Community health workers in Ethiopia set out to promote health - in the process they've empowered girls in other ways too
Adolescent girls and young women in Ethiopia continue to face challenges, especially in rural areas.
- Adolescent girls and young women in Ethiopia continue to face challenges, especially in rural areas.
- The country has a national community health programme which aims to increase the availability of basic health services and promote healthy lifestyles.
- Our study looked at the association between this health extension programme and 12 indicators of adolescent health and well-being.
- However, our findings suggest that household visits from health extension workers have had a measurable impact on multiple interconnected adolescent challenges beyond just health.
- Household visits from health extension workers appear to reduce rates of child marriage, early pregnancy and school dropout.
Health extension workers
- It is delivered by local health extension workers, who are mostly young women.
- The health extension workers promote routine medical check-ups at the local health post.
- Our research suggests that household visits from health extension workers are linked to significantly lower risks of child marriage, early pregnancy and school dropout.
- Health extension workers can modify families’ expectations for girls to marry early, and their reluctance to invest in girls’ secondary education.
The next steps
- This remains a taboo issue among some communities where it’s believed that access to modern contraception will promote promiscuity.
- Our study found no evidence that household visits from health extension workers had addressed common misconceptions among adolescent girls around fertility and preventing sexually transmitted infections.
- There are still social barriers that prevent girls from getting information, services and support, and that foster misinformation around modern contraception.