Improving health services for South Omo semi-nomadic pastoralists

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Health is poor and death rates high among the semi-nomadic people of Ethiopia’s South Omo region, because of poor understanding of health issues, widespread harmful traditional practices and restricted access to modern services.

One under-resourced local hospital is serving 390,000 people – as many people as live in the whole of Bristol.


This project targets 80,000 pastoralists, particularly focusing on mothers and children through:

  • training health workers, community health workers and Traditional Birth Attendants so that women are able to give birth in safer environments, with skilled assistance at hand
  • vaccinating young children against diseases such as polio and TB
  • providing mobile outreach services to treat common illnesses and educate communities about disease prevention, hygiene and harmful practices
  • providing sexual and reproductive health education and distributing condoms to reduce HIV transmission.

Communities are now more aware of the dangers of traditional practices, such as female genital mutilation and traditional ceremonies encouraging unprotected sex in young girls.

This project is implemented in partnership with a local organisation, the Ethiopian Pastoralist Research and Development Association.

This project is funded by the Big Lottery Fund

There are six different ethnic groups in the project area, with different dialects and cultural practices, making it very diverse!


A health insurance scheme has been set up to improve maternal health, supporting cash-poor families who would otherwise have to wait until market day to sell a goat before expectant mothers could be transferred to hospital.

To complement this, birthing huts are built near the hospital so pregnant women can stay there before going into labour.

Communities are now aware of the importance of vaccinating their children, and last year more than 6,000 children received life-saving immunisations.


Our staff live permanently in mobile outreach camps (a nurse is seen here) among the pastoralist communities they serve. People visit for help with health problems, to learn about health and to get advice. Doctors also visit those who do not come to the camps on motorbikes.




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