UNFPA Etiopien 2021-2025

Output 1: Effective supply chain strengthened for ensuring availability of sexual and reproductive health commodities at all service delivery points including in humanitarian settings. Overall, the interventions contributed towards strengthening an effective supply chain to ensure the availability of sexual and reproductive health commodities at all service delivery points across the country. For example, UNFPAs support in procuring contraceptives in 2023 resulted in the provision of contraceptive protection equivalent to one full year for 3.3 million (3,387,406) couples in terms of CYP. Capacity building targeting the supply chain, regulatory bodies, and FP service staff enabled the expansion of access to quality family planning information and services, ensuring the last mile availability of FP commodities. Another notable achievement during the year was the development and launch of the Costed Implementation Plan for the FP program (FP-CIP), which will guide the implementation of the program at all levels. An analysis of the findings of the SDP in 2022 and a trend analysis of the availability of RH products from 2015 to 2022 has been conducted. Finally, technical and financial support was provided to the MOH, EPSS, EFDA NGOs, and the Addis Ababa University School of Pharmacy and Public Health which will further enhance the national capacity going forward. Output 2: Comprehensive sexual and reproductive health service provision improved and uptake increased in all settings In 2023, the activities conducted under this output has contributed to a substantial enhancement in the provision of comprehensive SRH services, contributing to greater accessibility and uptake for women and girls. For example, UNFPA supported MOH and Ethiopian Public Health Institute (EPHI) to develop several strategic plans, guidelines, and training materials aimed at advancing both the national and SDG targets for maternal and newborn health. This collaborative effort resulted in the creation of pivotal resources including the Maternal and Perinatal Death Surveillance and Response (MPDSR) strategic plan, the National Pre-eclampsia/eclampsia Prevention and Management Guideline, the Safe Abortion Care technical and procedural guideline, the Preconception Care Job Aid, and the Ultrasound Training Manual. Moreover, in collaboration with implementing partners such as regional health bureaus, MSI Ethiopia, and the Ethiopian Midwives Association, UNFPA bolstered the capacity of health professionals and health facilities by equipping them with EMOC equipment. This allowed 56 public health facilities to report, review and respond to the maternal deaths system, while 85 additional health facilities expanded theirscope to provide comprehensive sexual and reproductive health services. As a result, 439,249 deliveries were assisted by skilled health personnel during the year. Furthermore, 581 women and girls had their obstetric fistulas repaired, marking a significant increase from 4,927 in 2020 to 6,243 women and girls treated in 2023. Output 3: Strengthened capacity of government and key stakeholders on prevention, protection of GBV, and provision of services to survivors of GBV and to eliminate harmful practices in all settings 2023 saw UNFPA's interventions significantly enhancing the capacity of government entities and key stakeholders in preventing and addressing GBV, providing essential services to survivors, and working towards the eradication of harmful practices across all settings. For example, UNFPAs efforts in prevention, protection, and care to end child marriage and Female Genital Mutilation (FGM) were implemented through partnerships with Norwegian Church Aid (NCA), Population Media Center (PMC), and Afar Pastoralist Development Association (APDA). Further, the provision of standardized and comprehensive services for survivors of Gender-Based Violence (GBV) played a pivotal role in preventing and protecting against GBV, while also providing assistance to 19,409 survivors. Additionally, UNFPAs efforts aimed to eliminate harmful practices across all settings. A total of 67,800 young girls aged 10-19 received UNFPA-supported prevention and/or protection services and care related to child marriage, while 347,321 received similar support related to female genital mutilation. UNFPA also supported the establishment of community-level surveillance mechanisms to monitor, track, report, and cancel arranged FGM and Child Marriage cases at the community level. As a result of these grassroots structures such as Women Development Groups and anti-HPs, a total of 7,750 planned child marriages and 5,550 cases of FGM were successfully cancelled in the Amhara, Sidama, Gambella, and Oromia Regions. Furthermore, UNFPA provided institutional capacity-building support to health facilities and personnel, enabling the integration of Harmful Practices (HP) and Sexual and Gender-Based Violence (SGBV) prevention and care into health services. This initiative brought about significant positive changes within communities. Overall, 641,828 individuals (344,254 men and 297,574 women) received UNFPA-supported prevention and/or protection services related to child marriage and FGM. Further, UNFPA in collaboration with implementing partners, supported and strengthened safe houses and One-Stop Centres (OSCs) to provide standardized and comprehensive services for survivors of gender-based violence. A total of 19,409 survivors of gender-based violence received high-quality comprehensive services as per the National Protocol for non-crises settings during the reporting period. These service outlets were supported through partners, including the Association for Women Sanctuary and Development (AWSAD) in Amhara (Dessie and Debrabrihan) and Sidama (Hawassa) Regions, as well as Mujejjegua-Loka Women Development Association (MLWDA) in Benishangul Gumuz Region (Metekel/Mandura). Furthermore, six OSCs were also strengthened through the Bureaus of Women and Social Affairs (BOWSA) and Bureaus of Health in Amhara, Addis Ababa, Gambella and Oromia regions. Additionally, free legal aid services were provided through the Federal Supreme Court (FSC) for survivors of Sexual and gender-based violence (SGBV). Output 4: Strengthened data systems and evidence that take into account population changes and other megatrends (including ageing and climate change), in development policies and programmes, especially those related to sexual and reproductive health and reproductive rights. Overall, the interventions during 2023 contributed to strengthening data systems and evidence that take into account population changes and other megatrends in development policies and programmes. For example, UNFPA´s CP supported the government in its effort on the generation of data and evidence. Including the establishment & strengthening