Gender and Sexuality Commons^™

Evidence Brief: Shifting Attitudes And Social Norms On Fgm Through Community-Based Interventions In Somaliland, Stella Muthuri, Dennis Matanda, Francis Obare, Stephen Kizito, Chi-Chi Undie

Sexual and Reproductive Health, Rights, and Choices

This study, conducted in Sool and Sanaag regions of Somaliland within the context of The Girl Generation Support to the Africa-Led Movement (TGG-ALM), provides insights into how community-based, dialogue-driven interventions influence attitudes, social norms, and behavioural intentions related to FGM and gender.

Findings show that while personal opposition to FGM is relatively high, this does not consistently translate into perceived or collective opposition. Individuals tend to view their own attitudes as more progressive than those of their families and communities, pointing to a critical “norms misalignment” that constrains behaviour change. This gap suggests that entrenched social expectations – particularly around …

Evidence Brief: Shifting Attitudes And Social Norms On Fgm Through Community-Based Interventions In Isiolo And Narok Counties Of Kenya, Stella Muthuri, Dennis Matanda, Francis Obare, Robert Omondi, Stephen Kizito, Chi-Chi Undie

Sexual and Reproductive Health, Rights, and Choices

The Girl Generation: Support to the Africa-Led Movement (TGG-ALM) programme in Kenya demonstrates that community-based, dialogue-driven interventions can shift social norms, attitudes, and behavioural intentions related to female genital mutilation (FGM), while also strengthening gender-equitable beliefs. Drawing on evidence from Isiolo and Narok counties, this evaluation shows that exposure to intergenerational dialogues, women’s reflection circles, and couple-based engagement is associated with stronger personal opposition to FGM, increased acceptance of uncut girls, and greater willingness to abandon the practice.

Transforming Sexual And Reproductive Health And Rights For Adolescent Girls In West And Central Africa, Mame Soukeye Mbaye, Sarah Engebretsen, Maty Dia, Karen Austrian

Adolescents and Young People

This brief summarizes the evidence on adolescent girls’ sexual and reproductive health and rights (SRHR) in West and Central Africa (WCA), particularly evidence from the GIRL Center’s priority countries. It explores social norms and structural barriers to adolescent girls’ SRHR, pregnancy, harmful practices, unmet need for contraception, service gaps, SRHR in conflict settings, and legal and policy barriers. The brief informs strategies and promising entry points that have the potential to transform SRHR outcomes for girls in the region.

Girl Center Special Feature: 2025 Impact Report, Population Council

Adolescents and Young People

This report highlights the impact, research, publications, events, and activities that the GIRL Center accomplished in 2025.

Sustainability And Funding Of Young Feminist Organizing/Organization In Kenya, Chantalle Okondo, John Malkia, Ivy Kutswa, Ruth Juliet, Sar Kagendo, Stacie Akinyi, Gladys Jerop, Juma Damaris, Terry Owino, Jerry Okal

Adolescents and Young People

The Nawiri Project used a core Participatory Action Research Evaluation (PARe) approach to explore the landscape of young feminist organizing/organizations (YFOs) in Kenya and Mexico. The project aimed to synthesize evidence on YFOs’ context, impact, and strengths. In Kenya, the core PARe team included nine young feminists and seven Feminist Advisory Panel (FAP) members, who collaborated with Population Council, Kenya from the project’s inception to dissemination. To define and measure impact, the team conducted five case studies with YFO leadership, nine focus group discussions with YFO beneficiaries, 31 key informant interviews with current and previous partners, and cost and benefit …

What Do Young Feminists In Kenya Need To Thrive?, Chantalle Okondo, John Malkia, Ivy Kutswa, Ruth Juliet, Sar Kagendo, Stacie Akinyi, Gladys Jerop, Juma Damaris, Terry Owino, Jerry Okal

Adolescents and Young People

The Nawiri Project used a core Participatory Action Research Evaluation (PARe) approach to explore the landscape of young feminist organizing/organizations (YFOs) in Kenya and Mexico. The project aimed to synthesize evidence on YFOs’ context, impact, and strengths. In Kenya, the core PARe team included nine young feminists and seven Feminist Advisory Panel (FAP) members, who collaborated with Population Council, Kenya from the project’s inception to dissemination. To define and measure impact, the team conducted five case studies with YFO leadership, nine focus group discussions with YFO beneficiaries, 31 key informant interviews with current and previous partners, and cost and benefit …

