Professional Documents
Culture Documents
SPEAK
A NEW VOICE
IN GLOBAL
DEVELOPMENT
A GIRLS COUNT REPORT ON
ADOLESCENT GIRLS
MARGARET E. GREENE
LAURA CARDINAL
EVE GOLDSTEIN-SIEGEL
INTERNATIONAL CENTER
FOR RESEARCH ON WOMEN
Cover Photo
The Binti Pamoja (Daughters
United) Center is a program
of Carolina for Kibera in the Nairobi
slum of Kibera, Kenya. The program
creates and provides a safe space
for adolescent girls to develop
girls’ leadership, communication
skills and self confidence.
development increase unique insights into their lives and work alongside
them to achieve their goals. Cultivate girls’ voices and
iv
Give girls public platforms to
amplify their voices
Include girls’ voices at institutions, in media, at events
and in campaigns. Provide girls with a platform to voice
their opinions, and work with them to strengthen and
amplify their voices.
v
vi
GIRLS
SPEAK
A NEW VOICE
IN GLOBAL
DEVELOPMENT
A GIRLS COUNT REPORT ON
ADOLESCENT GIRLS
MARGARET E. GREENE
LAURA CARDINAL
EVE GOLDSTEIN-SIEGEL
vii
0HOTO #REDIT $AVID 3NYDER FOR )#27
CONTENTS
GIRLS SPEAK
CONTENTS
iv Taking Action for Girls:
Elevating Their Voices
xii Foreword
xv Acknowledgements
1 Introduction
2 Methodology
36 For programmers
37 For policymakers
40 For donors
45 Appendix
Opposite Page
! GIRL DUMPS WASTE WATER AMID
PILES OF GARBAGE IN THE MASSIVE
3HIVAJI .AGAR SLUM IN -UMBAI
)NDIA ,IVING CONDITIONS IN THE SLUM
ARE EXTREMELY POOR AND GIRLS HAVE
FEW OPPORTUNITIES TO RISE ABOVE THE
POVERTY THAT DElNES SUCH
A LANDSCAPE
ix
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
x
BOXES, FIGURES & TABLES
GIRLS SPEAK
BOXES, FIGURES
& TABLES
Boxes
Figures
Tables
Opposite Page
! GIRL IN +ENYA lNISHES HER HOUSE-
HOLD CHORES WHILE OTHERS RELAX
)NVESTMENTS IN INFRASTRUCTURE AND
TECHNOLOGY CAN REDUCE THE CHORE
BURDEN ON GIRLS GIVING THEM MORE
TIME FOR SCHOOL READING AND PLAY
xi
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
GIRLS SPEAK
FOREWORD
If you want to change the world, invest in an 3)+1'+1*(<'=4027*)'"/2%*+0*41'8$)%>+(*0$30'/"1"'"4/'
adolescent girl. insights to drive meaningful action.
An adolescent girl stands at the doorway of In 2008, Girls Count: A Global Investment and Action
adulthood. In that moment, much is decided. If she Agenda did just that. Authored by Ruth Levine from
stays in school, remains healthy, and gains real the Center for Global Development, Cynthia B. Lloyd
skills, she will marry later, have fewer and healthier of the Population Council, Margaret Greene of the
children, and earn an income that she’ll invest International Center for Research on Women, and
back into her family. Caren Grown of American University, Girls Count laid
out the case for investing in girls and outlined actions
But if she follows the path laid down by poverty, she’ll that policymakers, donors, the private sector, and
leave school and enter marriage. As a girl mother, development professionals can and should take to
an unskilled worker, and an uneducated citizen, she’ll improve the prospects for girls’ wellbeing in the
miss out on the opportunity to reach her full human developing world.
potential. And each individual tragedy, multiplied by
millions of girls, will contribute to a much larger down- Today, we are pleased that Girls Count has gone into
ward spiral for her nation. its second printing. More importantly, the authors
have continued beyond that groundbreaking work to
Investing in girls is the right thing to do on moral, explore girls’ lives further. Together, the results com-
ethical, and human rights grounds. Perhaps no other prise the new Girls Count series:
segment of society globally faces as much exploitation
and injustice, and we owe girls our support as integral, ?' @4'New Lessons: The Power of Educating
yet overlooked, members of the human family. Adolescent Girls, Cynthia B. Lloyd and Juliet Young
demonstrate that education for girls during adoles-
Investing in girls is also the smart thing to do. If the cence can be transformative, and they identify a
600 million adolescent girls in the developing world broad array of promising educational approaches
today follow the path of school drop-out, early mar- which should be evaluated for their impact.
riage and early childbirth, and vulnerability to sexual
violence and HIV/AIDS, then cycles of poverty will ?' @4'Girls Speak: A New Voice in Global Development,
only continue. Margaret Greene, Laura Cardinal, and Eve Goldstein-
Siegel reveal that adolescent girls in poverty are acutely
Yet today, only a tiny fraction of international aware of the obstacles they face, but are full of ambi-
aid dollars is spent—and spent effectively—on needs tious, powerful ideas about how to overcome them.
+(*0$30'12'"/2%*+0*41'8$)%+-';:"1',4/*)$47*+1#*41'
is the reality the Coalition for Adolescent Girls ?' @4'Start with a Girl: A New Agenda for Global
(www.coalitionforadolescentgirls.org) is trying to change. Health, Miriam Temin and Ruth Levine describe the
positive multiplier effect of including adolescent
Launched by the United Nations Foundation and the girls in global health programs and policies—and
Nike Foundation in 2005, the Coalition’s goal is to the risks if they continue to be left out.
offer fresh perspectives, diverse resources, and con-
crete policy and program solutions to the challenges ?' ;:)2,8:'Girls Discovered: Global Maps of
facing adolescent girls in developing countries. Our Adolescent Girls, Alyson Warhurst, Eva Molyneux,
xii
FOREWORD
xiii
0HOTO #REDIT 4IANA -ARKOVA
'OLD
xiv
ACKNOWLEDGEMENTS
GIRLS SPEAK
ACKNOWLEDGEMENTS
We are grateful to the adolescent girls whose voices
speak from these pages. We thank the United Nations
Foundation and the Nike Foundation for their support
of this research and their ongoing commitment to
adolescent girls around the world. Many organizations
and people contributed to this work through their
generosity with their data and ideas. The Guttmacher
Institute’s rich interviews with girls in sub-Saharan
Africa were fundamental to our analysis. Harriet Birungi’s
research on HIV-positive girls in Uganda was also
important. We thank Lauren Weeth for directing us to
data she had been involved in collecting on schooling
in Morocco. Priya Patil’s assistance with the quanti-
tative data and discussions of how best to present
the ideas they contained was valuable and timely.
Alison Gold contributed to some of the early thinking
on the paper, and Karin Ringheim reviewed recent
literature on girls and provided the basis for the direc-
tion we would take. Anju Malhotra provided useful
comments on several iterations of the paper. Anjala
Kanesathasan drew on her knowledge of programs to
provide input on the assertions and arguments of the
paper. Sandy Won provided superb editorial input
at the right moment, and she and Sandra Bunch
provided important guidance on the paper’s
central messages.
Opposite Page
4HROUGH A GRANT FROM THE 'LOBAL
&UND FOR #HILDREN .UCLEO
3OCIO
#ULTURAL #AIXA DE 3URPRESAS
IN 2IO DE *ANEIRO PROMOTES THE
POTENTIAL OF ADOLESCENTS THROUGH
THE CREATIVE ARTS
xv
GIRLS SPEAK: A new voice
in global development
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
xvi
EXECUTIVE SUMMARY
GIRLS SPEAK
EXECUTIVE SUMMARY
B/2%*+0*41'8$)%+'$4'(22)'02,41)$*+'(%"&'($721"%'>'C,1' First, it should assure policymakers and program
2!1*4'27*)%22D*/'>')2%*+'$4'1:*$)'!"#$%$*+'"4/'02#- managers that adolescent girls have the self-
munities. Each day they cook, clean, fetch water, do determination required to begin better lives. The
agricultural work, and care for children and the circumstances may vary, but every girl shares a basic
elderly, which frees up time for other family members dream: “I want to see progress in my life,” says an
to work and earn money. But providing these services 18-year-old girl from rural Ghana.1 “Every human
02#*+'"1':,8*'02+1+'12'1:*'8$)%+'1:*#+*%7*+'>'"4/'12' being prays for good things, and I am no exception.”
1:*$)'!"#$%$*+'"4/'*7*41,"%%&'12'!,1,)*'8*4*)"1$24+'>' Girls want to be educated, productive, self-reliant,
because denying opportunities to girls prevents them and healthy members of their societies. Girls also
from reaching their full potential. want to be free from abuse and sexual violence, free
to choose who and when to marry, and free to decide
We know much more about those costs now than when to have children.
we did 10 or 20 years ago: Many girls have no say
in major life decisions. Family and community norms E*024/6'$1')*7*"%+'1:"1'8$)%+'0243)#'1:*'8)25$48'C2/&'
often harm their well-being and their transitions to of research about what leads to long-term change
adulthood. Girls marry and have children at young for themselves and their families: health, education,
ages, often against their will. Violence is common- economic choice, and delayed marriage and child-
place, impairing their health and schooling. Economic C*")$48-'F$)%+'")*'421'24%&'/*1*)#$4*/'>'1:*&':"7*'
opportunities outside the household are rare. clear ideas about what needs to change in their lives
for them to succeed.
With a clearer view of the issues, the global com-
munity is now grappling with solutions. These are Third, a girl’s-eye view of her barriers can point the
not easy to identify because few development way to the highest-priority interventions. Girls’ opin-
approaches focus on girls. Policies and programs ions reinforce a forbidding reality: they cannot change
are imported from best practices elsewhere, without their lives on their own. Families, teachers, mentors
regard to the particular circumstances or environ- and community attitudes are central to unleashing
ments that shape girls’ lives. Many of these programs girls’ potential. As a Moroccan schoolgirl states,
are unsuccessful as a result. “Though we are girls, we have dreams and hobbies,
"4/'5*'5"41'12'"0:$*7*'82"%+6'C,1'5*'/24G1'34/':*%('
Addressing adolescent girls’ challenges requires 1:"1'0"4'%*"/',+'12'!,%3%%'1:*+*'/)*"#+-H2 Girls as a
a fundamentally different starting point: Girls them- group express the idea that in order to change their
selves. Not women, not youth, but girls. And integral %$7*+6'5*'#,+1'34/'5"&+'12'2(*4'1:*'#$4/+'2!'1:2+*'
to that is listening to girls and paying real attention around them.
to what they have to say.
