Jennifer Maldonado (I), her little sister and Carmen Carbajal, at the entrance to her home in San Salvador. They hung a white flag as a sign that they had run out of food during the quarantine adopted by the government since March 21 to contain the COVID-19 infections, as did many families in El Salvador and neighbouring Guatemala. This year marks the 25th anniversary of the Beijing Declaration and Platform for Action. It was supposed to have been a ground-breaking year for gender equality, but the coronavirus pandemic has instead widened inequalities for girls and women across every sphere. Credit: Edgardo Ayala / IPS

By Neena Bhandari
SYDNEY, Australia, Jul 24 2020 (IPS)

Sixteen-year-old Suhana Khan had just completed her grade 10 exams in March, when India imposed a nationwide COVID-19 lockdown. Since then, she has been spending her mornings and evenings doing household chores, from cooking and cleaning to fetching drinking water from the tube well. 

“I am really missing school. Nearly half the year has gone and we have no books and no teachers to teach. We don’t know if and when we will be able to resume our studies,” Khan, who is from Kesharpur village in the western Indian state of Rajasthan, told IPS.

The disappointment in her voice is palpable. While teachers at the local government school are supposed to conduct online classes, most of the 350 households in the village have only one mobile phone with internet connectivity, which male members in the family take to work.

School closures are putting young girls at risk of early marriage, unintended pregnancies and female genital mutilation (FGM). A recent analysis has revealed that if the lockdown continues for six months, the disruptions in preventive programmes may result in an additional 13 million child marriages, seven million unintended pregnancies and two million cases of FGM between now and 2030.

Suhana Khan (right) has been unable to complete her schooling after schools in India closed during a nationwide lockdown. Now she works as a volunteer teacher for younger children. Courtesy: Bodh Shiksha Samiti

Khan has been fortunate to find work as a volunteer teacher with a local community based Non-Government Organisation, Bodh Shiksha Samiti. She teaches 11 children from her extended family for two hours daily in her own home.

“I wish there was someone to teach me too. I am desperate to continue my education and become a police officer so I am able to protect myself and other girls and women. We can’t step out of our homes after sunset. Every day, we hear of girls being abused,” she told IPS.

This year marks the 25^th anniversary of the Beijing Declaration and Platform for Action, the most progressive blueprint ever for advancing women’s rights and gender equality. It was supposed to have been a ground-breaking year for gender equality, but the novel coronavirus pandemic has instead widened inequalities for girls and women across every sphere – from education and health to employment and security. It has increased women’s unpaid workload and aggravated the risk of domestic violence. 

Gabriela Cercós, 24, from Barueri, a municipality in Brazil’s São Paulo state, told IPS, “Women, who work from home are overburdened with housework, home schooling and looking after their children. In isolation, domestic violence has grown. Recently my close friend was assaulted, but she didn’t report the incident because she has a child and she can’t afford to be a single mother.” 

As COVID-19 cases spiral, lockdowns are being extended, further isolating women living with abusive, controlling and violent partners. Civil society organisations are reporting an escalation in calls for help to domestic violence helplines and shelters across the world. But for every call for help, there are several others who are unable to seek support.

Globally 243 million girls and women (aged 15-49 years) have been subjected to sexual and/or physical violence perpetrated by an intimate partner in the past 12 months. Yet, nearly 50 countries have no laws that specifically protect women from such violence. The global cost of public, private and social violence against women and girls is estimated at approximately two percent of global gross domestic product (GDP) or $1.5 trillion. As security, health and money worries heighten, and the stress is compounded by cramped and confined living conditions, these numbers will soar, according to United Nations Women. 

“Before COVID-19, we already knew that every country in the world would need to speed up progress to achieve gender equality by 2030. And we also know that disease outbreak affects women and men differently and exacerbates gender inequalities. That’s why to achieve the Sustainable Development Goals (SDGs) and have a strong response and recovery to COVID-19, we must apply a gender lens in order to address the unique needs of girls and women, and leverage their unique expertise. Without this gender lens, we can’t truly ‘Build Back Better,’” Susan Papp, Women Deliver’s managing director for Policy and Advocacy, told IPS.

