Sexual and reproductive health


We make sure girls have the power, knowledge, and support to make informed choices about their bodies, health, and futures in every community and every crisis.

Across Ethiopia, many girls still struggle to make choices about their own bodies and health. In many cases, conflict, displacement, harmful traditions, and limited health services put them at greater risk of early pregnancy, child marriage, female genital cutting, and violence.

As a result, these realities take away girls’ choices and put their futures at risk.

But girls are speaking up and we are backing them.

Why this work matters now

Many young people still cannot reach safe, private, and youth-friendly health services. In particular, during emergencies, health facilities are often damaged or too far away, leaving girls without critical care or protection.

Moreover, during times of crisis, practices like child marriage and female genital cutting often increase, as families face poverty, fear, and uncertainty.

Our approach: standing with girls, supporting every part of their journey

We support every part of a girl’s life so she can stay healthy, safe and in control of her future.

Removing barriers to care

  • We support girls seek care, and we make sure services are available, safe and welcoming.

Creating supportive environments

  • Work with families, boys, men and community leaders
  • Challenge harmful beliefs and traditions
  • Promote equality and respect.

Improving services and systems

  • Strengthen health facilities and outreach services
  • Support youth-friendly care
  • Ensure services are accessible and respectful.

Supporting youth leadership

  • Young people are at the centre of everything we do.
  • Girls and young people lead, speak up and influence decisions.

Using evidence to influence change

  • Work with government and partners
  • Advocate for better laws and policies.
Girls posing together smiling at an event

We put girls and young people at the center, and by working alongside communities, to create lasting change, even in the toughest situations.

We start with communities, not projects

In practice, we work closely with:

  • Families
  • Faith and traditional leaders
  • Local organisations.

Putting girls first, and focus on what works

  • Our work is based on evidence, we focus on what has been proven to improve girls’ lives
  • We challenge inequality through gender-transformative programming, helping shift harmful norms, not just symptoms.

Helping young people build confidence and lead change

We support girls and young people to:

  • Understand their bodies and health
  • Build life skills and confidence
  • Speak up and make informed decisions

In addition, we also support them to challenge harmful practices, including:

  • Child marriage and CEFM – child, early and forced marriage
  • Female genital mutilation (FGM).

Making services work for girls

  • We support health facilities to provide youth-friendly care, counselling, and contraception
  • We help survivors of violence find and access support safely
  • Overall, we improve services so they are accessible, available, acceptable, and high quality.

Protecting girls at risk

  • Emotional support and counselling
  • Safe spaces
  • Skills and opportunities to rebuild their lives.

Working to end harmful practices

  • Challenge harmful norms and beliefs
  • Support survivors
  • Promote girls’ rights and equality.

Supporting local leadership and youth-led change

We strengthen:

  • Youth groups and councils
  • Local organisations.

Influencing systems and policies

  • Advocate for stronger laws and enforcement
  • Improve funding and access to services
  • Make sure girls’ voices are heard in decisions that affect them.

Rresponding in crises, and stay for the long term

We respond quickly by providing:

  • Mobile and outreach health services
  • Protection and support for survivors
  • Partnerships with local authorities and health workers

At the same time, our approach, humanitarian–development integration means we:

  • Provide urgent support now
  • Build long-term solutions for the future

In addition, we apply global emergency standards such as:

  • MISP (minimum life-saving sexual and reproductive health services) for SRH (sexual and reproductive health)
  • R2R (Ready to Respond)

Working across sectors to support the whole girl

  • Clean water and sanitation (WASH)
  • Health and nutrition (H&N)
  • Education
  • Child protection (CPiE)
  • Economic opportunities for youth (YEE)
  • 2.9 million+ people reached with SRH and protection services
  • 96% of adolescents report services as respectful and youth-friendly
  • 78% of young people show improved decision-making power
  • 54% increase in access for adolescents with disabilities
  • 8 national policies influenced

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