Service Delivery


Although we have traveled tremendous distance in access to reproductive health, there is still a huge unmet need in the country.

— His Excellency Dr. Kebede Worku,
State Minister, Ethiopia

In an effort to improve reproductive health and the rights of women and girls, Ethiopia’s government has aimed to shift traditional practices and norms. High prevalence of child-marriage in Ethiopia means that two in every five girls are married before their 18th birthday and nearly one in five girls marries before the age of 15. This varies by region, with some regional prevalence rates exceeding the national figures. The Amhara region has the highest rate of child marriage with nearly 45% of girls married before 18.

The Resolve Award

The Resolve Award celebrates country-level, public sector leadership in driving innovations in reproductive health policy development, service delivery, and financing mechanisms. The Global Leaders Council for Reproductive Health (GLC) recognizes national governments for their leadership and for serving as the hub around which civil society, the private sector, donors, and so many others engage.

The GLC celebrated Ethiopia with the 2012 Resolve Award for innovations in service delivery of reproductive health care. The country developed a range of strategies to provide access to reproductive health care, including training 35,000 community health workers, task shifting, and innovative financing mechanisms of the Pledge Guarantee for Health.


• The total fertility rate has decline to 4.8 children per woman in 2011, down from 5.5 in 2000

• Family planning use nearly doubled between 2005 when it was 14% and  2011 at 27% of married women

• Knowledge of family planning methods in Ethiopia is nearly universal; 97% of all women and 98% of all men age 15–49 know at least one modern method of family planning