Finally, listening to girls and working alongside them
Today, we know very little about how girls see to achieve their goals adds moral authority. Girls
their lives and what they want for themselves and their provide sharp insights into how to improve their own
futures. Girls Speak: A New Voice in Global Development circumstances.
draws together girls’ voices and makes them acces-
Opposite Page
sible to policymakers and program managers. -ARLEEN IN .AIROBI HAS LEARNED
IMPORTANT LIFE SKILLS TO HELP HER TAKE
CHARGE OF WHEN TO MARRY HAVE
CHILDREN AND AVOID GENDER
BASED
E2'5:"1'/$!!*)*40*'/2*+'%$+1*4$48'12'8$)%+'#"D*< VIOLENCE AND EXPLOITATION
xvii
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
xx
EXECUTIVE SUMMARY
I stopped studying
It is time for girls to speak out—and for development
organizations to cultivate and listen to their ideas.
“We the children are experts on being 8, 12, or 17 years
old in the societies of today,” says Heidi Grande,
a 17-year-old Norwegian girl speaking at a United after class five
because my father
Nations consultation with children.3 “To consult us
would make your work more effective and give better
results for children.”
xxi
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
young.
health services. At greater risk of becoming infected
by HIV than males, they want to know about the
potential negative consequences of HIV and AIDS,
how to prevent it, and how to protect themselves
from sexual violence.
xxii
0HOTO #REDIT $AVID 3NYDER FOR )#27
xxiii
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
Parents give
contributions and in so doing fail to provide the inputs
required for meaningful livelihood development. New
organizational collaborations are needed to overcome
Though we are girls, about our domestic contributions and start thinking
about our economic contributions outside the home.
find help that can plan—call for families, communities and develop-
ment efforts that create an environment where girls
lead us to fulfill
can thrive. Girls have a fundamental right to be heard,
valued and respected. They must have the skills and
2((2)1,4$1$*+'12'!,%3%%'1:*$)'(21*41$"%'"4/'0241)$C,1*'
assistance and
and engage them in decision-making processes.
Shift the paradigm from working for adolescent girls
to working with them as partners. Listen to girls’
support from NGOs, unique insights into their lives and work alongside
them to achieve their goals. Cultivate girls’ voices and
either material
engage them in developing, executing and evaluating
programs and services.
xxvi
EXECUTIVE SUMMARY
xxvii
0HOTO #REDIT *EAN "UNTON)#27
INTRODUCTION
GIRLS SPEAK
INTRODUCTION
1
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
are experts on
this generation of girls can be heard saying in a mil-
lion ways that they need help. If girls could express
their own interests, they would ask for the things out-
for children.
and focus groups with girls, boys, and parents col-
lected by ICRW and other research organizations in
numerous countries over the past several years.
The data sources and methodology are outlined
in Appendix I.
Opposite Page
! GIRL IN !FGHANISTAN WHERE YOUNG
WOMEN FACE SIGNIlCANT OBSTACLES IN
EDUCATION JOBS AND HUMAN RIGHTS
2
0HOTO #REDIT 5. 0HOTO,UKE 0OWELL
3
IN THEIR
OWN
WORDS
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
Girls’ aspirations coalesce around of earth and life sciences; Meriem hopes to become
common themes. Below, the a psychologist; and Farud hopes to become a science
1*"0:*)'"+'5*%%-'B4/'@':2(*'12'C*'"'+0$*41$30'*48$4**)-'
authors outline six of the most
Education is imperative to achieve our dreams and
prevalent, including the desire inform ourselves.”12
to be healthy and educated—
with viable livelihoods and career In sub-Saharan Africa, education is cited as “most
opportunities, financial security dear” to girls13 and seen as key to independence.
and independence—and to In rural Burkina Faso, Ghana, Malawi, South Africa,
and Uganda, adolescent girls stated their greatest
marry and have children at the
5$+:'5"+'1:*'"C$%$1&'12'34$+:'1:*$)'*/,0"1$24-
appropriate time. An 18-year-old girl in rural Malawi explained, “If only
I can get educated I will surely be the president.”17
Underlying all the themes is one
universal: a shared inability to In many developing countries, families face many
barriers to getting their girls in school and keeping
make decisions about their own
them there. Parents do not send their daughters to
lives even though they know school for a number of reasons: they cannot afford
what they need.11 the school fees and uniforms, they think that the
distance to school is too long and unsafe for girls, or
We want to delay marriage they choose to send to school a son who can support
and childbirth so we can continue them instead of a daughter who will be married off to
our education. live with her in-laws. Many poor families may marry
off their daughters because the girls are seen as eco-
Research shows that education and marriage are nomic burdens to their households. In some cases,
often mutually incompatible life stages for girls in the family might receive a dowry or bride wealth from
many parts of the world. Their transition from school- her marriage. Decisions about a girl’s education and
ing to marriage is one of the most critical in their lives, marriage are usually linked and often made without
and often determines future life prospects. A family’s a girl’s input and sometimes without her knowledge.
decision to continue schooling for a girl often means a
delayed marriage. Similarly, a decision to marry a girl Regional surveys of youth found that in East Asia
early usually means an end to her formal education. "4/'1:*'R"0$306'SN'(*)0*41'2!'"/2%*+0*41'8$)%+'!*%1'
that their opinions were not taken into consideration
Education is fundamental to improving a girl’s life and enough or at all when household decisions were
broadening her view of what she can achieve, which made on their behalf. When asked about community-
has been well-documented in research. Education level decisions that directly affect them or their
increases a girl’s income-generating opportunities adolescent peers, the number increased to 50 per-
and improves her health and her future family’s health. cent of girls.19 In Europe and Central Asia, 38 percent
Several studies have shown that an extra year of of girls felt their opinions were not considered in the
schooling for a girl leads to better nutrition and more home. While there is enormous regional variation,
education for her children. Girls themselves recognize girls’ sense that they cannot fully shape their own fates
that education is fundamental to productive participa- is common.
tion in society and their future prospects. In Azrou,
Morocco, girls described their hopes for their educa- Data from India show that more than half of girls have
tion and careers: little or no say in life-changing events, including when
Previous Page
to marry, when to have children, or whether to pursue
)N +ENYA "EATRICE HOLDS HER SISTER “We are a group of hopers and a group of friends. schooling (Figure 1.1).21 A girl’s ability to “have a say”
OUTSIDE THEIR HOME !LTHOUGH "EA-
TRICE IS WEARING A SCHOOL UNIFORM Rabia hopes to become a veterinarian; Sena hopes to in life events can increase with age, but some life
SHE HAD TO DROP OUT OF SCHOOL DUE
TO LACK OF SCHOOL FEES A DANGER- C*02#*'"'(2%$0*'2!30*)Q'@41$++")':2(*+'12'C*02#*'"' choices, such as marriage and schooling, are decided
OUS SITUATION FOR AN ADOLESCENT GIRL
LIVING IN +IBERA .AIROBI science teacher; Fatima hopes to become a teacher for them early on.
6
IN THEIR OWN WORDS
FIGURE 1.1
80
60
Percent
40
20
0
When to have Schooling
When to marry
children opportunities
Data from Bihar and Jharkhand, India
Not at all Sometimes Usually Source: ICRW. 2008. Catalyzing Change: Improving Youth Sexual and
Reproductive Health through DISHA, An Integrated Program in India.
Washington, DC: International Center for Research on Women.
FIGURE 1.2
30
20 17.5
14.8
10
Nepal Bangladesh Sources: ICRW, 2005, Nepal Project, unpublished data; Steele, F., S. Amin, and R. T. Naved. 1998.
“The Impact of an Integrated Micro-credit Program on Women’s Empowerment and Fertility in Rural
Bangladesh.” London School of Economics.
7
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
")*'+2#*'5:2'/24G1':"7*'1:*'34"40$"%'#*"4+'12'34$+:'
TABLE 1.0 their studies, or else their fathers don’t allow them to
34$+:K%$D*'5*'5*)*'+"&$48'C*!2)*K+2'1:"1'1:*&'5$%%'
get married or go and work.”23
Marriage interferes directly
with aspirations for schooling A 20-year-old Bangladeshi garment worker noted
)*8)*1!,%%&'1:"16'T@'+12((*/'+1,/&$48'"!1*)'0%"++'37*'
(data from Bangladesh) because my father was religious and did not believe
in girls’ education. Now I know the value of education.
UNMARRIED MARRIED No one can take it away from you; it is your
very own.”24
Age (mean) 13.1 15.9
8
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
9
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
10
CHAPTER TITLE GOES HERE
11
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
Girls Say:
to be married later, have some say over the match,
and have more control over the number and timing of
the children they bear.
Teach families and communities how important schooling is and how
much it means to girls. Help families and communities—especially men Few girls envisioned having husbands or children
and boys—to find concrete ways to delay marriage and support girls’ 5$1:$4'37*'&*")+6'"002)/$48'12'9,"%$1"1$7*'$41*)7$*5+'
educational attainment. with adolescent girls with a mean age of 16 in four
sub-Saharan countries.33 Instead, they talked about
In Upper Egypt, the Ishraq program initiated a process of social change in continued schooling, professional accomplishments,
the community by engaging parents and boys in support of greater life "4/'1:*'5$+:'12'254'%"4/'"4/'C*02#*'+*%!A+,!30$*41-'
opportunities for girls. An evaluation of the program found that parents who Girls did not mention a desire to have a family until a
participated in Ishraq were dramatically less likely to agree that a girl should %248*)'1$#*'!)"#*KC*&24/'37*'&*")+K5"+'+(*0$-
be beaten if she disobeys her brother than parents who did not participate, 3*/-'B'9,"%$1"1$7*'+1,/&'"#248'$4/$8*42,+'"/2%*+0*41'
and early marriage rates also declined. girls in Guatemala showed that school enrollment and
attendance increased girls’ desired age of marriage.
