Speak Wednesday

Addressing Abuse and Early Pregnancy

Abuse and early pregnancy continue to threaten the health, dignity, and future of women and girls globally. These issues are deeply rooted in inequality and human rights violations, disproportionately affecting girls in vulnerable communities. According to the United Nations Population Fund, an estimated 21 million adolescent girls (aged 15–19) become pregnant every year in low- and middle-income countries [1]. Alarmingly, recent global findings show that more than one in eight girls experience sexual violence before the age of 18, highlighting the strong link between abuse and early pregnancy [2]. These realities underscore the urgent need for protective systems that prioritize girls’ safety, education, and health.

The causes of early pregnancy are complex and interconnected. Key drivers include poverty, lack of education, gender-based violence, child marriage, and limited access to sexual and reproductive health services. Recent research shows that adolescent pregnancy is rarely a deliberate choice but often the result of coercion, lack of autonomy, and restricted access to information and services [1]. In fragile and conflict-affected settings, these risks are even higher. A 2026 report by UNFPA revealed a sharp increase in child marriage and adolescent pregnancies in crisis-affected regions, driven by insecurity, displacement, and economic hardship [3]. In Nigeria, data indicates that one in three young women are married before age 18, further increasing the likelihood of early pregnancy and lifelong disadvantage [4].

The consequences of abuse and early pregnancy are severe and long-lasting. Health risks include complications during pregnancy and childbirth, unsafe abortions, and increased vulnerability to infections. For girls under 15, the risk of maternal death is significantly higher than for older women [1]. Socially and economically, early pregnancy often leads to school dropout, reduced employment opportunities, and cycles of poverty. Studies show that girls who become pregnant early are less likely to complete their education and more likely to face long-term financial instability [1]. Additionally, survivors of abuse often experience trauma, depression, and social stigma, which further limits their opportunities and well-being.

To address these challenges, governments, and organizations such as Centre for Family Health Initiative, UNICEF and United Nations Population Fund are implementing evidence-based interventions. These include comprehensive sexuality education, access to youth-friendly health services, enforcement of laws against child marriage and gender-based violence, and community awareness programs. Recent evidence from Northern Nigeria shows that investing in girls’ education could reduce child marriage by up to two-thirds and significantly lower adolescent pregnancy rates [4]. Additionally, programs that empower girls economically, provide safe spaces, and engage men and boys in gender equality discussions have proven effective in reducing abuse and early pregnancy.

In conclusion, addressing abuse and early pregnancy requires urgent, collective action. Families, communities, governments, and organizations must work together to create safe environments where girls are protected, educated, and empowered. Every girl deserves the right to grow, learn, and make informed choices about her life without fear of violence or coercion. The call to action is clear: strengthen laws, invest in education, expand access to healthcare, and challenge harmful norms that put girls at risk. When we protect and empower women and girls, we build stronger, healthier, and more equitable societies for all.

References

[1] https://www.unfpa.org/adolescent-pregnancy/
[2]  https://data.unicef.org/topic/child-protection/violence/sexual-violence/
[3] https://www.unfpa.org/sowp
[4] https://www.unicef.org/nigeria/child-protection

 

Addressing Abuse and Early Pregnancy Read More »

Breaking Barriers to Quality Care for Women and Girls.

Breaking barriers to quality care for women and girls remains one of the most urgent global health priorities. Despite progress, millions of women still face obstacles in accessing essential healthcare services due to inequality, poverty, and weak health systems. According to the World Health Organization, at least half of the world’s population still lacks access to essential health services [1]. For women and girls, these gaps are even more pronounced, particularly in low- and middle-income countries where cultural norms, financial constraints, and limited infrastructure restrict access to care. Ensuring equitable healthcare is not only a moral obligation but a critical step toward sustainable development.

Maternal health remains a key indicator of these disparities. The United Nations reports that approximately 800 women die every day from preventable causes related to pregnancy and childbirth [2]. Many of these deaths occur due to lack of skilled birth attendants, poor access to emergency obstetric care, and delays in seeking treatment. In addition, adolescent girls face heightened risks due to early pregnancies and limited access to reproductive health education and services. Addressing these challenges requires targeted interventions that prioritize both prevention and timely access to quality care.

Several interventions have proven effective in breaking these barriers. Expanding access to primary healthcare, strengthening community health systems, and increasing the availability of skilled healthcare workers are essential steps. Programs that integrate maternal, newborn, and child health services, alongside nutrition, immunization, and gender-based violence prevention, have shown measurable impact. Organizations like the Centre for Family Health Initiative (CFHI) continue to implement community-based interventions, including health education, outreach services, and capacity building for healthcare providers, ensuring that women and girls receive the care they need at the grassroots level.

However, lasting change requires strong government commitment and investment. Governments must prioritize the revitalization of health facilities, ensuring they are well-equipped, adequately staffed, and accessible to all women and girls. Policies that promote free or affordable healthcare services, especially for maternal and reproductive health, must be enforced. Furthermore, health facilities must uphold dignity, respect, and quality in service delivery, recognizing that every woman deserves safe and compassionate care regardless of her background or location.

In conclusion, breaking barriers to quality care for women and girls demands collective action from governments, organizations, communities, and individuals. There is a need to challenge harmful norms, invest in health systems, and empower women with knowledge and resources to make informed health decisions. Let this serve as a call to action: prioritize women’s health, support inclusive policies, and advocate for stronger healthcare systems. By working together, we can ensure that every woman and girl has access to the quality care she deserves, leading to healthier families, stronger communities, and a more equitable world.

