As Kadijatu Balaima Allieu walked to a neighbour’s house in her village in Sierra Leone, she had no idea that what was about to happen would alter the course of her life for ever. It was a beautiful September morning in 2016 and Allieu, 28 at the time, had gone to resolve a dispute she had with another woman, who belonged to the Bondo society, an influential and secretive group of women.
Shortly after she arrived, she was forced into a room and the door locked. Her hands were tied. She was beaten, blindfolded and gagged. Then a woman sat on her chest while others forced her legs apart. She was forcibly subjected to female genital mutilation (FGM), the partial or total removal by cutting of the female genitalia.
“There was nothing left of me [to fight],” says Allieu. “Out of 100% energy, I was left with something like 1%. So they carried on with their operation.”
Nine years later, Allieu’s experience has led to a ruling against Sierra Leone by the Economic Community of West African States (Ecowas) court of justice, which described FGM as “one of the worst forms of violence against women” which “meets the threshold for torture”.
The case, filed by Forum Against Harmful Practices (FAHP), We Are Purposeful, and Allieu, held the government liable for human rights violations due to its failure to criminalise FGM. The court ordered Sierra Leone “to enact and implement legislation criminalising female genital mutilation and to take appropriate measures toprohibit its occurrence and protect victims”.
Though the UN passed a resolution to ban FGM in 2012, it is still practised in about 30 countries. In Sierra Leone, a national survey in 2019 found that 83% of women had undergone FGM, with 71% of them subjected to the practice before the age of 15. There is no law explicitly criminalising the procedure, part of a traditional initiation ritual that marks a girl’s entry into womanhood, carried out by senior members of Bondo societies. Every year, women and children are left with health complications, and some die, as a result of such rituals.
There are different types of cutting: removal of the clitoris and/or its hood; removing the clitoris and the inner fold of the vulva (labia minora); and the narrowing of the vaginal opening by cutting and repositioning the labia minora through stitching. Also known as infibulation, this has the worst health consequences. The fourth type of cutting includes other forms of injury to the genitalia such as incising, scraping or cauterising.
Since traditional practitioners use razor blades or knives, with no anaesthesia, girls experience excruciating pain and are at risk of severe bleeding and infections which can lead to sepsis. Some do not survive.
For the girls, who are often married off soon after genital cutting, sex is traumatic and painful, and enjoying sex will always be difficult unless they have surgical reconstruction.
In pregnancy, delivery is often risky due to obstructed and prolonged labour. Women are at risk of developing obstetric fistula (an abnormal opening between a woman’s genital tract and her urinary tract or rectum) which can cause incontinence – leading to shame, stigma and rejection from their partners.
- Dr Mercy Korir is a medical doctor and health and science editor at the Kenyan media organisation Standard Group
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Female genital mutilation: what does it involve and what are its consequences?
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Female genital mutilation (FGM) is the removal of part or all of the external genitalia for nonmedical reasons, as defined by the World Health Organization.
There are different types of cutting: removal of the clitoris and/or its hood; removing the clitoris and the inner fold of the vulva (labia minora); and the narrowing of the vaginal opening by cutting and repositioning the labia minora through stitching. Also known as infibulation, this has the worst health consequences. The fourth type of cutting includes other forms of injury to the genitalia such as incising, scraping or cauterising.
Since traditional practitioners use razor blades or knives, with no anaesthesia, girls experience excruciating pain and are at risk of severe bleeding and infections which can lead to sepsis. Some do not survive.
For the girls, who are often married off soon after genital cutting, sex is traumatic and painful, and enjoying sex will always be difficult unless they have surgical reconstruction.
In pregnancy, delivery is often risky due to obstructed and prolonged labour. Women are at risk of developing obstetric fistula (an abnormal opening between a woman’s genital tract and her urinary tract or rectum) which can cause incontinence – leading to shame, stigma and rejection from their partners.
- Dr Mercy Korir is a medical doctor and health and science editor at the Kenyan media organisation Standard Group
When members of the Bondo society had finished mutilating Allieu, she was dragged to another room and left in a pool of blood for three days, until police found her and took her to hospital.
She had three operations to fix some of the damage that had been inflicted. After the third operation, Allieu remembers the doctor telling her “he had never seen this level of wickedness”.
Even so, a crowd, including Bondo society members, marched on the hospital, calling for Allieu to be handed over. The woman who had cut her was very influential and was angry that Allieu had escaped, with the help of the police. Unable to walk, Allieu was dragged by staff to the basement to hide.
“I felt like this was the end of the road,” says Allieu. “I was in so much pain, I was tired and had nothing left.”
Police and soldiers were called to protect the hospital and the crowd dispersed, but remaining in the hospital was impossible. One of Allieu’s neighbours worked for the UN and offered to drive her to the border with Liberia so she could leave the country. She made it to the other side and after 14 days arrived at a friend’s house.
Over the next five years, Allieu was helped by various people and organisations. She also met someone who offered to help after hearing her story, and paid for her to go abroad for surgery on her injuries.
After her trauma had subsided and she found out there had been a change of government, Allieu’s thoughts turned to her family, especially her son who was 10 when she left. She decided to return to Sierra Leone.
“People saw me, said I was dead and came to feel me to check I was alive,” she says. “When I saw my son and my family, it was good, I was happy.”
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When word spread she was back, an activist got in touch and introduced her to Yasmin Jusu-sheriff, a human rights lawyer and former vice-chair of the Human Rights Commission of Sierra Leone, who was instrumental, among others, in bringing the case to Ecowas.
The ruling on 8 July comes at a critical time in the fight against FGM in Sierra Leone. A few weeks before, on 21 June, the president of Sierra Leone, Julius Maada Bio, became chair of Ecowas, marking a historic moment as the first Sierra Leonean head of state to hold the position. He has yet to acknowledge the ruling publicly.
Meanwhile, celebrations at the passing of the Child Rights Act 2025 in Sierra Leone in early July were tempered when parliament issued a press release on 7 July stating that the act, which prohibits all forms of violence against children, including physical and mental abuse, “does not contain any provision imposing a fine, penalty, or punishment specifically addressing FGM”.
The act is awaiting presidential assent. But as there is no mention of banning FGM, Josephine Kamara, advocacy and communications manager at Purposeful, says: “If we can’t name a violent action for what it is, and boldly call it out, we cannot begin to end it.”
“Politically and internationally, the situation just does not look good,” says Jusu-sheriff. “Since the president is chairman of Ecowas, and in light of the Ecowas decision, let him send the act back to parliament and let them rethink it.”
She adds: “The matter is in his hands, and his hands alone. He holds the sword of Damocles over himself. This is the thing that will determine whether he will go down as the greatest, most human rights-loving president of all time, or not.”
Allieu, who is bringing a separate case in Sierra Leone against the woman who mutilated her, is due to be awarded $30,000 (£22,000) in compensation as part of the Ecowas ruling. She says she can’t find work because of the public stigma surrounding her case, but wants to use the money to further her education and become an activist.
“I really want the government to look into this, especially the sitting president with his power as head of state,” she says. “I want him to honour the ruling of the Ecowas court and [make it so] the Child Rights Act can help eradicate FGM.”
