Rwanda’s New Law: Youth’s Right toReproductive Health Services.

In Rwanda, young people make up the majority of the population, with over 60% under the age
of 25 (DHS 2020). Yet, until recently, many faced significant barriers in accessing sexual and
reproductive health (SRHR) services. Adolescents often felt ashamed to visit health centers,
some were turned away for not meeting the legal age, and others were denied services for
failing to bring a parent or guardian.
As a result, only 18% of adolescent girls used modern contraceptives, while 7% of girls
aged 15–19 were already pregnant or had given birth (DHS 2020). These figures show that
the problem was not only the availability of services but also the lack of legal opportunities and
safe spaces where young people could confidently seek help.

The New Law of 2025

On August 4, 2025, Rwanda filled this gap by enacting a new law allowing anyone aged 15 and
above to access all reproductive health services confidentially, without requiring parental or
guardian consent. This historic reform has transformed youth health rights, enabling them to:
● Access contraception (condoms, pills, implants, IUDs, and more).
● Get tested and treated for sexually transmitted infections (STIs, including HIV).
● Receive counseling on menstruation, hygiene, and other reproductive health matters.

Abortion Services
It is important to note that while the new law grants youth access to reproductive health services
at 15+, abortion remains governed by a specific Ministerial Order. A 15-year-old is legally
allowed to terminate a pregnancy only under specific conditions: if the pregnancy results from
rape, forced marriage, sexual violence, or if it poses serious risks to the health of the mother or
the child.
These services do not require parental or guardian consent for those aged 15 and above, as
the law prioritizes a child’s right to health and protection.
Why This is a Milestone
This new law opens the door for Rwanda’s youth to access health services freely, legally, and
safely. It means that no adolescent should fear visiting a health facility because of their age or
lack of parental approval.
In practice, this reform will reduce unintended teenage pregnancies, lower STI transmission
rates, and empower young people to make informed choices about their bodies and futures. It is
a bold step towards ensuring that reproductive health rights are not only guaranteed by law but
also a lived reality for every young Rwandan.

Article written by Dr. Clarisse Mutimukeye, Co-founder of URUNGANO Initiative