By Maryanne W. WAWERU From 4 – 8 November 2024, over 80 participants gathered in Kenya’s capital city, Nairobi, for the regional inception workshop of the second edition of the Women’s Integrated Sexual Health (WISH) Lot 2 programme –commonly referenced as the WISH 2 Lot 2 project. WISH 2 is a remarkable programme aimed at scaling up support for integrated sexual reproductive health and rights (SRHR) services in several developing countries in Africa. WISH 2 is the largest part of the WISH Dividend programme, which is funded by the UK Foreign Commonwealth and Development Office (FCDO). The purpose of the inception workshop was to induct partners into the new project, which was signed in September 2024 between IPPF and FCDO. IPPF is a global healthcare provider and a leading advocate of sexual and reproductive health and rights for all, while FCDO is a ministerial department of the UK Government which leads the UK’s diplomatic, development and consular work around the world. WISH 2 Lot 2 follows the successful implementation of the first lot of the WISH programme (WISH2ACTION) which was implemented from 2018 – 2024, and was led by IPPF. The implementing countries for WISH 2 include Burundi, Ethiopia, Madagascar, Somalia, South Sudan, Sudan, and Zambia.  Participants at the inception meeting included IPPF’s Member Associations (MAs) drawn from six of the seven WISH 2 countries (except Somalia where IPPF does not have an affiliate), representatives of FCDO, representatives of the Ministries of Health (MoH) from the WISH 2 countries, as well as the project’s Evidence and Learning partner. Also present were the WISH 2 consortium partners: Ipas, International Rescue Committee (IRC), John Hopkins Center for Communication Programs (JHUCCP), and Options. IPPF Africa Region (IPPFAR) is the lead agency for the consortium. The Promise of WISH 2: Reducing Unsafe Abortions, Preventable Deaths And Unmet Family Planning Needs Globally, sub-Saharan Africa has the highest fertility rates (4.6 births per woman), high levels of unmet need for family planning (25%) and highest maternal mortality rates (the region accounted for around 70% of maternal deaths of the estimated global maternal deaths in 2020). Sub-Saharan Africa also has the highest estimated proportion of unsafe abortions in the world, according to the Guttmacher Institute. To address these challenges, the WISH 2 project is estimated to support 4.2 million women to access SRHR services, avert 3.2 million unintended pregnancies, 1 million unsafe abortions and 5,600 maternal deaths. Through its activities, the project will support achievement of the FP2030 commitments and the Sustainable Development Goals (SDGs) on gender equality (target 5.6) and health and well-being (targets 3.7 and 3.1). How WISH 2 Supports IPPF’s ‘Come Together’ Strategy Speaking during the opening ceremony of the inception workshop, Ms. Gallianne Palayret, Deputy Director at IPPFAR, said that the five-year WISH 2 project is aimed at ensuring that vulnerable and marginalized populations including adolescents, youth, women, persons with disabilities, people living in extreme poverty and communities in humanitarian crises situations are supported to have a greater voice, choice, and control over their SRHR. “It is important to note that the objectives of WISH 2 are perfectly aligned with the tenets of IPFF’s ‘Come Together’ strategy, which seeks to broaden access to the enjoyment of sexual and reproductive dignity and well-being for all. As outlined in its strategy, IPPF, through its different programmes, is committed to upholding SRHR for those who are left out, locked out or left behind. Indeed, WISH 2 will significantly contribute to IPPF’s strategic goals,” she said. Generating Evidence-Based Practices for Global SRHR Advancement Dr. Elias Girma, the WISH 2 Lead at IPPF Africa Region, said that the project will support the implementing countries to be more ambitious in advancing comprehensive SRHR for women and girls. “WISH 2 will also improve the enabling environment for SRHR and gender equality. The project will work towards ensuring sustainable, inclusive access of integrated SRHR services by increasing access to quality, voluntary family planning and other comprehensive sexual reproductive health services,” he said. Dr. Girma added that as part of its programming, WISH 2 will generate evidence-based innovations and practices that will be shared globally to increase women’s choice and access to SRH services and rights. Building Sustainable Solutions Through Strategic Partnerships While avowing that comprehensive sexual reproductive health and rights are key to unlocking the potential, agency and freedoms of women and girls in sub-Saharan Africa, Ms. Caroline Wood, WISH 2’s Lead from FCDO acknowledged the contribution of the project in delivering on the UK’s priorities. “FCDO is keen on sustainability through building and strengthening strategic partnerships at country levels. WISH 2 will lay great emphasis on a strong coordination mechanism between SRHR stakeholders at country levels including Ministries of Health, Government agencies, civil society organizations (CSOs), non-Governmental organizations (NGOs) and other key players in ensuring that project implementation is driven by the priorities and needs of the countries. The project will further provide policy support to strengthen health systems, reform policies and laws, improve Government ownership and domestic financing, and strengthen accountability to improve SRHR,” she said. Participant’s recognition of WISH 2’s relevance Mr. Eyasu Amante, the WISH 2 Project Manager in IPPF’s MA in Ethiopia -the Family Guidance Association of Ethiopia (FGAE) highlighted the significance of the relevance of the project, more so in addressing the key challenges facing Ethiopia’s women and girls. “Teenage pregnancy is a major public health issue in Ethiopia, with the prevalence rate being a worrying 13%. Teen pregnancies leave a trail of negative outcomes for teenage mothers and their babies, and WISH 2 will play a key role in addressing this problem. The inception workshop was an excellent opportunity for all partners to comprehensively understand the project, it’s objectives and outcome areas. We were also able to discuss how to develop joint workplans with the MoH and other consortium partners, which will enable us to better achieve the expected results,” he said.  Commitment from Governments for WISH 2 Participating MoH officials recognized the value of WISH 2 and underscored their commitment to supporting all partners in implementation of the project’s activities. Ms. Safaa Bakhite Alkhalil from the Ministry of Health in Sudan noted the timeliness of the project, more so in light of the current conflict facing the country. Over 8.1 million people have been displaced since the conflict began in April 2023. “The conflict has triggered a humanitarian crisis in the country, with the most affected population being women and girls. The MoH continues to experience significant challenges in providing health services to its people including family planning and other sexual reproductive health services, with the conflict having caused a significant breakdown in the health system. This means that millions of people are missing out on SRH services because they cannot access them. Many women and girls are also facing harrowing experiences related to sexual gender-based violence (SGBV) incidents, which is utterly devastating,” she said. Ms.  Alkhalil added that various partners, notably IPPF’s MA in the country, the Sudan Family Planning Association  (SFPA) has for decades been a reliable partner in addressing the population’s SRH challenges and delivering on respective services. “SPFA has always been our right hand in SRHR matters, and we look forward to this continued partnership. Together, we will work towards ensuring that many internally displaced populations (IDPs) can access much-needed SRH services through this project. The intents of WISH 2, such as improved access to SRH information and services for women and girls, reduced preventable maternal deaths, responding to SGBV and female genital mutilation (FGM) are aligned with those of the MoH. The WISH 2 project is a great boost to the achievement of our strategic goals as a ministry and as a country, and we look forward to working with all partners for the achievement of success,” she said. Dr. Abdulkadir Wehliye Afrah from MoH Somalia underscored the importance of effective collaboration between partners. “Somalia is plagued by high maternal, infant and under-5 mortality rates –which are among the highest in the world. We remain dedicated to reducing these rates and as a Ministry, appreciate the collaboration of like-minded partners such as those in the WISH 2 consortium, who complement our efforts to doing so,” he said. Dr. Afrah reiterated the Ministry of Health’s commitment to facilitating the implementation of the WISH 2 project in the country. “We were involved in WISH2ACTION, and with the successful evidence-based outcomes it had for Somalia’s women and girls, we look forward to achieving even more in WISH 2. The MoH remains dedicated to supporting all partners and further appreciates WISH 2’s recognition of the ministry as a worthwhile partner of the project,” he said.    Follow IPPF Africa Region on Facebook, Twitter, Instagram and You Tube.

