syrian Women’s HealthWith more than 6 million women in need of health support in Syria and ongoing challenges like gender-based health care discrimination, political bias and social inequality, the World Health Organization (WHO) has taken meaningful steps to improve Syrian women’s health. These efforts include mental and physical support for survivors of gender-based violence, health education and the promotion of women’s rights through a more inclusive, mainstream health care network.

Gender-Biased Laws Upon Women in Syria

Extremist groups Jabhat al-Nusra, Islamic State of Iraq and Sham have imposed strict gender-biased laws upon women in Syria. Women have unlawfully become required to wear hijabs and full-length robes and threatened if they do not comply, according to Human Rights Watch. Failure to conform leads to misogynistically charged discrimination, barring girls from attending schools, moving freely in public and working.

Since the onset of the Syrian Civil War and its backlash effects on women, the WHO has championed programs in Syrian women’s health care that offer rehabilitation and education services alongside their advocacy for systemic changes. Since 2018, the WHO has institutionalized routine care for victims of gender-based violence.

Syria’s Health Care System

The prolonged conflict has desecrated approximately half the health care infrastructure in Syria, resulting in a shortage of medicine, facilities, health workers and equipment. More than 100 health facilities in northwest Syria have sustained severe damage and a loss of complete funding. More than 15.9 million people are left in need of health support, including 257,000 pregnant women, according to the United Nations Population Fund (UNPF).

With women making up nearly 50% of Syria’s population and the majority of those displaced in refugee camps, the WHO has launched targeted programs to address their health needs. According to the WHO, these initiatives ensure that “every woman enjoys her right to the highest attainable standard of health.”

Advancing Gender Equality in Syria’s Health System

The WHO base in Syria has “mainstreamed gender equality in its programming.” It assures women the highest standard of care through pregnancy, birth, violence and discrimination. By educating women on how to make informed decisions about their health care, the Syria-based program has made meaningful progress in preventing the rise of mental health issues and gender-based violence.

These efforts empower women with knowledge, helping them protect their well-being and advocate for their rights in a challenging environment. The organization provides essential psychosocial treatments to aid in women’s mental and physical health after facing gender-based violence. According to the WHO team in Syria, these services have been implemented in health facilities around Syria.

The fertility rate in Syria was reported by the WHO at 2.7% per woman in 2021, a reduction from 3.4% recorded in 2010. In light of this, reproductive health care in Syria has been threatened by unjust rulings. The WHO and UNPF support hospitals in northeast Syria by providing natural and c-section births, family planning, nursing and how-to care.

Looking Forward

“As we continue supporting gender mainstreaming in the health sector through research, policy formulation and capacity-building, we draw our inspiration and strength from the women of Syria, who, together with other members of society, drive gender transformative changes in achieving universal health coverage and health for all,” the WHO said.

– Chloe Fox Rinka

Chloe is based in Los Angeles, CA, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Child Marriage in Sudan: A Continuing Crisis

Child Marriage in SudanChild marriage in Sudan continues to be a widespread human-rights violation, bearing critical economic, social and health implications. The practice, predominantly affecting girls, remains intact due to factors such as cultural norms, poverty, lack of education and gender inequality. Despite ongoing efforts, child marriage in Sudan continues to endanger the well-being of women and girls across the country.

The Statistics 

According to UNICEF’s 2022 Child Marriage Factsheet, 650 million women and girls across the world marry before the age of 18. Out of that large quantity, 40 million child-brides are from the Middle East and North Africa, with one of the highest concentrations being in Sudan. Nationally, an estimated 34% of women marry before the age of 18, and 12% before the age of 15. In East Darfur, the statistics are even higher, 57% of women aged 20-39 married before their 18th birthday.

Factors Contributing to Child Marriage in Sudan 

  1. Economic Pressures & Cultural Norms: Poverty significantly increases the risk of child marriage in Sudan, with 54% of girls in the poorest households married before 18, compared to 19% in the wealthiest. Families may receive a mahr, or payment of money and gifts from the groom, creating a financial motive for child marriage. Cultural norms also contribute to child marriage. Many communities prioritize female chastity and view puberty as an ideal time for marriage, as younger girls are believed to be better suited for childbearing and marital roles. Additionally, a 2016 UNICEF study found that girls who had undergone female genital mutilation (FGM) were more likely to be married early.
  2. The COVID-19 Pandemic: The economic crisis that the pandemic brought on led to an increase in child marriage in Sudan. School closures increased the risk of child marriage by 22% per year, and the economic shocks raised the likelihood of marriage by 3% in regions where people pay bride payments. The death of a parent, furthermore, led to orphaned girls ending up in marriages because of the financial trouble. Moreover, the disruption in prevention programs virtually paused child marriage reduction efforts, a blow that activists are still building their way back from.

A Way Forward: Government and NGO Responses 

  1. Legal and Policy Measures: Sudan has introduced two major policy frameworks, supported by UNICEF: the Child Marriage Action Plan (2021-2030) and the Child Marriage National Communications Strategy. The Action Plan is working towards reducing child marriage through education, legal reforms, community outreach and protection services. The Communications Strategy complements this initiative by supporting public messaging campaigns that challenge harmful gender norms and promote girls’ rights. Furthermore, the First Lady of Sudan launched the First Lady Campaign to End Child Marriage, which specifically focuses on the right to education for young girls.
  2. Community Engagement: UNICEF-supported girls’ clubs in 10 Sudanese states foster spaces where mothers, teachers and students can discuss early marriage and promote awareness. These programs, which began in 2014, aim to provide mentorship, health education and advocacy training. Although the programs were disrupted during the pandemic, they have resumed activities and remain an imperative component of the prevention strategy. In high-prevalence areas, furthermore, religious and community leaders are receiving training to advocate against child marriage and support legislative reform efforts.
  3. Education-Based Prevention: Education initiatives are crucial in reducing child marriage in Sudan. The Loreto School for Girls, which the Sudan Relief Fund partner Orla Treacy runs, currently enrolls more than 1,000 girls, many of whom continue to higher education. Furthermore, educational institutions are actively engaged in preventing coercion into early marriage through school-based protections and counseling.

Looking Ahead

While Sudan has established legal frameworks and education-based programs, regional disparities, cultural norms and economic pressures continue to challenge prevention efforts. Coordinated national and local interventions remain central to reducing the prevalence of child marriage across Sudan, and overall, an attempt to reshape the culture that places the value of girls with their ability to reproduce. 

– Anna Chiaradonna 

Anna is based in Philadelphia, PA, USA and focuses on Good News and Politics for The Borgen Project.

Photo: Flickr