Archive for category: Women

Information and news about woman issues

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Advancing Women’s Health Care in Lebanon

Women’s Health Care in LebanonWomen’s health care in Lebanon and its associated biases are linked to the country’s collapsing economy. The crisis began in August 2019 and was made worse by COVID-19. In 2024, it was estimated that 44% of Lebanon’s population lived below the poverty line, a number that more than tripled over the last decade. 

Positively, the World Bank reported that the country witnessed a “fragile rebound” in its economy at the end of 2025. The Group foresees steady GDP growth in 2026. However, it warns that multiple threats could put this trajectory at risk of another collapse.

With government systems failing, families have had to rely on nonprofits for essential aid. Anera, a nonprofit organization that previously focused on aiding refugees, estimates that about 50% of the people it is helping now are Lebanese. Moreover, due to hostilities from Israel–Hezbollah conflicts, the European Commission estimated a total of 2.2 million Lebanese people in need of humanitarian aid in 2025.

Health Care, Women and Gender Biases

While the economy is faltering, the number of women entering the health care sector in Lebanon is spiking. Now, in 2026, they represent nearly half of the medical students. This progress stands in contrast to the country’s broader gender disparities, as Lebanon ranks 136th out of 146 countries in the World Economic Forum’s 2025 Global Gender Gap Index.

Despite the trend of increased feminization of the workforce, women remain underrepresented in management and academic positions. They nevertheless have limited access to esteemed fellowships and specialty positions and are not paid the same wage as their male counterparts. Looking past the statistical disparities of women in the workforce, women in Lebanon face numerous barriers in health care accessibility and quality. 

The economic crisis mentioned earlier exacerbated the cost of seeking health care, affecting women and girls, especially those in underprivileged areas. Prices for menstrual products, for example, rose by up to 234% for local brands and 409% for imported ones. As a result, 66% of girls could no longer afford them and instead turned to unsanitary and often dangerous alternatives.

UNFPA

The United Nations Population Fund (UNFPA) is a human rights agency working in more than 150 countries globally to ensure that the sexual and reproductive rights of women and girls are met fairly. In partnership with organizations such as UNICEF, it has raised funds, written training manuals for health care professionals and provided health care services to advance social equality and tackle gender-based violence. Its ultimate goal is to break the cycle of poverty by investing in the education of girls on the subjects of sexual and reproductive health. 

Women Now for Development 

Based in Syria and founded in Paris in 2012, Women Now for Development is a grassroots organization operating in Syria, Lebanon and Turkey. Its goal is to support, protect and empower women in their day-to-day lives. At its centers, it offers psychological and family counseling, educational support, recreational activities, vocational training and child care services. 

It targets the most vulnerable female populations: refugees and disabled women and children. Over the years, it has helped many families regain dignity and autonomy.

Looking Forward

Nonprofit organizations such as UNFPA and Women Now for Development are significant steps forward in creating a sustainable, accessible future for women’s health care in Lebanon. Evident in the country’s ever-growing poverty statistics, however, is that there is still much to be done. Part of this effort includes securing Lebanon’s economic momentum; positive reforms and efforts to uphold political stability are essential to ensuring a Lebanese health care system that is accessible, fair and inclusive.

– Brittany Buscio

Brittany is based in Montreal, Quebec, Canada and focuses on Good News, Global Health for The Borgen Project.

Photo: Flickr

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New Boreholes: Hope for Women in the Central African Republic

BoreholesRosalie, a 17-year-old girl, is now free to go to school and pursue her dream of becoming a midwife. She no longer has to collect unsafe water from the river to use for drinking and washing. Rosalie and her community have access to clean water for the very first time because NGOs, along with the government of the Central African Republic (CAR), completed a new borehole in her village in 2020. “It’s like a miracle to see drinking water in this village,” she said.

Far Reaching Impacts

Access to clean water in the CAR has a far-reaching impact, particularly for women and children. In fact, World Vision donors in Canada funded this project with the intention of improving community health, increasing incomes and reducing gender-based violence in the CAR. Reports show that 97% of women experienced gender-based violence.

Other impacts of access to clean water in the CAR include a drastic reduction in typhoid fever and diarrhea, the leading causes of child and infant mortality in the western part of the CAR. For context, only 36% of people in the area had access to clean water and just 14% had access to sanitation before these projects began. Madeleine, a 56-year-old mother of eight, lost two of her children due to waterborne illnesses.

Before these new boreholes, they used river water contaminated with farm waste and soil runoff. “Dirty water has been the cause of too many of our children’s deaths and miscarriages in many pregnant women,” she said.

Government and Agency Collaboration

The World Vision project, now in its sixth year, has built or renovated 15 boreholes near Bozoum. It also marked the first time any NGO or governmental organization made improvements in the local villages. Residents are grateful that their long wait for safe water is over.

