In a society where motherhood has often been seen as an obligation, a growing number of Kenyan women are choosing to undergo sterilisation procedures, reflecting a significant cultural shift. This article explores the experiences of women like Nelly Naisula Sironka and Muthoni Gitau, who are vocal about their child-free decisions amidst societal pressures.
The Shift in Kenya: Embracing Child-Free Choices Among Women

The Shift in Kenya: Embracing Child-Free Choices Among Women
More Kenyan women are opting for sterilisation, challenging traditional expectations and asserting control over their futures.
For many women in Kenya, the pressure to conform to traditional roles of motherhood is immense. Yet, an increasing number are standing against societal norms by opting for sterilisation procedures such as tubal ligation, which permanently prevent pregnancy. One such woman, 28-year-old Nelly Naisula Sironka, recently shared her liberating experience with the BBC after deciding to undergo the surgery last October.
Sironka, who works in organisational development, said she has never felt the desire to have children and finally took the step after years of contemplation. Her father, who encouraged her academic pursuits, profoundly influenced her stance on remaining child-free. “I feel liberated,” she remarked, expressing confidence in her decision.
According to Kenya's health ministry, around 16,000 women have undergone tubal ligation from 2020 to 2023, although many of these women’s prior parental status remains undisclosed. Dr. Nelly Bosire, a Nairobi-based gynaecologist, noted that the demographic of women seeking sterilisation is shifting; more are opting for the procedure even before having children. However, she underscores that tubal ligation should only be for those who are resolute about not wanting biological children due to challenges associated with reversals.
Sironka, who credits feminist literature for her perspective on motherhood, highlights her concerns regarding women’s rights being eroded globally and feels a pressing need to take control of her reproductive choices now. “Within Africa and America, there has been a rise in authoritarian regimes,” she warned, which reinforces her urgency.
Similarly, Kenyan YouTuber Muthoni Gitau has openly discussed her decision to undergo tubal ligation. With over 90,000 followers, she shared her journey in a 30-minute video, recounting her unwavering conviction against motherhood since childhood. After experiencing negative side effects from birth control pills, she sought a permanent solution, facing resistance from her first doctor, who questioned her decision.
Undeterred, she found a supporting healthcare provider at a non-profit family planning organisation who respected her choice. Now 34 and single, Gitau feels empowered by her decision, enjoying the independence that comes with it and basking in the positive reception of her story online.
Both women represent a rising trend among Kenyan women challenging preconceived norms surrounding motherhood. With a growing affirmation of the right to choose, increasingly more women are advocating that contributions to society can be made beyond childrearing. Through their stories, they not only assert their autonomy but also inspire others to reclaim their rights over their bodies and futures.