In Pakistan, boy scouts in partnership with UNICEF started a program called One indigenous girl in high school in Guatemala said,
“Brothers Join Meena,” which promotes education and better health for girls. “I would like to get married when I am 25 or 27…
Boy scouts escort girls to school, talk to adults in the community about the because I have my goals, as I told you already, to
importance of educating girls, and immunize children against polio. graduate [from high school] and also graduate from
the university.”34 A South African girl explained, “I
Teachers are another important source of encouragement for girls, and 5"41'12'8*1'#"))$*/'C,1'3)+1'@'5"41'12'*4I2&'#&'&2,1:-'
1*"0:*)+'5:2':"7*':$8:'*J(*01"1$24+'2!'8$)%+'$4P,*40*'1:*#'$4'"'(2+$1$7*' @'()*!*)'12'C*'$4'#&'UN+'5$1:'#&'3)+1'0:$%/-H
direction. In Gansu, for example, one of the poorest provinces in China,
teacher expectations that a girl will do well in school are associated with the Girls know what we know—staying in school and
girl’s own higher aspirations for education several years later. A teacher’s getting married later will help them improve their life
early support and optimism about a child’s ability to perform is seen to raise options. Nevertheless, girls continue to have little say
1:*'#21:*)G+'"+($)"1$24+'"4/'$4P,*40*'1:*'(")*41'12'(%"4'!2)'#2)*'+0:22%$48' over the timing of marriage and the duration of their
for her child. schooling. In order to help girls stay in school and
delay marriage, programs must engage family mem-
Sources: Brady, M, Assaad, R., Ibrahim, BV, Salem, A, Salem, R. Zibani, N. 2007. Providing new
opportunities to adolescent girls in socially conservative settings; The Ishraq program in rural C*)+6'02##,4$1&'%*"/*)+6'"4/'21:*)'$4P,*41$"%'(*2(%*'
Upper Egypt. New York: The Population Council. in girls’ lives to emphasize the importance of school-
ing for girls and the risks of early marriage.
The World Organization of the Scout Movement. 2006. “Boy Scouts in Pakistan support girls’
education.” World Scout Bureau: Geneva, Switzerland.
As parental and teacher encouragement increases, so
Hannum, E and J. Adams. 2006. “Girls in Gansu, China: Expectations and aspirations for second-
ary schooling,” in M. Lewis and M. Lockheed, (Eds). Exclusion, Gender and Education: Case
do girls’ aspirations for educational and occupational
Studies from the developing world. Washington, DC: Center for Global Development. attainment.36 Girls recognize the role their parents
play both in the development and achievement of their
aspirations. As a Moroccan high school girl put it,
“The thing that helps us to realize our dreams is
encouragement of the family.”37
Previous Page
-AHMUDA AGE GAVE BIRTH TO
A BABY BOY MONTHS AFTER BEING We want nutritious food and
MARRIED IN "ANGLADESH 4ODAY SHE
STRUGGLES TO PAY FOR HEALTHCARE access to basic health services.
FOR HER SICK CHILD 'IRLS WHO MARRY
EARLY OFTEN PASS DISADVANTAGE
TO THEIR CHILDREN PERPETUATING THE
CYCLE OF POVERTY
There is a need to address the health problems of
low-income communities in all regions of the world,
Opposite Page
! GIRL IN (AITI RECEIVES A CHECK
UP but girls require special attention because of their
AND TREATMENT #OUNTRIES TORN BY
CONmICT OR NATURAL DISASTERS HAVE A particularly vulnerable situations. Their basic needs
PARTICULARLY HARD TIME REACHING GIRLS
VIA TRADITIONAL HEALTH CARE SYSTEMS for food, health information, and health resources
12
0HOTO #REDIT 5. 0HOTO,OGAN !BASSI
13
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
16
IN THEIR OWN WORDS
\*"%1:'0")*'+*)7$0*+6'5:*4'"7"$%"C%*6'")*'/$!30,%1'
for young people to access. Family and community
members, and even health care staff themselves,
often prevent young people from obtaining these ser-
7$0*+'2)'!"$%'12'()21*01'1:*$)'()$7"0&'"4/'0243/*41$"%$1&6'
which in turn deters young people from using these
+*)7$0*+-']2,1:'!)2#'M^'024P$01A"!!*01*/'02,41)$*+'
discussed the challenges to their health, including
their lack of access to health facilities and the
unfriendliness of these services to young people:
17
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
0HOTO #REDIT 4IANA -ARKOVA
'OLD
18
CHAPTER TITLE GOES HERE
19
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
children, at least
able to sexually transmitted infections, including HIV,
and physical and sexual violence than their male
peers. Poverty, hunger, and a lack of economic alter-
I want to work
and older partners are a common source of money
for food, school fees, and other necessities for poor
want to be like such alliances, they have little control over sexual
practices within partnerships, including whether con-
20
IN THEIR OWN WORDS
Girls Say:
maternal mortality reaches its highest levels, 60
percent of all unsafe abortions occur among women
ages 25 or younger; 70 percent of women hospital-
ized with complications from an unsafe abortion are Educate families, communities, and governments about the need to give
under the age of 20.49 girls access to sexual and reproductive health information and health
care services that reflect the realities of girls’ lives.
Childbearing, like marriage, is seen by girls
as something that should occur later in life, after )N -OZAMBIQUE PERCENT OF ADOLESCENT GIRLS AGED n ARE PREGNANT
one’s educational and livelihood aspirations OR ALREADY MOTHERS 3EVERAL MINISTRIES IN PARTNERSHIP WITH CIVIL SOCIETY IM-
")*'"0:$*7*/-'T_2)D'02#*+'3)+16'1:*4'#*4'"4/' PLEMENTED A COMPREHENSIVE YOUTH SEXUAL AND REPRODUCTIVE HEALTH PROGRAM
children,” explained one South African girl. CALLED 'ERA ÎO "IZ 4HE INTERVENTION REACHES IN
SCHOOL AND OUT
OF
SCHOOL
A 13-year-old Venezuelan girl clearly stated her GIRLS WITH HEALTH INFORMATION SKILLS AND SERVICES $ATA FROM PROGRAM EVALU-
goals: “I don’t want to get married and have chil- ATION SURVEYS ON YOUNG PEOPLES KNOWLEDGE ATTITUDES AND BEHAVIORS SHOW
dren, at least not anytime soon.… I want to work THAT AN INCREASING PERCENTAGE OF RESPONDENTS REPORT RECEIVING SEXUAL AND
and study. I don’t want to be like another girl REPRODUCTIVE HEALTH INFORMATION FROM FEMALE YOUTH TRAINED AS PEER EDUCA-
I know who is 13 years old and already pregnant.”
TORS PERCENT IN COMPARED WITH PERCENT IN AND PERCENT
In a Nepal study, the majority of girls wanted to IN AND YOUNG CLIENTS REPORT THAT YOUTH
FRIENDLY SERVICES MEET THEIR
delay childbearing, yet 52 percent of them had had NEEDS THEY ARE TREATED WITH RESPECT AND THEIR PRIVACY AND CONlDENTIALITY
children by age 20. ARE ENSURED
Girls are acutely aware that boys are held to differ- 4HE 0OPULATION #OUNCIL WORKING WITH 5.&0! LOCAL .'/S AND THE -INISTRY
ent standards than girls when it comes to sexual OF (EALTH CREATED AN INNOVATIVE PROGRAM IN RURAL "URKINA &ASO TO ADDRESS
relationships and pregnancy. A 15-year-old school THE HEALTH NEEDS OF YOUNG MOTHERS 4HIRTY YOUNG MOTHERS AGED n
girl in rural Uganda explained, “If you have sexual WERE IDENTIlED BY COMMUNITY LEADERS TO BE TRAINED AS hMOTHER
EDUCATORSv
intercourse when you are in school, you lose your 7HAT BEGAN AS A HOUSE
VISIT BY TWO MOTHER
EDUCATORS TO MARRIED ADOLES-
virginity and get pregnant and you drop out of CENT GIRLS TO PROVIDE INFORMATION AND SUPPORT DURING A GIRLS lRST PREGNANCY
school while the boy continues with school.” TURNED INTO A GIRLS CLUB AND INFORMAL SCHOOL WHERE GIRLS WERE ALLOWED TO
A 17-year-old South African adolescent mother MEET WEEKLY 4HE MOTHER
EDUCATORS GAINED PUBLIC SUPPORT FROM THE -IN-
described how motherhood had fundamentally ISTRY OF (EALTH WHICH STRENGTHENED THEIR STANDING WITHIN THE COMMUNITY
altered her aspirations, “My attitudes and dreams AND HELPED GET MORE ADOLESCENT MOTHERS TO HEALTH CENTERS FOR PRENATAL AND
have changed since [having the baby]. Now that POSTNATAL CARE DISSEMINATE HEALTH INFORMATION AND LEAD COMMUNITY
I have a child, I will not be able to achieve all the DISCUSSIONS ON TOPICS INCLUDING ()6 AND !)$3 AND FEMALE GENITAL CUTTING
things I wanted.”
Sources: WHO. 2008. Making Pregnancy Safer: A Newsletter of Worldwide Activity. Geneva:
World Health Organization. Available online at: http://www.who.int/making_pregnancy_safer/
We want to be free from sexual documents/newsletter/mps_newsletter_issue6.pdf
violence.
International Center for Research on Women. 2009. Integrating Multiple Gender Strategies to
Improve HIV and AIDS Interventions: A Compendium of Programs in Africa. Available online at
Physical and sexual violence can pose one of the http://www.aidstar-one.com/sites/default/files/aidstarone_gender_compendium.pdf
21
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
22
IN THEIR OWN WORDS
A large proportion of sexually active girls in the experience: “It was a terrifying experience; when
Guttmacher data from sub-Saharan Africa described I tried to resist, he pinned my arms above my head.
1:*$)'3)+1'+*J,"%'*J(*)$*40*+'"+',45"41*/6'"4/' It must have been so painful and suffocating that I
reported that they had been physically or emotionally fainted.” A low-income factory worker in Brazil, also
coerced or tricked into having sex. A 19-year-old girl married in adolescence, recounts a similar story, “I
in urban Uganda who was not in school described her screamed. He said, ‘You have to do it.’ It was a sad
painful experience: bloodbath, the next day I couldn’t even walk.”
