In a cultural shift, Kenyan women like Nelly Naisula Sironka and Muthoni Gitau are embracing sterilization to assert their reproductive rights and challenge societal norms around motherhood.
The Rise of Child-Free Choices Among Kenyan Women

The Rise of Child-Free Choices Among Kenyan Women
Kenyan women opt for sterilization, defying traditional expectations around motherhood.
For many women in Kenya, motherhood has long been seen as a non-negotiable aspect of life. However, a growing number are now challenging this tradition, opting for sterilization to take control of their reproductive futures. Nelly Naisula Sironka, a 28-year-old organizational development expert, recently underwent a tubal ligation procedure, which permanently prevents pregnancy. She describes the experience as one of liberation, ensuring her life choices are her own.
Between 2020 and 2023, approximately 16,000 women in Kenya opted for this irreversible surgery, according to the health ministry. Traditionally, such procedures were pursued by those with multiple children, but medical professionals like Dr. Nelly Bosire note a new trend: more women with few or no children seeking out sterilization now.
The procedure, often referred to as "getting your tubes tied," can be difficult to reverse, which is why doctors advocate adjusting lifestyle choices before discontinuing the possibility of having children altogether. Ms. Sironka felt supported by her father’s encouragement of her education and his values that allowed her to envision a life without motherhood.
Sironka's decision was also influenced by global trends eroding women's rights, particularly following the US Supreme Court's loss of abortion rights in 2022. This sense of urgency pushed her to make her choice while still having access to the procedure.
On social media, influencers like Muthoni Gitau are amplifying the conversation. Gitau, a Kenyan YouTuber, recounted her long-held certainty about not wanting children, stating she first recognized this when she was just ten years old. Despite initial resistance from medical practitioners, she persisted and ultimately secured her desired outcome.
These women highlight the cultural inertia that still exists in Kenya, where many medical providers struggle to comprehend a woman's decision to avoid motherhood entirely. Dr. Kireki Omanwa acknowledges the ongoing debate in Kenya's medical community about sterilization, linking it to broader cultural attitudes toward women's rights.
Yet, with more women publicly sharing their stories, societal perceptions may be shifting—pointing towards a future where individual autonomy is celebrated over traditional expectations. Women like Gitau and Sironka convey powerful messages of empowerment, reinforcing the notion that motherhood is but one of many paths available to women today.