With more than one million people served by these boreholes, Jean-Marc Dewerpe, head of Cooperation and Trust Fund Manager of the Bêkou Fund at the European Union Delegation, referred to this partnership as “an alliance serving the people.” Because only 37% of the CAR’s total population has access to clean water, the European Union funded a UNICEF project. The project aims to increase the operational capacity of the National Agency for Water and Sanitation, a government agency in the CAR, to enable the creation of new sources of clean drinking water.

Not Just Equipment

To this end, a donor provided the agency with a high-capacity drilling rig, which will significantly increase its ability to drill boreholes and develop other clean water sources. Felix Ackebo, UNICEF’s representative to the CAR, commented on the rig’s importance and impact: “It’s not just a piece of technical equipment. It is a beacon of hope for rural communities, a tool for dignity, health and lasting peace for every child and every family,” he said.

The task of water collection no longer governs the lives of women like Rosalie and Madeline. Access to clean, safe drinking water increases village autonomy and empowers women and young people. The current projects are expected to continue and expand to other villages.

– Caleb Dueck

Caleb is based in Winnipeg, Manitoba, Canada and focuses on Good News and Technology for The Borgen Project.

Photo: Flickr

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Community Health Workers in Sierra Leone Save Mothers’ Lives

Community Health Workers in Sierra LeoneCommunity Health Workers (CHWs) in rural Sierra Leone are bringing maternal health support directly into villages. They connect families to clinics and hospitals better equipped to handle pregnancy and childbirth. They operate in a country that has faced some of the highest maternal health risks in the world.

UNICEF reported that Sierra Leone’s maternal mortality ratio reached 1,360 maternal deaths per 100,000 live births in 2015. Approximately one in 17 women faced a lifetime risk of dying from pregnancy-related causes at that time. However, national and partner-led investments have contributed to measurable improvement.

The World Bank modeled estimates show that Sierra Leone’s maternal mortality ratio declined to about 354 deaths per 100,000 live births in 2023, reflecting substantial progress over the past decade.

How CHWs Work

Community Health Workers in rural Sierra Leone reduce maternal risk by reaching women earlier, identifying warning signs during pregnancy and helping families reach health facilities quickly during emergencies. They usually conduct home visits throughout pregnancy and for up to a year after delivery, providing referrals and accompanying women to care when complications occur. They also serve as a first point of contact at the community level.

Key ways local health workers support safer pregnancy and childbirth include:

  • Home visits that encourage antenatal care and help spot complications early
  • Referrals and accompaniment that help women reach skilled care faster during emergencies
  • Follow-up after delivery that supports recovery and newborn health in the first year
  • Trust-building that increases the use of facility-based services over time

Partners In Health’s Work in Sierra Leone

Partners In Health began working in Sierra Leone during the 2014 Ebola outbreak, after the government requested support and committed to strengthening the health system beyond the emergency response. In partnership with Sierra Leone’s government, the organization supports 11 health facilities across eight districts and combines community outreach with strengthened maternity wards and emergency referral systems.

As Kono District’s only hospital, Koidu Government Hospital now provides safer maternal care after Partners In Health introduced essential services, including running water and 24-hour electricity. The organization also expanded clinical capacity through oxygen production and a functioning blood bank. These upgrades allow clinicians to respond to obstetric emergencies that once proved fatal, including hemorrhage and obstructed labor.

Partners In Health also employs the district’s only specialized obstetrician-gynecologist and pediatrician. It has expanded services to include an emergency room, a special care baby unit and 24-hour access to C-sections and other surgeries, ensuring women receive timely, skilled care during complications.

Beyond the hospital, Partners In Health operates Wellbody Clinic, a model primary health facility providing maternal care alongside services for infectious and chronic diseases. It also partners with smaller public primary health clinics across the district to extend access to care before and after childbirth.

Measured Gains in Maternal and Newborn Care

From 2020 to 2025, Koidu Government Hospital saw a 69% increase in the number of women delivering there. In 2025 alone, more than 2,700 deliveries occurred at Koidu Government Hospital and 44% were C-sections. The program attributes this to the hospital’s role as a key referral facility for pregnancy complications.

Partners In Health also reported an 8% decrease in maternal deaths at Koidu Government Hospital from 2020 to 2022. The organization also reported broader gains across its supported system, including a 73% increase in mothers served at its supported facilities and a 49% increase in patients supported by CHWs. These figures indicate both stronger facility capacity and more consistent outreach in communities with historically limited access to skilled care.