Women Deliver, an international organisation advocating around the world for gender equality and the health and rights of girls and women, is powering the Deliver for Good campaign, an evidence-based advocacy campaign that calls for better policies, programming, and financial investments in girls and women. 

Essential maternal healthcare and family planning needs of girls and women have also been adversely impacted by reallocation of resources to contain the pandemic. 

“The impact of COVID-19 across Africa on women, girls and youth in particular has been immense. The pandemic closed more than 1,400 service delivery points across IPPF’s member countries, including nearly 450 mobile clinics, which are vital to reach rural populations, and in humanitarian settings so often poor and underserved,” International Planned Parenthood Federation’s (IPPF) Africa Regional Director Marie-Evelyne Pétrus-Barry told IPS. IPPF is one of some 400 organisations and diverse partners that have joined the Deliver for Good campaign by committing to deliver for girls and women. 

“Twenty of our African member associations reported shortages of sexual and reproductive health commodities within weeks of COVID-19 appearing. We’re now seeing the impact on our ability to deliver services, despite the very best efforts of our members to adapt to new ways of working. 

“The number of services delivered to young clients in Benin between March and May fell by more than 50 percent compared with the same time last year. In Uganda the fall was 47 percent. These are devastating figures, and the impact on women, girls and youth will be have a very negative impact on the development, livelihood and human rights of African women, girls and youth,” Pétrus-Barry added.

Women are primary caregivers, nurturing their own families, and they are also serving as frontline responders in the health and service sectors. Globally, women make up 70 percent of the health workforce – nurses, midwives and community health workers. They also comprise the majority of staff in health facility services, such as cleaning, laundry and catering. 

The pandemic has compounded the economic woes of women and girls, who generally earn less, work in insecure informal jobs and have little savings. Many women work in market or street vending, depending on public spaces and social interactions, which have now been restricted to prevent the spread of coronavirus. Almost 510 million or 40 percent of all employed women globally work in the four economic sectors – accommodation, food, sales and manufacturing – worst affected by the pandemic.

Cercós, who worked in hospitality at one of the international hotel chains earning a monthly income of BRL 2200 ($ 412) before the pandemic, is now on unemployment insurance. She’s just received the first of four instalments of BRL 1700 ($ 319) each.

“It is very difficult to get a job now. I have been having anxiety attacks. I am afraid to leave home and I am trying not to sink into depression. Some days are harder than others and the news doesn’t help,” she said.

This year, some 49 million extra people may fall into extreme poverty due to the COVID-19 crisis. In June, at the launch of the policy brief on food security, United Nations Secretary-General António Guterres’ warned that the number of people who are acutely food or nutrition insecure will rapidly expand.  He is urging governments to put gender equality at the centre of their recovery efforts.

Gerda Verburg, Scaling Up Nutrition (SUN) movement coordinator and U.N. Assistant Secretary-General, noted that gender equality (SDG 5), good nutrition and zero hunger (SDG 2) are intrinsically linked. SUN is also a partner organisation for the Deliver for Good campaign, prioritising action and investments for girls and women.

“Before the COVID-19 pandemic reared its head, progress was stalling in these areas, alongside needed climate action. Although the impacts of the coronavirus on women’s and girls’ nutrition and food security are yet to be seen, there is no doubt that the loss of livelihoods and food system disruptions – disproportionally affecting women and the future perspectives of young women – will push countries even further from reaching the Sustainable Development Goals (SDGs), and ensuring a more equal world, free from hunger and malnutrition in all its forms,” Verburg told IPS.

Asha Abdi, a former member of Nairobi County assembly, says progress for the increased participation of women in politics in Kenya has been painfully slow. Credit: Miriam Gathigah/IPS

By Miriam Gathigah
NAIROBI, Jul 6 2020 (IPS)

In 2013, Alice Wahome ran in her third attempt to win the hotly-contested Kandara constituency parliamentary seat in Murang’a County, Central Kenya. As is typical of rural politics, the field was male-dominated, with the stakes being high for all candidates but more especially so for Wahome — no woman had ever occupied the Kandara constituency parliamentary seat.