Speak Wednesday is an initiative of CFHI to address issues of gender-based violence and gender bias. 

Reference

  1. https://www.who.int/news-room/fact-sheets/detail/universal-health-coverage-(uhc)
  2. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality

Breaking Barriers to Quality Care for Women and Girls. Read More »

Advancing Equitable Access to Primary Healthcare for Women and Girls

Access to quality primary healthcare is a fundamental human right, yet for millions of women and girls in Nigeria and across sub-Saharan Africa, this right remains far from reality. Despite global commitments to universal health coverage, structural inequalities continue to shape who gets care, when, and how. In Nigeria, nearly 52% of women report facing at least one barrier to accessing healthcare, with financial constraints, distance to facilities, and lack of autonomy among the most pressing challenges [1]. These barriers are not just statistics; they translate into preventable suffering and loss of life. Nigeria continues to carry one of the highest burdens of maternal mortality globally, with an estimated 145 women dying daily from pregnancy-related causes and a lifetime risk of 1 in 18 for women [2].

The roots of this inequity are deeply embedded in socioeconomic and cultural systems. For many women, especially those in rural and underserved communities, the cost of healthcare remains prohibitive. Out-of-pocket payments dominate the health financing system, and without adequate insurance coverage, seeking care often becomes a last resort rather than a first step. Even when services are available, geographic barriers such as long distances to health facilities, poor road networks, and inadequate transportation systems further limit access [3]. Compounding these challenges are entrenched gender norms that restrict women’s ability to make independent decisions about their health. Evidence shows that in some settings, more than half of healthcare providers still believe women should not independently choose family planning methods, reflecting systemic biases that undermine women’s agency [4].

Weak health systems further widen the gap. Many primary healthcare facilities lack skilled personnel, essential medicines, and functional infrastructure, making them unable to meet the needs of women and girls effectively. At the same time, the growing reliance on digital health solutions risks leaving women behind due to persistent gender gaps in digital access and literacy [5]. These overlapping barriers highlight the urgent need for a more inclusive and equitable approach to healthcare delivery.

Yet, evidence consistently shows that strengthening primary healthcare systems is one of the most effective ways to improve health outcomes for women and girls. Community-based healthcare models, particularly those that deploy trained community health workers, have demonstrated remarkable impact, contributing to reductions of up to 30% in child mortality by bringing essential services closer to households [3]. Beyond saving lives, equitable primary healthcare improves family planning uptake, enhances disease prevention, and strengthens the overall resilience of communities.

Recognizing these realities, the Nigerian government has introduced several interventions aimed at expanding access to primary healthcare. The National Primary Health Care Development Agency (NPHCDA) continues to play a central role in revitalizing primary healthcare systems and improving service delivery at the grassroots level [6]. Initiatives such as the Maternal and Neonatal Mortality Reduction Innovation Initiative (MAMII) have been implemented to tackle high maternal mortality rates through targeted system strengthening and improved care delivery [2]. At the state, Centre for Family Health Initiative (CFHI)’s BIRTH Project have demonstrated promising results in improving maternal and child health outcomes by addressing malnutrition through community-based education, promotion of optimal infant and young child feeding practices, and strengthened linkage to quality primary healthcare services [9]. Community-Based Health Insurance Schemes have also emerged as a practical approach to reducing out-of-pocket expenses and improving access to care for vulnerable populations [7].

Beyond government efforts, international organizations and development partners have contributed significantly to advancing equitable healthcare. UNICEF’s Equitable Impact Sensitive Tool (EQUIST) has supported policymakers in identifying and prioritizing interventions that address disparities in maternal and child health outcomes [8]. The World Health Organization continues to advocate for decentralized, community-based healthcare delivery models and gender-responsive health systems that prioritize the needs of women and girls [3]. At the same time, partnerships leveraging digital innovation are opening new pathways for service delivery, although these must be intentionally designed to close, rather than widen, existing gender gaps.

Despite these efforts, progress remains uneven, and much more needs to be done. Advancing equitable access to primary healthcare for women and girls requires sustained investment in healthcare infrastructure, particularly in rural and underserved areas, alongside expanded health insurance coverage to reduce financial hardship. It demands policies that actively challenge gender inequality and empower women to make informed decisions about their health. Strengthening community health systems, improving health education, and ensuring inclusive governance with women represented in leadership and decision-making processes are equally critical.

Equitable access to primary healthcare is not just a health issue; it is a matter of justice, dignity, and human rights. No woman should die while giving life, and no girl should be denied access to care because of poverty, distance, or discrimination. The time to act is now. Governments, civil society organizations, and development partners must intensify efforts to dismantle barriers, invest in inclusive systems, and prioritize women and girls in health policies and programs. By doing so, we can build a future where every woman and every girl can live a healthy, empowered life.