Understanding Impact Among Young Feminist Organizing/Organizations In Kenya, Chantalle Okondo, John Malkia, Ivy Kutswa, Ruth Juliet, Sar Kagendo, Stacie Akinyi, Terry Owino, Jerry Okal

Adolescents and Young People

The Nawiri Project used a core Participatory Action Research Evaluation (PARe) approach to explore the landscape of young feminist organizing/organizations (YFOs) in Kenya and Mexico. The project aimed to synthesize evidence on YFOs’ context, impact, and strengths. In Kenya, the core PARe team included nine young feminists and seven Feminist Advisory Panel (FAP) members, who collaborated with Population Council–Kenya from the project’s inception to dissemination. To define and measure impact, the team conducted five case studies with YFO leadership, nine focus group discussions with YFO beneficiaries, 31 key informant interviews with current and previous partners, and cost and benefit analysis …

Endline Results Brief: What Works To Improve Outcomes For Kenya's Adolescent Girls?, Population Council

Poverty, Gender, and Youth

The Adolescent Girls Initiative–Kenya is a study that evaluates the long-term impact of a multisectoral intervention targeted at adolescent girls aged 11 to 15 years from Kibera and rural Wajir. The intervention consists of four components: a community-based violence-prevention program, an education conditional cash transfer (CCT), health-focused girls-empowerment clubs, and wealth creation for girls via financial education and savings. A random selection of 6,000 girls were exposed to different components of the intervention. Key results, noted in this brief, are: conditional cash transfers are a key driver of improvement in education outcomes, and of delaying sexual debut and pregnancy in …

The Adolescent Girls Initiative-Kenya—Executive Summary: Two-Year Follow Up Results, Population Council

Poverty, Gender, and Youth

In Kenya, early pregnancy is a challenge for girls that often has immediate effects on their educational opportunities, future implications for their social, health, and economic outcomes, and immediate and ongoing negative impacts on their children. Early pregnancy is an outcome shaped by a myriad of issues affecting an adolescent girl’s life—including community norms on gender roles, violence, and the social value of girls; barriers to formal education; household poverty; lack of economic independence; experience of violence; and social isolation. For girls to achieve well-being in early and late adolescence, no single-sector intervention—whether it be education, health, wealth creation, or …

Positioning Community-Based Girl Group Programs For Success: Lessons Learned From The Population Council's Technical Assistance Partnership With Unfpa-Mozambique's Rapariga Biz, Miriam Temin, Arune Estavela, Craig Heck, Natalie Jackson, Joana Mendes

Poverty, Gender, and Youth

The Population Council provided technical assistance and strengthened capacity for Rapariga Biz, a large-scale UN program in 20 districts across Nampula and Zambezia provinces in Mozambique. The program was established to reduce child marriage and early pregnancy through a set of multisectoral interventions. The partnership between the Council and UNFPA-Mozambique generated useful lessons regarding the opportunities and challenges of using the community-based girl groups (CBGG) model in low-resource settings, especially when implemented at scale. In CBGG programs, girls and young women meet regularly with a leader (e.g., a mentor) who uses a variety of pedagogical methods to address sexual and …

The Imagen Story: A Framework For Restoring Indigenous Girl Societies, Kelly Hallman, Lisa Polen, Katey Peck

Poverty, Gender, and Youth

The Indigenous Adolescent Girls’ Empowerment Network (IMAGEN) builds upon long-standing Native cultural traditions, providing platforms for intergenerational transmission of matrilineal knowledge. Girl Societies recognize the unique responsibilities held by and challenges facing Native girls, thus offering culturally grounded, Indigenous-led systems of support.