“It was a very brutal campaign. I was harassed, verbally abused, threatened with physical violence and many unprintable things were [said to me] even in public,” Wahome tells IPS.

She says that attributes that are considered admirable and desirable in male politicians were weaponised against her and other women in politics.

“When we vocalised our opinions they said we talk too much and the underlying message is that decent women do not talk too much. When you have a stand, and are firm in your political beliefs and values, they say you are combative, intolerant and aggressive. The same qualities in men are acceptable,” Wahome says.

So vicious was the contest for the hearts of Kandara’s voters that on the morning of the 2013 general elections, the community woke to find packets of condoms branded with Wahome’s name. On the packets were messages, purportedly from Wahome, encouraging voters to embrace family planning.

“This was a smear campaign to show my people that I was not fit to be their leader. There are many things that politicians give to voters, such as food items. Distributing condoms in a rural, conservative society on the day of the elections is political suicide,” Wahome, a lawyer, says.

Fortunately, she had spent years interacting with the community, promoting health initiatives, education and the empowerment of women and girls. So despite the smear campaign, Wahome became the first woman to win the Kandara seat and is currently serving her second term in the national assembly after her 2017 re-election.

Propaganda, threats of violence and especially sexual and physical violence, public humiliation and unrelenting vicious social media smear campaigns are a few of the challenges that women in politics, like Wahome, have to overcome to win and sustain political leadership.

This is in addition to overall campaign challenges such as limited financial and human resources and vicious internal politics. But even at the political party level, the system is still skewed in favour of men who own and finance these parties.

“The political arena is very hostile towards women. The campaign trail is littered with lived experiences of women who have been brutalised for seeking leadership,” Wangechi Wachira, the executive director of the Centre for Rights, Education and Awareness (CREAW), tells IPS.

CREAW is a local partner for Deliver For Good global campaign that applies a gender lens to the Sustainable Development Goals and is powered by global advocacy organisation Women Deliver. The Deliver For Good campaign partners advocate to drive action in 12 critical investment areas, including strengthening women’s political participation and decision-making power.

Wangechi has been at the forefront of holding the government accountable for gender equality and equity, as provided for by Kenya’s 2010 gender-progressive constitution, which demands that all appointed and elected bodies constitute one-third women.

Article 27 (8) of the Constitution’s Bill of Rights says: “The State shall take legislative and other measures to implement the principle that no more than two thirds of the members of elective or appointive bodies shall be of the same gender.” 

The national assembly is obligated to enact the Constitution of Kenya (Amendment) Bill 2018, also known as the Gender Bill, to realise this provision. But more than 10 years down the line, this obligation remains unfulfilled. In 2019, parliament did not even have the required two thirds of members present in the house — the requisite quorum for a constitutional amendment — to vote on the bill.

“The national assembly has failed the women of Kenya. We have gone to court to push for the national assembly to enact legislation to correct blatant gender inequalities. There is too much resistance and push back from a patriarchal system,” Wangechi says.

It is this resistance that women in politics find themselves up against in their quest for leadership. Women account for just 9.2 percent of the 1,835 elected individuals in 2017, a marginal increase from 7.7 percent in 2013, according to a report by National Democratic Institute and the Federation of Women Lawyers-Kenya, the latter being another Deliver For Good local partner. 

This report shows that in the 2017 elections, 29 percent more women ran for office than in the 2013 general elections and there are now more women in elected positions across all levels of government. But Asha Abdi, a former member of the Nairobi County Assembly, tells IPS that progress has been painfully slow.

Overall, there are now 172 women in elective positions — up from 145 in 2013. In the 2017 general elections, 23 women were elected to the national assembly compared to 16 in 2013, and another 96 were elected to the county assemblies compared to the 82 women in 2013.

As such, women account for 23 percent of the national assembly and senate, with this figure including the 47 seats reserved exclusively for county women representatives. 

