FGM and child marriage are deeply rooted in the culture of the practicing communities; in their minds, it is a normal feature of everyday life in their society. NAFGEM believes that the most sustainable way of bringing about change in local communities is by working with the girls to encourage them to act as agents of change, rather than forcing change upon communities through outside sources. It is for this reason that projects are aimed at engaging all community members to talk and voice their opinions and concerns freely among themselves to enable them to collectively decide on a plan of action or solution to ensure lasting change. 

Unfortunately, communication regarding sexual and reproductive health is considered a taboo, especially between the older and younger generation; and also between men and women. NAFGEM thus aims to facilitate discussion and empower these groups to have the confidence to discuss such issues openly. After initial training, NAFGEM runs programs where men and women, and boys and girls are brought together to discuss issues relating to FGM and child marriage. Moreover, issues are also brought up in public meetings. FGM and child marriage are now high on the agenda during community meetings, although monitoring and guidance during discussions is required.

Bonanza, a popular sport played among children in Tanzania, has been introduced in Simanjiro by NAFGEM as a way of bringing boys and girls together. The game is played annually with special themes on anti-FGM/child marriage. Prior to the sporting event, boys and girls are separated into different groups giving them the opportunity to discuss any pressing issues relating to Reproductive Health (RH), including FGM and child marriage. After the game, the winners are awarded trophies which serve as a means of anti-FGM/child marriage dialogue promotion.