References

[1] https://en.wikipedia.org/wiki/Women_in_Nigeria
[2] https://articles.nigeriahealthwatch.com/iwd2025-accelerating-womens-access-to-quality-care-for-improved-maternal-outcomes/
[3] https://www.afro.who.int/sites/default/files/2017-06/report-of-the-commission-on-womens-health-in-the-african-region—chapter-6.pdf
[4] https://pmc.ncbi.nlm.nih.gov/articles/PMC7934485/
[5] https://gatesopenresearch-files.f1000.com/posters/docs/gatesopenres-208586.pdf
[6] https://en.wikipedia.org/wiki/National_Primary_Health_Care_Development_Agency_%28Nigeria%29
[7] https://womeningh.org/the-road-to-uhc-passes-through-gender-responsive-health-systems-the-case-of-wgh-nigeria/
[8] https://pmc.ncbi.nlm.nih.gov/articles/PMC7046112/                                                                              [9] https://www.cfhinitiative.org/news/promoting-maternal-nutrition-through-food-demonstration-at-adamawa-phc/

Advancing Equitable Access to Primary Healthcare for Women and Girls Read More »

Gender Inequality: A Threat to the Health, Safety, and Rights of Women and Girls in Nigeria

Gender inequality remains a deeply entrenched threat to the health, safety, and rights of women and girls in Nigeria, undermining progress toward equitable development and directly shaping outcomes in health, education, economic participation, political representation, and freedom from violence. According to the United Nations Development Programme (UNDP), Nigeria ranks 147 out of 191 countries on the Gender Inequality Index, reflecting large disparities between men and women in reproductive health, empowerment, and labour market participation. ¹ These inequalities manifest in real and measurable ways that compromise the wellbeing and opportunities of women and girls across the country.

One of the most profound impacts of gender inequality in Nigeria is observed in health outcomes. The maternal mortality ratio remains unacceptably high at 512 maternal deaths per 100,000 live births, indicating that women are still at disproportionate risk during pregnancy and childbirth compared to global averages. ² Factors driving this include limited access to quality reproductive health services, lack of autonomy in health decision-making, and economic barriers that delay care-seeking. Research shows that women who lack financial independence or decision-making power are less likely to utilise antenatal care or deliver in health facilities, increasing the likelihood of preventable complications. ³

Education is another field deeply affected by gender inequality. UNESCO reports that girls’ school completion rates in Nigeria lag boys’, particularly at the secondary level, a gap that translates into reduced opportunities for advanced learning, better jobs, and informed health choices later in life. ⁴ Early marriage, still prevalent in many regions, significantly contributes to school dropout rates among girls. UNICEF estimates that 43% of girls in Nigeria are married before their 18th birthday, limiting educational attainment and exposing them to early pregnancy and increased health risks such as obstetric fistula and maternal mortality. ⁵

Gender-based violence (GBV) is another grave consequence of systemic inequality. The Nigeria Demographic and Health Survey (NDHS) reveals that around 30% of ever-married women aged 15–49 have experienced physical violence, with many cases going unreported due to stigma, fear, and weak legal enforcement. ⁶ Violence affects not only physical health but also leads to long-term psychological trauma, increased vulnerability to HIV infection, and reduced participation in economic and community life. ⁷

Political inequality further illustrates the scale of exclusion. In the current 10th National Assembly (2023–2027), women remain severely underrepresented in national decision-making. Out of 109 Senate seats, only 4 are held by women (approximately 3.7%), while 105 seats (96.3%) are held by men. In the House of Representatives, only 17 out of 360 seats are occupied by women (approximately 4.7%), compared to 343 men. Altogether, women hold just 21 out of 469 seats in the National Assembly, representing about 4.2% of federal lawmakers.¹⁰ This means that despite women making up nearly half of Nigeria’s population, their voice in shaping laws and policies that directly affect their health, safety, and rights remains below 5% — one of the lowest representation rates in the region.¹¹ Limited political participation restricts the advancement of gender-responsive policies and slows progress on critical issues such as maternal health funding, protection from violence, and equal economic opportunities.

Economic inequality further compounds these threats. Although women actively participate in Nigeria’s labour force, wage gaps, informal employment, and occupational segregation persist. The World Economic Forum’s Global Gender Gap Report highlights that women often earn less than men for similar work and remain underrepresented in leadership positions. ⁸ Without economic empowerment, many women are unable to afford essential health services, invest in their education, or break cycles of poverty and dependency.

These disparities are not inevitable; they are shaped by social norms, discriminatory practices, and gaps in policy implementation. Research consistently shows that gender-responsive policies including universal access to reproductive healthcare, enforcement of laws against child marriage, protection from gender-based violence, equal educational opportunities, and increased political inclusion significantly improve health, economic, and social outcomes. ⁹

Addressing gender inequality is therefore not only a moral obligation but also a public health, governance, and economic priority. When women and girls have equal access to education, healthcare, leadership opportunities, and economic resources, maternal and infant mortality decline, household incomes rise, communities become safer, and national development accelerates. Nigeria cannot achieve sustainable development while half of its population remains structurally disadvantaged.

We call on the Federal and State Governments to strengthen and fully enforce laws protecting women and girls from discrimination and violence, expand access to quality healthcare services, promote girls’ education, and implement affirmative measures to increase women’s political representation. Development partners, civil society, and community leaders must intensify advocacy, scale up gender-responsive programming, and challenge harmful norms that sustain inequality. Every sector health, education, justice, governance, and economic development must mainstream gender equity as a foundational principle. The health, safety, and rights of Nigeria’s women and girls demand bold, sustained, and collective action.

