Sexual and reproductive health is at the heart of the most important decisions a woman makes: if and when to marry, how long to stay in school and how many children to have.
Millions of women and girls around the world do not get to freely make these choices. Poor health services and information limit their freedoms – and put their lives at risk. Globally, complications during pregnancy and childbirth are the second cause of death for girls aged 15 to 19.
When women can make informed choices about their bodies, they can make better choices for their families, their education, their livelihoods and their happiness.
What is Oxfam Doing?
Together with local organizations, we put sexual and reproductive health choices back in women's hands. When women can access vital health information and services, they can lead healthy, fulfilling lives.
Collaborate
With local partners, we strengthen health systems and community structures.
Inform
A woman can only demand her rights if she knows what those rights are.
Advocate
We rally communities and challenge the policies, systems and laws that need to change.
IMPACT IN ACTION
Between 2019 and 2024, pregnancy amongst teenage girls (ages 15-19) decreased from 19% to 8% across project districts (a 58% relative reduction).
Mutinta was a Grade 8 student in Zambia who left school to marry, believing it would ease her family’s financial hardship.
Chanda, a peer educator with a local health facility’s outreach program, learned of her situation and began visiting her regularly. Through these conversations, Mutinta gained information about sexual and reproductive health and rights, and the risks of early marriage and teenage pregnancy.
With this support, Mutinta left her marriage, returned to school with a scholarship, and continued her education. She is now training as a peer educator herself, advocating for SRHR in her community and supporting other girls to avoid early marriage and make informed choices about their futures.

