Santé maternelle

Un an après la fin d'Ebola, regard sur les besoins des femmes et des filles

calendar_today19 Juin 2017

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The Ebola epidemic was devastating for the already fragile health-care system in Sierra Leone. Ebola was responsible for the deaths of over 200 health workers, including 56 midwives. © Olivia Acland, United Nations

Before the outbreak, Sierra Leone had one of the highest maternal and infant death rates in the world, coupled with a shortage of skilled midwives and health workers. © Olivia Acland, United Nations

The Ebola crisis also left girls extremely vulnerable to pregnancy, not only because access to family planning was limited but also due to the breakdown of social protection systems. A new mother at Aberdeen Women's Centre. © Olivia Acland, United Nations

An estimated 18,000 girls became pregnant during the Ebola crisis; girls who are visibly pregnant are forced to drop out of school. Newborns at Aberdeen. © Olivia Acland, United Nations

UNFPA is working to restore access to reproductive health care and put girls back in school. Midwife Musu Turay with mothers and newborns. © Olivia Acland, United Nations

In addition to supporting women's health facilities, UNFPA is also supporting two midwifery schools, which will help close critical gaps in reproductive care. © Olivia Acland, United Nations

At the National Midwifery School, future midwives learn the skills necessary to provide a full range of services, from antenatal care to safe deliveries, for pregnant women. © Olivia Acland, United Nations

Midwifery students will also learn to provide family planning counselling, and diagnosis and treatment of sexually transmitted infections. © Olivia Acland, United Nations

In the year since the outbreak ended, a rigorous midwifery curriculum has been adopted for a new generation of midwives, and more than 11,000 girls have returned to school. © Olivia Acland, United Nations

16 JEUNES FEMMES, 16 HISTOIRES DE RÉSISTANCE

25 nov 2015

Every day, tens of thousands of girls are married before reaching their 18th birthday.

They are some of the most vulnerable girls on earth. They are denied their rights, they are at risk of abuse, their health is jeopardized, and their future prospects are limited.

In Niger, which has one of the highest child marriage rates in the world, these 16 extraordinary girls refused to become child brides.

From 25 November to 10 December, the world observes 16 Days of Activism against Gender-based Violence. These girls embody the strength and spirit of this movement.

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“He greeted me with a terrifying smile and said, ‘You will be my second wife.’” -Amina Mahamane, 15

Last year, despite her protests, Amina was betrothed to a much older man. “My uncle hit me with a stick and told me he would kill me if I continued to refuse the marriage,” she said. But she stood firm, and the wedding was cancelled.

“My parents insisted that I marry, but I resisted like a warrior.” -Salamatou Laouali, 17

A 40-year-old man proposed when Salamatou was just 14. She convinced her father to reject the proposal, and he encouraged her to join Action for Adolescent Girls, a girls’ empowerment programme supported by UNFPA and the Government of Niger. The girls in this series are all members of the programme.

“I noticed that for my friends who were child brides, marriage was synonymous with constant problems.” -Chaâfatou Mamane, 15

Action for Adolescent Girls teaches literacy and life skills. It also raises awareness about the dangers of child marriage. After joining the programme, Chaâfatou was able to explain to her family how marrying early would endanger her health and future.

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“I have a cousin who was married off at age 13. She became pregnant and died during labour.” -Mariama Salissou, 16

Many child brides are not physically ready to be mothers. Globally, pregnancy-related complications are the second leading cause of death among adolescent girls. Mariama has received several proposals, but refuses to marry until she is 18.

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“I told them that many girls married too young are victims of obstetric fistula [and] domestic violence…” -Manira Sanoussi, 14

Girls who become pregnant while physically immature are more likely to develop obstetric fistula – a labour complication that causes incontinence, often followed by chronic health problems. Manira’s Action for Adolescent Girls mentor convinced her parents to call off the wedding.

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“After the wedding, he wanted to have sex with me, but I refused... He beat me and gagged me so he could get what he wanted.” -Zeinabou Moussa, 16

Zeinabou was married at 15. But she fought back when her husband tried to rape her, almost nightly, for weeks. Finally, he divorced her. Today, she is a proud advocate for girls’ rights.

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“When I saw teenage girls who refused to marry, I thought they were rebels... But now I understand their refusal. They just want to defend their rights.” -Ramatou Abdoul Hamidou, 14

Girls are expected to defer to their parents’ decisions, but Ramatou took a stand when her parents arranged a marriage for her last year. She protested, and after her mentor and the local imam intervened, her parents relented.

“I was bleeding, I was in tears. I ran away from his house and sought refuge with my grandparents.” -Salamatou Adam, 17

Salamatou’s father forced her to marry when she was 16. She ran away after a brutal wedding night, but her father found her, beat her and returned her to her husband's home. There, she was abused for days before her family agreed to pursue a divorce.