Traditional Birth Attendants and Emergency Referrals

CHWs in rural Sierra Leone strengthen maternal care by working alongside trusted community figures who already support women during pregnancy and childbirth. Partners In Health Sierra Leone trained 191 traditional birth attendants and integrated them into the formal health system. They provide health education, accompany women to clinics and help families navigate care.

In 2025, these traditional birth attendants made more than 110,000 visits, connecting pregnant women to health services. They also helped reduce obstetric complications, stillbirths and maternal deaths across Kono District. When complications escalate, Partners In Health Sierra Leone supports Sierra Leone’s National Emergency Medical Services with fuel for ambulances, enabling rapid referrals.

In 2025 alone, 562 pregnant women reached Koidu Government Hospital through this emergency pathway, turning community-level care into timely, lifesaving treatment.

Expanding Capacity in 2026

Partners In Health and the Ministry of Health plan to expand maternal and newborn services through the Paul E. Farmer Maternal Center of Excellence. The center is scheduled to open in February 2026 on the Koidu Government Hospital campus in rural Kono District. The new center will add 120 beds across four modern buildings and include three operating theaters, significantly increasing capacity for complex deliveries and emergency obstetric care.

As the first facility outside Freetown with a piped medical gas system, the center will allow clinicians to deliver oxygen and anesthesia directly at the bedside, reducing delays during critical interventions. Alongside expanded clinical care, the center will function as a rural training hub. It will equip the next generation of health care workers with the skills needed to sustain maternal and newborn services in underserved settings.

Why the Approach Matters

Community Health Workers in rural Sierra Leone improve maternal survival by shortening the time between the first signs of complications and skilled medical care. UNICEF has found that many women never reach a health facility to give birth and that expanding training, equipment and medical supplies plays a critical role in increasing access to skilled care. By pairing community outreach with better-equipped hospitals and clinics, Partners In Health and government partners now reach women earlier in pregnancy and respond more quickly when complications arise.

This system depends on CWHs, who bring care closer to mothers while linking families to facilities that can deliver lifesaving treatment during emergencies.

– Kira Dosanjh Rai

Kira is based in London, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Women’s Rights Initiatives in India: The Tamil Nadu TiC Council

Tamil Nadu TiCIn India, authorities often discuss gender inequality as a multifaceted problem, requiring a multifaceted solution. The existence of multiple social differences, such as caste and class, makes it more complex. Governmental programs such as the Tamil Nadu Textile Industry Coalition (TiC) aim to address this difference.

Over the years, the Indian government has become sensitive to the multidimensional aspects. It has worked to introduce solutions which address not just the issue but also encompass all its nuances. The Tamil Nadu government’s multistakeholder TiC is one such initiative launched in association with the U.N. Women.

The government announced the Council in February 2024. Through this initiative, the state aims to create a safe, secure workspace for women in the textile industry.

What Is the Tamil Nadu TiC?

The TiC, as described by U.N. Women, brings together personnel from multiple sectors with a single goal: women’s safety. It involves brands, textile manufacturers, policymakers, the Tamil Nadu Department of Textiles, service providers and researchers to prevent and address sexual harassment in the workplace.

Tamil Nadu’s textile industry is vast and includes more women in lower-skilled positions. The state hosts nearly 70% of the country’s fabric knitting capacity and 46% of the loom capacity. In fiscal year 2025, the state contributed 26.81% of the national market share. In this booming sector, Tamil Nadu women also account for 40% of the national workforce.

Owing to this high concentration and the existing gender disparity in wages and benefits, solutions seemed necessary. As a result, the government departments of Social Welfare and Women Empowerment and the Handlooms, Handicrafts, Textiles & Khadi, introduced this solution. The TiC holds a zero-tolerance policy toward the mistreatment of women in the workplace.

On initiation, the TiC planned to introduce standard industry guidelines which ensure implementation of stated measures.

TiC’s Vision for Women’s Rights in India

During its launch in 2024, the Tamil Nadu TiC Council members presented several aims for the committee to focus on. First, they planned to conduct safety audits across textile factories in major cities throughout Tamil Nadu. These cities are key textile hubs in the state and are home to the majority of textile factories and production units.

The initiative aimed to reach more than 16,000 factory workers and more than two million “linked community members.” The council plans to educate textile industry workers and members about women’s rights through outreach initiatives. The program is designed to empower girls and women by promoting safe and sustainable livelihoods.

Transforming policies, increasing the number of female workers in the industry and raising awareness are among the council’s primary implementation methods. At the July 2025 committee meeting, members of the Tamil Nadu TiC discussed the council’s accomplishments. According to the press release, it undertook interventions including safety audits, the distribution of training materials and tools and community engagement.