References

  1. UNDP Gender Inequality Index
    https://hdr.undp.org/data-center/thematic-composite-indices/gender-inequality-index
  2. WHO Trends in Maternal Mortality 2000–2023
    https://www.who.int/publications/i/item/9789240068759
  3. Journal of Women’s Health – Decision-Making Power & Maternal Service Utilisation
    https://www.liebertpub.com/doi/10.1089/jwh.2020.8805
  4. UNESCO Institute for Statistics – Girls’ Education
    https://uis.unesco.org/en/topic/girls-education
  5. UNICEF – Child Marriage in Nigeria
    https://data.unicef.org/topic/child-protection/child-marriage/
  6. Nigeria Demographic and Health Survey (NDHS)
    https://dhsprogram.com/pubs/pdf/FR379/FR379.pdf
  7. WHO – Violence Against Women Prevalence Estimates
    https://www.who.int/publications/i/item/9789240022256
  8. World Economic Forum – Global Gender Gap Report 2023
    https://www3.weforum.org/docs/WEF_GGGR_2023.pdf
  9. Journal of Gender & Development – Gender-Responsive Policies
    https://www.tandfonline.com/doi/full/10.1080/13552074.2021.1952743
  10. The Nation Newspaper – Women in the 10th National Assembly
    https://thenationonlineng.net/meet-the-only-four-female-senators-in-10th-nass/
  11. The Guardian Nigeria – Women’s Representation in N’Assembly
    https://guardian.ng/news/national/only-4-5-of-nassembly-members-are-women-says-wilan-report/

Gender Inequality: A Threat to the Health, Safety, and Rights of Women and Girls in Nigeria Read More »

Creating a Safe Environment for Girls in Schools and Communities.

Creating a safe environment for girls in schools and communities is not a luxury; it is a necessity for national growth, justice, and human dignity. When a girl walks into a classroom, she should be thinking about her lessons and dreams not about fear. Yet for millions of girls around the world, safety is not guaranteed. According to the Malala Fund State of Girls’ Education Report, more than 120 million girls globally are out of school, with insecurity, poverty, and gender discrimination among the leading causes (Malala Fund, 2023). Behind these numbers are real girls whose futures are delayed or permanently disrupted.

Nigeria reflects this global crisis in painful ways. Data from UNICEF shows that Nigeria has one of the highest numbers of out-of-school children in the world estimated at over 18 million with girls disproportionately affected in conflict-affected regions (UNICEF Nigeria, 2023). The abduction of schoolgirls from Chibok in 2014 drew global outrage, yet attacks on schools have continued in parts of Kaduna, Niger, Zamfara, and Sokoto States. Recent education security reporting highlights ongoing threats and forced withdrawals of girls from school due to fear of violence. (See UNICEF Press Release on education safety.)

Violence is not only external. Research by Plan International shows that many girls experience harassment, bullying, or sexual violence within school environments, often from peers or authority figures. Such incidents frequently go unreported due to stigma and weak reporting mechanisms (Plan International, 2022). When girls feel unsafe in school, attendance drops and dropout rates increase. According to UNESCO Global Education Monitoring Report, school-related gender-based violence significantly affects learning outcomes and contributes to early school leaving (UNESCO, 2023).

Infrastructure gaps also contribute to insecurity. Thousands of schools in Nigeria lack perimeter fencing, security personnel, and adequate lighting, making them vulnerable to intrusion, theft, and attacks (Nigeria Security and Civil Defence Corps Report, 2024). Beyond physical security, access to water, sanitation, and hygiene (WASH) facilities is essential. The WHO/UNICEF Joint Monitoring Programme reports that inadequate sanitation disproportionately affects adolescent girls, especially during menstruation, leading to absenteeism and reduced participation (WHO/UNICEF JMP Report, 2023).

Community norms further shape girls’ vulnerability. According to UN Women, harmful gender norms, early marriage, and tolerance of violence increase girls’ risk of dropping out and experiencing abuse. In areas with high gender inequality, girls face restricted mobility and limited decision-making power, undermining their educational continuity and safety (UN Women, 2023).

Creating safer environments therefore requires coordinated action. Governments must strengthen school security architecture, implement early warning systems, and enforce child protection policies. Schools should adopt safeguarding frameworks and confidential reporting systems. Communities must challenge harmful norms and actively support girls’ education. Civil society organizations should be supported to expand advocacy, mentorship, and survivor support services.

Ensuring safety for girls is not simply about protection it is about possibility. When girls learn in secure environments, they are more likely to complete their education, participate in the workforce, delay early marriage, and contribute to economic growth. Safety forms the bedrock of confidence and achievement. If development is truly our goal, then protecting girls in schools and communities must be our shared responsibility.

Speak Wednesday is an initiative of CFHI to address issues around gender-base violence and gender-bias.

References

Creating a Safe Environment for Girls in Schools and Communities. Read More »

Gender-Bias Sustains Violence Against Girls

Across the globe, gender bias fuels and sustains violence against girls, shaping social norms that devalue their rights, safety, and dignity. Gender bias refers to the systemic prejudice that privileges one gender over another, embedding harmful beliefs about power, control, and worth. These biases are not abstract they manifest in everyday interactions, institutional policies, cultural practices, and legal frameworks that indirectly condone or fail to protect girls from violence and discrimination. Gender bias is a root cause of many forms of gender-based violence, contributing to a world where nearly 1 in 3 women and girls experience physical or sexual violence in their lifetime, most often from intimate partners or family members. This stark reality reflects deep-seated inequalities and underscores how societal norms around gender perpetuate violence rather than prevent it. (UN Women Knowledge hub)

Gender bias does not only drive overt acts of violence; it also grows through socialization and cultural messaging that position girls as subordinate or less valuable. In many communities, girls are more likely to face early marriage with 1 in 5 women aged 20–24 first married before age 18 a practice rooted in beliefs that girls need male guardianship and are better suited to domestic roles than education or economic participation. These harmful norms create environments where violence against girls is tolerated or overlooked, and where girls themselves may internalize messages that diminish their sense of self-worth and agency. (violenceagainstchildren.un.org)