Human rights campaigners say that the momentum to hold the national assembly accountable had picked but as the COVID-19 pandemic rages on, concerns are rife that the gender agenda is no longer a priority.

“COVID-19 has not slowed down political activities in this country. In fact, leaders are behaving as if we are going into elections tomorrow and not 2022. We have serious political re-alignments and nobody is speaking for women,” Grace Gakii, a Nairobi-based gender and political activist, tells IPS.

“Ordinary Kenyans are more concerned with staying safe from the virus and feeding their families. So some of the small gains we have made could be lost during this pandemic because there is no one to hold political parties and powers that be accountable,” she says.

Recognised as East Africa’s economic powerhouse by the World Bank, this economic giant lags behind its neighbours in as far as women representation across government bodies is concerned.

In South Sudan, the figures for women in politics are higher, with 28.9 percent in elected positions. Uganda has 34 percent, Tanzania and Burundi 36 percent, and Rwanda 61 percent.

“Political campaigns and the intense lobbying that goes with it are very difficult for women. There are many meetings at night and exclusive meetings in ‘boys’ clubs’. Society is warming up to women but too slowly. When you vie against men, all the male opponents gang up against you, because it is considered a big insult to be defeated by a woman,” Abdi says.

While the 2017 general elections showed a small shift in the political landscape, resulting in the election of the first three female governors and the first three female senators, Wahome says that the road ahead remains long and winding.

She says that women in politics should and can successfully rise to the challenge.

Wahome encourages women to draw strength from others who have tried and succeeded, saying that with time, patriarchal attitudes and customs will shift. She particularly encourages women to engage in grassroots transformative projects with their communities.

“There are many areas to choose from including education and community health. Let the people see what you can do and later, they will back you all the way to the top.”

Kenya's Matrimonial Property Act, which is discriminatory towards women and inconsistent with the country's constitution, means few married women own land. Less than five percent of all land title deeds in Kenya are held jointly by women and only one percent of land titles are held by women alone. Credit: Miriam Gathigah/IPS

By Miriam Gathigah
NAIROBI, Jun 1 2020 (IPS)

Ida Njeri was a civil servant with access to a Savings and Credit Cooperative Society (SACCO) through her employer, and her husband a private consultant in the information and communication sector, when she began taking low-interest loans from the cooperative so they could buy up land in Ruiru, Central Kenya. She’d willing done it. Part of their long-term plan together for having a family was that they would acquire land and eventually build their dream home. But little did Njeri realise that 12 years and three children later the law would stand against her right to owning the matrimonial property.

“As a private consultant, it was difficult for my husband to join a SACCO. People generally join SACCOs through their employer. This makes it easy to save and take loans because you need three people within your SACCO to guarantee the loan,” Njeri tells IPS.

“My husband had a savings bank account so we would combine my loans with his savings. By 2016, I had 45,000 dollars in loans. My husband would tell me the amount of money needed to purchase land and I would take out a loan,” she adds, explaining that her husband handled all the purchases.

By 2016 the couple had purchased 14 different pieces of land, each measuring an eighth of an acre. But last year, when the marriage fell apart, Njeri discovered that all their joint land was in her husband’s name.

“All along I just assumed that the land was in both our names. I never really thought about it because we were jointly building our family. Even worse, all land payment receipts and sale agreements are also in his name alone,” she says.

Worse still, there was little she can do about it within the current framework of the country’s laws.

Despite Article 45 (3) of the 2010 Constitution providing for equality during marriage and upon divorce, and despite the fact that  Njeri’s marriage was registered (effectively granting her a legal basis for land ownership under the Marriage Act 2014) there is another law in the country — the Matrimonial Property Act 2013 — which stands against her. 

More specifically, it is Section 7 of the act that states ownership of matrimonial property is dependent on the contributions of each spouse toward its acquisition.

• “Ownership of matrimonial property rests in the spouses according to the contribution of either spouses towards its acquisition, and shall be divided between the spouses if they divorce or their marriage is otherwise dissolved,” Section 7 states.  

