[1] In 1899, she edited the paper Zhenski glas (Female voice) with Julia Malinova, and in 1901, they co-founded the Bulgarian Women's Union with Karima as its first chairperson.

She played a key role in establishing a boarding school for orphans and an association for disabled individuals.

[3][2] In 1917, Karima became the editor of the newspaper Bulgarka (in Bulgarian: Българка), a women's press outlet.

She maintained contact with the French communist Henri Barbusse, providing him with documents for the writing of his anti-fascist book Les Bourreaux (The Executioners), which she later translated and edited.

Due to her activities, Karima was implicated under the State Protection Law (Zakon za zashtita na darzhavata, in Bulgarian: Закон за защита на държавата)[1], enacted by the government of Professor Aleksandar Tsankov.

This controversial law was designed to suppress political opponents and movements perceived as threats to the state.

Upon her return to Bulgaria in 1928, she published the book In Today's Russia (in Bulgarian: В днешна Русия, V dneshna Rousiya), where she shared her impressions of life in the Soviet Union.