Reclamation: Returning To Matrilineal Traditions, Building A New Generation Of Indigenous Girl Societies, Kelly Hallman, Stephanie Martinez, Lisa Polen, Angel Del Valle

Poverty, Gender, and Youth

Created in 2017, the Indigenous Adolescent Girls’ Empowerment Network (IMAGEN) brings together organizations from rural and urban indigenous communities in the United States to strengthen the protection, safety, and resilience of girls by reclaiming neighborhood spaces and building local female-relative-led mentorship programs. IMAGEN, headquartered at the Girl Innovation, Research, and Learning (GIRL) Center in New York City, promotes the use of data-driven approaches in building assets for these adolescent girls. This report highlights the results of the IMAGEN Program Planning Workshop held in Sioux Falls, South Dakota, December 3–5, 2019. The workshop stressed an urgent need for culturally grounded programming …

Lessons From A Five-Year Research Programme On Fgm/C And Their Relevance For Policy And Programmes In Kenya, Dennis Matanda, Agnes K. Meroka-Mutua, Samuel Kimani

Reproductive Health

The Sustainable Development Goals target the elimination of all forms of harmful practices, including female genital mutilation/cutting (FGM/C) by 2030. Kenya has made progress in addressing the elimination of FGM/C through ratification of global instruments and enactment of the Prohibition of FGM Act in 2011 and other supportive laws. The Act created the foundation for the establishment of the Anti-FGM Board, which provides policy leadership and coordination of anti-FGM/C programs in Kenya. More recently, the President of Kenya issued a decree for accelerated elimination of FGM/C by 2022. This synthesis report highlights how evidence generated over the last five years …

Important Lessons On Fgm/C Abandonment From Four Research Studies In Egypt, Nada Wahba, Nahla G. Abdel-Tawab, Abeer Salem

Reproductive Health

Female genital mutilation/cutting (FGM/C) continues to be a widespread practice in Egypt. According to the 2014 Egypt Demographic and Health Survey, the prevalence of FGM/C was 92 percent among ever-married women aged 15–49. However, Egypt continues to witness a drastic surge in the medicalization of FGM/C, with 74 percent of women aged 19 years and younger circumcised by medical practitioners, compared to 55 percent in 1995. This policy brief provides key results and recommendations of four studies conducted by the Population Council/ Egypt under the Evidence to End FGM/C project, in coordination with Egypt’s National Population Council. The four studies …

Commentary: Using Law More Effectively Towards Abandonment Of Fgm/C In Kenya, Agnes K. Meroka-Mutua

Reproductive Health

Female genital mutilation/cutting (FGM/C) is considered a harmful cultural practice and a form of violence against women. Kenya has an FGM/C prevalence rate of 21 percent, but levels vary by ethnic group. Kenya has adopted a robust legal framework for the prohibition of FGM/C, including passage of the Prohibition of FGM Act in 2011, a detailed law that criminalizes carrying out FGM/C and associated offenses. Kenya relies on the human rights–based approach and criminalization in its legal framework for the prohibition of this practice. Despite extensive legal provisions, Kenya has prosecuted fewer than 100 cases, raising concerns with the law’s …

Creative Assets And Program Content Guide: To Build Social And Emotional Learning And Promote Trauma Mitigation And Healing, Adolescent Girl And Creativity Network

Poverty, Gender, and Youth

In 2016, the Adolescent Girl and Creativity Network was commissioned by the Population Council’s Community of Practice to utilize their wealth of knowledge and field experience to critically examine, adapt, and expand the Council’s Building Assets Toolkit^© and complementary Asset Exercise. The question explored was: What are the essential assets pertinent to the most-at-risk girls and how can they be built through creative techniques/activities? This guide is the result of that activity—13 creative assets and 50 activities (program content) to build social and emotional learning, mitigate and manage trauma, and promote healing. The 50 creative program content activities to …

Domestic Work, Sexual Abuse, And Exploitation In Tanzania, James K. Matheka, Elizabeth Shayo, Annabel Erulkar

Poverty, Gender, and Youth

Domestic work is characterized by excessive working hours, extremely low pay or no pay at all, and conditions that make the profession exploitive in many cases. Evidence is emerging that domestic work is a feeder profession for sex work. One study of more than 2,000 commercial sex workers in Ethiopia found that 42 percent were former domestic workers. However, little is known about transitions to commercial sex work or commercial sexual exploitation in Tanzania. The objective of the research detailed in this brief was to expand the understanding of child domestic workers and commercial sex workers/girls who are commercially sexually …

Can Adolescent Girls' Safe Space Clubs Effectively Run Solar-Powered Mobile Phone Charging Stations In Rural Sierra Leone?, Nadia Assad, Sarah Blake

Poverty, Gender, and Youth

Access to electricity in rural Sierra Leone is scarce. Estimates on the proportion of households having regular access to electricity range from 1 to 5 percent. Along with mobile phones, which are now common even in settings where phone lines never reached, new energy technologies are beginning to fill in where traditional infrastructure is absent. Solar technologies hold promise for expanding access to electricity while offering sustainable alternatives to expensive, nonrenewable sources for powering lights, phones, tools, and appliances. Recognizing that there is important learning to be done in connecting adolescent girls’ clubs and solar technologies, the Population Council conducted …

Evidence Around Engaging Men In Hiv Prevention And Treatment, Julie Pulerwitz, Ann Gottert, Jerry Okal, Sanyukta Mathur

HIV and AIDS

No abstract provided.