Because Njeri had no proof of jointly purchasing the land, upon her divorce she is not entitled to it.

Hers is not an isolated case of married women struggling to ensure their land rights.

In 2018, the Kenya Land Alliance (KLA), an advocacy network dedicated to the realisation of constitutional provisions of women’s land rights as a means to eradicate poverty and hunger, and promote gender equality, in line with Sustainable Development Goals (SDGs), released an audit of land ownership after the disaggregation and analysis of approximately one third of the 3.2 million title deeds issued by the government between 2013 and 2017 — the highest number of title deeds issued in any regime.

Odenda Lumumba is a land rights activist and founder of KLA, which is a local partner for Deliver For Good, a global campaign that applies a gender lens to the Sustainable Development Goals (SDGs) and powered by global advocacy organisation Women Deliver. She explains that the data on land ownership is a pointer to the reality that gender disparities remain a concern, especially because of the intricate relationship between land tenure systems, livelihoods and poverty.

“There is very little progress towards women owning land. There are so many obstacles for them to overcome,” Lumumba tells IPS. 

• The KLA audit of land ownership found that only 103,043 titles or 10.3 percent of title deeds were issued to women compared to the 865,095 or 86.5 percent that went to men.

• Even greater gender disparities were found in terms of the actual land size. While men own 9,903,304 hectares in titled land, representing 97.76 percent of land, women own 1.67 percent or 10,129,704 hectares of land during this five year period.
• Further, this audit found that men own 75 percent of land title deeds of all allocated land settlement schemes.

In 2018, the Federation of Women Lawyers (FIDA) in Kenya petitioned Kenya’s High Court, arguing that Section 7 of the Matrimonial Property Act was discriminatory towards women and inconsistent and in contravention of Article 45 (3) of the Constitution.

The court dismissed the petition, ruling out a blanket equal sharing of marital property as it would “open the door for a party to get into marriage and walk out of it in the event of divorce with more than they deserve”.

Within this context, less than five percent of all land title deeds in Kenya are held jointly by women and only one percent of land titles are held by women alone who are in turn disadvantaged in the manner in which they use, own, manage and dispose land, says FIDA-Kenya.

But as gender experts are becoming alarmed by the rising numbers of female headed households — 32 percent out of 11 million households based on government estimates — securing women’s land rights is becoming more urgent.

“The Matrimonial Property Act gives women the capacity to register their property but a majority of women do not realise just how important this is. Later, they struggle to access their property because they did not ensure that they were registered as owners,” Janet Anyango, legal counsel at FIDA-Kenya’s Access to Justice Programme, tells IPS. FIDA-Kenya is a premier women rights organisation that, for 34 years, has offered free legal aid to at least three million women and children. It is also another Deliver For Good/Women Deliver partner organisation in Kenya.

Anyango says that in law “the meaning of ‘contribution’ was expanded to include non-monetary contributions but it is difficult to quantify contribution in the absence of tangible proof. In the 2016 lawsuit, we took issue with the fact that the law attributes marital liabilities equally but not assets”.

• In 2016 FIDA-Kenya sued the office of the Attorney General with regards to act, stating the same issues of discrimination against women. 

In addition to the Matrimonial Property Act, laws such as the Law of Succession Act seek to cushion both surviving male and female spouses but are still skewed in favour of men as widows lose their “lifetime interest” in property if the remarry. And where there is no surviving spouse or children, the deceased’s father is given priority over the mother. 

Women Deliver recognises that globally women and girls have unequal access to land tenure and land rights, creating a negative ripple effect on development and economic progress for all.

“When women have secure land rights, their earnings can increase significantly, improving their abilities to open bank accounts, save money, build credit, and make investments in themselves, their families and communities,” Susan Papp, Managing Director of Policy and Advocacy at Women Deliver, tells IPS.

She says that applying a gender lens to access “to resources is crucial to powering progress for and with all during the COVID-19 pandemic, even as the world continues to work towards the SDGs”.

And even though marriage services at the Attorney General’s office have been suspended due to the COVID-19 pandemic, as have all services at the land registries, women like Njeri will continue to fight for what they rightfully own.

