Beginning in the 20th century, Anna Roark Brough served as her husband's campaign manager. First Lady Brough, an active suffragette, posed on the steps of the capitol during a 1919 rally advocating voting rights for women. More recently, Betty Bumpers and Hillary Clinton have taken on activist roles.
Mrs. Bumpers is recognized internationally as the founder of "Peace Links Worldwide," an organization dedicated to persuade public and political leaders to develop peaceful alternatives to nuclear war. Mrs. Clinton played an active role in her husband's administration by serving as chairperson of the Education Standards and Rural Health Advisory Committees, securing legislation to add a wing to Arkansas Children's Hospital, and helping found Arkansas Advocates for Children and Families.