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The shortage of prenatal and postnatal health care services, especially in Malawi’s rural areas, increases these risks.

Health workers described the reproductive health harms and risks of early pregnancy when girls marry young, including maternal death, obstetric fistula, premature delivery, and anaemia.

Girls told Human Rights Watch that marriage interrupted or ended their education.

Many said that they found it difficult to return to school after marriage because of lack of money for school fees, lack of child care, unavailability of flexible school programs or adult classes, and the need to do household chores.

So I would rather live with him even if he beats me.” Chimwemwe has never thought of leaving her abusive husband because, “I cannot manage on my own.

Also, if I chase him away I will face stigma from the community.” Chimwemwe dropped out of school in standard four (equivalent to fourth grade) but says she does not want to go back because “I was not good with books.” Chimwemwe’s experience reflects a common reality for many girls in Malawi, which has one of the highest rates of child marriage in the world.

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