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At least 54 percent of sexually active adolescent women in Kenya who would like to postpone pregnancy have an unmet need for modern contraception. Credit: Miriam Gathigah/IPS

By Miriam Gathigah
NAIROBI, May 25 2020 (IPS)

It was only when 17-year-old Eva Muigai was in her final trimester that her family discovered she was pregnant. Muigai, a form three student who lives with her family in Gachie, Central Kenya, had spent her pregnancy wearing tight bodysuits and loose-fitting clothes that hid her growing baby bump.

“The plan was to have an abortion but I was too scared. My classmate had an abortion last year and she almost died, so I kept postponing the abortion.

“I gathered courage at five months and my cousin took me to a man who does abortions at the shopping centre. He refused to do the abortion because he preferred pregnancies that were not older than three months,” Muigai tells IPS.

Muigai says that one day, while seven months pregnant, she “just fainted and my mother tried to loosen my clothes so that I could get more air”.

“It then became clear that I was pregnant,” she recalls.

Last month, two weeks shy of her due date, Muigai was rushed to hospital with severe abdominal cramps. The attending doctor rushed Muigai into theatre for an emergency caesarian section.

Her newborn baby did not survive.

Last week, Muigai was re-admitted to hospital with further complications after first experiencing swelling in her stomach and then her entire body.

“Complications of pregnancy and child birth are a leading cause of preventable deaths and ill health among adolescent women, aged 15 to 19 years, in Kenya,” Angela Nguku, executive director of the White Ribbon Alliance for Safe Motherhood, Kenya, tells IPS.

The alliance has been at the forefront of advocating for adolescent health and universal access to sexual and reproductive health and rights (SRHR) and is a Deliver For Good partner organisation in Kenya.

• Deliver For Good is a “global campaign that applies a gender lens to the Sustainable Development Goals (SDGs) and promotes 12 critical investments in girls and women to power progress for all”. Powered by Women Deliver, a global advocacy organisation that champions gender equality and the health and rights of girls and women, more than 400 organisations have joined the Deliver for Good Campaign.

Tamara Windau-Melmer, a senior manager for Youth Engagement at Women Deliver, says that adolescent girls are often left behind because the policies, programmes, and investments meant to serve them are not designed in an inclusive, gender-responsive way.

“Adolescent girls must be meaningfully and authentically engaged in decision-making about their own lives, especially as it pertains to information about and access to contraception,” she tells IPS.

• According to the World Health Organisation (WHO), adolescent mothers face higher risks of eclampsia, uterine infection and systemic infections than women aged 20 to 24 years.
• Babies of adolescent mothers face higher risks of low birth weight, preterm delivery and severe neonatal conditions.

“Additionally, comprehensive sexuality education is critical as it offers the opportunity to reach adolescent girls with important information and skills to take control of their lives and pursue a brighter future for themselves, their families, and their communities,” Windau-Melmer says.

But the provision of comprehensive sex education in Kenya remains a hotly-contested issue by religious leaders, who hold great sway on such matters, and it is yet to be rolled out in line with National Adolescent Sexual and Reproductive Health policy.

Nguku says that despite a 2012 government commitment to provide affordable and accessible high quality reproductive health services to adolescents, this promise remains on paper in the form of the National Adolescent Sexual and Reproductive Health policy.

“The policy was updated in 2015 so that adolescents can have accurate, timely information and quality services but adolescent women still have many unmet needs,” she says.

• Adolescent women in Kenya account for an estimated one-fifth of the female population of over 26 million, and account for approximately 14 percent of all births, according to the most recent Kenya Demographic and Health Survey. 
• Statistics by the Guttmacher Institute, a leading global research organisation, show that 63 percent of pregnancies among adolescents in Kenya are unintended, as was the case with Muigai. 35 percent of these unintended pregnancies are aborted. 

But research by the Guttmacher Institute shows that at least 54 percent of sexually active adolescent women in this East African nation who would like to postpone pregnancy have an unmet need for modern contraception.

