Stories

“I've heard kids yelling on the street that there was a program to space pregnancies. I've always wanted to do that for the long term. Until then, I'm still trying with the three-month-old pills. Besides, listening to one of the people advertising these services, the address was not very far from my home." Claudine, aged 27, is a sex worker. "In the past, I was wary of 'contraceptive' methods. But once I tried them and I didn't notice any negative impact on my body, I made it a habit in order to not get pregnant". Like all young girls interested in the Women’s Integrated Sexual Health (Lot 1) programme services, Claudine arrives shyly at the center where Association pour le Bien-Etre Familial-Naissances Désirables (ABEF-ND) distributes contraceptive methods. "When I arrived at the center, I thought that there would be no paperwork to do, but I was pleasantly surprised that the organizers want to find out about me and maybe one day they will be able to set up a health centre to follow us regularly," she hopes. In the DRC, few women raise the subject of sexual violence because they are afraid of being rejected and that "poverty sometimes leads us into sex work," she says. "But the consequences are enormous and sometimes harmful. Girls who are not sensitized will have unsafe abortions and catch sexually transmitted infections." Claudine has expectations and hopes regarding this kind of activity: "However, if awareness-raising is regulated, even every three months, we will, I think, have fewer young mothers because they will be more knowledgable about family planning". The WISH project has seen a positive change in women and girls' access to integrated family planning and sexual and reproductive health care. WISH promotes a variety of contraceptive methods and sexual and reproductive health support, ranging from referrals to services for those who need it most.   "I want to feel free in my sexual activities". I have a boyfriend but that doesn't stop me from doing my life. "I make my livelihood as a sex worker and he is a carpenter. That's how we've been trying to make ends meet since we moved to the capital two years ago." "We're going back to the village to take a break, it's not a permanent departure." Claudine and her boyfriend are both from Boende, the capital of the Tshuapa province, in the north-west of the country, 2,285 km from Kinshasa. She was encouraged to move to the capital at the insistence of one of her uncles who had been living there for several years. "The reality is quite different. We have been able to raise enough money to send goods to the village for the past two years. My companion and I will go back there to rest and maybe come back if we get bored in the village again.” “Pakadjuma is a place where almost everyone comes from the village, but it is only here that I see enough interest from associations to sensitize young girls on family planning by distributing condoms to prevent early pregnancies and sexually transmitted diseases. It's all very interesting. It's an opportunity for us and I think it's one of the things I'll miss the most when I go back to the village. I hope to still have friends here who can send me these methods.”

After her parents divorced, the family dissolved and Ruth found herself in Pakadjuma where she rented a small house. "My boyfriend helps me pay the rent," she says. She thought she would continue with school but could not afford it. After a few years of a relationship, Ruth became pregnant, and explain that "it was late to get an abortion, and I didn't want to put my life in danger." "I would have liked to get my bachelor's degree, but I don't regret it; I loved my child right away." Ruth, aged 19, like other young girls, queues up to learn about the different contraceptive methods the WISH programme offers for girls and women living in Pakadjuma. Some of them sign up directly to take them. Others find out and promise to come back after talking with their companions. The Women’s Integrated Sexual Health (WISH Lot 1) programme offers quality integrated sexual and reproductive health services across the Democratic Republic of Congo through IPPF Member, Association pour le Bien-Etre Familial – Naissances Désirables (ABEF-ND). Ruth is trying the service for the first time. She is in favour of receiving a contraceptive method for the next three months. "Some people have discouraged me because they believe that the 5-year method can destroy the body. But before deciding to come here, I asked around with the neighbours who have already tried it. I didn't have any negative experiences." Ruth asked the organizers about the consequences: "They said it's just to protect me so that I don't get pregnant for 3 months and then I can renew if I feel like it.” Ruth feels that many parents do not discuss sexual matters with their children. They probably feel it is inappropriate. Yet, if young girls get pregnant before they are socially stable, it is also due to a lack of guidance and orientation. "This should be a regular initiative," she says. "It's not late to receive sex education but above all to have free contraceptive methods, because I would have preferred a thousand times to buy milk for my baby than to pay for a condom or a Jadelle. Ruth has an 8-month-old baby, "I didn't want this and having many children will be disadvantageous for me especially as I am not yet married". She lives from small businesses and the money to support from her companion. Ruth says she took this contraceptive method without her partner's advice. "Since the birth of our child, we have been abstinent, and that's good. "He encourages me to go back to school, and I think that's what I should do.”

“The first time I met Chariette [a peer educator for the Cameroon National Planning Association for Family Welfare] was at Sunday football, around four years ago. She was invited by the organizer to come and talk to us when the match was over. We were all men but she wasn’t intimidated and she handled the stupid jokes well.  We stayed in touch and then one day I realized I had an STI. It’s a little taboo and I didn’t want to talk about it. I bought some drugs at the local market but they didn’t have any effect. I called Chariette and we discussed what had happened. She told me to come to the CAMNAFAW clinic and I did, where I spoke about my problem and they gave me proper drugs to get rid of it. That day, I decided to become a peer educator myself. There are a lot of guys who are suffering but too scared to speak out. Above all, men are scared of talking about STIs.  I now work in schools and youth groups, especially sports teams. They will insist they don’t have anything wrong but every Sunday since then I have gone round the teams and chatted with them.  I speak about pregnancy as well. It’s the guys who push women to have sex without a condom and also to have an abortion afterwards. I help to raise awareness of why we have to protect ourselves. It’s hard to recruit people to become peer educators because we are volunteers. It’s not easy to persuade people to change their ways. The view from a lot of churches is very strict and centers on abstinence. The young men want to be macho.” Hervé Tchuigwa Djiya is a peer educator for the Cameroon National Planning Association for Family Welfare (CAMNAFAW)

“Chariette was my neighbor. We lived next door to each other. She often organized group information sessions in the neighbourhood to talk about sexually transmitted infections (STIs) and early pregnancy, and unintended pregnancies as well.  When I started attending her sessions I was in a bit of unstable relationship. My life was chaotic. My boyfriend didn’t like using protection and we told each other that as we loved each other we weren’t taking any risks. Once I caught something and I was itching a lot. My boyfriend told me that I must have caught it in a public toilet. I trusted him and I didn’t realize I could catch something. When I started listening to Chariette it opened my eyes and I realized I was running big risks. As we aren’t married and we are still studying, we shouldn’t have an unintended pregnancy. What would we do? She told me about sexually transmitted infections as well. I tried to talk to my boyfriend about it but he didn’t want to hear about it, especially about using condoms. I asked for a private session with Chariette for him, and she spoke to us both and he finally understood. Today we have a much more stable sex life and we aren’t running those risks anymore. He learned how to use a condom. After attending her sessions, I was able to save a friend with Chariette’s help. This friend tried to perform an abortion herself and she was bleeding everywhere. I remembered that Chariette told me about the Cameroon National Planning Association for Family Welfare clinic, so I called her and asked how she could be admitted. She was able to receive post-abortion care but if I hadn’t known Chariette I don’t know what would have happened. I have brothers and I have helped them to change too. I’ve helped them to adopt a healthier sex life. There is HIV around and it’s scary.” Gertrude Zouakeu Noutcha, 29, is a student and peer educator for the Cameroon National Planning Association for Family Welfare (CAMNAFAW)