“I went to his place because he had asked me to Studies from several developing countries of young
go there many times.… Then he asked me what people and experiences of sexual abuse in childhood
I thought he wanted. I didn’t reply until he told me and adolescence suggests that people in positions
:$#+*%!'1:"1':*'5"41*/'12':"7*'+*J'5$1:'#*-'B1'3)+1' of power and authority, including religious leaders,
I agreed. But after getting a second thought, I tried to (2%$0*'2!30*)+6'*#(%2&*)+6'"4/'1*"0:*)+6'")*'2!1*4'
refuse because I had never done it before. I was perpetrators of violence.61 In recent interviews, police
afraid of the outcome.… But as I was thinking about 2!30*)+'$4'a"#C$"'0%*")%&'02##,4$0"1*/'1:*$)'+*4+*'
this, my boyfriend was undressing me.… He hid my that the young women who come to the police station
clothes. I thought of yelling but this was my boyfriend for assistance are fair game for sexual relationships.62
and people would have asked why I had gone into his Considerable research has been conducted in recent
house.… But I was just kind of afraid. That day we years on the wide extent of school-based violence
:"/'+*J'C,1'@'/$/4G1'*4I2&'$1'C*0",+*'$1'5"+'#&'3)+1' "4/':25'$1',4/*)#$4*+'8$)%+G'()2+(*01+6'0243/*40*6'
time. I felt pain.…”
and health.63
“I was returning from school one day when I realized Studies in several regions of the world have found
that two boys were following me.… One of the boys strong associations between gender-based violence
had earlier tried unsuccessfully to make me be his and HIV risk behaviors and HIV infection rates.64 One
girlfriend. After some time they overtook and stopped study of young women and young men in Tanzania
me. The boy who had wanted to befriend me earlier revealed that prevailing social norms that young
said, ‘What about the matter we discussed earlier.’ women should be “settled, enduring, and forgiving”
I said I did not know what he was talking about. He inhibit these women from confronting intimate part-
then said, ‘Today na today,’ meaning today is a day of 4*)+'"C2,1'+*J,"%'$43/*%$1$*+'"4/')*+$+1$48',45"41*/'
reckoning. I sensed what he was up to and said, ‘I’m sexual advances that increase their risk of becoming
still a small girl.’ He did not hear my plea. He got hold infected with HIV. Men can engage in acts of sexual
of me and tore off my clothes, threw me to the ground violence with impunity in many settings, making girls
and forcefully had sex with me. Meanwhile, his friend vulnerable to both violence and HIV.
forcibly held me down and kept watch for passers-by.
I tried to free myself but could not because the boys F%2C"%%&6'8$)%+'MW>XS'")*'WN'(*)0*41'#2)*'%$D*%&'12'
were much stronger than I.” be HIV-positive than boys, and in sub-Saharan Africa,
nearly 75 percent of HIV-positive youth are girls.66 A
Unmarried and married girls alike report experiences national survey of adolescents in Uganda found the
of coercion and force in sexual relationships. Findings most frequently cited concern among girls ages
from qualitative studies in India, Bangladesh, Nepal, MW>MO'5"+'52))&'"C2,1'8*11$48'\@b6'5$1:'#2)*'1:"4'
Zimbabwe, Brazil, and Nicaragua reveal that forced half saying they were “very worried.”67 A separate Opposite Page
sex is common in early marriage in many country study among adolescent girls in Malawi similarly !SMA AGE IS PREGNANT AND
LIVES IN $HAKA "ANGLADESH
settings, especially among married adolescents. One !2,4/'MW>MOA&*")A2%/'8$)%+'T7*)&'52))$*/H'"C2,1'024- 0REVALENCE OF lRST BIRTH BEFORE AGE
IN "ANGLADESH IS 'LOBALLY
32-year-old woman in rural Uttar Pradesh, India, who tracting HIV. And an 18-year-old school girl in rural COMPLICATIONS FROM PREGNANCY ARE
THE LEADING CAUSE OF DEATH FOR GIRLS
5"+'#"))$*/'"1'"8*'MU')*P*01*/'24':*)'3)+1'+*J,"%' Ghana described her fears, saying, “This world is so
YEARS OLD
23
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
24
CHAPTER TITLE GOES HERE
25
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
3*)0*'1:*+*'/"&+'"4/'@'"#'"!)"$/'2!'C*$48'$4!*01*/'C&'
Girls Say:
HIV/AIDS and being pregnant.”69
Sources: USAID. Gender Equality in Education. Safe Schools Program. Available at http://www.
negotiate condom use with her polygamist husband:
usaid.gov/our_work/cross-cutting_programs/wid/ed/safeschools.html
Previous Page Information is just one part of the solution for girls’
0ETIT LEFT AND TWO FRIENDS ARE
ALUMNAE LEADERS OF A PROGRAM IN vulnerability to HIV and AIDS, STIs, and early
+ENYA THAT GIVES GIRLS SAFE SPACES
LIFE SKILLS AND LEADERSHIP TRAINING ()*84"40&-'B'+*4+*'2!'+*%!A*!30"0&6'5:*1:*)'"09,$)*/'
4ODAY SHE IS HELPING OTHER GIRLS
BUILD BETTER LIVES through success in school, participation in sports,
26
IN THEIR OWN WORDS
27
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
The young boy is with big basins of water on their heads in the early
mornings, afternoons, and evenings to fetch water
privileged to have
while the boys play football, forgetting that they need
water to take a bath. ‘After all,’ they say, ‘why worry
when God has blessed us with one or more sisters
good education, to relieve us of this task.’ Without water she will not
be able to perform other household duties, such as
to fetch water from between themselves and their male peers. Just as
boys enter adolescence and have greater mobility and
streams... Without
create social networks, girls’ freedom of movement
is restricted, chore burden is increased, and girls
become more isolated. Their open-ended, unpaid
water she will not domestic activities stand in direct competition with
training and paid employment. And the constraints
be able to perform
on their mobility and social connections prevent them
from making use of resources in their communities
and learning and sharing with their peers.
duties, such as
contributing members of their societies. The reasons
8$)%+'0$1*'!2)'*")4$48'"4'$402#*'$40%,/*'34"40$"%'
independence, the ability to pay school fees, to buy
and washing of
their power within marriage and leave bad marriages,
and to help others in their community. “Helping
my parents when I grow up and getting a job of my
28
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
29
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
30
CHAPTER TITLE GOES HERE
31
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
32
IN THEIR OWN WORDS
Girls Say:
leaders here who cannot help. The only things that
can help are my arms.”
Even though many girls aspire to have good jobs and Help families get beyond the immediate benefits of girls’ ad hoc eco-
be self-reliant, there are limited economic opportuni- nomic contributions and think more about the inputs required for real
1$*+'!2)'8$)%+-']2,1:'$4'Z2)1:*)4'=8"4/"'$/*41$3*/'1:*' livelihoods development. Help families treat girls’ work as more valuable
%"0D'2!'2((2)1,4$1$*+'12'T*")4'"'+"!*'"4/'/$84$3*/' and not as an endlessly available low-value resource. Older female role
income” to support themselves and their families as a models can show girls and their families how it can be done.
primary concern. Among girls enrolled in an acceler-
ated learning program in Afghanistan, more than )N "ANGLADESH "2!#S INNOVATIVE EMPHASIS ON MICROCREDIT AND EM-
half wanted to attend a vocational training school as POWERMENT OF THE POOR IS IMPLEMENTED THROUGH A DIVERSE RANGE OF SOCIAL
an alternative to high school and university level PROGRAMS RECENTLY EXTENDED TO INCLUDE GIRLS 4HROUGH THE %MPLOYMENT AND
education.']2,1:'$4'M^'024P$01A"!!*01*/'02,41)$*+' ,IVELIHOOD FOR !DOLESCENTS %,! MICROCREDIT PROGRAM MORE THAN
prioritized the need for viable livelihood opportunities ADOLESCENTS ULTIMATELY FORMED THEIR OWN GROUPS AND WERE OFFERED lNANCIAL
saying, “We want relevant training for those of us who LITERACY TRAINING AND SAVINGS AND CREDIT FACILITIES BY "2!# "2!#S EXPERI-
")*'2%/'*42,8:'12'52)D'+2'1:"1'5*'0"4'34/'+"!*'I2C+' ENCE SUGGESTS THAT GIRLS WHO ARE EMBOLDENED WITH SOCIAL PROGRAMS AND
for ourselves and be useful to our communities.… We WHOSE ECONOMIC PROSPECTS IMPROVE MAY BE VIEWED IN NEW AND DIFFERENT
want technical and vocational training institutions in WAYS BY THEIR FAMILIES AND COMMUNITIES 4HE PROGRAM IS PRODUCING SOME
all our communities that will lead to real jobs.” IMPORTANT RESULTS INCLUDING SOME GIRLS REFUSAL TO BE MARRIED BEFORE AGE
BROTHERS SUPPORT FOR GIRLS INCREASED MOBILITY TO THE PROGRAM CENTERS AND
Girls need good role models as they aspire to PARENTAL SUPPORT FOR GIRLS PARTICIPATION
economic livelihoods. In sub-Saharan Africa, girls
frequently described their career and livelihood )N :IMBABWE AND :AMBIA THE #AMPAIGN FOR &EMALE %DUCATION #!-&%$
aspirations in terms of someone they admired and BEGAN THE #!-! 3EED -ONEY 3CHEME TO ADDRESS THE LACK OF EMPLOYMENT
respected. In the Matlab region of Bangladesh during OPPORTUNITIES THAT FACED GIRLS WHO HAD COMPLETED SECONDARY EDUCATION WITH
the 1980s, female family planning workers provided THE HELP OF #!-&%$ 4HE #!-! 3EED -ONEY 3CHEME PROVIDES SMALL LOANS
doorstep delivery of contraception, which inadver- AND BUSINESS TRAINING TO YOUNG WOMEN TO CREATE SMALL ENTERPRISES 4HE
1*41%&'8"7*'&2,48'8$)%+')2%*'#2/*%+'5:2'*J*#(%$3*/' PROGRAM MODEL IS DESIGNED TO HAVE THE PROGRAM ALUMNAE CREATE A NETWORK
female mobility, respected employment, modern OF MENTORS TO YOUNGER GIRLS JUST STARTING THE PROGRAM )N :AMBIA #!-!