Femicide in Africa: Confronting a Crisis of Gender-Based Violence  Femicide, the gender-based killing of women because they are women is one of the most extreme manifestations of gender inequality and patriarchal violence. Defined as the intentional murder of women rooted in misogyny, it is a chilling reminder of the systemic inequalities that persist across societies. This pervasive crisis is not just a collection of harrowing statistics; it is a global emergency that underscores the fragility of women’s safety in their homes, workplaces, and communities. As the world observes the 16 Days of Activism Against Gender-Based Violence, we are compelled to confront the rising epidemic of femicide, especially in Africa, and to demand collective action.  Recent Tragedies: A Spotlight on Africa's Crisis  The brutal murder of Olympic athlete Rebecca Cheptegei in September 2024 has highlighted the deadly crisis facing women across Africa. As Eunice Dollar, Executive Director of Smart Ladies Youth Initiative, one of Feminist Opportunities Now's grantee partner in Kenya expressed, "Rebecca Cheptegei's murder is yet another devastating blow. Another athlete was brutally killed on Kenyan soil. It is horrifying. And now, as we review the outcomes of the Agnes Tirop Conference - another marathoner who was brutally murdered by her partner, it is clear: we must do more than just ‘level the playing field’ for women in sports. We must take action to support female athletes and create an environment where they feel safe and empowered.”  In Côte d'Ivoire, the murder on 11 September 2024 of a young woman aged 19 in the country’s capital, Abidjan, has rekindled concerns about femicide in the country. These latest tragedies follow a string of femicides that have sent shockwaves through the African continent. Among these are the heartbreaking death of Olympian Rebecca Cheptegei and the brutal murder of student Christana Idowu,  who was abducted by a school mate and church member are painful reminders that femicide is a threat to all women. In 2022, UN Women reported, 89,000 women  and girls were murdered worldwide the highest in two decades. Africa alone saw 20,000 women killed by their partners, marking one of the highest femicide rates globally.   Côte d'Ivoire, like the rest of Africa, has seen an upsurge in femicide in recent years. The Ligue Ivoirienne des Droits des Femmes (Ivorian League for Women's Rights) recently issued a wake-up call, citing a report by the country's feminist association, which indicates that in 2020 alone, some 416 women were victims. Earlier this year, in response, women in Kenya rallied in the #EndFemicide march, demanding urgent action in the face of rising femicide cases.  The Challenges: Stigma, Data Gaps, and Impunity  It is important to note that these figures only represent reported cases, and do not fully reflect the acute reality of women and girls across Africa who have lost their lives to femicide. Cultural stigmas, underreporting of gender-related violence, and weak legal systems designed to protect women contribute to the crisis, obscuring the true scale.   Additionally, one of the major challenges in addressing femicide is the lack of standardized methods for data collection or reporting across regions, making it extremely difficult to evaluate and compare global data. Despite these gaps, the numbers we do have are not just statistics; they represent the lives of women at stake, their safety compromised, and their futures stolen.  This crisis goes beyond statistics; it speaks to the systemic impunity that allows violence against women to persist. Women and girls are unsafe even in their own homes, often at risk from the very people closest to them, those who are supposed to provide support and protection. More than half of these killings were carried out by individuals in positions of trust, by current or former husbands, intimate partners, or family members.  Systemic Roots: Misogyny and Patriarchal Norms  Femicide is deeply rooted in societal norms and inequalities that reinforce the subjugation of women. Despite its devastating impact, violence against women and girls remains one of the least prosecuted and punished crimes globally. It is "so deeply embedded around the world that it is almost invisible." in response, Ligue Ivoirienne des Droits Femmes (LIDF)  has called for immediate action stating "Despite the laws and commitments made by the authorities to protect women's rights, too little effort is being made to ensure that these measures are strictly applied. The lack of diligence in investigations and the culture of impunity reinforce the cycle of violence."  All forms of femicide, despite contextual variations, are rooted in misogyny and gender discrimination. Harmful gender norms, deeply ingrained patriarchal attitudes including beliefs in male dominance and the subordination of women, and weak or discriminatory legal systems that fail to protect women’s rights or hold perpetrators accountable are manifestations of the same gender inequality that drives violence against women. When societies tolerate or ignore gender-based violence against women, they ultimately normalize it, reinforcing gender inequalities and exacerbating the issue.  Empowering Change: The Role of Feminist Organizations  Governments must prioritize the fight against perpetrators' impunity to enable societies to challenge the normalization of gender-based violence. As Alejandra Garcia, the Feminist Opportunities Now (FON) Program Manager, emphasizes, "Only through this commitment can we begin dismantling the deeply ingrained acceptance of violence against women."  The Feminist Opportunities Now (FON) project is a vital initiative in the fight against gender-based violence and the promotion of gender equality. Operating in 10 countries across Africa, Latin America, and Asia; including Kenya, Côte d'Ivoire, Ethiopia among others. FON provides technical and financial support to feminist civil society organizations, particularly smaller and often unregistered groups. Funded by the French Development Agency (FDA) and the French Ministry of Europe and Foreign Affairs, FON aligns with France’s feminist diplomacy through its Fund to Support Feminist Organizations (FSOF), created in 2019 to strengthen feminist movements globally.  Intersectionality: Addressing Marginalization and Risk Factors  Femicide does not occur in isolation, it intersects with systems of oppression like capitalism, racism, and white supremacy, to further marginalize women, girls, and other gender-diverse people. Dinah Musindarwezo, Director of Policy and Communications at  WomenKind World Wide, explains, marginalized women including LBTQI+ persons, women with disabilities, female sex workers, and domestic workers are at higher risk of femicide. Despite different contexts, all forms of femicide share a common root: misogyny. Yet, there remains a persistent reluctance to confront the deeply ingrained misogynistic intent behind gender-based violence.  IPPF's Commitment: Ending Femicide and Advancing Equality  The femicide scourge is ravaging Africa, revealing the pervasive danger women face on the continent. At IPPF, we are committed to addressing this urgent crisis. Alongside our partners, we work to prevent femicide and all forms of gender-based violence. We support the essential work of women’s rights organizations, engage with men and boys to challenge patriarchal norms, and work with communities to dismantle discriminatory practices. Through projects like the Feminist Opportunities Now (FON), we are advancing gender equality and fostering safer, more equitable environments across regions.  We call on governments to invest in women-led strategies that have been proven to prevent violence against women and girls and to firmly address the widespread impunity that perpetuates gender-based violence. The time for action is now before another life is lost. 