The consequences of violence sustained by gender bias are severe and far-reaching. Beyond physical injuries, girls and young women who experience violence are at greater risk of anxiety, depression, post-traumatic stress, unintended pregnancy, and sexually transmitted infections. The psychological impact can hinder education, employment, and social participation, trapping survivors in cycles of marginalization. When legal systems, communities, and institutions fail to protect girls or address the bias that underpins violence, they perpetuate impunity and signal that girls’ safety is negotiable rather than a human right. (UN Women Knowledge hub)

Efforts to combat gender-based violence must therefore confront the gender bias that sustains it. This means challenging societal norms that excuse controlling behaviour, silence survivors, or blame victims for the harm inflicted upon them. It requires that governments strengthen legal protections, enforce laws that criminalize domestic and sexual violence, and ensure survivors have access to justice and support services. It also means investing in community education that promotes gender equality, respectful relationships, and non-violent conflict resolution. Addressing gender bias is central to dismantling the conditions that allow violence against girls to persist. (UN Women Knowledge hub)

True change demands collective action from families, teachers, health workers, policymakers, and young people themselves to build cultures that respect girls’ autonomy, voices, and contributions. Eliminating violence against girls is not simply a matter of responding to individual incidents; it is a long-term effort to transform the biases that place girls at risk in the first place. Communities that challenge harmful gender norms and promote equality create safer, healthier, and more just environments for all children and future generations.

Call to action: Governments, civil society, community leaders, educators, and individuals must work together to replace harmful gender stereotypes with norms that respect human rights and dignity. Strengthening legal frameworks, investing in prevention programmes, supporting survivors, and promoting gender-equal education are essential steps toward a future where girls can live free from violence and realize their full potential.

References

• UN Special Representative on Violence Against Children: Girls
https://violenceagainstchildren.un.org/content/girls (violenceagainstchildren.un.org

Gender-Bias Sustains Violence Against Girls Read More »

Female Genital Mutilation as Gender-Based Violence: A Violation of Girls’ Rights

Female Genital Mutilation (FGM) is a harmful traditional practice and a clear form of gender-based violence that fundamentally violates the human rights of girls and women. The World Health Organization defines FGM as all procedures involving the partial or total removal of the external female genitalia or other injury to female genital organs for non-medical reasons (1). The practice has no health benefits and causes lifelong harm, violating girls’ rights to health, bodily integrity, security, and freedom from cruel, inhuman, or degrading treatment (1).

Globally, more than 230 million girls and women alive today have undergone FGM, spanning at least 30 countries across Africa, the Middle East, and parts of Asia (1). Each year, an estimated 4 million additional girls remain at risk, most of them under the age of 15, highlighting the urgent need for accelerated action (1). These figures reflect not isolated incidents, but a sustained pattern of violence rooted in gender inequality.

FGM persists primarily because of unequal power relations and entrenched social norms that subordinate girls and women. In many communities, the practice is falsely justified as a cultural rite of passage, a prerequisite for marriage, or a means of controlling female sexuality. These beliefs reinforce the notion that girls’ bodies are subject to communal control rather than individual rights, a hallmark of gender-based violence (2).

FGM remains most prevalent in sub-Saharan Africa, with some of the highest rates recorded in Somalia (approximately 99%), Guinea (94.5%), and Djibouti (93%) among women aged 15–49 (3). In Nigeria, an estimated 19.9 million girls and women have undergone FGM, making it one of the countries with the highest absolute number of survivors globally (4). Prevalence varies significantly across regions, with higher rates reported in the South-East and South-West, including states such as Imo, where prevalence exceeds 60% in some communities (4). These statistics underscore how deeply embedded the practice remains at both national and sub-national levels.

As a form of violence, FGM is typically carried out without informed consent, often during childhood, and results in enduring physical, psychological, and social harm. Survivors frequently report anxiety, emotional distress, reduced self-esteem, and loss of bodily autonomy, which can persist throughout adulthood (5). The trauma associated with the experience often affects girls’ confidence, participation in education, and ability to form healthy relationships later in life.

Beyond psychological harm, FGM has serious implications for sexual and reproductive health. It increases the risk of complications during pregnancy and childbirth, contributes to maternal and neonatal morbidity, and places additional strain on already fragile health systems in low-resource settings (1). These consequences further affirm why FGM is recognized globally as both a public health crisis and a human rights violation.

Recognizing its severity, the international community has committed to eliminating FGM under Sustainable Development Goal (SDG) Target 5.3, with a global target year of 2030 (5). Agencies such as the World Health Organization (WHO) and UNICEF have led coordinated efforts focusing on legal reform, community engagement, survivor-centred health services, and prevention strategies that challenge harmful gender norms (6).

At the national level, progress has been uneven. In countries like Somalia, WHO and partners have supported health system reforms, professional training, and community-based interventions to address both FGM and broader gender-based violence (7). In Nigeria, UNICEF has supported community-led abandonment initiatives in high-prevalence states, mobilizing local leaders, families, and youth to protect girls at risk and shift social norms (4).

The impact of FGM on confidence and well-being cannot be overstated. Many survivors live with lasting psychological effects, including post-traumatic stress, fear, and diminished self-worth, which influence education, employment, and social participation (5). These invisible scars are often overlooked, yet they shape the life chances of millions of women and girls.

