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: pheethiopia@gmail.comWebsite: phe-ethiopia.org