Tag Archive for: Poverty in Eritrea

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How Organizations Advance Equitable Health Care in Eritrea

Health Care in EritreaAlthough health care in Eritrea has improved in important areas, such as declining mortality rates, over the past decade, vulnerable populations and rural communities continue to face the adverse effects of health care disparities. Several international organizations and community-based programs work to bridge the gap and increase accessibility to quality health services.

Health Care Disparities in Eritrea

Numerous disparities in health care access and services exist between urban and rural populations in Eritrea. The percentage of women receiving antenatal care from a health care professional in Eritrea increased significantly from 49% in 1995 to 70% in 2002. However, access remained uneven, with 91% of women in urban areas receiving antenatal care compared to just 59% in rural areas

A similar disparity appears in facility-based childbirth. In urban areas, the proportion of women giving birth in a health facility rose from 58% in 1995 to 62% in 2002. In contrast, the figure for rural women increased only slightly, from 7% to 9% over the same period.

Disparities in access to obstetric services were also evident across education levels. In 2002, approximately 88% of women with some secondary education were assisted by a trained health worker during childbirth, compared with 36% of women with only primary education and just 12% of those with no formal education.

Multiple disparities also exist in child health outcomes:

  • In 2002, the infant mortality rate was 48 per 1,000 live births in urban areas, compared to 62 per 1,000 in rural areas.
  • The under-5 mortality rate stood at 86 per 1,000 in urban areas, rising to an average of 117 per 1,000 in rural communities.
  • Stunting affected 20% of children whose mothers had higher education, compared with 35% of children whose mothers had primary education and 44% of those whose mothers had no formal education.

Disparities in Mental Health Treatment

Due to the increasing prevalence of mental health disorders in Eritrea, mental illnesses are among the leading causes of disability, comorbidity and mortality in the country. In 2014, the prevalence rate for common mental disorders was 14.5% and the estimated number of children with intellectual disabilities was between 30,000 and 40,000. However, because adequate mental health workers and services are limited, many mental illnesses and disorders are likely undetected or misdiagnosed.

Nonetheless, several organizations provide essential support to Eritrean refugees. Around 5,000 people flee the country each month to escape hardship and mandatory military service, increasing the need for mental health services in refugee camps. Doctors Without Borders (MSF) launched a mental health program in 2015 in Ethiopia’s Hitsats and Shimelba camps, offering counselling and inpatient and outpatient psychiatric care.

The Jesuit Refugee Service (JRS) also provides Mental Health and Psychosocial Support through counselling, psychological first aid, referrals and community-based activities that strengthen social connection and resilience.

Expanded Program on Immunization

The World Health Organization (WHO) identified physical barriers as a major challenge to immunization coverage in rural communities. In response, WHO implemented the Expanded Program on Immunization (EPI) in Eritrea to improve vaccine access, reaching more than 42,000 children and 150,000 mothers. By 2024, the program achieved national immunization coverage rates exceeding 95% for several vaccines.

UN Sustainable Development Cooperation Framework for Eritrea

The country program for Eritrea, outlined in the U.N. Sustainable Development Cooperation Framework 2022-2026, aims to enable more Eritreans to benefit from equitable and inclusive health and social services by 2026. The program outlines some goals for improved health and social services, including:

  • Increase the percentage of births attended by trained personnel from 71% to 85% to reduce preventable maternal deaths. 
  • Reduce the adolescent birth rate for girls aged 15-19 years from 27 per 1,000 to 14 per 1,000.

To achieve these goals, the program implemented several interventions, including:

  • Strengthening the capacity of health workers: Training doctors, nurses, midwives and anesthetists across Eritrea to provide quality emergency obstetric care, post-partum care, family planning, HIV prevention and gender-based violence support.
  • Building health system resilience: Deploying internationally trained obstetricians and gynecologists to remote and underserved areas, supported by technology to improve communication and service delivery nationwide.
  • Increasing access to maternal waiting homes (MWHs): Expanding and improving MWHs, which provide accommodation for pregnant women from remote areas during the final weeks of pregnancy, to enhance safe deliveries and postnatal care.
  • Advocacy: Promoting awareness of preventable maternal deaths and unmet family planning needs to inform government policies, planning and budgeting.
  • Supporting the National Fistula Diagnosis and Treatment Center (NFDTC): Strengthening services for fistula prevention, treatment and rehabilitation to ensure adequate national coverage.
  • Expanding adolescent and youth services: Strengthening and utilizing the existing network of youth-friendly centers to improve access to care.
  • Strengthening HIV prevention services: Enhancing delivery of HIV prevention interventions, particularly for high-risk populations such as female sex workers.
  • Empowering women and young people to use health services: Using community outreach and mobilization to increase uptake of HIV and gender-based violence services.
  • Reinforcing health information systems: Reestablishing and improving health management information systems, including maternal and perinatal death surveillance and response mechanisms.

Additionally, the country program works in collaboration with UNICEF and the WHO to strengthen the distribution and supply chain systems for medicines and medical supplies across Eritrea. This joint initiative aims to address unmet needs in family planning, reduce preventable maternal deaths and combat gender-based violence and harmful practices.

Community-Based Programs

  • Malnutrition Screening and Detection: UNICEF and the Ministry of Health (MoH) work together to train community health volunteers to use mid-upper arm circumference (MUAC) tapes to screen for and detect malnutrition in children under 5 and to provide referrals for treatment. These volunteers deliver life-saving interventions to approximately 50,000 acutely malnourished children each year.
  • Bare Foot Doctors Initiative (BFDs): BFDs trained through UNICEF help strengthen community-based service delivery in areas facing geographic barriers to health care. Their deployment has enabled 68,000 women and children to access essential public health services. By 2022, UNICEF had trained a total of 121 community members as BFDs.
  • Community Health Workers (CHWs): CHWs are a key component of community-based child health interventions in the Maekel Region aimed at reducing child mortality. Indeed, CHWs provide case management for pneumonia, malaria and diarrhea, the leading causes of death among children under 5 and lead community education sessions on child health. The MoH provides training and oversees the distribution of medical supplies and medications used by CHWs. The program has improved access to health care services and strengthened relationships between the MoH and local communities across the Maekel Region.

Conclusion

Notable work is being done to improve health care in Eritrea. Trained CHWs and volunteers extend services to areas previously out of reach. Organizations implementing health interventions benefit vulnerable populations and areas, including Eritrean refugees.

Organizations implementing health interventions are reaching vulnerable populations, including Eritrean refugees and helping to close existing care gaps. Together, these initiatives continue to drive progress toward a more equitable health care system in Eritrea.

– Sarah Merrill

Sarah is based in Matthews, NC, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Pixabay

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Child Marriage in Eritrea

Child Marriage in EritreaChild marriage disproportionately affects the lives of young girls in Eritrea, as an estimated 41% of girls are married before the age of 18 compared to 2% of boys, according to the most recent government data from 2010. Many recognize child marriage as a violation of human rights, with the Universal Declaration of Human Rights stating that consent to marriage must be ‘free and full’ and cannot be so when one of the parties is below adult age.

Eritrea revised its Marriage Law in 1991 to make 18 the minimum age for marriage, however, a 2025 Human Rights Watch report reported that child marriage remains prevalent despite this law. This is due to a lack of enforcement, as well as customary laws and legal exceptions. For example, 16-year-old girls can marry if they are pregnant or have already given birth.

Causes of High Rates of Child Marriage

The Girls Not Brides organization states that gender inequality is the driving factor behind child marriage in Eritrea, in addition to poverty, and a lack of opportunities for education or financial independence for girls. These factors are worse in rural areas where the rate of child marriage is significantly higher, 55.2% compared to 20.4% in urban areas. There is social and financial pressure on girls to abandon their studies to perform domestic or agricultural labor and enter marriage to relieve their families of financial burden.

Addressing the Problem

At the 2019 Nairobi Summit Eritrea committed to end all forms of violence against women and girls, including child marriage by 2030, committing to provide “access for all adolescents and youth, especially girls, to comprehensive and age-responsive information, education and adolescent-friendly comprehensive, quality and timely services to be able to make free and informed decisions and choices about their sexuality and reproductive lives.”