By Maryanne W. WAWERU Mr. Kader Avonnon is the IPPF Africa Region (IPPFAR) Manager overseeing the Comprehensive Abortion Care (CAC) project. Mr. Avonnon recently attended the adolescent and youth sexual and reproductive health (AYSRHR) internation al forum held in Dakar, Senegal, from 14 – 16 October 2024 where he delivered the opening and closing speeches on behalf of IPPF. The AYSRHR forum was organized by IPPF’s Collaborative Partner in Senegal, Action Et Développement (AcDEV). The forum also saw the participation of several youth from IPPF’s Member Associations (MAs) in Benin, Burkina Faso, Mali, Niger, and Togo. In this article, Mr. Avonnon shares more insights about the AYSRHR forum, including those from the YAM participants who participated in the forum. What was the AYSRHR forum all about? The AYSRHR forum in Dakar aimed to address critical issues related to the sexual and reproductive health (SRH) of young people in Africa and developing countries. It brought together government officials, decision-makers, health professionals, international organizations, civil society organizations (CSOs), youth organizations, academic researchers, legal experts, and beneficiaries from across sub-Saharan Africa to collectively reflect on the challenges related to adolescent and youth sexual and reproductive health. The forum encouraged closer collaboration between key stakeholders and beneficiaries, with the diversity of participants facilitating rich and constructive exchanges. Some of the main topics that were discussed at the forum included: sexual and reproductive health (SRH) policies and strategies, gender and inclusion, as well as youth rights, with particular regard to their health and well-being. Topical issues such as abortion, mental health, and the use of digital applications and teleconsultation services for reproductive health for young people were also discussed. The forum’s proceedings underscored the need for the development of innovative and sustainable solutions to address the challenges faced by adolescents and youth in Africa, as well as the need for relevant policies that respond to their unique SRH needs. What stood out for you and the YAM members at the forum? Young people are at the core of IPPF’s work, and my presentation at the forum highlighted the role of young people in the achievement of IPPF's ‘Come Together’ 2028 strategy. I shared more about various youth-specific initiatives being implemented by IPPF’s MAs in the Africa region. Young people at the forum expressed particular interest in technological advancements for SRH and highlighted the need for secure and accessible platforms that they could use to access respective information and services. The audiences were particularly curious to learn more about the use of already existing successful digital applications for delivering sexual and reproductive healthcare, especially among adolescents and youth. Towards this, the team from IPPF’s MA in Togo –Association Togolaise pour le Bien-Etre Familial (ATBEF), led  by the YAM President, Ms. Samata Mayaba, the team delivered a presentation on ‘InfoAdoJeunes', a unique mobile application developed by that is helping youth access credible SRH information. The ATBEF team also presented on "e-Learning ATBEF" applications, which facilitate adolescents' and young people's access to information on SRH. In other presentations, the IPPF YAM representatives emphasized the importance of strengthening health education for young people, particularly within school programs. Ms. Joliane Attolou from Association Beninoise pour la Promotion de la Famille (ABPF) Benin, who co-presented with her Ivorian counterpart, Ms. Julienne Ouega Gbato from Association Ivoirienne pour le Bien -Etre Familial (AIBEF), in a hybrid session, talked about innovative ways to deliver comprehensive sexuality education (CSE) for adolescents and youth. They further emphasized the need for greater inclusion of youth voices in decision-making processes and the implementation of health policies. The participation of the YAM representatives was highly commended and helped to enrich the exchanges at the forum. Some of the good practices that they presented on, based on examples from their MAs included the mobile clinic outreach strategy which ensures that adolescents and young people, especially those in hard-to-reach areas can access quality SHR information and services. The YAM also presented on the need for strengthening legal and institutional environments in favour of young people’s sexual health, as well as the importance of involving religious leaders in SRHR interventions that target young people.   Mr. Chafiou Aoubacar, the YAM representative from Association Nigerienne pour le Bien-Etre Familial (ANBEF) in Niger presented on various activities and projects carried out by the YAM in his country. He gave examples of successful local initiatives, more so those that promote collaboration between organisations at the grassroots and community levels, all for the advancement of AYSRHR. What was your take home from the forum? The forum presented lots of learning opportunities for all participants. It enabled a safe space for adolescents and youth to express their concerns regarding sexual and reproductive health. It also enabled civil society organizations and strategic partners to better guide their policies in favour of AYSRHR. Speaking with Ms. Erilka Berenice Dabira, YAM representative from Association Burkinabe pour le Bien-Etre Familial (ABBEF) in Burkina Faso at the close of the forum, she had this to say: “This forum was very important as it offered a space for dialogue and effective sharing of experiences between young people from different countries. Through these exchanges, we were able to learn more about various initiatives and innovations that are working in other countries, and which could possibly work in our settings too.” At the close of the forum, a call to action was made, emphasizing the need to strengthen youth participation in presenting their own challenges and supporting their advocacy initiatives. It was also recommended to expand the forum to other countries and ensure the involvement of young people in the organizing committees for future editions. It was indeed, a worthy forum and together with other young people, we are looking forward to the next edition. Follow IPPF Africa Region on Facebook, Twitter, Instagram and You Tube.

