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Leah has travelled extensively and addressed various community groups including church women, and youth groups on various aspects of life in South Africa.
Her concern for the plight and rights of domestic workers saw her become director of the Domestic Workers and Employers Project of the South African Institute of Race Relations from 1976 to 1984. This organisation advocated for and supported the rights of domestic workers.
Leah was awarded an Honorary Doctorate on 11 June 2000, in conjunction with her husband, by National Louis University in Atlanta for her commitment to human rights and her support of her husband’s work.
Leah and her husband are joint patrons of the Tygerberg Children’s Hospital in Cape Town. She is also a patron of the Phelophepa Train, a health project that brings medical care to people living in remote areas of South Africa; and the Tshwaranang Centre that provides legal advocacy to end violence against women. With her husband and family she established the Desmond & Leah Tutu Legacy Foundation in 2012.