The countries in the Mano River Region, which include Sierra Leone and the Ivory Coast as well as Li-beria, are part of the regional conflict system. Decades of violence, revolts and political instability have domi-nated the region. All these conflicts have been marked by high levels of sexualised violence. Gender-based violence remains widespread. While perpetrators are rarely punished, survivors have little access to support and protection and are also often stigmatised.

Numerous women’s organisations in the Mano River Region are campaigning for the rights and protection of women and girls. To support their work, medica mondiale decided to extend its partner network.

The longest partnership is with medica Liberia, which has been funded by medica mondiale since 2006 and is working for women and girls since 2015 as an independent and now largest and most well-known women's rights organization in Liberia in the southeast and the capital region.

Since 2018, various projects in Sierra Leone and Côte d'Ivoire are promoted and interconnected. By establishing networks, women can increase their political influence and change their societies sustainably.

Liberia – sexualised violence as legacy of the civil war

First, there were 14 years of civil war, and then in 2014, the Ebola epidemic – Liberia is still struggling to return to normality. One legacy of the war – and a problem for society as a whole – is the high level of sexualised violence against women and girls. However, women rarely report having been raped, because they are ashamed and/or afraid of social exclusion. When they do, the perpetrators usually escape punishment. The judiciary is inefficient and corruption widespread. And, on top of all this, there are the misogynist traditions. Most people have no knowledge of existing legislation and there is little acknowledgment that assaults on women amount to serious violations of human rights.

  • In Liberia, according to UN estimations at least 40.000 women were raped during the civil war from 1989 until 2003
  • Estimates suggest that 50-70 per cent of women have been raped – often this involved gang rape, sexual torture and mutilation. Sexualised violence was carried out by all sides in the conflict in Liberia.
  • An estimated 40 per cent of the 53,000 combatants in Liberia were child soldiers, including about 2,000 girls. Child soldiers were almost always affected by sexual exploitation.
  • Psychosocial or medical care is only available for raped women in a tiny minority of cases.
  • Teenage pregnancy is a particular problem: According to UNFPA three out of five young women in Liberia are mothersat the age of 19.

Sierra Leone – Female genital mutilation and limited access to education

  • In Sierra Leone, female genital cutting is very widespread. It is accepted as a common practice and is publicly supported as part of the patriarchal culture. More than 80 percent oft he women in Sierra Leone have been circumcised.
  • over half of girls cannot read or write
  • A law introduced in 2015 prohibits pregnant girls from going to school. Although the law is unconstitutional, it affects one-third of girls under 18 years.

Ivory Coast – Stigmatization after rape and illegal circumcision

  • Female genital mutilation is prohibitted since 1998, but the prohibition is not actively enforced and female genital mutilation continues secretly. 38 percent of women between the ages of 15 and 49 are affected according to Terre des Femmes.
  • Survivors of sexualized violence are stigmatized and often declared guilty, isolated and outlawed after being raped.

(Last updated: 2019)

Practical Examples:

300.000 people attended the sitins against sexualised violence organized by the Liberian Feminist Forum in the autumn of 2018.

540 girls participated in 2018 in the “Girls Clubs” initiated by medica Liberia. The participants passed on their know-how to 1,346 other girls in a peer-to-peer programme.

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Partner organisations:
Liberia: Medica Liberia
Ivory Coast: CEF-CI, WANEP-CI

Project regions: Grand Gedeh County, Sinoe County, Montserrado and Margibi Counties (Monrovia)
Ivory Coast: Abobo and Niakara

Project priorities:

  • offer trauma-sensitive and gender-specific counselling, health care and legal advice for survivors of sexualised violence
  • train state service providers on stressand trauma-sensitive support
  • strengthen community-based structures in the areas of prevention and protection
  • raise awareness for, and advocate against, gender-specific violence

Federal Ministry for Economic Cooperation and Development (BMZ)
Kreditanstalt für Wiederaufbau (KfW)
Fondation Pro Victimis
Medicor Foundation
Anne-Marie Schindler Foundation
Donations/own resources

Source: annual report 2018

Overview of all partner organisations of medica mondiale

25 years of medica mondiale – an overview

Counsellors trained in trauma work and psychosocial support help women to develop new prospects in life. Copyright: Rendel Freude
Counsellors trained in trauma work and psychosocial support help women to develop new prospects in life.

Solidarity network against violence

In remote areas of the South East, most women and girls do not know who they can turn to when they are faced with violence or threats of violence. So medica mondiale Liberia has built up a wide network to provide rapid support and protection to women even in the remotest villages. Volunteers have been trained to be community counsellors for these women. Together with the women seeking help, they consider the options available to deal with a case of rape or violence in the family, and accompany women to hospital, the police or court. The community counsellors also mediate between survivors and their family members. Where appropriate, they involve the village elders in the conflict resolution efforts. In serious cases, the volunteers facilitate contact between the rape survivors and the medica mondiale Liberia team in the county capitals. The women then receive the appropriate psychosocial, legal or medical counselling – seriously injured survivors are accompanied to hospital. In medica mondiale’s women’s centre in Fish Town, rape survivors can find temporary refuge in its shelter.

Awareness raising and education about violence against women

Medica Liberia's goal is to draw attention to the precarious situation of Liberian women.

In order to encourage village populations to accept responsibility for protecting women, medica mondiale Liberia organises events in market places, schools and hospital wards to raise awareness of human rights, women’s rights and the issue of sexualised violence. Other awareness campaigns, theatre performances and radio programmes also serve as means to get this information to women and men in the villages.

In October 2018, medica Liberia, together with the Liberian Feminist Forum, initiated one of the biggest protest marches in the country in the face of sexualised assaults on schoolgirls and addressed the population with an awareness-raising campaign using the motto #weareunprotected.

In addition, medica mondiale offers training sessions to the authorities, such as the police, courts, prisons, schools and hospitals. The goal is to raise awareness regarding the issue of violence against women, ensure they know how to use trauma-sensitive working methods, and make it clear that rape is a serious breach of human rights.

In August 2016, Medica Liberia launched a new project aiming to build a “protection network” around the capital, Monrovia, which, over the next three years, seeks to sensitise the population to sexualised violence and provide better protection for women and girls. The involvement of men in the project is intentional. They have set up “watch groups” to provide security in neighbourhoods where there is often no police presence.

medica mondiale draws public attention to the precarious situation of Liberian women. Copyright: Sabine Fründt
medica mondiale draws public attention to the precarious situation of Liberian women.

Political commitment in Monrovia

In order to bring about far-reaching improvements in Liberia, medica mondiale is also active at the political level. In the capital, Monrovia, medica mondiale works together with other organisations and the Gender and Justice Ministries on fundamental policy issues regarding the situation of women in the country. medica mondiale Liberia is a member of the National Task Force against Sexual and Gender Based Violence and contributed to the development of the domestic violence law and the Liberian National Plan of Action to implement the UN Resolution 1325, designed to integrate women into the peace process.

New partners in the region

Since 2018 medica mondiale also funds partner organisations in the Ivory Coast. Together with the “West African Network for Peace”, medica mondiale is running a project to build “peace huts”. In these huts, qualified members of staff provide counselling for survivors of sexualised violence. Another project, implemented in co-operation with the “Women’s Centre for Democracy and Human Rights”, focuses on combatting female genital mutilation and the forced marriage of underage girls.

Since March 2019, medica mondiale has also been working with four new partner organisations in Sierra Leone.

(Status of: 2018)