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WEST AFRICA: Improving access to sexual and reproductive health and rights for women and girls


© A. Surprenant / MYOP / HI


In West Africa, every day, around 460 women and girls die as a result of pregnancy or childbirth complications and nearly 9,000 suffer sequelae, sometimes for life (West African Health Organization, 2016).

Teen pregnancy remains one of the major contributors to maternal and child mortality and contributes to the cycle of poor health and poverty (WHO, 2014). This situation can be improved by focusing on access to contraception, which allows women to take control of their sexual and reproductive health and maintain their overall health.

Hundreds of girls give birth each year before the age of 20, putting their health at risk with social consequences such as dropping out of school and stigma




Launched in 2020, the "Éducation nécessaire à la santé sexuelle et reproductive équitable pour devenir maître de son bien - être et libre de ses choix" project aims to improve access to sexual and reproductive health services and rights, with a focus on women and adolescent girls, including those with disabilities, in Togo (Maritime region), Côte d'Ivoire (Gbeke region) and Senegal (Kolda region).


© A. Surprenant / MYOP / HI




The project adopts a social behavior change approach based on active participation of beneficiaries and a gender analysis including excluded groups such as people with disabilities..





community dialogues



community health workers and peer educators trained


2 382

beneficiaries of contraceptive services


23 635

people reached




The ENSEMBLE project is part of the Government of Canada's comprehensive approach to sexual and reproductive health and rights. It is financially supported through Global Affairs Canada and carried out in partnership with CARE Canada.