dress, fertility control, and the ability of women to ALUMNAE GAVE A GRANT TO lVE OTHER MEMBERS TO START UP A HAIRDRESSING BUSI-
work for pay and to make reproductive decisions. NESS !LTHOUGH THE PROGRAM REACH IS STILL SMALL IT IS A PROMISING APPROACH
Families, communities, civil society, and governments Sources: Shahnaz, R. and R. Karim. 2008. “Providing Microfinance and Social Space to Empower
need to start thinking about the economic contri- Adolescent Girls: An Evaluation of BRAC’s ELA Centres”, BRAC – Research and Evaluation Divi-
sion: Dhaka. Accessed at http://www.bracresearch.org/workingpapers/REDWP_3.pdf
butions girls and young women can make to their
countries beyond the support they provide to their ICRW unpublished evaluation 2008 and CAMFED website: http://us.camfed.org/what/economic-
households. Economic empowerment of girls is one independence.html
Opposite Page
&ATIMA A TEEN MOTHER IN
"ANGLADESH SITS WITH HER TWO
YOUNG CHILDREN
33
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
WHO
SHOULD
DO
WHAT
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
34
CHAPTER TITLE GOES HERE
35
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
their families and their commu- community members prior to implementation to fully
understand these concerns and engage family and
nities bridge the gaps between
02##,4$1&'#*#C*)+'$4'34/$48'+,+1"$4"C%*'"%1*)4"-
their aspirations and their actual tives and solutions.
experiences. To be effective,
these solutions must be oriented As part of raising awareness, programs therefore
around families, communities need to promote community dialogue on the long-
and governments because these term costs of short-term decisions about girls.
f"#$%$*+'#"D*'/"$%&'/*0$+$24+'1:"1'+"0)$30*'1:*$)'
entities determine what girls can
daughters’ schooling. A constellation of factors
and cannot do. The authors have contributes to ending girls’ schooling. Early marriage
built on the preceding “Girls Say” $+'24*'+,0:'!"012)'1:"1'()*+*41+'"'+(*0$30'2((2)1,4$1&'
boxes in ways that tailor the rec- for awareness raising and mobilization. Expectations
ommendations and make them around marriage dictate the lives of many girls, and
more accessible to programmers the nexus of education and marriage is central to
many girls’ stories of the aspirations and constraints
and policymakers.
that shape their lives. Early marriage brings with it
many costs to girls, including social isolation and lost
For programmers educational opportunities, and to their societies.
Effective programs help girls to think more expan- Marriage-related interventions must work with girls, but
sively about their own lives and to form aspirations. families and communities, including men and boys,
Girls can realize their aspirations, even in the #,+1'C*'+$84$30"41'1")8*1+'2!'1:*+*'$41*)7*41$24+-
most dispiriting environments, when they have the
decision-making, management, leadership and 2. Build a network of advocates and mentors for girls.
income-generating skills that provide them with an Time and time again, girls wish out loud for more sup-
increased sense of autonomy and empowerment. port from those around them. Community and family
Adolescent girls want to realize their potential and members can become advocates and mentors for
contribute more fully to their communities, girls. Once family and community members begin to
societies and economies. appreciate girls’ needs, they require help in identifying
+(*0$30')2%*+'1:*&'0"4'3%%'$4'+,((2)1$48'8$)%+-'@/*41$!&-
The best programs will seek to transform the ing these roles could be an important contribution. If
Previous Page environments where girls lead their daily lives and are safety on the way to school is a problem, for example,
'IRLS IN THE SLUMS OF .AIROBI HAVE
THE CHANCE TO PLAY SOCCER AND so often thwarted in what they want to achieve. Girls brothers can escort and chaperone. If doing home-
LEARN LIFE SKILLS AT THE 'IRLS 3OCCER
!CADEMY IN +IBERA consistently point to those around them as the source 52)D'$+'/$!30,%16'(")*41+'0"4'C*'+,((2)1$7*'$4'34/$48'
36
WHO SHOULD DO WHAT
the right place and time for girls. Men and boys
especially have roles to play in changing how girls are BOX 1.1
viewed and in providing greater mobility and access
for them.
Girls with no aspirations
3. Alleviate the time burden that domestic chores
place on girls. Girls often speak of the direct tradeoffs Many girls cannot conceive of the future. Poverty, gender inequality,
between their domestic contributions and schooling, harmful social norms, and the threat of violence can leave girls with no
play or paid work. New organizational collaborations aspirations at all. Where girls are socially isolated and their life transitions
are needed to overcome girls’ heavy commitment are tightly controlled by family and community norms, girls’ opinions are
to household work and generate solutions for girls. not valued or cultivated.
Infrastructure is needed, and where it is not avail-
able, clever ways to overcome its absence must be Girls can feel that it is pointless to dream or are unable to articulate any
/*+$84*/-'@4427"1$7*'1:$4D$48'$+'4**/*/'24'+(*0$30' dreams. They may not believe it makes sense to “aspire” to something
technologies such as solar ovens and tube wells that for which they have no control. A young woman in Morocco described her
0"4')*/,0*'1:*'1$#*'8$)%+'+(*4/'8"1:*)$48'3)*522/' relationship with her parents and her lack of control over decisions that
and fetching water. A key to introducing these tech- affect her life: “Anything you tell them you want to do, they say no.… You
nologies is ensuring that girls get to use them and are "+D'1:*#6'g_:&'"#'@'+1,/&$48<G';:*&'+"&6'g]2,'+:2,%/'%*"7*'&2,)'+1,/$*+-G'
not simply shifted to other time-draining activities. ;:*&'+:2,%/':"7*'I,+1'12%/'#*'1:"1'$4'1:*'3)+1'(%"0*-H A young woman
Programs can help families see past the immediate living in a slum in Rio de Janeiro, Brazil, shared her helplessness over
C*4*31+'2!'8$)%+G'"/':20'*0242#$0'0241)$C,1$24+'"4/' improving her life in the future, saying, “What does it matter to think about
think more about the inputs required for real livelihood university, a car, or money, when what will actually happen is that I will
development. Programs to empower girls economi- make a career of having children.”
cally are increasingly engaging girls in serious training
"4/'$#()27$48'1:*$)'"00*++'12'34"40$"%')*+2,)0*+6' In sub-Saharan Africa and Latin America, some girls conveyed a strong
which can help change how households and com- sense of fatalism. When asked how she would be in three years, a young
munities view girls’ livelihoods.99 woman from Brazil answered, “I wonder if I will even be alive then.”91 When
a 16-year-old urban school girl in Uganda was asked what she hoped her
For policymakers %$!*'52,%/'C*'%$D*'$4'37*'&*")+6'+:*')*(%$*/6'T\""h$4'37*'&*")+6':""-'@'524-
Change must occur at the policy level since this is der whether I will reach there. They are many years. It is a long time.”92 In
where scale is achieved, national laws and require- Malawi, a 19-year-old rural girl who was out of school responded similarly,
ments are set, and implementation is driven. saying, “There is nothing I can think of. I think that maybe by then I will
Governments are the largest providers of services, be dead.”93
including education and health, and increasing girls’
access to them has to start at the highest levels.
Governments also pass laws and set standards in
response to internal demand and international agree-
ments in areas such as minimum age at marriage,
minimum years of schooling, and rights of access
to health services. Government is held accountable
on the basis of these laws, and its performance in
implementation can be measured on the basis of
these standards. So, what have girls indicated that
(2%$0&#"D*)+'02,%/'/2'12'$#()27*'1:*$)'%$7*+<
37
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
BOX 1.2
The Convention on the Rights of the Child lays out the full range of rights relevant to the lives of children, including girls, and attempts
to address some of these challenges for children. These rights include the right to education, the right to contribute to decisions
about a marital partner, the right not to be separated from one’s parents against one’s will (especially relevant in cases of early patrilo-
cal marriage), the right to bodily integrity, and many others. One major challenge is that any discussion of children’s rights raises
questions from some quarters whether they should be subordinated to the needs and rights of parents.
FIGURE 1.3
50
40
Percent
30
20
10
0
Right not to be hurt Right to express
Right to education
or mistreated ideas/opinions
Source: UNICEF. 2001. Speaking Out! Voices of Children and Adolescents in East Asia and the Pacific: A regional opinion survey.
New York: United Nations Children’s Fund.
38
WHO SHOULD DO WHAT
39
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
Innovations for girls: A systematic effort to track resources for girls requires
Making schools accessible special attention to how the health sector serves them
in terms of both access and the degree to which they
are welcomed. Providing girls and their families with
3CHOOLS ARE ESPECIALLY IMPORTANT INSTITUTIONS FOR GIRLS AND DESPITE THE MANY
information about nutrition, sexual and reproductive
EDUCATION PROGRAMS THAT EXIST DESERVE SPECIAL MENTION HERE 3CHOOLS
health, family planning, drugs, violence, and the risks
REPRESENT ONE OF THE FEW PUBLIC RESOURCES TO WHICH GIRLS ARE WIDELY SEEN
of HIV and AIDS is only part of the solution. Girls also
AS HAVING LEGITIMATE ACCESS 9ET THEIR ACCESS IS USUALLY CURTAILED AROUND
need access to health clinics, and health workers
THE TIME OF PUBERTY 'IVEN THE CENTRALITY OF EDUCATION IN A GLOBALIZED WORLD
require training on how to better attend to adolescent
PROGRAMS THAT ENSURE GIRLS ONGOING ACCESS TO EDUCATION ARE FUNDAMENTAL
8$)%+'"4/'1:*$)'+(*0$30':*"%1:'4**/+-'F27*)4#*41'
ministries of health must try to expand the scope and
!T THE POLICY LEVEL )RAN IS ONE OF THE FEW COUNTRIES THAT HAS ARTICULATED
reach of successful small programs.
