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Preventing Child Marriage: Protecting Girls' Health: WWW - Usaid.gov

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Preventing Child Marriage: Protecting Girls Health

Significant numbers of girls in the developing world are married before they reach adulthood. Marriage too early can prevent
them from accessing health services or attaining educational, economic, or social opportunities. Historically, early marriages have
been used to secure critical social, economic, and political alliances for families or clans. Today, poverty, malnutrition, poor
educational and economic options, concern regarding virginity, as well as traditions and cultural norms, are all cited as contextual
factors surrounding child marriage.(1)

Worldwide, millions of girls aged 15 to 19 years are married each year, exposing them to the risks associated with early sexual
activity and pregnancy, HIV/AIDS, social exclusion, and gender-based violence. Studies have found that child marriage often
coexists with other poor reproductive health practices, including female genital cutting (FGC), cross-generational sex (spousal
age gaps), gender-based violence, a higher risk of contracting HIV/AIDS and other sexually transmitted infections, and obstetric
fistula, a highly stigmatized condition involving incontinence brought on as a result of prolonged labor.(2)

With rising international concern around child marriage, U.S. government officials and legislators have become increasingly
interested in addressing the practice.

What USAID Is Doing


USAID supports a number of programs at the local and country level that aim to reduce child marriage. Experience has shown
that effective interventions are long term and must engage community and religious leaders, women, men, and adolescents, and
be reinforced by messages about the risks of child marriage. Although many of these programs are relatively new, significant
impact is already being measured in the regions where USAID partners work.

Currently, USAID supports research and evaluation activities to identify successful program models that could be replicated
in coming years. Program components focus on enforcement and awareness of legislation stipulating the legal age at marriage,
community mobilization, life skills and health training, and alternative educational, economic, and social opportunities for girls.

Focusing on Delaying First Birth


through Radio Programs in Nepal
In Nepal, child marriage and early
childbearing are subjects often included in
widely broadcast radio dramas. The shows
intend to raise public awareness about the
dangers associated with child marriage
including the health consequences of girls
becoming pregnant and giving birth before
their bodies are fully grown.

Community Mobilization to Increase


the Age of Marriage in Egypt
A deeply rooted belief exists in the
Egyptian culture that early marriage is
better for girls. By spreading the message
that delaying marriage can improve
womens health and provide other
advantages to girls and their families,
USAID partners are working to increase
the average age of marriage of girls in
Egypt. This broad-based community

www.usaid.gov
mobilization project includes the airing of messages about the dangers and health consequences of early marriage on local TV
and radio stations; the use of community outreach workers to spread the message about delaying marriage; and training of
religious leaders on the issue to share with their congregations.

Girls Advisory Committees in Ethiopia


Nearly half of Ethiopian girls are married by the time they turn 18. USAID partners have established girls advisory committees in
association with more than 3,700 public schools in eight regions of the country to prevent child marriages and encourage both
unmarried and married girls to attend school. The committees communicate with parents, teachers, and religious leaders about
the dangers of child marriage and the importance of girls continuing their education. The committees have been responsible for
stopping more than 4,000 child marriages and keeping many more girls in school.

The Womens Legal Rights Initiative in India


USAID funds the training of lawyers and counselors in two Indian states on various womens issues including the legal age of
marriage. Within a network of womens self-help groups, these legal professionals also conduct workshops for local police and
religious leaders on the issue of child marriage. The network also successfully encouraged the government of one Indian state
to amend its Child Marriage Restraint Act and create a provision to appoint child marriage prevention officers.

State Department Response


The U.S. Department of State recently collected information about the legal age of marriage, the extent of underage marriage,
and any efforts to combat child marriage from all embassies. According to 178 responses received by the Office of the Senior
Coordinator for International Womens Issues, child marriage is considered to be a problem in 62 countries. Of these countries,
25 are in sub-Saharan Africa, 11 in Europe and Eurasia, eight in the Western Hemisphere, seven in East Asia, six in the Near
East, and five in South Asia. In most regions, child marriage was reported to occur more in rural areas, with poverty and local
customs as some of the major driving forces.(3)

Resources:
(1) ICRW. Too Young to Wed: the lives, rights, and health of young married girls, 2003: http://www.icrw.org/photoessay/pdfs/tooyoungtowed_1003.pdf; UNICEF.
Early Marriage: a harmful traditional practice, 2005: http://www.unicef.org/publications/files/Early_Marriage_12.lo.pdf; (2) National Research Council. Growing Up
Global, National Academy of Sciences, 2005; (3) Department of State. Poverty, Illiteracy, and Child Marriage: A U.S. Response, 2005:
http://www.state.gov/g/wi/53161.htm; (4) WHO/UNFPA/Population Council. Married Adolescents: An Overview, 2003: http://www.popcouncil.org/pdfs/MA-
Overview.pdf; (5) WHO/UNFPA/Population Council. Including Married Adolescents in Adolescent Reproductive Health and HIV/AIDS Policy, 2003:
http://www.popcouncil.org/pdfs/CMImplications.pdf; (6) YouthNet: YouthLens. Early Marriage and Adolescent Girls, Family Health International, 8/2005:
http://www.fhi.org/; (7) Save the Children. Children Having Children: State of the Worlds Mothers, 2004:
http://www.savethechildren.org/mothers/report_2004/index.asp

Prepared November 2006

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