TiC & The PoSH Act Review

Another key component that the TiC prioritizes is the Prevention of Sexual Harassment (PoSH) Act. Over the past year, the TiC has introduced PoSH compliance across diverse textile work centers, including factories, units and small-scale industries. Through its inter-departmental collaboration with global brands such as the H&M Group and nonprofits such as U.N. Women, the council draws on diverse sources and has varied impacts.

The TiC utilizes this sectoral convergence to expand its sphere of influence. It does so by reaching out to more women in need and by working to reduce gender disparity in the textile industry. Geetha Jeevan, the committee’s chair, in the July 2025 meeting, emphasised zero tolerance toward violence against women. She also spoke about how the Tamil Nadu government aims to empower women by prioritizing their needs and safety in the workforce.

Women’s Rights Initiatives in India

While the TiC stands out prominently in the present, India has seen several such initiatives in the past years. Many women-centric government schemes and programs exist. However, only a small portion of the general public is aware of them.

These schemes focus on girls’ education, maternity-related financial support, accommodation for working women and more. Additionally, under the PoSH Act, the government has established Internal Complaints Committees (ICCs) in every state. Tamil Nadu has 5,493 ICCs in government organizations and more than 10,000 ICCs in private establishments.

Final Thoughts

The existence of initiatives such as the Tamil Nadu TiC underscores the commitment of global and particularly Indian lawmakers to addressing women’s rights issues in the country. However, limited public awareness of these programs remains a significant barrier preventing women and girls from benefiting from them. As a result, the TiC and similar initiatives require greater visibility and education efforts, especially for communities living below the poverty line.

Increased funding and targeted support could help address the multidimensional nature of gender disparity. Given how deeply rooted these challenges are, modern solutions are essential, chief among them being sustained advocacy, visibility and widespread awareness.

– Shafika Fathima

Shafika is based in Chennai, Tamil Nadu, India and focuses on Good News for The Borgen Project.

Photo: Flickr

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Actions Against Femicide in Latin America

Femicide in Latin America

Latin America struggles with a patriarchal system that is plagued by the gender-motivated murder of women and girls. The United Nations (U.N.) recognizes many countries in Latin America, from Mexico to the Caribbean, as having the highest global rates of femicide. In 2021, it was estimated that around one woman is killed every two hours in Latin America. Feminist movements, such as “Ni Una Menos” (Not One Less), have pushed for legislation to protect women.

​What Is Femicide?​

Femicide is a term that defines the killing of women and girls based on their gender. According to the Human Rights Research Center, there are three main types of femicide: intimate femicide, familial femicide and non-intimate femicide. Intimate femicide is murder by a current or former partner, while nonintimate femicide is committed by someone with whom the victim did not have a relationship. Familial femicide occurs when a male family member murders women or girls.

Human Rights Violation​

Femicide is the most extreme form of gender-based violence against women that threatens the dignity, security and equality rights. Global organizations recognize the issue in Latin America as a violation of women’s human rights. In 2021, U.N. Women found that out of the 25 countries with the highest rates of gender-based violence, 14 were in Latin America. As of 1994, the Organization of American States (OAS) adopted the Belém do Pará Convention. This is an inter-American convention that is supposed to focus on the prevention, punishment and eradication of violence against women.

On International Human Rights Day 2025, the Inter-American Commission on Human Rights (IACHR) expressed its concern over the increasing rates of gender-based violence. It reaffirmed the OAS’s obligation to protect women from violence, as established in the Belém do Pará Convention. The IACHR declared femicide as a violation not only of Human Rights but as a threat to democracy. In its press release, the IACHR stated that it will continue to work with the OAS to ensure the safety of women and girls.​

Causes of Femicide

​Evidently, femicide is motivated by gender stereotypes and discrimination against women and girls. Femicide is especially prevalent in Latin America due to the machismo culture. Machismo refers to traditional masculinity beliefs that men are superior to women and presents itself through emotional insensitivity, womanizing, physical strength and aggression.

Historians trace machismo back to European colonialization, which introduced patriarchal systems. Power structures that reinforce gender inequality and misogynistic views further aggravate the issue of femicide. It is believed that the rates of femicide are much higher than what is estimated, since stigma prevents women from recognizing and freely discussing gender-based violence.

Additionally, in many Latin American countries, domestic violence is considered a private matter and is rarely reported. Thus, resulting in the killing of women by their partners, not to be recognized as femicide. Further contributions to femicide include government inaction and flawed justice systems. For example, in Mexico, less than 3% of cases of femicide are prosecuted and only 1% lead to sentencing.

Some Latin American countries did not criminalize femicide until the 2010s and each country has a different legal definition for femicide.

​The Fight To End Femicide​

The “Ni Una Menos” protests began in Argentina in 2015 and spread to other Latin American countries, including Mexico, Chile, Uruguay and Peru. In 2020, thousands of people protested against femicide across Mexico, asking the government to take action. There was also a nationwide strike in which women stayed at home.