A COMMITMENT TO THE EDUCATION OF MARRIED GIRLS SPECIlCALLY AND THE
.ATIONAL %DUCATION 0OLICY MANDATES SCHOOLING FOR MARRIED PREGNANT GIRLS
7. Make local resources and institutions more
)N !FGHANISTAN A CONSORTIUM OF .'/S AND INTERNATIONAL PARTNERS OFFERED
available to girls. Girls routinely describe their informal
AN ACCELERATED ELEMENTARY SCHOOL PROGRAM FOR OUT
OF
SCHOOL YOUTH AGES
exclusion from public spaces, and the failure of local
n THAT DRAMATICALLY ACCELERATED THE ATTAINMENT AND ASPIRATIONS OF
law enforcement to enforce their access to what is
GIRLS WHO HAD BEEN ALL BUT SHUT OUT OF PRIMARY SCHOOLING DURING THE
)$8:1!,%%&'1:*$)+-'f)2#'+(2)1+'3*%/+6'12'("1:+6'12'+20$"%'
4ALIBAN REGIME
spaces to locales such as the police station, girls
lack access to public resources—institutions and
)N 'HANA THE 3TRATEGIES FOR !DVANCING 'IRLS %DUCATION 3!'% EMPLOYED
spaces—that are often readily available to others.
A VARIETY OF COMMUNITY
AND GIRL
CENTERED STRATEGIES IN DIFFERENT DISTRICTS
This important deprivation must be addressed head
TO KEEP GIRLS IN SCHOOL #OMMUNITIES TOOK ACTION TO CREATE MORE OPPOR-
on through institutional capacity building and rights
TUNITIES FOR GIRLS TO STAY IN SCHOOL BUILDING SCHOOL BATHROOMS FOR GIRLS AND
education. This requires engaging governments on
ENCOURAGING PARENTS TO MAKE TIME FOR GIRLS TO STUDY AND TO CREATE SPACES
the implementation of laws and engaging communi-
DEDICATED TO STUDYING IN THEIR HOMES 4HE PROGRAM ADDRESSED PARENTS
ties on norms that shape the implementation of those
CONCERNS ABOUT GIRLS SAFETY WALKING TO AND FROM SCHOOLS BY ENCOURAG-
laws. Girls’ participation in programs often requires
ING PARENTS TO ARRANGE FOR GIRLS TO WALK IN GROUPS OR BE CHAPERONED BY A
“safe spaces” in which both girls and their parents
TRUSTED ADULT 'IRLS CLUBS HELPED GIRLS IN MATH AND SCIENCE AND BUILT GIRLS
feel girls are protected and cared for as they meet,
CONlDENCE WHILE INCORPORATING LESSONS ON SELF
ESTEEM LEADERSHIP
talk, and play.
AND ASSERTIVENESS
Sources: Greene, M. E., Z. Rasekh, and K. Amen. 2002. In This Generation: Sexual and
Reproductive Health Policies for a Youthful World. Washington, DC: Population Action
For donors
International. http://www.popact.org/Publications/Reports/In_This_Generation/English.pdf , 8. Listen to girls and learn about their aspirations.
page 29;Intili, J, Kissam, E, Fostering education for female, out-of-school youth in Afghanistan,
Journal of Education for International Development 2:1, p 1-2. March, 2006.; Rihani, M. 2005. Girls are telling us how commonly they are thwarted
Keeping the Promise: Five Benefits of Girls’ Secondary Education. Washington, DC: AED. http:// in the pursuit of their goals. They are insightful and
cge.aed.org/loader.cfm?url=/commonspot/security/getfile.cfm&PageID=705; Kjell Enge. “Coming
to Grips with the Crisis: Findings from Recent Studies.” AED, SAGE, Colloquium on HIV/AIDS and informed about their own circumstances and what
Girls’ Education, U.S. Agency for International Development, Washington, DC, 2000; http://cge.
aed.org/Projects/SSAfrica/sage.cfm
needs to change for improvement to occur. Respond-
ing to what girls say provides real moral authority for
development policymakers to act on. So much is
riding on the future health and well-being of adolescent
girls that we should know much more about girls than
we do. The information we gain will foster more atten-
tion to their needs, highlight their contributions to
their families and communities, and give them greater
Opposite Page visibility in the development agenda. By better under-
! GIRL IN "ANGLADESH ATTENDS AN
URBAN PRIMARY SCHOOL standing what girls say they want and what they need
40
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
41
0HOTO #REDIT "RENT 3TIRTON'ETTY )MAGES
42
WHO SHOULD DO WHAT
to make it happen, we can work harder to make sure through curricula that promote dialogue among all
that girls, as Amartya Sen has said, “lead lives they members of a community, others through community
have reason to value and to enhance the substantive mobilization efforts that center on human rights.
choices they have.” Programs and policies cannot shy away from taking
on the social constraints to investing in girls and sup-
9. Make commitments that invest in long-term change. porting their achievements. It is a question of fairness.
Girls identify a broad range of interconnected reali-
ties that need to change for their lives to improve. ***
Effectively improving girls’ lives will require transforma-
tive social change, which cannot be achieved with The recommendations arising from what girls have
short-term investments. Donors need to collaborate to say call for a social transformation that creates an
with development practitioners and policymakers at environment where girls can thrive. Changing harmful
the local, national, and international levels to create social norms and the way families, communities and
innovative solutions that address the harmful social societies traditionally view adolescent girls is a long-
and gender norms that discriminate against girls. term investment that will pay huge dividends in social
and economic development. Most important, girls
For all levels have a fundamental right to be heard, valued, and
10. Formally recognize girls as citizens. Girls note their respected. We must do all we can to ensure that they
invisibility: They point out that they are often voice- ")*'8$7*4'1:*'2((2)1,4$1$*+'"4/'"C$%$1$*+'12'!,%3%%'1:*$)'
less in family decisions that affect their lives and that potential and contribute fully to their societies.
their domestic responsibilities may exclude them
from school and other opportunities. Collecting more
and richer data on girls and their experiences will
contribute to making girls visible. Research has noted
the need to more systematically register girls and to
()27$/*'1:*#'5$1:'2!30$"%'$/*41$30"1$24'12'$40)*"+*'
their visibility and access to resources. Boys are more
likely to be registered, in part because the govern-
ment is likely to be interested in recruiting them into
the military. Young men are also more likely to move
$412'I2C+'1:"1')*9,$)*'+2#*'!2)#'2!'$/*41$30"1$246'
which facilitates access to other resources such as
bank accounts. Some restrictions to these resources
are age-based, and some gender-based. Unrecog-
nized as citizens in these practical ways, girls face far
greater obstacles in accessing resources and institu-
tions—from obtaining health services to opening bank
accounts and to receiving inheritances. Girls must be
brought into existence in the eyes of the state.
43
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
44
APPENDIX
GIRLS SPEAK
APPENDIX
Data Sources between 6th and 9th grade. The purpose of this
research was to capture the educational aspirations
Burkina Faso, Ghana, Malawi and Uganda data of young girls in Morocco and to gain insights on how
In 2003 the Guttmacher Institute conducted quali- to best improve the education system in these areas.
tative research with young girls in Malawi, Ghana, In speaking about schooling, girls naturally brought
Uganda and Burkina Faso to examine the context of in a wider range of relevant life experiences
and motivations for adolescents’ behavior. Two-hun- and constraints.
dred and forty in-depth interviews were conducted
with married and unmarried girls aged 13-19 both Nepal data
in- and out-of-school in rural and urban settings, and Initiated in 1998, ICRW, its US partner Engender
translated from local languages into English or Health and two Nepali NGOs, New Era and BP
French, in the case of Burkina Faso. Girls were Memorial Health Foundation, initiated a commu-
asked a range of questions about their sexual and nity-based project to assess the potential and
)*()2/,01$7*':*"%1:6'0,))*41')*%"1$24+:$(+6'3)+1'+*J,"%' effectiveness of a participatory research approach to
experiences and health care seeking behaviors, much improving adolescent reproductive health. Questions
of which shed light on their future goals. Girls were on reproductive health knowledge and practices,
"%+2'"+D*/'+(*0$30"%%&'"C2,1'1:*$)'!,1,)*'"+($)"1$24+6' social networks, communication patterns, ideals and
what they perceived as barriers to achieving these understanding of social norms were asked through
aspirations and ways in which the barriers could be focus group discussions, participatory exercises and
overcome. surveys. This mixed method approach allowed insight
into young people’s reproductive health knowledge
UNICEF data on East Asia and the Pacific, East- and practices, their ambitions and desires, and the
ern Europe and Central Asia limitations they faced, given the social context of their
@4'1:*'3)+1':"%!'2!'XNNM6'=Z@i.fG+'."+1'B+$"'"4/' lives. Target populations were married and unmarried
R"0$30'j*8$24"%'2!30*'3*%/*/'"4'2($4$24'+,)7*&' male and female adolescents, 14-24 years.
among youth in 14 countries and three territories in
."+1'B+$"'"4/'1:*'R"0$30-';:*'(,)(2+*'2!'1:*'+,)7*&'
was to create a forum for youth voices to be heard
and taken into consideration and to promote authen-
tic participation for youth in programs and policies
targeting their development. A total of 10,073 young
people ages 9-17 were asked a variety of questions
regarding their everyday lives including questions
about their homes, family, school, teachers, their
rights and their future expectations.
45
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
3
Heidi Grande, 17, Norway, Children’s Forum, U.N. 13
Guttmacher et al. Data from the 2002-2008 Protect-
Special Session on Children. ing the Next Generation project.
4
Amin., S, et al. 1998. “Transition to Adulthood of 14
Kritzinger, A. 2002. “Rural Youth and Risk Society:
Female Garment-Factory Workers in Bangladesh.” Future Perceptions and Life Chances of Teenage Girls
Studies in Family Planning, Vol. 29, No. 2:185-200. on South African Farms,” Youth & Society. Vol 33, No.
4:545-572.
Waszak, C, S. Thapa and J. Davey. 2003. ”The
$4P,*40*'2!'8*4/*)'42)#+'24'1:*')*()2/,01$7*':*"%1:'
Women’s Commission for Refugee Women and
2!'"/2%*+0*41+'$4'Z*("%'>'(*)+(*01$7*+'2!'&2,1:-H' Children. 2007. Listening to Youth: The Experiences
In Towards Adulthood: Exploring The Sexual And of Young People in Northern Uganda (summary
Reproductive Health of Adolescents in South Asia, report). New York: Womens’ Commission for Refugee
edited by Sarah Bott, Shireen Jejeebhoy, Iqbal Shah, Women and Children.
