Community members’ perspective towards MAMA and access to safe medical abortion

The MAMA Network is a 4-year program that began on September 2016 and coordinated by Trust for Indigenous Culture and Health – TICAH and Women Help Women. With the support of SAAF – Safe Abortion Fund; seven non-governmental organizations (NGOs) and community activists in Central, East, and West Africa are collaborating to generate evidence on a shared vision of regional needs with regard to community activism on self-managed medication abortion. Through researches conducted, community leaders, activists, and members shared their views on the works of MAMA Network member organizations in their community.

Perspectives on the impact of MAMA services in communities

Community leaders and health workers perceive positive changes in their community due to the activities of MAMA organizations:

”There is a lot of change. As I told you earlier, many women used to die due to complications from unsafe abortions. Now, many women have been taught how to do it safely and there is visible change.” (Community leader, Malawi)

”I think they [MAMA org] have helped and they should continue because this is a big village compared to the number of people getting information. It’s true when you share information with five women, other ten will receive it but I would like it to continue because we still have a big area that we have not covered it yet.” (Community health worker, Kenya)

Views on medication abortion versus other abortion methods

Community members expressed a preference for medication abortion over other abortion methods due to price, effectiveness, safety, and privacy:

”The pills are much better because women don’t have to go to a public hospital to have the abortion. Hospitals have too many people which eliminate privacy. With pills, a woman can do everything in her bedroom at an early stage of the pregnancy, according to the advice she received during training. If all the advice is followed, the woman is protected and the matter remains private.” (Community leader, Malawi)

”Abortion with surgery is expensive…abortion with pills like I said is affordable, it is more effective according to the WHO standards and I have seen ladies who used it and they came to testify that they used it, it works and they are back again. For me, I would go for that pill.” (Community health worker, Nigeria)

The MAMA Network model has the potential to empower organizations with expanded knowledge about safe medication abortion, and thereby to increase access to safe medication abortion for their communities. Building evidence for the impact of collaborative strategies adopted by a strong regional network will strengthen grassroots level initiatives and provide a roadmap for how organizations can learn from and leverage each other’s’ strengths across diverse contexts. Ultimately, findings from the MAMA Network study with the support of SAAF – Safe abortion Fund will inspire other actors to network in a similar fashion, strengthening efforts to dismantle the stigma around abortion and reduce the incidence of unsafe abortion broadly.

Expanding the Network and Building evidence around Medical Abortion

Building evidence around Medical Abortion: Women Deliver Conference Poster

MAMA Network, Presented abstract at the Women Deliver Conference May 2019.
Presented poster at the Women Deliver Conference in May 2019.

Findings from the MAMA Network and the current research study with Ibis Reproductive Health were presented during a poster session at the 2019 Women Deliver conference in Vancouver, Canada.  The poster, titled “MAMA Network: Expanding sexual and reproductive health information and access in Central, East, and West Africa” featured an overview of the MAMA network, including the history and objective of the network, and preliminary findings from interviews with community leaders and health workers from Kenya, Malawi, and Nigeria. The preliminary findings highlighted the positive changes and impact that MAMA organizational activities have had on their community, such as educating community members about how to get information on medication abortion. In addition, community leaders and health workers also reported on the benefits of medication abortion, including its effectiveness, safety, privacy, and low cost compared to surgical abortion. Overall, this poster shared how the MAMA network model has the potential to empower organization with expanded knowledge about safe medication abortion, and thereby increase access to safe abortion for their communities.

Over 15 new grassroots organizations have joined the MAMA Network’s reproductive justice movement for Sub-Saharan Africa.

In efforts to extend and strengthen the MAMA Network, membership registration was extended to new organizations motivated to increase access to medical abortion in Sub-Saharan Africa. After a thorough process of screening of all organizations that applied, webinars were conducted to kickstart the movement with the new partners. The goals of the introductory webinars held in French and in English were to;
• Meet and get to know each other
• Introduce new members to the MAMA network
• Present upcoming activities of the MAMA Network

2018 Milestones, 2019 Wins!


  • MAMA network currently has Three Network grants supporting its movement in Sub-Saharan Africa. The Network is supported by Amplify Change and Safe Abortion Fund. This support will allow for network expansion, the creation of evidence on safe abortion and joint advocacy.
  • MAMA Network held it’s first All-MAMA members online meeting in February where network members shared 2018 achievements, growth and needs for 2019. The MAMA Network also highlighted it’s achievements and what next.
  • In 2018 September 28th, 2018, MAMA Network launched its official website. Network members and other organizations can access important reproductive health and rights resources and information. 

MAMA Network 2018 Highlighted Achievements:

  • 6 member organizations were sub-granted by MAMA Network.
  • 2 Hotlines launched in Uganda and Tanzania
  • IEC materials translated in 5 local languages.
  • Hotlines presentations by TICAH, WHW, Giwyn, Foha and Coherinet in South Africa for the Reproductive Justice Conference with Keynote Speech from Jade Maina – TICAH.
  • Research training by IBIS Reproductive Health in Nairobi with 7 MAMA organizations
  • Hotline mentorship to strengthen management, counseling, and communication techniques.
  • National SRHR training led by Giwyn in Cameroon supported by WHW and TICAH
  • Members exchanges for mentorship and trainings (Kenya, Tanzania, Nigeria, Uganda)
  • Launch of the MAMA Network Website to mark September 28th
  • MAMA Network partnership with IBIS Reproductive Health to build evidence on safe abortion.

2019 MAMA Network membership expansion

MAMA’s membership expansion in 2019 will cut across sub-Saharan Africa. This will allow for a decentralized network and, strengthening of internal structures and M&E systems, regrants to member organizations, exchange visits between members, capacity building for members and organizations, safety and security, advocacy, etc.

Generating Evidence around Medical Abortion in Sub-Saharan Africa

In partnership with IBIS Reproductive Health with support from SAAF and Amplify Change. MAMA Network members are carrying out community research to understand community perception of safe abortion through hotline interviews, community interviews, and community surveys. All members acquired research capacity building in Nairobi in May 2018.