Awareness of femicide has also recently reached Hollywood. “La Cazadora” premiered at the 2026 Sundance Film Festival. The film follows a Mexican factory worker in Ciudad Juárez who becomes a vigilante, killing a serial rapist to protect her 14-year-old daughter and other young women. It is based on the true story of Diana Cazadora de Choferes (Diana Huntress of Bus Drivers).

Diana killed two bus drivers in Ciudad Juárez after women factory workers filed 12 complaints of sexual violence against bus drivers and authorities failed to take action.

Looking Ahead

All countries in Latin America have laws to prevent and end violence against women, but only 19 have laws penalizing femicide. Despite these laws, women are unable to access protection or get justice. Movements like “Ni Una Menos” are necessary for social awareness and holding governments accountable.

The goal is to reinforce policies that prevent gender-based violence, such as protective measures, shelters, economic autonomy groups and community support systems. However, beyond systemic reform, there is also a need to transform societal and cultural norms around machismo through education, public awareness and behavioral shifts grounded in respect and equality.

– Thirza List

Thirza is based in the United States and focuses on Politics for The Borgen Project.

Photo: Freepik

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Pakistan’s HPV Vaccine Rollout: Protecting 13 Million Girls

Pakistan’s HPV Vaccine RolloutIn September 2025, the Government of Pakistan initiated a transformative public health landmark with the launch of Pakistan’s Human Papillomavirus (HPV) Vaccine Rollout. This national campaign targets 13 million girls aged 9-14, providing them with critical protection against the virus. Given that Pakistan loses approximately eight women every day to cervical cancer, totaling more than 2,500 preventable deaths annually, this initiative represents one of the most significant advancements in women’s health in the nation’s history.

A Phased Strategy for National Coverage

Central to the success of Pakistan’s HPV Vaccine Rollout is a strategic, phased implementation plan supported by Gavi, the Vaccine Alliance, the World Health Organization (WHO) and UNICEF. The first phase of the campaign focuses on Punjab, Sindh, the Islamabad Capital Territory and Azad Jammu and Kashmir. Following this initial push, the government plans to expand the program to Khyber Pakhtunkhwa in 2026, with Balochistan and Gilgit-Baltistan scheduled for 2027.

By the end of this period, the program aims to reach more than 17 million girls nationwide. The campaign utilizes the Cecolin bivalent vaccine, which the WHO pre-qualifies for use in immunizing against HPV types 16 and 18. These two strains are responsible for the vast majority of cervical cancer cases globally.

To make the program sustainable, Gavi provided 67% of the initial funding, while the Pakistani government committed to a 33% co-financing share. This financial arrangement ensures that the vaccine remains free of charge for all eligible girls. This, thereby, removes the economic barriers that often hinder access to health care for impoverished families.

Overcoming Stigma Through Community Leadership

Since the HPV vaccine is administered to adolescent girls, health officials anticipated challenges regarding social stigma and vaccine hesitancy. To address these concerns, Pakistan’s HPV Vaccine Rollout adopted a “whole-of-society” approach. The government collaborated with local civil society organizations and influential Islamic scholars to build community trust.

These religious leaders played a vital role by publicly endorsing the vaccine, emphasizing that protecting life and preventing disease are core values that align with religious teachings. This communication strategy also utilized the powerful slogan “Sayhat Mand beti Sayhat Mand Gharna,” which translates to “Healthy daughter, healthy family.” By framing the vaccine as an investment in the prosperity of the entire household, the campaign successfully shifted public perception.

Data from the first phase of the rollout indicate a significant decline in vaccine refusals. At the start of the campaign, approximately 300,000 families expressed hesitation. However, through targeted counseling and outreach, this number dropped to 90,000, allowing the campaign to achieve more than 72% coverage in its early stages.

Mobile Outreach for Marginalized Groups

A critical component of the rollout is its ability to reach marginalized and underserved populations, including the 50% of eligible girls who are currently out of school. To ensure no girl is left behind, the government deployed a multi-pronged delivery system. While schools and fixed health facilities serve as primary vaccination sites, mobile teams and special outreach units travel to remote villages and high-risk urban areas to administer vaccinations.

This approach brings the vaccine directly to those who face the greatest geographic and social barriers to care. To support this massive logistical effort, the WHO trained more than 49,000 health workers in vaccine administration, cold chain management and community engagement. These workers are also part of a new digitization project that integrates training manuals into a unified digital learning system.

This technological advancement enables frontline vaccinators to access updated information and report data in real-time, thereby strengthening the overall resilience of Pakistan’s immunization infrastructure.