Every year on 19 October, the world marks the International Day against breast cancer, with the aim of raising awareness and promoting women´s access to quality and timely diagnoses and treatment. In this article, we learn more about the work of IPPF's Member Association in Kenya, Reproductive Health Network (RHNK) in addressing breast cancer in the country. By Nancy Lynn Kavuka Breast Cancer is the most prevalent cancer in women worldwide and the main reason why women die from cancer. According to WHO, in 2022, 2.3M women were diagnosed with Breast Cancer and 670,000 deaths reported globally. Women are at an increased chance of developing breast cancer at 99% while only about 1% of men develop the disease. In Kenya, Breast cancer is the leading type of Cancer at 16.1%. An estimated 6,799 cases were diagnosed in 2020 with 3,107 reported deaths (GLOBOCAN) 2020. The most common cause of death is late diagnosis, as the disease is harder to treat once it has progressed. Despite the efforts from the government in creating awareness on the disease, there is still increased morbidity and mortality rates. This is due to the late diagnosis and, in most cases, to the spread to other tissues or organs. Data from the Kenya National Cancer Registry 2014-2019 (KNCR) show that 7 out of 10 cancers are diagnosed at advanced stages (stage III and stage IV). IPPF’s Member Association in Kenya, Reproductive Health Network Kenya (RHNK) is a network of over 500 trained health professionals from private and public health facilities. With presence in 43 counties, RHNK is dedicated to comprehensive Sexual and Reproductive Health and Rights (SRHR), active advocacy, and service provision among other contributors to maternal health challenges. RHNK implements strategic interventions to improve maternal healthcare outcomes in Kenya. Breast cancer awareness outreaches by RHNK RHNK actively participates in various outreach and in-reach programs implementation across counties to address the challenges of breast cancer diagnosis and treatment in Kenya. Through these outreach efforts and humanitarian works, free screenings and educational workshops in marginalized communities and health workshops focus on awareness and self-examination techniques. Poverty and inaccessibility to healthcare facilities have significantly contributed to the late diagnosis of breast cancer patients in Kenya, as many cannot afford the confirmatory tests necessary to begin treatment. In some instances, essential treatments are unavailable at public facilities, and due to financial constraints, patients are unable to seek care at private facilities. Insurance coverage can help offset some medical expenses; however, many individuals lack this support, making it challenging to access the required treatment. This situation often leads to disease advancement and potentially life-threatening complications. October being breast cancer awareness month, provides an opportunity to create awareness on the disease on social media platforms and through Nena na Binti, a toll free call center platform at RHNK where individuals can receive knowledge, and access services for examination and diagnosis of the disease. Collaboration with partners to address breast cancer There is a need for the government and other stakeholders (private sector and NGOs) to come together and support in managing the breast cancer crisis. This can be effectively done by holding community engagements, continuous medical examinations, and integration of services in our health facilities. This ensures that women are not only receiving knowledge on breast cancer when they visit the gynecological clinics, but even in the outpatients’ departments and any other clinics they may visit in the hospital. Improving infrastructure at all levels of health facilities is crucial in early diagnosis and follow up care for all patients. Effective referral systems from any suspicious detection in the lower-level facilities should be documented, and client referred to the next level of care and early treatment commenced. Campaigns promoting the wellbeing of the community by increasing awareness of breast cancer, early detection, treatment, and palliative care should be undertaken. Homecare providers also play a crucial role in taking care of the patients and it is important to involve them during diagnosis, treatment and home-based care of the sick person. Support groups and psychotherapy for people with breast cancer and their caregivers will improve their mental and emotional state and ensure they are on constant follow up. This is important in detecting any complications, drug failure, metastasis or any other illnesses that may come up during this period. Breast cancer correlates with several sustainable development goals (SDGs) that relate to health, gender equality and reducing inequalities. Efforts to improve access to care, affordability of services and treatment should be a priority by the government to ensure that patients get early detection of disease and treatment commenced soon after detection to reduce morbidity and mortality rates. For us to achieve the one third reduction mortality rates in non-communicable diseases (NCDs) where breast cancer contributes highly to the crisis, the government should ensure that measures are in place to fight against breast cancer and save lives or prolong life for the affected patients. Resources should be dedicated to preventive measures in the universal health coverage (UHC) schemes that can be highly effective in saving lives and reducing the cost of cancer to public health systems. UHC aims at ensuring that all Kenyans access and receive essential quality health services without suffering financial hardship. These services include promotive, preventive, curative, rehabilitative and palliative health services. Raising public awareness about modifiable cancer risk factors (such as tobacco use, alcohol consumption, unhealthy foods, lack of physical exercise and vaccination against HPV and Hepatitis B) can help save lives and reduce the cost of cancer to public health systems. Addressing the barriers to breast cancer diagnosis and treatment in Kenya requires a multifaceted approach. Through targeted outreach and in reach efforts, we can improve access to care and ensure that all patients receive the timely treatment they need. By raising awareness and fostering community engagement, we can work together to combat the impact of poverty on breast cancer outcomes and save lives. Nancy Lynn Kavuka is the Service Delivery Manager at RHNK. Follow IPPF Africa Region on Facebook, Twitter, Instagram and You Tube.

Every year on 28 September, the world marks the International Safe Abortion Day - a day set aside to show solidarity and advocate for the right to safe and legal abortion. As part of the celebrations to mark this year’s International Safe Abortion Day, IPPF’s Collaborative Partner in Zimbabwe, My Age Zimbabwe hosted an ‘Open House’ event, where conversations on the need for safe abortion and reproductive justice were held. The ‘Open House’ event, held in the capital city of Harare, was undertaken in partnership with the She Decides Movement in Zimbabwe. My Age Zimbabwe is the local coordinator of the She Decides Movement, which is made up of 36 feminist organisations in the country. My Age Zimbabwe has been hosting the ‘Open House’ event for the last four years and in this year’s event, the organization staged a sterling performance of the play ‘Silent Treatment’ which underscored the need for unveiling the lid off abortion conversations. In this article, we talk to Mr. Onward Chironda, the Executive Director of My Age Zimbabwe, who sheds more light about the ‘Open House’ event and the ‘Silent Treatment’ theatre performance.  What is the rationale behind the ‘Open House’ events? As a youth-led organization, My Age Zimbabwe uses innovative communication strategies to communicate and spark conversations on sexual reproductive health and rights (SRHR), gender equality, and bodily autonomy of young people, women, and girls. To achieve this, the organization regularly organizes bold and ambitious convenings to spark collective action for the achievement of gender equality and SRHR. The ‘Open House’ event is one such convening, which brings together government representatives, policy makers and other stakeholders drawn from the public and private sectors to discuss topical and critical issues around SRHR.   