15/10/2025
In the dusty streets of Epworth, a densely populated settlement just east of Harare, Zimbabwe, a group of women who are neither nurses, doctors, nor midwives are often the only hope for exiled teen mothers such as Rutendo Ndaba*. Known as Women in Action Traditional Birth Attendants, this community group has stepped in where the formal health system has closed its doors.
Ndaba first encountered them in 2023, just after feeling as though her world had collapsed: At just 15, she had left her rural home in Honde Valley, hundreds of kilometers away to seek opportunity in the city, only to find herself pregnant, abandoned by her boyfriend, and disowned by her family. With no money to pay the $25 antenatal care fee charged in public clinics — a cost that can be double in private institutions — she faced pregnancy in isolation. That is, until she met Rumbidzai Nyakudanga, a second-generation birth attendant who listened, comforted, housed and eventually guided her through safe motherhood.
Since its founding in 2003, Women in Action told More to Her Story it has assisted more than 50,000 childbirths in Epworth. In 2022, the group began keeping separate records of teenage mothers and, in just three years, they have supported at least 70 girls like Ndaba.
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Traditional birth attendants in Epworth have supported more than 50,000 births, stepping in where the health system leaves pregnant teens behind.