Abriendo Futuros: A Program For Rural Indigenous Girls In Yucatan, Mexico, Fabiola Romero, Ludivine Cicolella, Silvana Larrea, A. Fallone, Isabel Vieitez Martínez

Poverty, Gender, and Youth

The Abriendo Futuros (AF) program builds on the Council’s global experience of designing and implementing successful girl-centered programs in Africa, Asia, the Middle East, and Latin America and the Caribbean. AF aims to improve the living conditions of Mayan girls (10–18 years) and contribute to the achievement of gender equity in the Yucatan. The program’s community-focused strategy seeks to empower girls through interpersonal communication and participatory workshops. Girls in selected communities are divided into age groups (10–14 and 15–18) that meet weekly with a mentor in safe spaces. The program’s mentors are young women aged 20–30 from the communities, who …

Evidence To Support Hiv Prevention For Adolescent Girls And Young Women (Agyw) And Their Male Partners: Results From Malawi Dreams Studies With Agyw, Male Partners Of Agyw, Men Living With Hiv, And Program Implementing Partners, Nanlesta Pilgrim, Victor Mwapasa, Effie Chipeta, Wanangwa Chimwaza Manda, Nrupa Jani, Tracy Mcclair, Lyson Tenthani, Sanyukta Mathur

HIV and AIDS

Project SOAR, led by the Population Council, in partnership with the Center of Reproductive Health at the University of Malawi College of Medicine, conducted a research portfolio to generate evidence to reduce HIV risk among adolescent girls and young women (AGYW) and their male partners. The objectives of this implementation research were to generate evidence for describing HIV-related risk factors among AGYW; assess the extent to which the overall DREAMS project contributed toward the goal of reducing HIV risk among AGYW; and understand the characteristics of male partners and how to link them to HIV services, as well as retain …

Community-Based Hiv Treatment Service Delivery Model For Female Sex Workers In Tanzania: Evaluation Findings, Lung Vu, Waimar Tun, Louis Apicella, Jeremiah Kidola, Caterina Casalini, Gasper Mbita, Neema Makyao, Todd Koppenhaver, Erick Mlanga

HIV and AIDS

Project SOAR in collaboration with the National AIDS Control Program of the Government of Tanzania, National Institute of Medical Research, and Jhpiego’s Sauti Program, conducted an implementation science study to investigate the delivery of community-based antiretroviral treatment (ART) services to female sex workers (FSWs) in Tanzania. Studies from sub-Saharan Africa have shown improved HIV treatment outcomes, such as uptake of HIV services, retention in care, and increased dignity and quality of life, by using community-based delivery of HIV services. As detailed in this Project SOAR final report, the study assessed the effectiveness of the community-based ART delivery intervention in improving …

Considerations For Collecting And Documenting Fgm/C Data By Health Care Providers, Dennis Matanda

Reproductive Health

Data on female genital mutilation/cutting (FGM/C) are rarely collected in health facilities, yet routine collection of facility-based data through other health-seeking visits (e.g., during antenatal care) is considered good medical practice and can be an important source of data. Clinical exams provide an opportunity to identify women and girls who have undergone FGM/C, which is an important step in aiding the prevention of chronic complications that can be difficult to manage later in life. These exams also make it possible to refer those with FGM/C-related complications for specialized treatment. Clinical visits also present an opportunity to discuss prevention of the …

Female Genital Mutilation/Cutting In Senegal: Is The Practice Declining? Descriptive Analysis Of Demographic And Health Surveys, 2005–2017, Dennis Matanda, Glory Atilola, Zhuzhi Moore, Paul Komba, Lubanzadio Mavatikua, Chibuzor Christopher Nnanatu, Ngianga-Bakwin Kandala