What is the status of abortion in Zimbabwe? Abortion is restricted in Zimbabwe under the Termination of Pregnancy (TOP) Act of 1977, which only permits abortion under certain conditions: when the pregnancy poses a risk to the health of the mother, if the unborn baby is at risk of physical and mental defects that could pose a risk to both mother and child, and if the pregnancy is as a result of incest or rape. Due to these restrictive laws, a significant number of Zimbabwean women resort to clandestine and unsafe abortions, many of which result in life-threatening complications. According to the Guttmacher Institute, an estimated 65,300 induced abortions occurred in Zimbabwe in 2016. This translates to a rate of 17 abortions for every 1,000 women aged 15–49. Who attended the ‘Open House’ event? The event was graced by 20 Members of Parliament (MPs) drawn from the Parliamentary Committee on Health, as well as those from the Committee on Legal and Parliamentary Affairs. They participated in the discussions on the status of abortion in Zimbabwe, where they lent their helpful insights on the advocacy call for the review of the Termination of Pregnancy (TOP) Act in Zimbabwe. Also in attendance were representatives from different civil society organizations (CSOs), Youth Action Movement (YAM) members from My Age Zimbabwe, other SRHR young advocates, media representatives and leading safe abortion champions in Zimbabwe. Tell us more about ‘Silent Treatment’ ‘Silent treatment’ is a powerful and thought-provoking play that delves into the experiences of three women; Maria, Mrs. Moyo, and Gogo Vee -who find themselves the targets of prejudice in a society that views them as an unholy trinity. The play opens in the dead of night, as the women flee through a dense forest, pursued by dogs, guns, and the shouts of their male captors. Caught in the blinding glare of flashlights, the women are forced to confront the harsh reality of their situation -they are being hunted down because their existence is deemed a threat to the social order. Through a series of searing monologues, the women reveal the deep-rooted misogyny and patriarchal oppression that have shaped their lives. Maria, a young woman, grapples with the stigma of her pregnancy, while Mrs. Moyo, a middle-aged mother, reflects on the constant policing of her body and autonomy. Gogo Vee, the eldest of the trio, draws on her life experiences to decry the historical persecution of women in the name of morality and religion.   As the play progresses, the women are apprehended and brutally handcuffed, their hands torn away from their bodies, which are viewed as ‘criminal evidence’ by the male authorities. The dogs’ menacing presence serves as a symbolic representation of the toxic masculinity and misogyny that permeate the society they inhabit. In the final act, the three women are shoved into a cramped, dark jail cell, where they continue to resist and assert their autonomy in the face of dehumanizing treatment. The play's climax is a powerful testament to the indomitable spirit of these women, who refuse to be silenced or broken by the oppressive forces that seek to control them. ‘Silent Treatment’ depicts the systemic injustices faced by women, particularly those from marginalized backgrounds. It is a play that demands attention, empathy, and a reckoning with the deep-seated attitudes and structures that continue to subjugate and endanger the lives of women worldwide. ‘Silent Treatment’ is an expression of how unsafe abortions have become a practice that no one wants to talk about, yet it is happening clandestinely and with disastrous effects. The play was performed by five actors who are part of My Age Zimbabwe's theatre for development team. What feedback did you receive about ‘Silent Treatment’? From the plenary discussions that followed the ‘Silent Treatment’ performance, it was clear that there is a need to have open discussions about abortion. The feedback we received from the audience was that the play was captivating, and it showcased the stark realities that are happening in our communities. We plan to stage the play on a tour in different communities. Why is theatre an important mode of delivery of SRHR messages? Theatre captivates the audience through storytelling and artistic expression, creates a safe discussion space for sensitive topics, and confronts challenging societal stigma surrounding issues pertaining to SRHR. My Age Zimbabwe, which principally started as a theatre for development organisation, continues to successfully use theatre as a tool for engagement for SRHR advocacy, messaging, and mobilization. What were the notable successful outcomes of the ‘Open House’ event? Some assurances arose from the discussions, including commitments from Parliamentarians to push for broadening of the circumstances under which abortion is legally permitted, the need for education of healthcare professionals and the public about the legal provisions for abortion in order to reduce the number of clandestine and unsafe procedures, as well as the need to ensure the availability of postabortion care (PAC) for all who need the services. Follow IPPF Africa Region on Facebook, Twitter, Instagram and You Tube.

This is the story of a young teenage boy who would walk the streets of Nairobi on a Sunday afternoon, hoping to find someone with whom he could connect. Someone who would understand the kind of touch he needed and who would allow him to be seen as a lover and not as an abomination, curse, or illness.   It's also a story of discovering a home, a home that embodies wholeness, love, compassion, dreams, authenticity, vulnerability, fun, creativity, and bravery.  My name is Kevin Mwachiro. I am a Kenyan writer, podcaster, journalist and LGBTQI activist. I am that teenage boy, and I'm a proudly African. My Africa is a place of immense beauty, but it can also be dangerous for those who dare to be themselves. I chose to live my truth after being almost forced out of the closet in 2001 after I got caught kissing a guy. I had always known that I was attracted to other guys and acted on that feeling the first time when I was 16. That moment of freedom and pleasure was immediately followed by shame and guilt and hiding for over a decade. It was a struggle with self-hate, masturbation and low self-esteem. Post 2001, I was forced to look at myself in the mirror and finally admit that I was gay and for the next few years, I straddled the fence torn between desire and dogma. That period was confusing, exciting, lonely, and precarious. I say precarious because it involved having sex in risky places and with total strangers and, at times, the oddest time of the day. However, it has been here within the bosom of Mama Africa that I have fully come out into my queerness. It has been a journey with numerous therapy sessions, self-acceptance and forgiveness, and finally, finding a community of Kenya and African LGBTQI folk that I started fully embracing myself. My journey has been enriched by a unique African queer sexuality discovered during my travels on the continent. From Accra to Kampala, Gaborone to my home city of Nairobi, I've learned that one can be queer and thrive in Africa, and this is thanks to chosen family, allies, and the safe spaces they've created. I can't overstate the role of allies in my journey. They've spoken for me in spaces where I was silenced, unwelcome, or deemed too dangerous. They've seen me and my community for who we are, fellow humans. It has taken many years to arrive at this part of my life. There has been lots of unlearning, learning and relearning about sex, sexuality and sexual health. Plus, I took ownership of my narrative, founded safe spaces, and used utu, aka ubuntu, to recognize my humanness and that of others.   This self-acceptance and loving my queerness and the ongoing decolonizing of my mind, faith, education and surroundings has led me to a place of newness and authenticity. In looking back at my own life, I'm grateful that even when I was in the closet, I was not homophobic. Even though there was self-loathing, I'm glad I never directed this towards the community. From my Christian corner, I envied the gays and lesbians, for in my eyes, they had the gumption to be themselves in an Africa that was shunning them. The concept of othering and harbouring phobic attitudes has no place in the home of utu-ubuntu, and I strongly believe that is not who we are as Africans. Moralizing sexuality or sensuality or the shaming of bodies was imported onto our shores by colonizers. Eventually, it slithered into our education system, places of worship, governance, society and independent Africa. The unlearning I've had to do and still do has led me to where I am and the work I do. I am healing. Over the last 17 years, I have used the tools of my trade to ensure that LGBTQI stories are told with dignity, honesty and hope. It is my curious mind delving into our African history to challenge notions that I am un-African and being elated by the discovery of same-sex relations being depicted by cave paintings of the San peoples or knowing that sex wasn’t a taboo or a hot topic like it is being made to be these days. In Burkina Faso, Côte d'Ivoire, Mali, Northern Nigeria, and Senegal, we know from the existence of Indigenous (and sometimes uncomplimentary) terms for people who did not fall into the gender binary system (goorjigéén, tchié tè mousso tè, ‘yan daudu) that such people were visible and tolerated in their communities.   