reaching the inaccessible: addressing unmet fp needs of...
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Reaching the Inaccessible: Addressing unmet FP needs of vulnerable populations through
Integration of PHEPHE Integration In Oromia and South Regions of EthiopiaNegash TekluCIPHE Ethiopia
The main challenges in the context of Ethiopia
Unmet need for family planning Unmet need for family planning and large family size and large family size –– 34%34%
Land degradationLand degradation
Near constant state of food Near constant state of food insecurityinsecurity
Poor health outcomesPoor health outcomes
Interconnectedness
People rely on the environment to meet their basic needs but even in good seasons are struggling.
Why PHE in Ethiopia?
Responds to complex and interrelated problemsAddresses FP, livelihoods, and natural resource management problemsEmpowers womenReduces vulnerability
Examples of Current PHE Projects
Metu & Guraghe Zone
Wichi ,Metu District, Illu Aba Bora zone, Oromia Regional State, South west Ethiopia and Guraghe Zone South Ethiopia
Guraghe ZoneMetu site
Guraghe People’s Self-Help Development Organization (GPSDO)
Interventions: FPNRM waterHIV/AIDS malariamicrofinanceeducation and youth
GPSDO Integrated Intervention & Results
Preliminary Results:CPR8.1%(2005) reached 26.2% (2009)
FP users 23,000 (2005) to 80,000 (2009)
Ethio Wetlands and Natural Resource Association (EWNRA)- Metu
Objectives:– Improve farm
productivity and livelihoods
– Restore forests and wetlands
– Help achieve desired family size
EWNRA’s Interventions
Interventions:– Awareness creation– Food security – Water and sanitation– Family planning– Livelihoods– Land productivity– Watershed restoration– microfinance
EWNRA Metu Results
EWNRA Intervention Villages
% of Women using Family Planning
Outside the intervention area
% of Women using Family Planning
Burusa 33.8 Sedo 27.6
Adel Keso 89 Kechi 21
Adel Bisee 31.9 Kemise 23.5
Humedidu 65 Tobacha 35
Ale buya 67.6 Q/Chogi 23
Average 56.46 Average 26.02
Source: Metu District Health Office Assessment Report (2009)
EWNRA Results
Lessons Learned
Integrated approaches including FP better address diverse problems of communitiesImportance of local participation including women in decision makingImportance of working with youth and schools Women’s empowerment and educationImportance of partnership with local government offices
Next Steps- CIPHE
Improve capacity to implement PHE integration
Research to evaluate current efforts and identify priority areas for future efforts
Document success stories and lessons learned
Create opportunities for networking and partnership
Communication and advocacy with policymakers
CIPHE
Consortium for the Integration of Population, Health, and Environment - Ethiopia
Negash Teklu,Executive Director, CIPHE Ethiopia Email: [email protected]: phe-ethiopia.org