Ending FGM requires decisive, multi-level action. Governments must strengthen and enforce laws that criminalize the practice. Communities must be supported to challenge harmful norms through dialogue and education. Health systems must provide survivor-centred care, including mental health services. Men and boys must be engaged as allies in promoting gender equality, while robust data systems are needed to monitor progress and guide policy decisions. Only through sustained, coordinated action can FGM be eliminated, and girls’ rights fully protected.

FGM is not culture it is violence. Ending it is not optional; it is an urgent moral, public health, and human rights imperative.

Speak Wednesday is an initiative of CFHI to address issues around gender-base violence and gender-bias.

References

  1. World Health Organization (WHO). Female Genital Mutilation.
    https://www.who.int/health-topics/female-genital-mutilation
  2. WHO Regional Office for Africa. Female Genital Mutilation.
    https://www.afro.who.int/health-topics/female-genital-mutilation
  3. UNICEF. New Statistical Report on Female Genital Mutilation.
    https://www.unicef.org/png/press-releases/new-statistical-report-female-genital-mutilation-shows-harmful-practice-global
  4. UNICEF Nigeria. FGM on the Rise Among Young Nigerian Girls.
    https://www.unicef.org/nigeria/press-releases/unicef-warns-fgm-rise-among-young-nigerian-girls
  5. UNICEF DATA. Female Genital Mutilation Statistics.
    https://data.unicef.org/topic/gender/fgm/
  6. World Health Organization. New Recommendations to End Medicalized FGM.
    https://www.who.int/news/item/28-04-2025-who-issues-new-recommendations-to-end-the-rise-in–medicalized–female-genital-mutilation-and-support-survivors
  7. World Health Organization. Addressing FGM and GBV in Somalia.
    https://www.who.int/about/accountability/results/who-results-report-2020-mtr/country-story/2023/improving-maternal-health-outcomes-by-addressing-female-genital-mutilation-and-gender-based-violence-in-somalia

 

Female Genital Mutilation as Gender-Based Violence: A Violation of Girls’ Rights Read More »

Economic Exclusion as Gender-Based Violence

Gender-based violence (GBV) is most often associated with physical or sexual abuse. However, economic exclusion – the systematic denial of women’s access to jobs, income, assets, and economic decision-making is itself a form of violence that harms individuals, families, and societies. When women are excluded from economic opportunities, the impact goes far beyond loss of income; it restricts freedom, autonomy, safety, and long-term development (1).

At its core, GBV includes economic abuse, where financial control is used as a tool of power and coercion. Economic violence may involve denying women access to money, preventing them from working, confiscating earnings, or restricting access to education and financial resources, forcing dependency and disempowerment (1). In many contexts, economic abuse is one of the most widespread yet least recognized forms of gender-based violence.

Economic exclusion is sustained by discriminatory laws, weak institutional protections, and unequal social norms. Globally, over 2.7 billion women live in countries where laws restrict the types of jobs they can do, and at least 43 economies still lack legislation addressing workplace sexual harassment, creating unsafe and unequal labor environments (2).

Intimate partner violence which frequently includes economic abuse affects approximately one in three women worldwide, limiting their ability to earn, save, and participate fully in public and economic life (3). In South Africa, studies indicate that one in eight adult women has experienced economic abuse, including being deliberately deprived of money or access to financial resources by a partner (4).

The consequences extend beyond individuals to national economies. Gender-based violence, including its economic dimensions, has measurable effects on productivity and growth. Evidence suggests that GBV can cost countries between 1–2% of Gross Domestic Product (GDP) due to absenteeism, reduced productivity, healthcare costs, and forced withdrawal from the workforce (5).

In Nigeria, the economic cost of gender-based violence is estimated at approximately USD 3 billion annually, equivalent to about 1% of the nation’s GDP, underscoring the scale of economic loss linked to women’s exclusion and abuse (6).

Economic exclusion intersects with social norms that treat women as inferior, dependent, or secondary earners. When women lack control over income, are denied access to employment, or are discouraged from education and financial decision-making, the result is structural violence a normalized and persistent denial of rights and well-being.

This exclusion is not accidental; it is deeply rooted in patriarchal systems and discriminatory practices that limit women’s autonomy and participation. The World Bank has emphasized that violence against women undermines economic growth and damages communities and future generations by restricting women’s productive potential (7).

Experts have consistently highlighted both the human and economic costs of this form of violence. According to the World Bank:

“Violence against women and girls is a global epidemic that endangers lives and carries wide-ranging consequences for individuals, families, and communities.” (7)

Research further shows that economic abuse and exclusion lead to long-term psychological harm, loss of independence, and restricted life opportunities for women and girls. Conversely, policies that promote women’s economic empowerment are associated with reduced exposure to GBV and increased participation in education, employment, and leadership (8).

Ending economic exclusion as a form of gender-based violence requires deliberate and sustained action, including:

  • Strong legal protections guaranteeing equal work rights, pay equity, and safeguards against economic abuse.
  • Transformation of harmful social norms that portray women as dependents rather than economic actors.
  • Targeted economic empowerment initiatives that expand women’s access to education, finance, and entrepreneurship.
  • Inclusive workplace policies that ensure safety, fair remuneration, and career advancement for women

Economic exclusion is not merely an economic challenge it is a human rights violation. Recognizing it as a form of gender-based violence strengthens advocacy, accountability, and policy responses, and is essential to building societies where women can live, work, and thrive free from coercion and inequality.