• The institute’s research further shows that satisfying the unmet need for modern contraceptives among adolescent women in Kenya would result in a 73 percent drop in unintended pregnancies. Currently, adolescent women account for an estimated 86 percent of all unintended pregnancies in the country. 
• Further, the Guttmacher Institute shows that a combination of modern contraceptives for all adolescents who need it, and adequate care for all pregnant adolescents and their newborns, would reduce adolescent maternal deaths by 76 percent. Currently maternal deaths stand at 450 per year.

Georgina Nyambura, the founder of Umoja Women Mobile Health Care, a registered, community-based organisation with over 6,000 members across the country, says that stigma and discrimination remain barriers to adolescent women seeking SRHR services. Credit: Miriam Gathigah/IPS

These grim statistics pale in comparison to the country’s impressive progress toward the increased uptake of modern contraceptives.

At the end of the 2012 Family Planning Summit in London, where governments and donors committed to ensure more women and girls could access modern family planning by 2020, Kenya committed to increasing the uptake of modern contraceptives by married women to 58 percent. 

By 2017, Kenya surpassed the set target, increasing the uptake of modern contraceptives for all women by a third. Statistics by the Ministry of Health show that contraceptive usage for all women now stands at 61 percent. But for adolescent women this usage stands at 40 percent.

As a result, nearly one in every five teenage girls has either had a live birth or is pregnant with their first child, according to the Ministry of Health.

“Our society is very religious and even where policies allow young girls to access all the sexual and reproductive health services all women are entitled to, the situation is very different on the ground,” says Georgina Nyambura, the founder of Umoja Women Mobile Health Care, a registered, community-based organisation with over 6,000 members across the country.

“It is a common saying that girls are more afraid of pregnancy and, therefore, evidence that they are having sex, than of HIV.”

• In Kenya, nearly half of new HIV infections occur among the country’s youth aged 15 to 24 years.

To address fears of stigma and discrimination towards adolescent women, Nyambura urges the government and actors in the health sector to re-evaluate the manner in which this cohort access services, including information on sexuality.

However, the current coronavirus pandemic is expected to reverse any gains that have already been made. Kenya has reported some 1,214 COVID-19 cases. The country has been in a nationwide lockdown since April, with a nighttime curfew still in place and schools and religious centres closed.

“A health pandemic such as COVID-19 will only widen the existing gap between adolescent women and all the SRHR services that they need. Human and financial resources have now been directed into fighting this health crisis.

“On the other hand, people themselves will only come to the hospital now if it is a matter of life and death. Pandemics affect our health service seeking behaviours and patterns,” Grace Kanini, a nurse at one of the country’s referral hospitals, tells IPS.

However, adolescent health challenges informed the government’s family planning commitments made in 2017 during the second Family Planning Summit in London.

Two of the three revised government commitments on family planning target adolescent women. 

• The first commitment is to scale up contraceptive uptake from 61 percent to 66 percent for all women by 2030.
• The second commitment is to increase contraceptive prevalence rate among adolescent women from 40 to 50 percent by 2020, and to 55 percent by 2025.
• And a further commitment to reduce teenage pregnancy among adolescent women from 18 to 12 percent by 2020, and to 10 percent by 2025.

For the first seven months of her pregnancy, while she was hiding it from her family, Muigai did not have a single antenatal care checkup. And she is not an anomaly.

According to the Ministry of Health, 51 percent of pregnant adolescents have fewer than the four essential antenatal care visits recommended by the WHO, and 33 percent do not give birth in a health facility. 

Nguku says that the government will need to invest more into family planning programmes that target this cohort.

Fully meeting contraception, maternal and newborn health care needs for adolescents across the country would cost an estimated 89 million dollars each year.

But not meeting these needs will cost an estimated 114 million dollars annually, of which 63 million dollars would go to care related to unintended pregnancies, says the Guttmacher Institute.

The scenario speaks true to Muigai’s situation.

An ‘A’ student with dreams of becoming a neurosurgeon, she now lays in a referral hospital receiving medical treatment. 

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