This article seeks to address the dearth of evidence on early adolescent understandings and experiences of sexual and reproductive health (SRH) in Ethiopia and Rwanda, drawing on a multisite qualitative research study with 10-to 12-year-old and 14-to 15-year-old male and female adolescents and a range of adult participants. The article is informed by a conceptual framework that draws on Amartya Sen's capability approach, which calls for investments in a broad set of assets that expand individuals' capacity to "be" and to "do." Using SRH as a focal lens, the article considers the role played by gendered social norms in adolescents' experiences of SRH-related understandings and experiences. Three key interrelated gender themes emerge from our thematic analyses of qualitative evidence generated by our multimethods approach: puberty transitions, sexuality, and victim blaming. In our analyses, we pay attention to diversity (e.g., age, gender, place of residence) among adolescents within and across the two focal countries and consider how discriminatory gendered social norms play a role in hindering the effective uptake of expanding health services. We conclude by emphasizing the need for program designers and implementers to address the role of underlying social norms in a more strategic and context-specific way to help young people navigate their sexual and reproductive lives.
Summary Motivation The Covid‐19 pandemic delivered an unprecedented shock to education systems globally, with school closures affecting 1.6 billion children. Education systems in LMICs are facing significant budget cuts further constraining capacities to adapt to Covid‐19 impacts. The need for evidence to inform policy dialogues about how best to mitigate impacts and support education systems to “build back better” is pressing. Purpose In Ethiopia, schools reopened in October 2020 after a 7‐month pandemic‐related closure. Employing an adapted resilience systems analysis framework, this article focuses on the extent to which Ethiopia’s education system—which has in recent decades seen rapid progress in enrolment rates—has adapted to the impacts of the pandemic on adolescents’ education and learning, and has achieved this equitably. Methods and approach The article draws on mixed‐methods data from Ethiopia collected virtually with a pre‐existing cohort of 3,066 adolescents (1,683 girls & 1,383 boys) during the immediate onset of the pandemic (April–June 2020) and following the reopening of schools (November 2020–February 2021). Adolescent perspectives are complemented by 27 key informant interviews at community and district levels. Findings Findings highlight that rural adolescents, girls and adolescents with disabilities were less likely to access distance education during school closures due to connectivity challenges and discriminatory norms, and to subsequently re‐enrol. Implementation of adaptive measures, including hygiene guidance, smaller class sizes and catch‐up classes, has been highly uneven, and outreach to support re‐enrolment of socially marginalized adolescents very limited. Policy implications For LMICs like Ethiopia to build back better post‐pandemic and stay on track to achieve Sustainable Development Goal 4’s commitment to inclusive and equitable quality education for all, scaled‐up investments in blended learning approaches, addressing the digital divide, and ensuring targeted outreach and social protection to support re‐enrolment of socially marginalized adolescents is critical.
Despite its cultural and biological importance, limited knowledge about menstruation and cultural taboos in many contexts mean that menarche often brings fear and stigma. In Ethiopia, the context of this paper, lack of knowledge and the stigma around menstruation create challenges for adolescent girls related to menstrual hygiene management and their reproductive health more broadly. This paper uses a cluster-randomized controlled trial (cRCT), with 97 communities (kebeles) randomly assigned to treatment or control, to assess the impact of a gender-transformative life-skills intervention [Act With Her-Ethiopia (AWH-E)] on the menstrual health literacy of very young adolescent girls and boys (10–14) in two diverse regions of Ethiopia (South Gondar, Amhara and East Hararghe, Oromia). The evaluation employs a longitudinal mixed-methods design, with baseline data collected in late 2017/early 2018 and follow-up data collected in late 2019/early 2020. Quantitative surveys were undertaken with 2,492 very young adolescents and their primary caregivers, and complemented by qualitative interviews with 291 adolescents and their caregivers, as well as 96 key informants at community and district levels. Our quantitative findings highlight large and statistically significant improvements on norms around menstruation, knowledge about menstruation and biological function, and knowledge and behavior related to menstrual hygiene management, but with important differences by location and gender. Qualitative findings further unpack these gender and regional differences, highlighting the importance of adapting programming to the local context and, where possible, connecting to other health and gender initiatives. This analysis helps fill the evidence gap on “what works” to improve menstrual health literacy in rural low- and middle-income contexts.
As the mid-way point for the United Nations Sustainable Development Goals (SDG) timeframe nears, countries affected by conflict and fragility represent one of the key challenges to achieving SDG 4—-ensuring inclusive and equitable quality education for all. Drawing on qualitative research undertaken in late 2021 in South Gondar zone, in Ethiopia’s war-torn northern Amhara region, with adolescent girls and boys (n = 80), their caregivers (n = 11) community leaders and local service providers, including teachers (n = 31), this article explores the experiences of young people during and after their communities were occupied by the Tigray People’s Liberation Front, and the multi-pronged effects the conflict has had on their educational pathways. It finds that for many, schooling has been disrupted by: recruitment into the armed forces or organized youth movements (Fano); destruction of school infrastructure and records by the occupying forces; an inability to concentrate on education on account of trauma and stress; and a loss of educational aspirations given fears of prolonged insecurity. At the school level, it also identifies negative impacts in terms of teacher presence, teaching quality and the provisioning of educational activities; compounded by reduced education budgets as local, regional and federal government resources are diverted to the war effort. The article concludes with some reflections on the implications of our findings for government, development partners, communities, non-governmental organizations, and schools, in their efforts to strengthen education services and build resilience, including through linkages with social protection, justice, and psychosocial support services, in contexts of ongoing fragility.
In Amhara region, labor appears to be the best strategy to secure livelihood of households in the changing economic, social, political and physical environment. Among this, labor migration to the Middle East and the Sudan has been taken as a major option by the youth from the region. Prior to initiating the migration process, migrants have a preconceived reflection on what to expect on the journey and the experience to be faced in the destination country. They thus go through a ritual of different kinds to protect themselves and reach to their destination. There are also certain rituals migrants use as a strategy and coping mechanism that help them settle at their destination and maintain relations with their families and the community in their place of origin. It is such rituals by migrants and the ideologies associated with it that this study focuses upon.
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