References

  1. Women’s World Banking. What is economic violence against women and why does it matter? Available from:
    https://www.womensworldbanking.org/insights/what-is-economic-violence-against-women-and-why-does-it-matter/
  2. UN Women. Facts and figures: Women’s economic empowerment. Available from:
    https://knowledge.unwomen.org/en/articles/facts-and-figures/facts-and-figures-economic-empowerment
  3. Asia-Pacific Economic Cooperation (APEC). Violence against women: An overlooked economic barrier. Available from:
    https://www.apec.org/press/blogs/2025/violence-against-women–an-overlooked-economic-barrier
  4. Independent Online (IOL). Economic abuse: The most common yet overlooked form of GBV in South Africa. Available from:
    https://iol.co.za/mercury/2025-07-02-economic-abuse-the-most-common-yet-overlooked-form-of-gender-based-violence-in-south-africa/
  5. International Monetary Fund. How domestic violence is a threat to economic development. Available from:
    https://www.imf.org/en/blogs/articles/2021/11/24/how-domestic-violence-is-a-threat-to-economic-development
  6. The Whistler Newspaper. Nigeria loses estimated $3bn annually to gender-based violence. Available from:
    https://thewhistler.ng/nigeria-loses-estimated-3-0bn-annually-to-gender-based-violence/
  7. World Bank. More than 1 billion women lack legal protection against domestic and sexual violence. Available from:
    https://www.worldbank.org/en/news/press-release/2018/02/01/more-than-1-billion-women-lack-legal-protection-against-domestic-sexual-violence-finds-world-bank-study
  8. MDPI. The quest for female economic empowerment in Sub-Saharan Africa and implications for GBV. Available from:
    https://www.mdpi.com/1911-8074/17/2/51

Economic Exclusion as Gender-Based Violence Read More »

Stolen Childhoods Through Early Marriage

Child marriage, also known as early marriage, refers to any formal marriage or informal union where one or both partners are under the age of 18. Despite laws and global commitments to end this practice, it remains widespread and continues to rob millions of children especially girls of their childhoods, education, health, and future opportunities. Globally, one in five young women aged 20–24 was married before age 18, compared to one in four a decade ago, showing slow progress but not enough to meet international targets. ¹

Every year, about 12 million adolescent girls are married before the age of 18, which translates to roughly 23 girls every minute entering unwanted, early partnerships.² This practice is not evenly distributed; it is more common in low- and middle-income countries, particularly in sub-Saharan Africa, where up to 41% of girls marry before 18, and in South Asia0ttwd- .³ Nigeria, for example, has one of the highest rates of child marriage in the world: an estimated 44% of girls are married before the age of 18, although recent reports indicate this may be declining nationally to around 30% as efforts to address the issue increase.⁴

The consequences of early marriage are profound. Girls who marry as children are far more likely to drop out of school, which severely limits their future economic opportunities and perpetuates cycles of poverty and dependency. Early marriage also exposes girls to higher risks of intimate partner violence, early and risky pregnancies, maternal health complications, and poor mental health outcomes. ⁵ Research shows that child brides experience worse health and social outcomes than their unmarried peers, and these effects often extend to their own children, undermining intergenerational well-being. ⁶

The prevalence of child marriage is influenced by multiple factors including poverty, lack of education, gender inequality, social norms, and in some regions, insecurity, and conflict. Data from Nigeria’s northern regions where poverty is high and educational outcomes are low shows early marriage remains particularly entrenched, with cultural practices and limited access to schooling contributing to higher rates. ⁷ The COVID-19 pandemic and other crises have also exacerbated these risks, as school closures, economic stress, and reduced social protections have increased vulnerability to early marriage in many communities. ⁸

Efforts to reduce child marriage require a multifaceted approach. Policies and laws that set the minimum age of marriage at 18 without exceptions must be enforced; girls’ access to quality education and economic opportunities must be expanded; and communities must be engaged to shift harmful norms that condone child marriage. Programs that empower adolescent girls with information, skills, and social support have been shown to delay marriage and improve life outcomes. International commitments, such as the Sustainable Development Goal target to eliminate child marriage by 2030, emphasize the importance of sustained action, yet projections suggest that without accelerated progress, child marriage will continue for decades in many countries. ⁹

Efforts by governments, civil society, families, and communities are essential to protect children and uphold their rights. Ending early marriage is not only a matter of legal compliance, but a moral imperative to ensure that every child can grow, learn, and contribute to society as an empowered adult.

Speak Wednesday is an initiative of CFHI to address issues around gender-base violence and gender-bias.

 

References

  1. UNICEF. Child marriage prevalence and trends (global). https://www.unicef.org/protection/child-marriage (UNICEF USA)
  2. UNICEF Innocenti. What works to prevent child marriage. https://www.unicef.org/innocenti/innocenti/innocenti/what-works-prevent-child-marriage (unicef.org)
  3. UNICEF West and Central Africa. Child marriage in West and Central Africa. https://www.unicef.org/wca/child-marriage (unicef.org)
  4. UNICEF Nigeria. Child marriage rates and trends in Nigeria. https://www.unicef.org/nigeria/press-releases/nigeria-takes-bold-steps-end-child-marriage-and-protect-rights-children (unicef.org)
  5. Prevention Collaborative. Child, early, and forced marriage harms and impacts. https://prevention-collaborative.org/about-violence/child-early-and-forced-marriage/ (Prevention Collaborative)
  6. PubMed systematic review. Prevalence and factors associated with child marriage. https://pubmed.ncbi.nlm.nih.gov/37817117/ (PubMed)
  7. International Health (Oxford Academic). Spatial distribution of child marriage in Nigeria. https://academic.oup.com/inthealth/article/15/2/171/6589585 (OUP Academic)
  8. Early marriage and teenage pregnancy literature review (COVID-19 impacts). https://pmc.ncbi.nlm.nih.gov/articles/PMC8411836/ (PMC)
  9. UNFPA / UNICEF global programme and SDG targets. https://www.unfpa.org/child-marriage (unfpa.org)