Chander Puri. Geneva, Switzerland, World Health
Organization [WHO], Department of Reproductive 16
Guttmacher et al. Data from the 2002-2008 Protect-
Health and Research:81-85. ing the Next Generation project.
'=Z@i.f-'XNNV-'T_$%%'&2,'%$+1*4<H']2,48'72$0*+'!)2#'
6 17
Guttmacher et al. Data from the 2002-2008 Protect-
024P$01'`24*+L'k"0:*%'E1,/&'MNA&*")'+1)"1*8$0')*7$*5L' ing the Next Generation project.
i:$%/)*4'"4/'024P$01'$4'"'i:"48$48'_2)%/-'Z*5']2)DL'
United Nations Children’s Fund.
Jain, S. and K. Kurz. 2007. “New Insights on Pre-
venting Child Marriage: A Global Analysis of Factors
7
Plan. 2007. Because I am a girl: State of the World’s and Programs. Washington, DC: ICRW.
Girls. London: Plan International.
19
UNICEF. 2001. Speaking Out! Voices of Children
Guttmacher et al. Unpublished in-depth interview "4/'B/2%*+0*41+'$4'."+1'B+$"'"4/'1:*'R"0$30L'B'
data Uganda, 2003 from the 2002-2008 Protecting regional opinion survey. New York: United Nations
the Next Generation project. Children’s Fund.
9
Guttmacher et al. Unpublished in-depth interview
UNICEF. 2001. Young Voices: Opinion Survey of
data Ghana, 2003 from the 2002-2008 Protecting the children and young people in Europe and Central
Next Generation project. Asia. Geneva: United Nations Children’s Fund.
Mahy, M. and N. Gupta. July 2002. “Trends and 21
ICRW. 2008. Catalyzing Change: Improving Youth
Differentials in Adolescent Reproductive Behavior in Sexual and Reproductive Health through DISHA, An
Sub-Saharan Africa,” DHS Analytical Studies No. 3, Integrated Program in India. Washington, DC: Interna-
Calverton, MD: Measure DHS. tional Center for Research on Women.
11
Sethuraman, K et al. 2007. “Delaying the First 22
Guttmacher et al. Data from the 2002-2008 Protect-
Pregnancy: A Survey in Maharashtra, Rajasthan and ing the Next Generation project.
Bangladesh.” Review of Women’s Studies, Economic
& Political Weekly, November 3.
46
APPENDIX
23
Adolescent girl, Collège Ibn Sina, Taourirt, Morocco, 33
Guttmacher et al. Data from the 2002-2008 Protect-
10 March 2006. ing the Next Generation project.
24
Amin., S, et al. 1998. “Transition to Adulthood of 34
Colom, A. et al. Voices of Vulnerable and Under-
Female Garment-Factory Workers in Bangladesh.” served Adolescents in Guatemala: A Summary of the
Studies in Family Planning, Vol. 29, No. 2:185-200. Qualitative Study: Understanding the Lives of Indig-
enous Young People in Guatemala. Guatemala City:
Steele, F., S. Amin, and R. T. Naved. 1998. “The Population Council.
Impact of an Integrated Micro-credit Program on
Women’s Empowerment and Fertility in Rural Bangla-
Guttmacher et al. Unpublished in-depth interview
desh.” London School of Economics. data South Africa, 2003 from the 2002-2008 Protect-
ing the Next Generation project.
26
Mathur, S., A. Malhotra and M. Mehta. 2001.
Adolescent Girls’ Life Aspirations and Reproductive 36
Marjoribanks, K. 1999. “Environmental and
Health in Nepal. Reproductive Health Matters. Vol 9, $4/$7$/,"%'$4P,*40*+'24'"/2%*+0*41+G'"+($)"1$24+L'
No. 17: 91-100. A moderation-mediation model.” Learning Environ-
ments Research, Vol 2:43-64.
27
ICRW. 2008. Catalyzing Change: Improving Youth
Sexual and Reproductive Health through DISHA, an 37
Adolescent girl, Morocco, Dar Shebab/ College
Integrated Program in India. Washington, DC: ICRW. Zitoun, Skoura.
ICRW. 2008. Catalyzing Change: Improving Youth
Fikree, F. F. and O. Pasha. 2004. “Role of gender in
Sexual and Reproductive Health through DISHA, an health disparity: the South Asian context.” BMJ, Vol.
Integrated Program in India. Washington, DC: ICRW. 328: 823-826.
29
Jain, Saranga, Kavita Sethuraman, Deepti Chavan, 39
Neema, S, et al. 2006. “Adolescent sexual and
Sadia Chowdhury, Arti Joshi, Manisha Khale, Ruchira reproductive health in Uganda: Results from the 2004
Naved, Alka Barua. Forthcoming. “At the crossroads National Survey of Adolescents,” Occasional Report.
between education and marriage: how parental New York: Guttmacher Institute, No. 25. Op cit.
expectations, community pressure and girls’ aspira-
1$24+'$4P,*40*'/*0$+$24A#"D$48'24'"/2%*+0*41'8$)%+G'
Guttmacher et al. Unpublished in-depth interview
futures in South Asia.” Presented at the International data Malawi, 2003 from the 2002-2008 Protecting the
=4$24'!2)'1:*'E0$*41$30'E1,/&'2!'R2(,%"1$24'l@=EERm' Next Generation project.
International Population Conference, Marrakech,
October 1, 2009. 41
Guttmacher et al. Unpublished in-depth interview
data Uganda, 2003 from the 2002-2008 Protecting
Mathur, S., A. Malhotra and M. Mehta. 2001. the Next Generation project.
Adolescent Girls’ Life Aspirations and Reproductive
Health in Nepal. Reproductive Health Matters Vol 9, '=Z@i.f-'XNNV-'T_$%%'&2,'%$+1*4<H']2,48'72$0*+'!)2#'
42
47
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
44
Luke, N. 2003. “Age and Economic Asymmetries in
Guttmacher et al. Unpublished in-depth interview
the Sexual Relationships of Adolescent Girls in Sub- data Uganda, 2003 from the 2002-2008 Protecting
Saharan Africa,” Studies in Family Planning. Vol. 34, the Next Generation project.
No. 2: 67-86.
Ajuwon, A. J. 2005. “Attitudes, norms and experi-
Neema, S, et al. 2006. “Adolescent sexual and ences of sexual coercion among young people in
reproductive health in Uganda: Results from the 2004 Ibadan, Nigeria” Chapter 6, in Sex Without Consent:
National Survey of Adolescents,” Occasional Report. Young People in Developing Countries. Eds Jejeebo-
New York: Guttmacher Institute, No. 25. Op cit. hoy, S., I. Shah and S. Thapa, New York, NY. p. 100.
46
Plan. 2007. Because I am a girl: State of the World’s
Khan ME; Townsend JW; Sinha R; Lakhanpal S.
Girls. London: Plan International. (Unpublished) 1997. “Sexual violence within mar-
riage: a case study of rural Uttar Pradesh.” Presented
47
Guttmacher Institute and World Health Organiza- at the Annual Meeting of the American Public Health
tion. 2008. Facts on Induced Abortions Worldwide: In Association [APHA], Indianapolis, Indiana, November
Brief. New York: Guttmacher Institute. Available online 9-13, 1997. p. 16.
at http://www.guttmacher.org/pubs/fb_IAW.pdf.
Goldstein, D. M. 1994. “AIDS and women in Brazil:
Shah, I. 2004. “Age-Patterns of Unsafe Abortion in the emerging problem”, Social Science and Medicine,
Developing Country Regions,” Reproductive Health 39(7): 919-29. Cited in Santhya, K. G. and S. Jejeeb-
Matters. Vol. 12 (24 Supplement). hoy. 2005. “Young women’s experiences of forced
sex within marriage: evidence from India,”Chapter 3
49
Plan. 2007. Because I am a girl: State of the World’s in Sex Without Consent: Young People in Developing
Girls. London: Plan International. Countries. Eds Jejeebohoy, S., I. Shah and S. Thapa,
New York, NY. p. 63.
Kritzinger, A. 2002. “Rural youth and risk society.”
Youth and Society, Vol 33, No. 4:545-572. 61
Jejeebhoy, S. and S. Bott. 2005. “Non-consensual
sexual experiences of young people in developing
Plan. 2007. Because I am a girl: State of the World’s countries: an overview,” in Sex Without Consent:
Girls. London: Plan International. Young People in Developing Countries. Eds Jejeebo-
hoy, S., I. Shah and S. Thapa, New York, NY.
Mathur, S., A. Malhotra and M. Mehta. 2001.
Adolescent Girls’ Life Aspirations and Reproductive 62
Greene, M. and S. Jain. 2009. Unpublished focus
Health in Nepal. Reproductive Health Matters. Vol 9, 8)2,('/$+0,++$24'34/$48+'!)2#'a"#C$"-'@41*)4"1$24"%'
No. 17: 91-100. Center for Research on Women.
Guttmacher et al. Unpublished in-depth interview 63
Wellesley Centers for Research on Women & Devel-
data Uganda, 2003 from the 2002-2008 Protecting opment & Training Services, Inc. (DTS). 2003. “Unsafe
the Next Generation project. Schools: A Literature Review of School-Related
Gender-Based Violence in Developing Countries.”
Vargas, C. September, 2003. “How gender roles Washington, DC: USAID (WID). Available at http://pdf.
$4P,*40*'+*J,"%'"4/')*()2/,01$7*':*"%1:'"#248' usaid.gov/pdf_docs/PNACU253.pdf.
South African adolescents,” Studies in Family Plan-
ning, Vol 34, No. 3:160-172. 64
Maman, S. et al. 2000. “The intersections of HIV
and violence: directions for future research and inter-
Krug, E. G., L.L. Dahlberg, J. A. Mercy et al. 2002. ventions.” Social Science & Medicine, Vol 50, No. 4:
World Report on Violence and Health, Geneva: WHO. 459-478.