of an open access data system and capacity strengthening of staff in NTA methodology, statistical modeling, and policy formulation. This will contribute to fill the gap in availability of up-to-date disaggregated population data, with the Ethiopian Statistical Services (ESS) currently implementing preparatory activities to conduct the 5th round of the Ethiopia Demographic and Health Survey (EDHS). UNFPA provides technical and financial support to the conduct of EDHS, and is represented in both the Technical Working Group (TWG) and the Steering Committee meetings. UNFPA has also provided assistance in enhancing the capabilities of ESS census personnel by imparting skills in utilizing technology and statistical methodologies. This support aims to ensure accurate population estimates, particularly in challenging and difficult-to-access areas. Further, as the government is currently considering the possibility of conducting a census exploring the option of using the modelled population estimates (hybrid census), UNFPA is closely working with ESS in the establishment and strengthening of an open (online) access data platform - Integrated Management Information System (IMIS) - in ESS and in the regions, in order to improve access to and utilization of data. In 2023, the system was established in two regions: Harari and Sidama regions. Output 5: National and regional service delivery systems have strengthened capacity to provide lifesaving sexual and reproductive health and gender-based Violence information and services for populations affected by crisis Overall, the humanitarian action interventions in 2023 (both SRH and GBV) contributed to providing lifesaving sexual and reproductive health and gender-based violence information and services for populations affected by crises. For example, during the reporting period, 35 Women and Girls Friendly Spaces provided integrated comprehensive services on GBV that includes GBV case management, mental health and psychosocial support, time bound SRH services (clinical services for rape survivors), awareness information on GBV risk mitigation and prevention, emergency referral to multisectoral services; and 87,857 women and girls received different GBV services, developed their social network, community resilience was built. Accountability towards the affected population was in place through the community mobilization intervention and feedback mechanism on services. Thus, the service uptake behavior and demand creation improved. A total of 136,131 women and girls received information on GBV prevention, risk mitigation and prevention of sexual exploitation and abuse. Further, the process of ensuring localization continued with UNFPA building capacity of community based groups and local frontline staff on GBV, community based mental health and psychosocial support. This resulted in 59,268 women, girls, men and boys receiving different MHPSS services at facility and community level, which improved the process of building community resilience for the crisis affected population. Output 6: Adolescents and youth, particularly those most vulnerable, are equipped with skills & knowledge to make informed choices about their SRH and rights within an enabling environment that promotes adolescent health and wellbeing Overall, UNFPAs interventions in 2023 contributed to equipping adolescents and youth, particularly those most vulnerable, with skills and knowledge to make informed choices about their SRH and rights within an enabling environment that promotes adolescent health and wellbeing. During the reporting period 105,500 most vulnerable and at risk adolescents and youth were equipped with skills and knowledge to make informed choices about their SRH and rights during the reporting period. In order to continue reaching the most at-risk adolescents and youth, UNFPA implemented tailored life skills development programs. As a result, 105 176 young people are now empowered with life skills education to build their health, social and economic assets and meaningfully participate in decision making and peacebuilding processes at all levels. UNFPA Ethiopia also played a significant role to position the Youth, Peace and Security (YPS) agenda, under the auspices of the National Peace Dialogue in the country together with other sister agencies including IOM, UNDP and the Resident Coordinators Office (RCO) through strengthening the Technical Working Group (TWG) on YPS. Innovation and technology also played a central role in addressing the SRH needs and priorities of adolescents and youth. UNFPA supported the development of technology powered, inclusive, and youth-friendly tools called YeneTAB and Minch with the aim to provide young people with access to vital SRH information and services. Further, in order to create an enabling environment and safe spaces for adolescents and youth, the capacity of 73 youth serving platforms including youth friendly corners at health facilities, youth centers, school clubs, Organizations of Young Persons with Disabilities (OPDs), Drop in Centers (DICs) and Industrial Parks have been enhanced. Also, through different virtual and in person engagements, 29 functional mechanisms have been created to amplify young peoples voice in any policy and strategic decision that affects their life. Ref: UNFPA Ethiopia Country Programme Report January-December 2023 (UM2020/34428/ADDI)

The UNSDCF Outcomes: By 2025, all people in Ethiopia 1) Enjoy the rights and capabilties to realize their potential in equality and dignity; 2) Live in a cohesive, just, inclusive and democratic society; 3) Benefit from an inclusive, resilient and sustainable economy; libe in a society resilient to environmental risks and adapted to climate change. The related UNFPA Strategic Plan Outcome(s): By 2025, the reduction in the unmet need for family planning has accelerated. By 2025, the reduction of preventable maternal deaths has accelerated. By 2025, the reduction in gender-based violence and harmful practiices has accelerated. The following outputs underpins the achievement of these overarching outcomes; 1) Ensuring availability of SRH commodities at all service delivery points in all settings (including emergency Reproductive Health kits) 2) Improving comprehensive SRH service provision and uptake in all settings (including in humanitarian settings) 3) Strengthening capacity to prevent, protect from GBV, and to provide services to survivors of GBV, and to elimination of harmful practices in all settings 4) Strengthening data systems and evidence that take into account population changes and other megatrends 5) Strengthening capacity to provide lifesaving SRH and GBV information and services for populations affected by crisis and 6) Equipping adolescents and youth with skills and knowledge to make informed choices about their SRH and rights.