We had our ways. It is now all the more important to have conversations about our past, present, and future in the language of the home, and that is how bridges and safe spaces are built. We are reclaiming and retelling narratives which call for bravery, boldness, and humility—humility to listen, learn, and respect. Kevin Mwachiro is a Kenya-based writer, podcaster, journalist, and queer activist. His professional media and communications career spans over 22 years. Kevin describes himself as a custodian of people's stories, which is evident in his array of work. Kevin's first book, Invisible – Stories from Kenya’s Queer Community, was the first book of its kind in Kenya. He was the editorial lead for the recently launched We’ve Been Here, which documents the stories of LGBTQI Kenyans who are 50 years and older. Kevin was also part of the editorial team for Boldly Queer - African Perspectives on Same-sex Sexuality and Gender Diversity and the anthology Rainbow Childhoods. Kevin’s short story Number Sita was published in the anthology Nairobi Noir, and his play, Thrashed, is part of the Goethe Institut’s Kenya’s “Six and the City”  collection. Kevin also writes articles and opinion pieces for several media platforms and is published in various cultural journals. In 2017, he launched a story-telling podcast called Nipe Story, which produces audio versions of short-story fictional stories from the African continent. Nipe Story has received recognition as one of Kenya’s notable podcasts. Kevin co-founded the Out Film Festival, the first LGBTQI film festival in East Africa. Social media handles - X and Instagram @kevmwachiro Blog: https://kevinmwachiro.medium.com/  

Nairobi, 23 September 2024 – A groundbreaking £75.125 million project has been announced by the International Planned Parenthood Federation (IPPF) and its partners, the International Rescue Committee (IRC), Options, Ipas, and Johns Hopkins University Centre for Communication Programmes, to transform sexual and reproductive health services across East and Southern Africa. This large-scale initiative will benefit seven countries, supporting millions of women, girls, and vulnerable communities in Burundi, Ethiopia, Madagascar, Somalia, South Sudan, Sudan, and Zambia. This programme, known as Women’s Integrated Sexual Health 2 (WISH 2) Lot 2, is funded by the UK Foreign, Commonwealth and Development Office (FCDO). As part of FCDO WISH Dividend, it builds on the successes of FCDO’s £272 million Women’s Integrated Sexual Health (2018-2024) programme, which spanned 27 countries across Africa and Asia. Over its lifespan, the first WISH programme supported over an estimated 16.9 million women and girls, helping them gain access to critical SRHR services. FCDO’s continued partnership with IPPF for this next phase of WISH was unveiled by FCDO's Chris Carter, on behalf of the UK Minister for Africa, Lord Collins, during the United Nations General Assembly (UNGA) side event, “SRHR: Securing reproductive choice for the next generation.” Announcing FCDO’s partnerships with IPPF, MSI Reproductive Choices and the Children's Investment Fund Foundation, Chris Carter noted the new programme will play a critical role in increasing women's voice, choice and control across 13 countries in Africa.” With the goal of delivering over seven million ‘couple years protection,’ the programme will address critical healthcare gaps, promote reproductive choice, and tackle harmful social norms. It will also provide urgent support to improve policies, strengthen health systems, and safeguard the reproductive rights of women and girls, especially in areas affected by conflict and displacement. At the heart of this initiative is a focus on reaching the most marginalised groups, including young women and girls under 20, those living in poverty, people with disabilities, and communities in conflict zones. Importantly, WISH2 will also work to improve access to safe abortion care and counteract the growing threats to women’s and girls' sexual and reproductive health rights. IPPF Director General Dr Alvaro Bermejo emphasised the critical need to protect and expand access to SRHR. “WISH2 will continue our mission of empowering women and girls across Africa to unlock their full potential. We will not only tackle the rollback of SRHR rights but also strengthen disability inclusion while delivering sustainable healthcare solutions,” said Dr Bermejo. “We’re grateful to the UK Government for their unwavering support in this important work.” Elshafie Mohamed Ali, Executive Director of Sudan Family Planning Association (SFPA) said “WISH2 is essential given Sudan’s current circumstances, particularly the ongoing conflict since April 15, 2023. The programme addresses the growing need for sexual and reproductive health services, offering crucial support to vulnerable communities amidst increasing instability and humanitarian challenges.” Chris Carter, Deputy Director, Head of Human Development Department, highlighted the impact of this new initiative: “Access to sexual and reproductive health services saves lives, empowers women and girls, and supports education, transforming lives and entire livelihoods. This project will amplify women’s voice, choice, and control across Africa, and we are proud to partner with IPPF and African organizations in this critical mission.” For media enquiries, please contact [email protected]  

Since 21 August, influencers through online campaigns have amplified dangerous narratives, justifying physical and psychological violence on the LGBTQI+ community in Cote d’Ivoire. This is not just an attack on LGBTIQ people, but on the human rights of all Ivorian citizens. Feminist Opportunities Now, together with its partner organisations and activists in Côte d'Ivoire, expresses its outrage at the rise in violence, hate speech and discrimination against lesbian, gay, bisexual, transgender, intersex and queer (LGBTIQ) communities. We are deeply concerned by the increase in calls for violence and crimes targeting individuals because of their sexual orientation and gender identity. Today, we call for urgent action to stop this wave of hatred that threatens the dignity and rights of so many people. Sign the petition This is a call for action and solidarity, aimed at mobilising the authorities, the media and civil society to combat hatred and violence against LGBTIQ people. The Need for Urgent Action We call on everyone to take immediate action to stop this dangerous trend. Hate speech, threats and violence have no place in a democratic society. Public figures and institutions must act decisively to protect all citizens, regardless of sexual orientation or gender identity. We stress that the Constitution of Côte d'Ivoire guarantees equality and human dignity for all, as stipulated in Article 2. There are no laws criminalising LGBTIQ individuals in the country, and any attack on their rights is a violation of the fundamental principles of freedom and equality, as Marie-Jo, programme and project officer for an organisation that campaigns for the human rights of lesbian, bisexual and queer women in Côte d'Ivoire, points out: "Calling for the eradication of the LGBTI community brings us back to Nazi rhetoric. Today we are in Côte d'Ivoire where, in the name of personal convictions, some citizens are calling for the disappearance of other citizens and believe that they should not exist. There is no justification for killing and using violence because we are against someone's sexual orientation, the way they walk or even the way they dress. The state is guilty of what is happening, of all these excesses, by its silence and inertia.     Sign the petition  The companies behind platforms such as Facebook, TikTok and YouTube must assume their responsibilities by moderating content and deleting hate messages. We demand strict sanctions against accounts that spread hate. The Role of Government and the Legal System The Ivorian government must take immediate action to enforce its laws against hate speech and violence. Article 226 of the Penal Code clearly prohibits discrimination, and the increase in attacks must be addressed through firm legal action. We cannot allow those who incite violence to go unpunished. The lack of sanctions creates a climate of insecurity for LGBTIQ people, undermining confidence in the institutions charged with protecting them. What to do? Sign the petitions: Join our partners in the fight against hate and violence by signing the petitions demanding stronger legal protection for the LGBTIQ community. Read the statement: Read the full statement from our partners in Côte d'Ivoire and their partners, which sets out the legal and moral obligations to protect the rights of all citizens, including LGBTIQ people. We reaffirm our commitment to building a future where everyone can live without fear, where LGBTIQ people in Côte d'Ivoire and around the world can live with dignity, respect and freedom. Together, let us reject hatred, protect human rights and build a society that values every individual. Read the statement drawn up by three of our civil society organisations and their partners on this homophobic propaganda. FON is a project that funds CSOs around the world to combat all forms of gender-based violence. Read the article on the FON Website: Feminist Opportunities Now (FON) - Call to amplify Civil Society Organisations fight against GBV (feministnow.org)

