Amref Health Africa in Ethiopia, Monitoring, Evaluation and Research Department, Addis Ababa P O Box 20855 Code 1000, Ethiopia.
School of Nursing and Midwifery, Western Sydney University, Sydney, NSW 2751, Australia.
Int J Environ Res Public Health. 2020 Jun 26;17(12):4592. doi: 10.3390/ijerph17124592.
The main purpose of this research was to analyze gender context in the Afar region of Ethiopia and propose a set of strategies or actions to improve adolescent and youth health. Using a pre-established gender analysis framework, an explorative qualitative study was conducted in five districts. Sixteen key informants and eight focus group discussions were conducted among adult women and men of young adolescents and youth. The study revealed that younger and older women are the most disadvantaged groups of the society. This is due to the high workload on women and girls (housekeeping, building a house and taking care of cattle and children), they also are less valued, have no control over resources and have no part in decision making, including their personal life choices. As a result, they rarely access school and health facilities. They are forced get married according to arranged marriage called "absuma." As such, they suffer from multiple reproductive health problems. Women have poor decision-making autonomy, lack control over resources, have limited participation in socio-economic practices, and experience child and early forced marriage, and this poor service utilization has exposed them to the worst sexual and reproductive health outcomes.
本研究的主要目的是分析埃塞俄比亚阿法尔地区的性别背景，并提出一系列改善青少年和青年健康的策略或行动。本研究采用预先设定的性别分析框架，在五个地区进行了探索性定性研究。在青少年和青年的成年男女中进行了 16 名关键知情者和 8 次焦点小组讨论。研究表明，年轻和年长的妇女是社会中最弱势群体。这是由于妇女和女孩的工作量大（家务、建房和照顾牛和儿童），她们的价值较低，无法控制资源，也无法参与决策，包括个人生活选择。因此，她们很少有机会上学和获得医疗服务。她们被迫按照包办婚姻“absuma”结婚。因此，她们遭受多种生殖健康问题的困扰。妇女缺乏决策自主权，无法控制资源，参与社会经济实践的程度有限，经历童婚和早婚，这种糟糕的服务利用情况使她们面临最严重的性健康和生殖健康结果。
