Pathfinder International works to improve access and quality of reproductive health and family planning information and services in Guinea and West Africa.

Adolescent girls and young women bear a particularly high burden of poor sexual and reproductive health. Globally, adolescents ages 15-19 have a higher risk of maternal mortality than older women, they are less likely to space pregnancies at least two years apart than older women, and they have lower contraceptive use and higher unmet need for contraception than older women.

In Guinea,  the median age at marriage among women 20-49 years old is 16, one-quarter of women aged 20-49 were married by age 15, and 85 percent of women aged 20-49 were married by age 20.

Data in Guinea, Burkina Faso, and Niger reflect these global trends. West Africa has consistently lower contraceptive prevalence rates as a region than the rest of Africa, and has some of the highest unmet need for contraception in the world. In particular, adolescent girls and young women in the region confront myriad sexual and reproductive health challenges ranging from early marriage to unintended pregnancies to gender-based violence.

Despite the poor sexual and reproductive health indicators, young women, especially young married women, continue to be an underserved and vulnerable group who are socially isolated, have less access to quality sexual and reproductive health services, are not empowered to advocate for their sexual and reproductive rights, and are often missed by current reproductive health programs.

Pathfinder recently opened an office in Guinea to address the many sexual and reproductive health problems faced by youth by capitalizing on the current momentum around sexual and reproductive health and family planning in the region. The Pathfinder team is providing technical support, ongoing mentoring, and supervision to contribute to the strengthening of the responsiveness of the health systems to adolescents and youth and further develop the capacity of local partners in AYSRH technical strategies, program implementation, and monitoring.


Your gift of $25 or $50 supports our work to promote quality reproductive healthcare in Guinea.

Our Projects

West Africa Adolescent and Youth Sexual and Reproductive Health Program

Burkina Faso, Niger
Systems Strengthening Adolescent and Youth Sexual and Reproductive Health Gender Advocacy Contraception & Family Planning

Pathfinder is laying the groundwork to address the great need for contraception and sexual and reproductive health services in West Africa, a region with some of the lowest contraceptive prevalence rates and highest maternal mortality in Africa.

E2A - Evidence to Action thumbnail

Evidence to Action for Strengthened Family Planning and Reproductive Health Services for Women and Girls (E2A)

Burundi, Democratic Republic of the Congo, Ethiopia, Kenya, Mozambique, Niger, Nigeria, Tanzania, Uganda
Systems Strengthening Sexual and Reproductive Health and Rights Adolescent and Youth Sexual and Reproductive Health Gender Behavior Change Contraception & Family Planning

The Evidence to Action Project (E2A) is USAID’s global flagship for strengthening family planning and reproductive health service delivery.

Related Publications

December 2015

Without Fear or Boundary: Pathfinder International's 2015 Annual Report

Forging a new path is part of Pathfinder’s DNA. Last year, in 26 developing countries, we pushed through barriers to ensure millions of women, men, and young people are able to access critical sexual and reproductive health care and choose their own paths forward. Read more in our 2015 Annual Report.

March 2015

Without Boundary: Health and Rights for Young People

Pathfinder believes every girl deserves a childhood. If her childhood is stolen from her, she needs access to high quality sexual and reproductive health care. This issue of Pathways explores Pathfinder's innovative work to address the urgent health needs of married girls and young women in West Africa—an extremely underserved group.

December 2014

Change Starts Here: Pathfinder International 2014 Annual Report

We believe change starts with expertly trained providers and pharmacies that never run out of supplies. It starts with open conversations among women, young people, men, religious leaders, mothers-in-law, policymakers, and others, joining to discuss their beliefs and remove barriers to their health and well-being. Our 2014 Annual Report shows a few highlights of how Pathfinder has served as a catalyst for change over the past year.

December 2013

The Way We Live: Advancing Health & Rights Through Integration

In a year of remarkable achievement, including Pathfinder’s landmark victory at the US Supreme Court and our return to Bangladesh with a $53.8 million project, what was most exciting? The answer—integration—is the theme of Pathfinder’s 2013 Annual Report.

Related News

Pathfinder International Celebrates New Commitments to Family Planning

Photo of family planning services in Burundi
At this week's International Conference on Family Planning, the global health community celebrates progress toward the FP2020 commitments made at the London Summit on Family Planning and the announcement of five new national family planning commitments.

Tailored to Fit: Programming for the Sexual and Reproductive Health of Young Women in Africa

Africa's young women have unique sexual and reproductive health needs. This new article from New Security Beat follows a recent panel conversation featuring Pathfinder's Mengistu Asnake and Tanou Diallo on that very subject.

The first time Almaz, a teenager living in rural southern Ethiopia, went to the crowded health care clinic in her village to get contraception, she was told they only helped older women with children. The second time, she waited hours only to find out that her preferred method of contraception was out of stock. Almaz is just one example of the many adolescent girls and young women around the world with unmet needs.

Scroll to top