“My father thought I was possessed by evil spirits.” -Hadiza Abdoulaye, 18

Last year, when Hadiza refused to marry, her father sent her to a religious official for an exorcism. “He beat me repeatedly with a long stick during long exorcism sessions,” she recounted. Still, she stood her ground, and the wedding plans were cancelled.

“I got the dowry returned. I am against the fact that my parents exchanged me for cereal bags from my future husband.” -Zara Magagi, 15

Dowries and bride prices can create incentives to marry off girls while they are young. But awareness of the harms of child marriage can change people’s minds – as it did for Zara’s parents.

“According to them, my value is in marriage, and the older I get, the less value I have. I refuse to see the world this way.” -Balkissa Boubacar, 14

Gender inequality plays a huge role in perpetuating child marriage. But when girls are empowered, when they know their rights and have a choice, they marry later. “I told my family to wait until I was 18,” Balkissa said.

“My father gave up the marriage and congratulated me for saying no to the proposal.” -Nana Firdaoussou Garba, 17

Two years ago, when Nana refused to marry a 25-year-old man, her father was furious. But over time, he came to understand that the marriage would have put her at risk.

“I want to become an independent woman and support myself without waiting for my husband.” -Sahanatou Issoufou, 15

Sahanatou’s father wanted to throw her out of the house when she refused to get married. She appealed to an aunt, who convinced him to drop the wedding plans. “I intend to educate other girls so they, too, can assert themselves, and know and defend their rights.”

“I felt such a strong sense of daring in saying no.” -Larira Ibrahim, 14

Larira’s father accepted a proposal from someone she had never met. With help from uncles and neighbours, Larira convinced her parents to cancel the wedding. “We must help all young girls to have the courage to say no to early marriage.”

“Despite pressure from my family, I took my destiny into my own hands by refusing this marriage.” -Samira Rabiou, 18

Samira’s uncle arranged for her to be married at age 13. “During the wedding night, when the guests left, my husband handed me money to give to the bridesmaids so they could take a taxi home. I used this money to escape to my father’s family.”

“I learned how to fly with my own wings.” -Wassila Ali, 16

Wassila refused to marry a 20-year-old tailor. Through the UNFPA girls’ empowerment programme, she has learned to read and write, and wants to start her own business – as a seamstress. She echoed the sentiments of many girls when she declared, “I hate dependence.”

Leaders et militant·e·s

Financements et impact

Un an après la fin d'Ebola, regard sur les besoins des femmes et des filles

Les sages-femmes offrent soins, dignité et sécurité aux mères haïtiennes

Un an après la fin d'Ebola, les sages-femmes contribuent à la réparation du système de santé en Sierra Leone

Health facilities devastated in Hurricane Matthew: “I couldn’t have left the women there to die”

Cinq des principaux progrès en matière de santé sexuelle depuis la création des Nations Unies

Déclaration du Directeur exécutif de l’UNFPA, Dr. Babatunde Osotimehin, sur le virus Zika

L'État de la population mondiale 2015

Refugio En La Tormenta - Un programa transformador para las mujeres y las niñas en un mundo proclive a las crisis

Déclaration du Dr. Babatunde Osotimehin, Secrétaire général adjoint de l’Organisation des Nations Unies et Directeur exécutif de l’UNFPA, Fonds des Nations Unies pour la population, à l’occasion de la Journée internationale de l’élimination de la fistul

Rompre le silence à propos de la mortalité maternelle en Sierra Leone

Un an après la fin d'Ebola, regard sur les besoins des femmes et des filles

Les sages-femmes offrent soins, dignité et sécurité aux mères haïtiennes

Contenu connexe

Un an après la fin d'Ebola, les sages-femmes contribuent à la réparation du système de santé en Sierra Leone

Contenu connexe

Health facilities devastated in Hurricane Matthew: “I couldn’t have left the women there to die”

Contenu connexe

Cinq des principaux progrès en matière de santé sexuelle depuis la création des Nations Unies

Contenu connexe

Déclaration du Directeur exécutif de l’UNFPA, Dr. Babatunde Osotimehin, sur le virus Zika

L'État de la population mondiale 2015

Refugio En La Tormenta - Un programa transformador para las mujeres y las niñas en un mundo proclive a las crisis

Contenu connexe

Déclaration du Dr. Babatunde Osotimehin, Secrétaire général adjoint de l’Organisation des Nations Unies et Directeur exécutif de l’UNFPA, Fonds des Nations Unies pour la population, à l’occasion de la Journée internationale de l’élimination de la fistul

Contenu connexe

Rompre le silence à propos de la mortalité maternelle en Sierra Leone

Contenu connexe