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Preventing Child, Early, and Forced Marriage and Countering Violent Extremism in Cabo Delgado: Implementation Lessons from a Conflict Setting

Mozambique

In 2017, violence erupted in Cabo Delgado province in Mozambique, compounding the social, economic, and health challenges in the region. For adolescent girls and their families, this context heightened the risk of gender-based violence (GBV)—including sexual violence and child, early, and forced marriage (CEFM)—and adolescent pregnancy. From 2020 to 2024, the USAID Preventing Child, Early, and Forced Marriage & Countering Violent Extremism in Cabo Delgado (locally known as Uholo-Raparigas e Jovens) project has worked to improve the lives and livelihoods of 22,000 adolescent girls and young women (AGYW) ages 10 to 24 to reduce CEFM and socioeconomic restrictions that may arise among married young people. While the project made notable impacts, it was not designed to operate in a humanitarian setting. As the conflict and humanitarian crisis deepened over the course of implementation, the project team adapted accordingly.

This brief explores the challenges of operating in an evolving, conflict-affected setting and shares key adaptation strategies, lessons, and recommendation that may contribute to safe, successful implementation of other programs in humanitarian and fragile settings.

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Featured Stories & Perspectives

Pathfinder Tanzania, Our Global Watchtower for Safeguarding

At Pathfinder, we are committed to safeguarding—protecting the people we serve, our partners, and each other from exploitation and abuse.…

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Featured Stories & Perspectives

Social & Behavior Change—Fostering Sustainable Change from Within

Pathfinder is well known for increasing access to lifesaving healthcare, reaching millions with contraception, saving countless women from dying in…

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Featured Stories & Perspectives

Why We Advocate – Part 3: Recent Wins for Pathfinder – And for Rights!

This is the third piece (see part one and part two) in a series on Pathfinder’s work advocating for sexual…

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Pathfinder Annual Report 2023 – Women Who Lead

Pathfinder programs champion the rights, health, and success of women and girls around the globe—for their own benefit, and for…

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Protect, Pay, and Promote Women Health Workers

An abbreviated version of this content appeared in Health Policy Watch during World Health Worker Week. Each woman in the…

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Partnering with Community Health Workers to Prevent Malaria Fatalities

More than half of people living in Burundi contract malaria annually—totaling more than 8 million cases—with highest prevalence in the…

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Uniting Refugees and Host Communities in Egypt to Improve the Safety of Women and Girls

Migration has been on the rise for the past five decades, and there are currently more than 280 million people…

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The Health Worker Crisis Continues—What Can We Do About It?

Five recommendations to address the global health worker shortage and other challenges. This post originally appeared on the Frontline Health…

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Democratization of Data—Essential for a Country-led Organization

How Pathfinder has transformed data use to be more inclusive, localized, and results-oriented Pathfinder’s country-led strategy seeks to have teams…

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Championing Digital Solutions for Improved Health Care Delivery to Mothers and Children

The GeoST4R project, funded by the Bill & Melinda Gates Foundation, employs innovative digital strategies that contribute to data-informed decisions…

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Featured Stories & Perspectives

Ending AIDS in Children—The Time is Now

ACE2 improves prevention, care, and treatment in three Nigerian states Despite almost halving the number of HIV infections since 2010…

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Health for All: Time for Action

Countries Reflection on UHC Global Monitoring Report and Actions Needed to Accelerate Progress Each year on December 12th, Universal Health Coverage…

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