IPPF Africa Region Calls for Urgent Action Against Rising Femicide in Africa Nairobi, 11 September 2024 – The International Planned Parenthood Federation Africa Region (IPPFAR) notes with grave concern the alarming rise of femicide across Africa, underscored by the recent murder of Ugandan Olympic athlete Rebecca Cheptegei by her former partner. This tragic killing is a stark reminder of the growing epidemic of violence against women on the continent and globally. Femicide—the gender-based killing of women—is rooted in systemic misogyny and patriarchy. According to UN Women, 89,000 women and girls were murdered globally in 2022, the highest figure recorded in 20 years, however it is likely that these figures are significantly underreported. Furthermore, the African continent has the highest rate of femicide globally. More than half of these women were killed by intimate partners or family members, and this violence continues to thrive under a global culture of impunity. “Violence against women and girls is among the least prosecuted and punished crimes in the world,” noted the UN Assembly (Resolution no. 70/176). This impunity must stop, and governments must take immediate steps to address the issue. Marie-Evelyne Petrus-Barry, IPPF Africa Regional Director, states, “Femicide is not just a women's issue—it is a human rights issue. Governments must invest in women-led strategies that have proven to prevent violence against women and girls and hold perpetrators accountable. The lack of standardized data and consistent reporting across regions only perpetuates this crisis. Additionally, marginalized women, such as LGBTIQ+ individuals, women with disabilities, female sex workers, and women living in precarious situations such as refugees and internally displaced women, face a heightened risk of femicide. The lives of women and girls are at stake, and the time for action is now”. Patriarchy fuels femicide, and when combined with systematic issues such as capitalism, poverty, unemployment, and a lack of support systems geared toward girls and women, results in the marginalization and ongoing violence against women, girls, and gender-diverse individuals. IPPFAR, through the Feminist Opportunities Now (FON) Project—funded by the French Development Agency and French Ministry of European and Foreign Affairs—provides financial and technical assistance to feminist civil society organizations working to end gender-based violence and achieve gender equality. Collaborating with women’s rights organizations like Feminists in Kenya, The Wangu Kanja Foundation, Smart Ladies Youth Initiative, FON and IPPFAR are committed to dismantling discriminatory gender norms, engaging men and boys in the fight against patriarchy, and advocating for systemic change. Tatiana Gicheru from Feminists in Kenya, an organisation supported by the FON Project, shares her frustration: “Feminists in Kenya recognizes femicide as a violent manifestation of patriarchal power, and we remain dedicated to dismantling structures that enable all forms of violence against women in all their diversities. We urge the Kenyan Government to act decisively on our demands shared during the 2019 and 2024 nationwide anti-femicide marches. Enough is enough!” IPPF Africa and its partners urge Governments across Africa and the world to act decisively to end femicide. END For further information or to request an interview, please contact: -Mahmoud GARGA, Lead Strategic Communication, Voice and Media, IPPF Africa Regional Office (IPPFAR) – email: [email protected] / Tel: +254 704 626 920    ABOUT IPPF AFRICA REGION (IPPFAR) The International Planned Parenthood Federation Africa Region (IPPFAR) is one of the leading sexual and reproductive health (SRH) service delivery organization in Africa, and a leading sexual and reproductive health and rights (SRHR) advocacy voice in the region. Headquartered in Nairobi, Kenya, the overarching goal of IPPFAR is to increase access to SRHR services to the most vulnerable youth, men and women in sub-Saharan Africa. Supported by thousands of volunteers, IPPFAR tackles the continent’s growing SRHR challenges through a network of Member Associations (MAs) in 40 countries. We do this by developing our MAs into efficient entities with the capacity to deliver and sustain high quality, youth focused and gender sensitive services. We work with Governments, the African Union, Regional Economic Commissions, the Pan-African Parliament, United Nations bodies among others to expand political and financial commitments to sexual and reproductive health and rights in Africa. Learn more about us on our website. Follow us on Facebook, Twitter, Instagram and YouTube.   ABOUT FEMINISTS IN KENYA Feminists in Kenya is a social movement of Feminist and Queer activists committed to achieving gender justice. As organizers of the #TotalShutdownKe march against femicide, they are focused on mobilizing and organizing with women across Kenya to challenge systemic and interpersonal oppression. Founded on Community, Joy and Resistance, their vision is a world where women, in all their diversities, can live free from systemic violence in both public and private spaces.   ABOUT THE FEMINIST OPPORTUNITIES NOW (FON) PROJECT The objective of the project Feminist Opportunities Now (FON), is to build the capacity of women's movements, via sub-grants to feminist organisations, with a particular effort to reaching small, even non-registered organisations to address and respond to gender-based violence. The programme is developed based on an ecological model, using multi-disciplinary gender-transformative approaches. In addition to direct and flexible sub-granting (for € 7 million), FON also provides a unique opportunity for longer-term mentorship to support feminist organisations in their overall development, with trainings specifically tailored to their needs. FON also supports feminist organisations to identify other/diverse sources of funding and includes a research-action component to understand how these approaches can be scaled-up and made sustainable. Website: Feminist Opportunities Now

By Yvonne TATAH Across the globe, female sex workers (FSWs) face formidable barriers to accessible, acceptable, appropriate and quality health services. Due to the nature of their work, which involves having sexual relations with multiple male clients, FSWs are at a heightened risk of HIV infection. Globally, female sex workers are estimated to be 30 times more likely to be living with HIV than other women of reproductive age. In Ethiopia, the case is no different as many FSWs cite various vulnerabilities and challenges that they face. These include stigma, discrimination and marginalization which significantly impact their access to essential healthcare services, in turn increasing their susceptibility to HIV and other sexually transmitted infections (STIs). This, according to IPPF’s Member Association in the country the Family Guidance Association of Ethiopia (FGAE) which has over the years instituted various programmes and interventions aimed at addressing some of the healthcare challenges faced by this vulnerable population. HIV prevalence among female sex workers (FSWs) in Ethiopia is approximately 23%. Mr. Abadi Kalayou, FGAE’s Executive Director says that the risks and vulnerabilities of FSWs in Ethiopia are further compounded by a lack of education on HIV prevention and the social stigma that prevents them from seeking regular health check-ups and testing. “From our work with FSWs, we have established that societal judgement and mistreatment, including in health facilities often leads FSWs to avoid seeking medical services. This results in late