Building a Sustainable Future for Women’s Health

The long-term success of Pakistan’s HPV Vaccine Rollout will depend on its transition from a campaign-style initiative to a routine part of the national health system. Starting in the second year, the government intends to integrate HPV vaccination into routine immunization schedules for all 9-year-old girls. This integration will ensure that every new cohort of adolescent girls receives protection as a standard part of their primary health care.

By prioritizing evidence-based solutions and fostering international partnerships, Pakistan is moving closer to the World Health Assembly’s goal of eliminating cervical cancer as a public health problem by 2030. The progress made in 2025 demonstrates that even in complex social environments, determined political leadership and community-focused strategies can overcome obstacles to save thousands of lives. This rollout stands as a powerful example of how targeted health interventions can break the cycle of illness and poverty, securing a brighter and healthier future for the next generation of Pakistani women.

– Elena Cárdenas

Elena is based in Monterrey, México and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

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From Papyrus Waste to Sanitary Pads: MakaPads in Uganda

MakaPadsUganda produces large quantities of papyrus and other plants found in wetlands. However, for many years, their by-products were ignored while imported sanitary pads dominated the market. For many girls and women, especially in rural areas, those imported pads are too costly or hard to find, contributing to widespread unmet menstrual hygiene needs.

A national audit published in January 2025 found that 64% of female students miss school regularly because sanitary materials and proper water, sanitation and hygiene (WASH) facilities are lacking. In this context, MakaPads emerged as a social enterprise, through which local engineers and social entrepreneurs began producing sanitary pads from papyrus reeds and recycled paper. MakaPads’ aim was straightforward: create a hygiene product affordable enough for low-income families while relying on materials available in Uganda itself.

MakaPads Project

The manufacturing remains deliberately low-tech and locally based. Papyrus stems are harvested from wetlands, stripped into fibers or pulp, mixed with recycled paper and shaped into absorbent pads. The finished pads are reportedly up to 95% biodegradable, chemical-free and cost roughly half as much as many imported pads available on the Ugandan market.

MakaPads has also provided employment and economic opportunity, particularly for women from vulnerable backgrounds. According to the project’s own documentation, production at its peak involved as many as 225 people, including both skilled and unskilled workers, as well as refugees, across various factories and stages of production. In one refugee camp factory at Kyaka II, a 2015 report describes 76 women employed, producing more than 800 pads daily and scaling production from 30,000 pads in 2009 to more than one million in 2014.

Women involved in production reported earning enough to cover their children’s school fees or invest in small assets, such as land or motorcycles, illustrating the tangible economic benefits of the project.

Social Impact and Challenges

On the social side, users and distributors have reported that locally made pads have helped reduce reliance on improvised alternatives, such as cloth and rags, which are often uncomfortable, unhygienic and stigmatizing. One user in the camp, Evelyne Banyamisa, reported that access to MakaPads allowed her to maintain consistent school attendance and participate fully in daily activities during her menstrual cycle.

However, the initiative has faced challenges. The UNHCR contract to supply pads to refugee camps was discontinued in 2015 after a quality inspection by the Uganda National Bureau of Standards (UNBS) revealed deficiencies. Some users also noted limitations, including leakage on heavier flow days, narrow pad width and occasional odor issues, highlighting the ongoing need to balance affordability, accessibility and product quality.

Final Remarks

Despite these setbacks, MakaPads remains a rare example of a social enterprise that simultaneously addresses menstrual health, local employment and environmental sustainability through low-cost, biodegradable sanitary products. Nevertheless, MakaPads demonstrates what community-rooted, resource-aware innovation can achieve: a model that combines menstrual hygiene with local manufacturing, environmental sustainability and economic opportunity. In a country where period poverty affects the majority of schoolgirls, low-cost, biodegradable pads made from native plant waste stand out as a hopeful, home-grown solution.

– George Horberry

George is based in York, UK and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr

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How Mutual Aid in Sudan Helps Women

Mutual Aid in SudanThe ongoing humanitarian crisis and military conflict in Sudan have severely disrupted state structures and the effective delivery of international aid. As a result, the Sudanese people now rely on volunteer groups that have practically replaced the national service networks. Mutual, women-led aid groups have formed a critical network of sustenance and support, especially for the most vulnerable populations, including women and children.

