How to shift social norms and deliver inclusive SRHR Messaging in restrictive contexts

The guide draws its experience from years of grassroots organizing and community-led research with Lesbian, Bisexual, Queer, Trans, and Gender Non-Conforming (LBGTQ and GNC) individuals in Ghana, particularly under hostile socio-political conditions shaped by the rise of anti-LGBTQ sentiment and legislation. As SRHR services and conversations often exclude LBQ and GNC people, One Love Sisters Ghana engaged communities across diverse regions to understand lived realities, sexual health risks, access barriers, and harmful gender norms. Through community dialogues, healing sessions, regional sensitizations, and data collection efforts, the project gathered critical insights into how social norms, stigma, and misinformation affect both sexual rights and health outcomes—informing the messaging and strategies shared in this guide.

Advocates faced multiple intersecting challenges while promoting inclusive SRHR messaging. First, the criminalization of LGBTQ identities in Ghana created a hostile environment, making it dangerous to speak openly about queer sexual and reproductive health. Fear of arrest, public backlash, and threats from community or religious leaders often silenced both advocates and participants. Second, widespread misinformation—such as the belief that SRHR only applies to cisgender heterosexual people—made it difficult to frame conversations around rights and health inclusively. Additionally, advocates had to navigate deep-rooted gender norms, religious interpretations, and societal taboos that stigmatized diverse sexualities and identities, often isolating them within their own communities. These realities called for creative, discreet, and trust-based advocacy approaches rooted in local values, safety, and lived experiences.

To address these challenges, the project adopted a community-centered and trauma-informed approach grounded in trust, safety, and cultural relevance. Local mobilizers, grassroots leaders, hotline operators and peer educators—trusted within their communities—were trained to deliver SRHR messaging discreetly using relatable language and storytelling methods. Messaging was reframed to reflect shared community values such as protection, dignity, and love, rather than rights-based jargon that often triggered resistance. Sessions were held in secure locations and conducted in local languages to increase accessibility.

Through these efforts, the project achieved a notable shift in understanding and behavior. Participants—including parents/relatives, allies/stakeholders, and community members—became more aware of the SRHR needs of LBQ and GNC persons, recognized harmful social norms, and began to openly challenge stigma in their networks. Key outcomes included increased demand for inclusive SRHR services, formation of localized support circles, and community-led advocacy for safer practices and rights protections.

Advocates learned several critical lessons from this experience:

  1. Community Trust Is Essential: Lasting change in social norms requires deep trust within communities. Advocates realized that working through respected local figures—, such as parents, allies, and grassroots mobilizers/leaders—, was more effective than relying solely on external messaging or formal authority.
  2. Language Matters: Using culturally sensitive, non-confrontational language that centers shared values like protection, family, and dignity was far more impactful than technical or rights-heavy terms, which often alienated participants.
  3. Safety Must Be Prioritized: Creating physically and emotionally safe spaces was a prerequisite for open dialogue. Advocates learned that participants are more willing to engage when they feel secure and their confidentiality is respected.
  4. Intersectionality Strengthens Impact: By acknowledging the intersections of gender, sexuality, class, and religion, advocates could tailor their strategies to different lived experiences. This helped increase engagement, particularly among marginalized LBQ and GNC persons.
  5. Change Starts with Small Circles: Advocates discovered that targeting small, safe peer groups—such as family circles or local community allies—creates ripple effects, where knowledge and attitude shifts naturally spread outward

Here are key tips for anyone facing similar challenges in advocating for SRHR and transforming harmful social norms, especially in restrictive or hostile environments:

  1. Start with Values People Already Hold: Frame your message around shared cultural values such as love, protection, family, and dignity. This helps reduce defensiveness and opens people up to new perspectives.
  2. Work Through Trusted Messengers: Collaborate with parents, grassroots leaders, community elders, or peer influencers who already hold the trust of the target community. Their voices can help normalize discussions on taboo topics.
  3. Prioritize Safety and Confidentiality: Always assess and mitigate risks. Choose secure venues, use discreet communication channels, and be clear with participants about how their privacy will be protected.
  4. Use Inclusive and Simple Language: Avoid jargon or overly technical terms. Use language that is accessible, affirming, and free of assumptions about gender, sexuality, or family structure.
  5. Be Patient and Consistent: Changing norms takes time. Focus on gradual, meaningful engagement rather than quick wins. Celebrate small shifts in attitude and behavior as progress.
  6. Tailor Messages to Lived Realities: Understand the local context, including religious, cultural, and political dynamics. Your messaging will be more effective when grounded in people’s actual experiences.
  7. Create Intentionally Safe Learning Circles: Encourage small group sessions or peer circles where people feel safe to ask questions, unlearn bias, and build confidence in new knowledge.
  8. Incorporate Storytelling: Real-life stories—especially from community members—are powerful tools for shifting beliefs and humanizing issues.
  9. Equip People with Tools, Not Just Information: Offer practical tools like safety tips, talking points, and emotional support strategies so participants feel empowered to act.
  10. Document and Reflect Often: Keep track of what works and what doesn’t. Reflection helps refine your approach and builds a library of lived strategies that others can learn from.

Yes, a few additional reflections are;

  1. Intersectionality Matters: It’s essential to recognize that people hold multiple identities (gender, religion, class, disability, etc.) that shape how they experience SRHR issues. Effective messaging and norm-shifting efforts must be inclusive of these intersections.
  2. Mental Health and Healing Spaces Are important: Shifting harmful norms can be emotionally draining for both advocates and communities. Incorporating collective healing, trauma-informed care, and emotional support into advocacy helps sustain the work.
  3. Joy Is Resistance: In contexts where LGBTIQ+ identities are criminalized or stigmatized, creating spaces of joy, visibility, and community connection can be a radical act. Celebration of identity is not only healing—it is powerful advocacy.
  4. Sustained Funding and Donor Flexibility: For long-term impact, donors should invest in core support, not just short-term projects. Flexibility in reporting and reallocation, safety considerations, and acknowledging the risks grassroots advocates take are essential.

Author Leila Yahaya. Executive Director, One Love Sister, Ghana

Leila Yahaya (they/them) is a Black, queer, Muslim feminist, writer, and human rights activist from Ghana with over eight years of experience in grassroots organizing. They serve as the Executive Director of One Love Sisters Ghana, focusing on sexual and reproductive health rights (SRHR), mental wellness, gender-based violence prevention, and LGBTIQ advocacy. Leila specializes in creating intentionally safe and inclusive spaces for LBQ and gender non-conforming communities through intersectional feminist approaches, healing justice, and community-led research. Their work bridges activism, faith, and social justice to challenge systemic oppression and amplify the voices of marginalized communities across Ghana.

Get in touch

We created AmplifyChange Learn to support you. If you have a question, feedback on how we can improve or would like to apply to write a guide, please reach out.

    This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.