Maternal Health

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TESFA’s goal is to improve economic, and sexual and reproductive health outcomes for ever-married adolescent girls in Ethiopia. CARE Ethiopia and its partners implemented the program, and the International Center for Research on Women (ICRW) evaluated it.  TESFA relies on peer-education within small group settings modeled on CARE’s village savings and loans (VSLA) approach. Community support is provided by groups of 20 to 30 community members, who meet once a month to discuss how to support girls and receive their own training on gender and health.

TESFA Brief

TESFA is a 3 year project funded by the Nike Foundation that works to improve economic, and sexual and reproductive health outcomes for ever‐married adolescent girls in Ethiopia. 

‘It’s normal Zeba! There is nothing to worry about!’ I was told this repeatedly in the last 4 days and I tried to believe that there was really nothing to worry about. It was four months since I had i had my period and was hopefully looking forward to be a mother. Knowing of my pregnancy, everyone in the house was very happy. I was 20 years old and  pregnant for the first time after three years of marriage which was quite uncommon in my entire extended family. Every  other woman who has wed in our family was blessed with a child within a year.

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It was difficult for Suneeta to adjust in her In-laws house even after 5 year of her marriage.  She had a 4 year old baby, and her role was very restricted at her in-laws’ home. Her entire day was devoted for house hold chores and taking care of in-laws. Her husband usually came home at late night, and they hardly had anything to share. They almost never talked.

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Satta's life was saved by the innovative use of hammocks.

Patoma Arama is 48 years old and a polygamist from the village of Ama, located 4 kilometers from Ouo, in the region of Mopti. In 2009, Patoma was identified by CARE Mali as a Community Relay for the promotion of maternal and child health. Later, he was identified as a Change Agent for CARE Mali’s Men Engage initiative. Patoma is from a community in which men are resistant to supporting women in their development activities. In spite of this resistance, he quickly understood that women are at the center of sustainable development.

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PAGAK, South Sudan – Nyakoang Rieka set out from her village in the afternoon. Pregnant and with her elderly  mother and three small children in tow, she walked several  miles through the hot, dry South Sudanese countryside to get to the food distribution at the Pagak Way Station, a group of canvas warehouses and austere concrete block buildings set up to distribute aid. Upon arrival, Ms. Rieka promptly gave birth to her fourth child. Within hours she was on her way back home with 2 week’s rations of sorghum, split peas and cooking oil and vaccinations for herself and the children.

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