diagnoses, higher rates of untreated infections and avoidable health complications. Additionally, many of these women often encounter violence, exploitation, and a lack of legal protection, creating additional barriers to positive healthcare behaviour,” he says. Recognizing these challenges, FGAE has been a pioneer in expanding access to sexual and reproductive health services across Ethiopia since its inception in 1966. As a non-governmental, volunteer-based organization, FGAE has developed a robust network of clinics to serve key and priority populations, including FSWs. Interventions in hotspot locations for female sex workers in Ethiopia To address the specific healthcare needs of FSWs, FGAE has established 10 dedicated Female Sex Worker-Friendly Clinics (FSWFC) since 2010. These clinics are strategically located in nine HIV hotspot towns namely; Adama, Addis Ababa, Bahir Dar, Dessie, Diredawa, Gambella, Hawassa, Jima, and Logia, where the prevalence of HIV is highest. The clinics are designed to be accessible and discreet, ensuring FSWs can receive healthcare without fear of stigma or discrimination. Each FSWFC is staffed by healthcare providers specially trained to offer non-judgmental, compassionate, and comprehensive care. The services provided at these clinics are tailored to meet the specific needs of FSWs and their intimate partners, addressing a wide range of health concerns from HIV prevention and treatment to sexual and reproductive health. By integrating a wide range of services into a one-stop-shop model, FGAE ensures that FSWs receive holistic care, improving their overall health outcomes. The FSWFCs offer a comprehensive range of HIV/AIDS services designed to provide holistic care. These services include awareness programs to educate FSWs about HIV/AIDS and preventive measures, peer education and support groups, and proactive HIV testing and counselling. Voluntary testing and counselling services are also available, promoting a proactive approach to HIV prevention and care. Pre-exposure prophylaxis (PreP) is provided to reduce the risk of HIV infection among high-risk individuals. FGAE offers HIV self-testing kits, allowing FSWs to perform tests privately and at their convenience. Post-exposure prophylaxis (PEP) is available as an emergency treatment to prevent HIV infection after potential exposure. Comprehensive HIV care and treatment plans are provided for HIV-positive FSWs, including regular monitoring, counselling, and medical support. Anti-retroviral therapy (ART) is accessible to manage their condition and improve their quality of life. One FSW shared her experience with FGAE’s Female Sex Worker-Friendly Clinics: "In Ethiopia, female sex workers encounter numerous challenges, such as difficulties in visiting a health center because of the fear of being stigmatized. However, one day, one of my friends told me to visit an FGAE Clinic. I went and received services, including HIV/AIDS counselling, testing, and STI screening and management. I was so happy with the quality of care I received, that I recommended the clinic to a friend. She, too, received excellent services and became a regular client, just like me." Discretion in accessing services FGAE’s approach to providing healthcare services to FSWs is grounded in innovation and best practices. One key innovation is the free-of-charge model for all services offered at the FSWFCs, removing financial barriers. The discreet nature of these clinics ensures FSWs can access services without fear of stigma or discrimination. The strategic location of the clinics in high-risk areas, coupled with operating hours that align with FSWs' schedules, enhances accessibility. Peer education and support groups also play a critical role in fostering community support and sharing vital health information. Healthcare providers at these clinics are specially trained to offer non-judgmental and compassionate care, ensuring that FSWs feel respected and supported when they seek medical help. The commitment of FGAE to supporting FSWs is echoed in the words of the Petros Gechere Sabore, Clinical Service Manager: "I am proud of FGAE's unwavering commitment to providing essential HIV/AIDS services to female sex workers. Our Strategic Plan places this group at the forefront, ensuring they have access to high-quality HIV/AIDS and sexual and reproductive health services. We have strengthened our community-to-clinic referral system, conducted targeted outreach programs, and integrated comprehensive services into our health facilities, all supported by trained peer educators and case managers. Our efforts have significantly increased awareness and health-seeking behaviours among female sex workers, leading to improved access to HIV testing, counselling, and Anti-Retroviral Therapy. Through capacity building, we have enhanced the ability of our service providers to deliver effective HIV/AIDS care, resulting in better health outcomes and an improved quality of life for those we serve." The impact of FGAE’s dedicated services for FSWs in Ethiopia has been profound. Since the establishment of the FSWFCs, 178,137 FSWs have accessed essential healthcare services that were previously out of reach. These clinics have played a pivotal role in reducing HIV prevalence among FSWs and improving overall health outcomes within this vulnerable community. Satisfactory sexual reproductive health services at FGAE FGAE’s FSW clients highlight the transformative effect of these services. They report feeling safer and more supported, knowing they can access non-judgmental and comprehensive care. These are the sentiments of one such client. "One day, I fell ill and decided to visit the FGAE Clinic. The nurse welcomed me warmly and suggested that I undergo HIV counselling and testing. After a thorough and compassionate counselling session, I agreed to the HIV test. When the results came back, the nurse gently informed me that I had tested positive for HIV. The news shocked me, and I struggled to process what it meant for my life. After I recovered from the initial shock, the nurse continued to counsel me with patience and care. She encouraged me to start Anti-Retroviral Therapy (ART) immediately, and I agreed. Thanks to my adherence to the treatment plan, I was able to regain control of my health and my life. I even opened a beauty salon in one of the cities in Ethiopia. Today, I am married and the mother of a beautiful daughter. Thanks to the ART treatment and the comprehensive counselling I received at the FGAE Clinic, my daughter's HIV status is negative. The availability of PreP, PEP, and ARVs at the FGAE Clinic saved my life and enabled me to build a future. Now, I am able to support and manage my family, including my daughter and husband, while running my beauty salon—something I never thought possible before receiving care at the FGAE Clinic." FGAE’s holistic approach to SRH services The holistic approach adopted by FGAE has not only addressed their immediate health needs but has also significantly enhanced their long-term well-being through ongoing support and education. The commitment of FGAE to this cause is reflected in the words of the Executive Director: "I am deeply pleased with the availability of the FGAE Clinic program in Ethiopia. Our organization’s mission is to ensure that every female sex worker in Ethiopia has access to the quality, friendly healthcare services she needs, without fear of stigma or discrimination. We are committed to expanding our services and continuously innovating to meet the evolving needs of this community." FGAE has made significant strides in empowering FSWs through its pioneering HIV/AIDS services. By recognizing the unique challenges faced by FSWs and responding with tailored, compassionate, and comprehensive care, FGAE has not only improved health outcomes but also fostered a sense of dignity and respect among this marginalized group. A new report by UNAIDS indicates that progress has been made in preventing new HIV infections, which have fallen by 59% in eastern and southern Africa since 2010. It indeed, is the efforts of organizations such as FGAE that have significantly contributed to these preventive efforts.   As it looks to the future, its commitment to expanding services and advocating for the rights of FSWs remains steadfast. By continuing to innovate and adapt to the needs of this community, FGAE is paving the way for a more inclusive and supportive healthcare system in Ethiopia. The organization’s efforts serve as a powerful example of how targeted, compassionate care can transform lives and empower vulnerable communities. Also read: Accessing quality health services as a female sex worker in Lesotho Follow IPPF Africa Region on Facebook, Twitter, Instagram and You Tube.