The Many Aspects of Help

These are some of the ways mutual aid in Sudan has provided support for nearly two years to date:

  • Provides essential products for women, such as sanitary items, personal hygiene supplies, first aid kits and supplements for pregnant women. According to United Nations (U.N.) estimates, more than 15 million women and girls are among the most vulnerable, facing scarce health care and rampant malnutrition.
  • Creates support groups to help individuals cope with the extreme realities of war. Mental health support is offered through both online and in-person meetings. Mutual aid in Sudan provides not only material goods but also safe spaces where women and girls can seek understanding and share their experiences.
  • Organizes shelter and schools, along with child-friendly spaces and day care groups. Sudan’s crisis has caused large-scale displacement. In response, mutual aid groups work to place women and children in safe locations, whether with host families, in repurposed administrative buildings or in refugee camps, building a protective safety net around families.
  • Educates women and girls in mental health, as well as breast cancer awareness. Mutual aid in Sudan focuses not only on direct emergency response but also on spreading information through economic and practical skills projects. These educational efforts aim to ensure that beneficiaries can use the acquired skills to improve their quality of life not only during the ongoing crisis but also after the situation stabilizes.
  • Secures food and water supplies. Volunteers form associations that focus on growing fruit and vegetables. Aid groups donate the produce to community kitchens and sell the surplus to fund other activities. Despite funding shortages, community kitchens remain a vital lifeline for many families and continue operating with the support of aid groups. Volunteers also respond to immediate needs, such as providing water to areas with disrupted supply due to issues like defective wells.

Women Power Sudan’s Aid Network

The mutual aid network consists of more than 700 groups across the country. Most of the groups are built of and led by women. The volunteers receive 95% of all donated funds to act on the ground and the network is mostly self-reliant.

Main channels of communication and planning are social media, especially Facebook, where volunteers interact with each other, as well as people in need. Sudanese citizens rely heavily on the aid provided by the mutual response network for day-to-day crisis management.

Bringing Water and Hope

Mutual aid in Sudan not only provides essential support to women and children affected by the humanitarian crisis. Volunteer groups also bring hope and a sense of solidarity. As one of them, Ibrahim, explains: “The beautiful thing is that we come together and spend time doing this, which is therapeutic and purposeful. Beautiful values have emerged from this hardship and I hope they will continue afterward.”

– Patrycja Pietrzak

Patrycja is based in Cyprus and focuses on Good News for The Borgen Project.

Photo: Unsplash

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How Reusable Diapers Are Fighting Poverty, Waste & Inequality

Reusable DiapersThroughout West Africa, the lack of essential hygiene items, such as sanitary pads and diapers, has significantly impacted the lives of millions. One in 10 girls in Sub-Saharan Africa skips school during their periods; obstetric fistula isolates thousands of women each year and with 300,000 disposable diapers thrown away every minute worldwide, the waste crisis in these regions is poorly equipped to curb such environmental impacts.

The Economic Community of West African States (ECOWAS) aims to transform this landscape by launching three regional factories to produce reusable sanitary diapers and pads. This, in turn, will boost employment in local communities and directly address issues of inequality, poverty and environmental degradation.

The Issue at Hand: A Silent Crisis

Across West Africa, 401.9 million people currently face health and education challenges and 60% of them are young people. Obstetric fistula affects a vast number of women as well, where social exclusion risks coming as a result. Furthermore, the lack of sanitary products in schools contributes to school dropouts among girls and the elderly struggle with a lack of products to help manage urinary leaks.

What ECOWAS is bringing to the table is an opportunity to address these gaps by integrating education, health and socioeconomic issues in a way that promotes human development in the region. It also offers a pathway to tackle the current global waste crisis. “This isn’t just about hygiene-it’s about dignity, economic inclusion and breaking cycles of poverty,” as stated by an ECOWAS commissioner during a signing ceremony.

Governments, together with private entities, can ensure civilians receive safe sanitary products by reinforcing product standards and increasing supply. This approach helps restore both dignity and the market for these products.

ECOWAS Reusable Diaper and Pads Initiative

In 2024, the ECOWAS Commission, through its Gender Development Center (CCDG) initiative, launched this project to establish three factories for producing reusable sanitary pads and diapers. The goal is to meet the needs of teenage girls, fistula survivors and older people, advancing both gender equality and human development.

By initiating this project, ECOWAS objectives centered on decreasing the rates of school dropout, enhancing reproductive health for fistula victims by producing affordable sanitary items and providing them with economic independence by creating jobs.

The management of these factories was entrusted to the States. However, it has a multi-stakeholder Board of Directors, including ECOWAS, partners and ministries, which oversee its training, implementation and advocacy.

Countries in the Spotlight

Within West Africa, several countries have positively responded to this initiative, including Sierra Leone, Togo and Liberia.