Reproductive Health

To achieve the Sustainable Development Goals, female genital mutilation/cutting (FGM/C) is one of the most prominent issues world leaders and governments must address. In Senegal, estimates from the 2017 Senegal Demographic and Health Survey show that almost a quarter of women aged 15–49 have undergone FGM/C, while 14 percent of girls aged 0–14 years have been cut. Given the many interventions that have been implemented in Senegal with the intention of scaling down FGM/C rates, the key question is: To what extent has the practice declined? The aim of this study, as presented in this working paper, was to generate …

Understanding Female Genital Mutilation/Cutting Abandonment In Egypt, Nada Wahba, Hania El Banhawi, Amira El Ayouti

Reproductive Health

Although the prevalence of female genital mutilation/cutting (FGM/C) in Egypt among married women aged 15–49 years is high (92 percent), in the most recent (2014) Demographic and Health Survey, prevalence rates appear to be declining among younger cohorts of girls and women. Support for the discontinuation of the practice is more widespread in younger generations, among females, and among those living in urban areas. Variations in attitudes toward FGM/C by education level and wealth status are also documented. While numerous studies have examined the reasons why people practice FGM/C, few studies have examined the characteristics of the individuals who have …

Health Care Providers' And Mothers' Perceptions About The Medicalization Of Female Genital Mutilation Or Cutting In Egypt: A Cross-Sectional Qualitative Study [Arabic], Omaima El-Gibaly, Mirette Aziz

Reproductive Health

The medicalization of FGM/C has been increasing significantly in Egypt making it the country with the highest rate of medicalization. In this qualitative study, we explore the drivers and motives behind why health-care professionals perform FGM/C and why mothers rely on them to perform the practice on their daughters.

No To Circumcision’: The Road To Effective Social Marketing Campaigns In Egypt [Arabic], Salma Abou Hussein, Sarah Ghattass

Reproductive Health

This study sought to understand how, where, and why social marketing campaigns (SMCs) supporting abandonment of female genital mutilation/cutting (FGM/C) are working, and with what impact, to inform design and scale-up of campaigns that can foster new perspectives, expectations, and behaviors.

A Diagnostic Assessment Of The Health System's Response To Fgm/C Management And Prevention In Nigeria—Brief, Osasuyi Dirisu, Adetayo Adetunji, Mayokun Adediran, Otibho Obianwu

Reproductive Health

Globally, over 200 million women have been cut and are living with FGM/C-related consequences. In Africa, an estimated 27 million, 24 million, and 20 million girls/women have undergone FGM/C in Egypt, Ethiopia, and Nigeria respectively, the countries with the highest prevalence of FGM/C on the continent. In Nigeria, although the practice is considered widespread, national surveys suggest a gradual decline of FGM/C prevalence among women aged 15–49 years from 30 percent in 2008 to 20 percent in 2018. While these statistics suggest progress, the prevalence is still as high as 67 percent in some states. Nigeria’s National Strategic Health Development …

A Diagnostic Assessment Of The Health System's Response To Female Genital Mutilation/Cutting Management And Prevention In Kenya: A Case Study Of West Pokot County, Samuel Kimani

Reproductive Health

Female genital mutilation/cutting (FGM/C), a pervasive cultural practice in some contexts, is associated with negative impacts on women’s and girls’ health and rights. The health sector is well positioned to respond to the prevention of FGM/C and the management of its complications because of its primary role in disease prevention, health promotion, and curative services. In Kenya, the health sector’s role is anchored in national and county legal and policy instruments and guidelines that are adopted or customized from global or regional frameworks as well as skills support tools approved by the World Health Organization. This brief highlights findings from …

Improving The Documentation Of Female Genital Mutilation Or Cutting (Fgm/C) Abandonment Interventions And Their Evaluations, Caroline W. Kabiru

Reproductive Health

Female genital mutilation/cutting (FGM/C) is internationally recognized as a violation of human rights. Consequently, there have been extensive efforts to promote the abandonment of the practice. There is limited evidence on the impact of many of the efforts, in part because many interventions are implemented by small organizations with inadequate resources to document and evaluate their activities. The complex nature of FGM/C interventions, as with other interventions aimed at addressing violence against women and girls, also makes it difficult to adequately document what is done, how, when, and with what results. Nonetheless, it is important that implementing organizations make every …