Against the backdrop of a brutal civil war, Ipas Ethiopia supports health facilities to provide sexual and reproductive health services, including abortion, and to re-establish those services where they have been disrupted. Use of rape as a weapon of war has created a crucial need for care that is trauma-informed and centers the needs of survivors. In partnership with humanitarian agencies, Ipas provides trainings in abortion and contraceptive care for health workers. Ipas also collaborates with pharmacists and mobile health units to ensure women can access abortion pills without needing to go to a health facility.
Photography by Martha Tadesse for Ipas
One in five refugee and displaced women experience sexual violence in humanitarian settings.
Ipas gathered stories in war-torn regions of Ethiopia that demonstrate the rampant sexual violence and crucial need for sexual and reproductive health care, including abortion. Those interviewed chose to remain anonymous.
“We fled to the nearby forest when the war started, and that’s where they raped me. I was anxious the entire five months. There were no other place to go. I was very concerned about my status. I went through a difficult time. But praise God, I was glad to go to the hospital at last, get my infection treated, and also get a negative blood test.”
“I survived rape during the occupation. Until I went to the hospital, I was restless and nervous. I went three months without seeing a doctor since everything was shut down due to the war. The test result made me feel a lot better, and the therapy sessions we had were also beneficial because I met so many other women who were also survivors. But more tragic than surviving rape is the shame in my community.”
Reaching women displaced by conflict
Ipas supports health providers who help women access abortion with pills through a partnership with the New Millennium Women Empowerment Organization. Focused on reaching women displaced by conflict, New Millennium is also setting up referral systems to connect women and girls with facilities or mobile clinics where they can get sexual and reproductive health care.
Bizuye Habte is a health extension worker in the Amhara Region who received training through New Millenium Women Empowerment Organization.
“For nearly six months, our community lacked access to health care,” she says. “We have lost numerous children as a result of many mothers giving birth at home. I recently reopened the center, and each day I see a lot of families.”
Working with the Bureau of Women and Children, Bizuye and other health workers are reaching out in communities to ensure women know where to come for care. “That has helped them to come forward and access different treatments,” she says. “We provided counseling, and we did pregnancy and HIV tests.”
Ipas gratefully acknowledges the support of Canada’s Department of Foreign Affairs, Trade and Development in the collection of these stories.
Every crisis is different. Our varied solutions recognize that.
Through a variety of different programs and approaches, we’re proving that reproductive health care can be made accessible during an acute crisis and in the years that follow.
Training health workers in Rohingya refugee camps
Providing health information and care to Venezuelan migrants
Democratic Republic of Congo
Ensuring care for internally displaced people
Partnering with refugees to protect against COVID and ensure health-care access
Malawi, Mozambique and Zambia
Coordinating a response after cyclones and flooding
Reaching people through the private sector when public health systems shut down