  • Sierra Leone: With the approval of the Minister of Gender and Children’s Affairs, Dr. Isata Mahoi and in partnership with ECOWAS, a Memorandum of Understanding was signed between the government and ECOWAS to implement the project at both local and national levels. The plan also includes producing underwear for young people, with additional funds allocated for this purpose.
  • Liberia: The ECOWAS Commission, with funding of $40,000 from the West African Health Organization (WAHO), launched the reusable sanitary pads project in Liberia. It aims to improve the lives of 10,000 girls in Grand Bassa, Margibi and Montserrado counties. The initiative also includes promoting awareness of sexual and reproductive health among young girls.
  • Togo: The project was also launched in this country, with funds directed toward its fistula program and support for both survivors and young girls who struggle to access hygiene products during their periods. To boost production, 100 seamstresses were trained and 5,000 reusable sanitary pad kits were distributed across 12 schools in Togo. This initiative helped establish a sustainable production model that supports employment and women’s empowerment.

The Bigger Impact

Using reusable pads and diapers offers a major environmental advantage, especially since disposable versions are among the biggest global contributors to plastic waste. More than 300,000 diapers are thrown away every minute, ending up in landfills and polluting the environment and oceans. This issue is even more serious given how difficult they are to recycle, often taking years to break down. By promoting a circular diaper and pad industry, this initiative could prevent 38 million tonnes of waste each year.

What ECOWAS proposed and initiated was far beyond just hygiene; it is about dignity, breaking cycles of poverty within West Africa and socioeconomic inclusion.

– Liz Mendes

Liz is based in Vancouver, Canada and focuses on Good News for The Borgen Project.

Photo: Wikimedia Commons

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Clean Water and Empowerment: Women-led WASH in Nepal

Women-led WASH in NepalIn the rural town of Thantikandh, Nepal, women once sat at the ends of water and sanitary decisions. Now, they are leading efforts to bring safe water and toilets to their community. Supported by SNV Netherlands Development Organization, the local WASH Coordination Committee is recognized for including Nepal’s women and people with disabilities in leadership. Within just 18 months, the area saw a sudden increase in participation in planning safe water access and cleanliness programs.

Chair of the WASH-CC, Mr. Dhir Bahadur Shahi, says, “Previously, we had little knowledge about the particular WASH needs of people with disabilities and women. The Disability Inclusive Development (DID) training, the inclusive WASH assessment and several activities organized by the WfW-BFL project sensitized us. These motivated us to include people with disabilities and women in the WASH-CC at [both] the rural municipality and ward levels.”

Women at the Helm

Across Nepal, women are leading a quiet yet powerful revolution in water and sanitation. In one of the SNV-supported programs, 20 out of 24 hamlets (tole) in Nepal are now managed by women-led WASH committees. In fact, these groups oversee everything from water safety to menstrual hygiene programs and public toilets.

Since placing women in charge of decision-making, projects have seen stronger follow-through and more sustainable outcomes. What was once considered “household work” has now become community leadership, as these women guide a future focused on reducing disease, saving time and improving livelihoods.

The Water and Poverty Connection

While access to water in Nepal has improved dramatically, challenges still remain. UNICEF reports that 95% of Nepalis now use an improved water source; however, 71% of all the water sources and more than 90% of those used by the most vulnerable group are contaminated with Escherichia coli bacteria. Furthermore, a recent BMC Public Health study among the Indigenous Kumal community revealed that 40% of households use surface water as their primary source of water.

Unsafe water leads directly to disease and a missed income, as women often bear the heaviest burden and walking long distances for clean water may still make families sick.

Solutions in Motion

To close these gaps, inclusive programs are changing the way water projects are managed. The Water for Women Fund’s partnership with SNV has reached more than 52,800 people in Nepal through community-led water and sanitation programs. These projects prioritize Gender Equality and Social Inclusion (GESI), ensuring women, people with disabilities and marginalized groups lead the way.

In Sarlahi District, women now head 20 of the 24 local water management committees. Their duties include overseeing sanitation campaigns, managing water billing and advocating for menstrual hygiene in schools. These systems have shifted WASH efforts from temporary aid to sustainable and locally owned solutions.

Beyond Access To Real Empowerment

Water access is only one part of the story, as empowerment fills the remainder. Indeed, through programs like SNV’s “Family Leadership” initiative, women now serve as chairpersons of local WASH committees and lead community outreach. In several Indigenous communities of Nepal, women manage sanitation systems, maintain toilets and run health workshops that reach hundreds of households.

This leadership has built significant trust within communities and strengthened local governments’ capacity to sustain progress. As SNV’s field reports note, women’s involvement has turned WASH work from a top-down effort into a community-driven movement.

The Bigger Picture

Nepal’s journey toward clean water and sanitation is as much about equity as it is infrastructure. With women-led WASH in Nepal, the country is improving health, education and economic opportunities, particularly for those who have long been excluded from decision-making. From Thantikandh to Sarlahi, women have demonstrated that access to clean water can also unlock opportunities for power, dignity and change. Nepal’s progress offers a model for how inclusive leadership can turn basic.

– Tiana Hermes

Tiana is based in Boulder, CO, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr