Project information

The Right to Health for Women and Girls in Africa

Amref’s vision is a world where everyone can access their right to health. We will work with women and girls across sub-Saharan Africa to ensure they have access to affordable healthcare, including maternal health and sexual and reproductive education.

January 2019 - December 2019

Charity information: Amref Health Africa

Amref Health Africa logo
  • Need


    In sub-Saharan Africa, women are often disproportionately affected by inequalities in health. The biggest risk to the lives of teenage girls and women in the developing world today is pregnancy and childbirth. In too many cases, women are denied access to the information and services they need to be able to make choices about their health. The impact of this can be devastating, causing disabilities, domestic violence and death.


    Our model places women and girls, often the gatekeepers to their communities’ health, at the centre of African-led solutions. Our work will ensure more women and girls can access antenatal care, skilled midwives, well-equipped health centres, and education about their rights in pregnancy and childbirth. These solutions not only ensure women and girls are safer and healthier in the short-term, but help to enable faster economic growth and sustainable development in the long-term.

  • Aims

    Aim 1

    Improve awareness of and access to maternal, new-born and child health services.


    » Ensure effective access to assisted delivery, skilled obstetric services, and health care to pregnant women and new mothers in target areas.
    » Set-up and coordinate women's groups to share knowledge and materials on appropriate care for pregnant women and new mothers.
    » Work with local communities including traditional birth attendants to encourage referrals for pregnant women and new mothers.
    » Provide equipment and training to health workers and Village Health Teams to improve quality of services.

    What success will look like

    Success will be an increase in births attended by a skilled health worker and will be demonstrated through a reduction in maternal and child mortality in target areas.

    Aim 2

    Increase access to and knowledge of sexual health and family planning education.


    » Deliver workshops in schools to educate young girls on their sexual and reproductive rights, and contraceptive options available.
    » Influence governments and Ministries of Health to invest in sex education, particularly in hard-to-reach communities.
    » Work with teachers to ensure they provide comprehensive sexual and reproductive education.
    » Campaign to change attitudes through our work in advocacy.

    What success will look like

    Success will be an increase in girls completing secondary school and a decrease in teenage pregnancy in target areas.

    Aim 3

    Improve access to water, sanitation and hygiene (WASH).


    » Set up school-based ‘wash clubs’ that teach children about hygiene and encourage them to take the message home.
    » Train small groups of local people to take over management of the water, washing and toilet facilities in target areas.
    » Support the construction of infrastructure, including installing latrines, boreholes, bathrooms and water tanks.

    What success will look like

    Success will be a reduction in cases of waterborne diseases in target areas.

    Aim 4

    Train healthcare workers, including Midwives, Community Health Workers and Village Health Teams.


    » Deliver training (in person and through e-learning) for existing midwives and health professionals.
    » Offer training (in person and through e-learning) as an incentive for new midwives and health professionals, particularly in hard to reach areas.
    » Train health workers in the programme areas of maternal and child health, sexual and reproductive health, and water and sanitation.

    What success will look like

    Success will be an increase in the number of skilled health workers working in target areas.

  • Impact


    Health is key to brighter future: once a woman has access to affordable healthcare she can go on to fulfil her professional and personal potential. Good health opens up the possibility of freedom from poverty. It’s directly linked to access to education, economic empowerment, and the fulfilment of human rights. Above all, better health is central to human happiness. Amref will demonstrate success in long-term sustainable change through a results-based monitoring and evaluation approach.


    As Amref works in remote areas, poor weather conditions can affect our ability to reach communities according to our project deadlines. Amref mitigates against this risk by working with knowledgeable local suppliers, investing in quality transport, and scheduling key activities outside of the rainy season. There is also a risk of failing to retain existing midwives and health workers. Amref mitigates against this by incentivising health workers through pay, training and other benefits.


    Amref will report to donors through a range of channels, including social media, annual report, e-news, mailings and personalised reports where requested/required by the donor. We love to share case studies with our donors, highlighting the positive work of the healthcare heroes across Africa.

  • Budget

    Budget - Project Cost: £763,244

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      Amount Heading Description
      £260,888 Training and capacity building Includes delivering training to health workers, midwives and health teams.
      £72,380 WASH activities Includes the construction of boreholes, establishing WASH committees and education on hygiene.
      £50,596 Women's Group activities Includes supporting women's group education on essential maternal and child health.
      £78,814 Equipment for maternity wards Supply 28 facilities with equipment.
      £194,715 Uganda project delivery Including salaries of project staff and project management and delivery costs in Uganda.
      £37,562 Monitoring and evaluation Reviewing and updating the project to improve efficiency and effectiveness.
      £68,289 UK support costs Including salaries of UK staff providing financial and programmatic support.

    Current Funding / Pledges

    Source Amount
    Private Foundation £500,000 Conditional
    Dulverton Trust £30,000 Guaranteed
    Other trust and institutional donors £163,244 Conditional
  • Background


    Amref UK delivers healthcare solutions through women and girl across sub-Saharan Africa, but most of our work with women and girls is in Ethiopia, Kenya, Tanzania and Uganda, with a focus on underdeveloped and remote communities that other organisations cannot or do not reach. The project described here focuses on Northern Uganda, however funds raised through the Big Give will be spent where they are needed most across Amref's maternal health work.


    Our primary beneficiaries are pregnant women, new mothers and teenage girls. However, focusing on women and girls ensures whole communities benefit. Every day, women around the world make decisions that directly impact the health and wellbeing of their households, and their wider communities. Women have a personal stake in the health, and the future, of their families and communities and that’s why we know the power to effect lasting healthcare change lies with the women and girls we support.

  • Why Us?

    Why Us?

    As Africa’s leading health charity, Amref is uniquely placed to foster healthcare change in Africa. Headquartered in Nairobi, we provide African solutions to African problems and are trusted by the women, communities and governments we partner with. We draw on our six decades of experience, local knowledge, strong relationships with communities and technical expertise to deliver programmes that have a lasting impact on the whole healthcare system, from top to bottom.

    Read more about the Charity running this project.


    The Front-Line “Health Heroes”

    The health workers, including midwives and nurses, who are working to transform their communities’ lives and prospects.

    Dr Githinji Gitahi

    Dr Githinji is Amref's global CEO, and leads the organisation to reach over 12 million people in sub-Saharan Africa each year.

    Patrick Kagarusi

    Head of Programmes in Uganda, and Amref’s technical lead for Maternal, New-Born and Child Health.


could train a midwife to promote safe pregnancy, birth and motherhood to their community.

Amref Health Africa has been saving lives for decades and should give us all hope that even the most complex health challenges can be overcome.

Bill Gates