A middle-aged woman, her face not shown, her hands painted with henna, is talking about “haraam ki boti,” Hindi for “an amorous lump of flesh.” She is referring to the clitoris in female genitalia that a number of cultures around the world believe must be cut to control or tame sexual desire in women.

The mountains of Itombwe are home to some of the rare gorillas of eastern Democratic Republic of Congo. An area about the size of Rwanda and Burundi put together, the Itombwe Plateau is one of the poorest parts of one of the poorest countries in the world. It is also home to 23,785 adolescent girls, according to Maman Shujaa, a women’s empowerment organization based in the South Kivu capital of Bukavu.