Instituto Promundo. 2008. Program M. Unpublished
Lary, H., S. Maman, M. Katebalila, J. Mbwambo.
focus group discussion. 2004. “Exploring the Association between HIV and
48
APPENDIX
b$2%*40*L']2,48'R*2(%*G+'.J(*)$*40*+'5$1:'@43/*%$1&6' 76
Saidov, F. 2007. Children’s Voices: A Qualitative
Violence and Forced Sex in Dar es Salaam, Tanza- Study of Poverty in Tajikistan. Dushanbe: Strategic
nia.” International Family Planning Perspectives, Vol. Research Center & UNICEF.
30, No. 4, Gender-Based Violence and Reproductive
Health: 200-206. 77
Waszak, C, S. Thapa and J. Davey. 2003. ”The
$4P,*40*'2!'8*4/*)'42)#+'24'1:*')*()2/,01$7*':*"%1:'
66
UNICEF. 2008. The State of the World’s Children 2!'"/2%*+0*41+'$4'Z*("%'>'(*)+(*01$7*+'2!'&2,1:-H'
2009: Maternal and Newborn Health. New York: In Towards Adulthood: Exploring The Sexual And
United Nations Children’s Fund. Reproductive Health of Adolescents in South Asia,
edited by Sarah Bott, Shireen Jejeebhoy, Iqbal Shah,
67
Neema, S, et al. 2006. “Adolescent sexual and Chander Puri. Geneva, Switzerland, World Health
reproductive health in Uganda: Results from the 2004 Organization [WHO], Department of Reproductive
National Survey of Adolescents,” Occasional Report. Health and Research,:81-85.
New York: Guttmacher Institute, No. 25.
Lloyd, C, M. Grant and A. Ritchie. 2007. Gender
Munthali, A et al. 2006. “Adolescent Sexual and Differences in Time Use Among Adolescents in
Reproductive Health in Malawi: Results from the 2004 Developing Countries: Implications of Rising School
National Survey of Adolescents,” Occasional Report. Enrollment Rates, unpublished paper. New York:
New York: Guttmacher Institute, No. 24. Population Council.
69
Guttmacher et al. Unpublished in-depth interview 79
Plan. 2007. Because I am a girl: State of the World’s
data Ghana, 2003 from the 2002-2008 Protecting the Girls. London: Plan International.
Next Generation project.
Kritzinger, A. 2002. “Rural Youth and Risk Society:
World Bank. 2007. Global Monitoring Report. Wash- Future Perceptions and Life Chances of Teenage Girls
ington, D.C.: The World Bank. on South African Farms,” Youth & Society. Vol 33,
No 4: 545-572.; Women’s Commission for Refugee
71
Global Coalition on Woman and AIDS. 2006. Keep- Women and Children. 2007. Listening to Youth: The
ing the Promise: An agenda for Action on Women and Experiences of Young People in Northern Uganda
AIDS. Geneva: Joint United Nations Programme on (summary report). New York: Womens’ Commission
HIV/AIDS. for Refugee Women and Children.
72
Guttmacher et al. Unpublished in-depth interview
Guttmacher et al. Unpublished in-depth interview
data Uganda, 2003 from the 2002-2008 Protecting data Uganda, 2003 from the 2002-2008 Protecting
the Next Generation project. the Next Generation project.
73
Guttmacher et al. Unpublished in-depth interview
Guttmacher et al. Unpublished in-depth interview
data Uganda, 2003 from the 2002-2008 Protecting data Malawi, 2003 from the 2002-2008 Protecting the
the Next Generation project. Next Generation project.
74
Kaufman, C., S. Clark, N. Manzini and J. May. 2004.
Guttmacher et al. Unpublished in-depth interview
“Communities, Opportunities, and Adolescents’ Sex- data Uganda, 2003 from the 2002-2008 Protecting
ual Behavior in KwaZulu-Natal, South Africa,” Studies the Next Generation project.
in Family Planning. Vol. 35, No. 4: 261-274.
Women’s Commission for Refugee Women and
Karim, A. M., R. J. Magnani, G. T. Morgan and K. C. Children. 2007. Listening to Youth: The Experiences
Bond. 2003. “Reproductive Health Risk and Protec- of Young People in Northern Uganda (summary
tive Factors among Unmarried Youth in Ghana,” report). New York: Womens’ Commission for Refugee
International Family Planning Perspectives. Vol. 29, Women and Children.
No. 1:14-24.
49
GIRLS SPEAK: A NEW VOICE
IN GLOBAL DEVELOPMENT
Intili, J. A..; E. Kissam,; E. St. Geroge. 2006. “Fos- regional opinion survey. New York: United Nations
tering Education for Female, Out-of-School Youth in Children’s Fund.
Afghanistan.” Journal of Education for International
Development, Vol. 2: No. 1. 97
UNICEF. 2001. Speaking Out! Voices of Children
"4/'B/2%*+0*41+'$4'."+1'B+$"'"4/'1:*'R"0$30L'B'
UNICEF. 2006. “Will you listen” Young voices from regional opinion survey. New York: United Nations
024P$01'`24*+L'k"0:*%'E1,/&'MNA&*")'+1)"1*8$0')*7$*5L' Children’s Fund.
i:$%/)*4'"4/'i24P$01'$4'"'i:"48$48'_2)%/-'Z*5']2)DL'
United Nations Children’s Fund.
Mensch, B., J. Bruce and M.E. Greene. 1998. The
Uncharted Passage: Girls’ Adolescence in the Devel-
Schuler, S, et al. 2004. Married Youth and their oping World. New York: Population Council.
mothers: Do empowered mothers foster gender-
equitable relationships and better reproductive health 99
See, for example, http://www.unfpa.org/webdav/
"#248'&2,48'(*2(%*'$4'j,)"%'["48%"/*+:<'j*(2)1' site/global/shared/documents/publications/2007/
to the Inter-Agency Gender Working Group, USAID, change.pdf.
Washington DC., Academy for Educational Develop-
ment.
Heller, Peter. 2009. “Do Demographic Factors
@4P,*40*'@47*+1#*41'$4'@4!)"+1),01,)*<H'=4(,C%$+:*/'
Brady, M. 2003. “Safe Spaces for Adolescent Girls,” paper and personal correspondence, March 2009.
Chapter 7, in UNFPA Background Document, Ado-
lescent and Youth Sexual and Reproductive Health:
Rahman, L. and V. Rao. 2004. “The Determinants
Charting Directions for a Second Generation of Pro- of Gender Equity in India: Examining Dyson and
gramming, pp 155-176. New York: UNFPA. Moore’s Thesis with New Data.” Population and
Development Review, Vol. 30, No. 2: 239-268.
Adolescent girl, College 20 Août 1953, Moulay
Rachid (Casablanca), 29 May 2006.
Brady, M. and B. Khan. 2002. Letting Girls Play:
Mathare Youth Sports Association’s Girls Football
Instituto Promundo. 2008. Program M. Unpublished Program. New York: The Population Council.
focus group discussion.
Austrian, K. 2007. Expanding Safe Spaces and
91
Instituto Promundo. 2008. Program M. Unpublished Integrating Financial Literacy for Adolescent Girls
focus group discussion. in the Kibera Slum of Nairobi, Kenya: A Case Study
of the Binti Pamoja Center, Unpublished Master’s
92
Guttmacher et al. Unpublished in-depth interview Thesis.
data Uganda, 2003 from the 2002-2008 Protecting
the Next Generation project.
Sen, A. 1997. “Editorial: Human Capital and
Human Capability.” World Development Vol. 25. No.
93
Guttmacher et al. Unpublished in-depth interview 12: 1959-1961. p. 1959.
data Malawi, 2003 from the 2002-2008 Protecting the
Next Generation project.
Biddlecom, A.E., L. Hessburg, S. Singh, A. Bankole
and L. Darabi. 2007. Protecting the Next Generation
94
Instituto Promundo. 2008. Program M. Unpublished on Sub-Saharan Africa: Learning from Adolescents to
focus group discussion. Prevent HIV and Unintended Pregnancy. Allan Gutt-
macher Institute.
The Convention on the Rights of the Child is avail-
able at the following website: http://www2.ohchr.org/
Ann E. Biddlecom, Laura Hessburg, Susheela
english/law/crc.htm. Singh, Akinrinola Bankole and Leila Darabi (2007).
Protecting the Next Generation on Sub-Saharan
96
UNICEF. 2001. Speaking Out! Voices of Children Africa: Learning from Adolescents to Prevent HIV and
"4/'B/2%*+0*41+'$4'."+1'B+$"'"4/'1:*'R"0$30L'B' Unintended Pregnancy. Allan Guttmacher Institute.
50
APPENDIX
UNICEF. 2001. Speaking Out! Voices of Children
"4/'B/2%*+0*41+'$4'."+1'B+$"'"4/'1:*'R"0$30L'B'
regional opinion survey. New York: United Nations
Children’s Fund.
Mathur, S., A. Malhotra and M. Mehta. 2001.
Adolescent Girls’ Life Aspirations and Reproductive
Health in Nepal. Reproductive Health Matters Vol. 9,
No. 17: 91-100.
51
THE GIRLS COUNT
SERIES IS AN INITIATIVE
OF THE COALITION FOR
ADOLESCENT GIRLS.
WWWCOALITIONFORADOLESCENTGIRLSORG
The Girls Count series is an initiative of the Coalition for Adolescent Girls.
www.coalitionforadolescentgirls.org
Girls Speak:
A New Voice in Global Development
In Girls Speak: A New Voice in Global Development, Margaret E. Greene, Laura
Cardinal and Eve Goldstein-Siegel draw together girls’ voices as a call to the
development community - from programmers to policymakers - to understand girls’
perspectives, needs and priorities and to work with girls to provide them with the
means to reach their goals.
“Thorough fieldwork and insight combine in this report “An important publication that aims not only to mobi-
to highlight the desperate plight of millions of girls who lize families, communities and governments to work
are prevented from investing in themselves because to end discrimination and violence against adolescent
they’re busy investing in others: walking miles to find girls but also, most critically, places the voices of
water, foraging for fuel, spending hours toiling in fields adolescent girls at the center of all interventions.”
or caring for siblings at home. Please read this report
Yasmeen Hassan
and find out how we’re all diminished when girls are
Deputy Director of Programs,
not part of the conversation.
Equality Now
The girls have spoken.
Gaisu Yari
Afghan asylee from forced marriage,
came to the US at age 19