 

Stolen Childhoods Through Early Marriage Read More »

Silent Reproductive Health Struggles

Women’s reproductive health is fundamental to their overall well-being, yet millions of women globally and in Nigeria face persistent, often silent challenges that compromise their health, autonomy, and quality of life [1]. Despite progress in some areas, vast inequities remain in access to services, information, and rights leaving many women vulnerable to preventable health problems [2].

One of the major silent struggles is limited access to essential reproductive health services, including family planning, maternal care, and safe delivery support. In sub-Saharan Africa, one in four women who wish to delay or stop childbearing do not use any contraceptive method, reflecting gaps in availability, choice, and quality of reproductive care [1][5]. These shortfalls contribute to high rates of unintended pregnancies, unsafe abortions, and increased maternal morbidity and mortality. Globally, about 800 women die each day from pregnancy-related causes, many of which are preventable with proper services and support [1].

In Nigeria, reproductive health disparities are stark. A survey of reproductive health concerns found that sexual health, contraception, infections, fertility issues, and reproductive cancers were among the most pressing worries for women, indicating broad unmet needs across the reproductive spectrum [3]. Despite various policies, only a few Nigerian states meet benchmarks for women’s participation in decisions about their sexual and reproductive health, reflecting systemic barriers rooted in socio-cultural norms and limited autonomy [4]. Economic challenges also contribute, with millions of women lacking access to modern contraceptives and comprehensive family planning services due to cost, misinformation, fear of side effects, cultural opposition, and weak health systems [5][6].

Another under-recognized struggle is infertility, which affects a significant portion of women yet remains stigmatized and poorly supported. Recent WHO guidance highlights infertility as a major public health concern, with more than one in six people of reproductive age affected [7]. Access to affordable fertility evaluation and treatment is limited in many countries, forcing women to choose between financial hardship and their desire for children [7].

Maternal health remains a critical issue. Globally, approximately 287,000 women die yearly from complications in pregnancy and childbirth, with nearly all these deaths occurring in low- and middle-income settings where health systems are weak and resources scarce [1]. In areas affected by conflict or economic strain, such as parts of northern Nigeria, women face even greater risks due to disrupted services, insecurity, and collapsed care infrastructure [8].

The impact of these struggles extends beyond physical health. When women cannot access respectful, quality reproductive care, the consequences ripple into social and economic domains limiting educational opportunities, reducing workforce participation, and perpetuating cycles of poverty and inequality [2].

Improving women’s reproductive health requires a holistic approach that ensures affordable and accessible services such as contraception, antenatal care, skilled delivery, and emergency support reach even the most underserved communities [1][5], while also equipping women with accurate, culturally sensitive information to make informed choices about their bodies and health [2]. At the same time, policies must actively protect women’s autonomy and reproductive rights by challenging harmful norms and discrimination [2][4], supported by strong, well-funded health systems with trained personnel to guarantee continuity of care, especially in fragile settings [1][8]. Integrating affordable infertility care and psychosocial support into routine reproductive health services is also essential to address the often hidden emotional and social burdens many women silently endure [7].

Speak Wednesday is an initiative of CFHI to address issues around gender-base violence and gender-bias.

References

  1. WHO Regional Office for Africa. Women’s Health. Available from: https://www.afro.who.int/health-topics/womens-health
  2. United Nations Population Fund (UNFPA). New UNFPA report finds 30 years of progress in sexual and reproductive health has mostly ignored the most marginalized communities. Available from: https://www.unfpa.org/press/new-unfpa-report-finds-30-years-progress-sexual-and-reproductive-health-has-mostly-ignored
  3. Sa’adatu TS, Dieng B, Danmadami AM. Reproductive health issues of concern among Nigerians: an online survey. Int J Community Med Public Health. Available from: https://doi.org/10.18203/2394-6040.ijcmph20234114
  4. Premium Times Nigeria. Only eight Nigerian states meet women’s health benchmark – Report. Available from: https://www.premiumtimesng.com/news/top-news/830200-only-eight-nigerian-states-meet-womens-health-benchmark-report.html
  5. World Health Organization. Sexual and Reproductive Health and Research (SRH): Family planning and contraception. Available from: https://www.who.int/teams/sexual-and-reproductive-health-and-research-%28srh%29
  6. Ballard Brief. Barriers to Family Planning for Women in West Africa. Available from: https://ballardbrief.byu.edu/issue-briefs/barriers-to-family-planning-for-women-in-west-africa
  7. WHO releases first global guideline on infertility care. Reddit; 2025. Available from: https://www.reddit.com/r/EmbryologyIVFSupport/comments/1pcjrzh/who_releases_first_global_guideline_on/
  8. AP News. Pregnancy has become a nightmare for many women in Nigeria’s conflict-hit north. Available from: https://apnews.com/article/c5846961ed87cddd8a24d1c2b04564a0

Silent Reproductive Health Struggles Read More »