International aid can also help to end child marriage by reducing risk factors like poverty and lack of access to health care and education through targeted programs and partnerships. Organizations such as UNICEF and UNFPA work in Eritrea to protect those at risk of child marriage. The UNFPA collaborates with the Ministry of Health to strengthen the national health system and expand access to health care, particularly for underserved rural populations. UNFPA also work with the National Union of Eritrean Women to support legislation against underage marriage and FGM.

The Current Status of the Issue

Due to a lack of recent data from the government on child marriage rates, it is difficult to know how close Eritrea is to achieving the goal of eradicating child marriage by 2030. It is important that regulatory bodies get accurate and recent data from the government to address the issue and assess the progress that has occurred. International support is essential to improve access to education and provide resources to impoverished rural communities to alleviate financial pressures that push girls out of education and into marriage. Increased opportunities combined with stricter enforcement of the minimum legal age for marriage will help girls in Eritrea to live childhoods free from forced marriage.

– Nieve Dowling

Nieve is based in Bristol, UK and focuses on Good News and Politics for The Borgen Project.

Photo: Flickr

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Exploring the Gender Wage Gap in Eritrea

Gender Wage Gap in EritreaWomen earn less than men in Eritrea. This article explores the reasons for the gender wage gap in Eritrea as well as documenting implemented solutions. According to TimeCamp, factors include societal norms, gender roles, educational attainment and occupational segregation. A further discussion of each factor follows.

Societal Norms and Gender Roles

Eritrea is a patriarchal society where people see women as inferior to men. Men generally make the decisions in the household, while women handle the domestic affairs. Women who work in Eritrea generally work in agriculture, retail and services (i.e. domestic, informal employment, etc.), which tend to have lower wages. Due to this, women and girls in Eritrea are more vulnerable to falling into poverty.

The World Bank indicates the labor force participation is 72.3% female and 84.3% male. Of those, 83.6% of the females have “vulnerable employment,” in contrast to 65% of men. Vulnerable employment is a type of employment that is “least likely to have formal work arrangements, societal protection and safety nets to guard against economic shocks.” Individuals who have vulnerable employment are more likely to fall into poverty. 

Women’s participation in decision making in public and private sectors is relatively limited. Women occupy 22% of the seats in Eritrea’s 150-member parliament. This is lower than the average rate in other low-income economies.

Educational Attainment

Access to education is key in closing the gender wage gap in Eritrea. Illiteracy and unemployment rates had been significant among the women of Eritrea.  The number of girls attending school is lower than that of boys. The World Bank has reported that 48.2% of girls and 50.4% of boys complete lower secondary school in Eritrea. BTI reports that many girls drop out to avoid sexual harassment. 

Solutions

Eritrea’s government has policies and mechanisms in place to support gender equality, including wages. Eritrea touts several policies enacted that speak of gender equality and equal rights for women. Eritrea’s National Democratic Program, which laid the groundwork for the government upon achieving independence, was enacted in 1977. Part of its framework “assures women full rights of equality with men in politics, economy and social life as well as equal pay for equal work.”

In the area of education, Eritrea has made strides. Eritrea’s Ministry of Information touts its National Education Policy’s pledge to “eliminate gender disparity at all levels of the education system.” This policy was enacted in 2003. The Ministry of Information further indicates that women’s enrollment in primary, secondary, vocational schools and colleges has been rising. Of the nearly 15,000 students who took the Eritrean Secondary Certificate Examination in 2023, 49% of the students were female.

The percentage of girls that complete lower secondary school in Eritrea is higher on average than that of the Sub-Saharan region as a whole.  

Efforts have also been made to address the disparity in women’s participation in decision-making roles. According to the United Nations Development Programs (UNDP), Eritrea implemented special instruments to ensure that women are included in the decision making. Specifically, there is a requirement of 30% of participation in decision making on national, regional and local assemblies as well as community courts, sports federations, and land committees. 

– Danielle Milano

Danielle is based in Pineville, LA, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Unsplash

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Elderly Poverty in Eritrea

Elderly Poverty in EritreaEritrea, a small country in the Horn of Africa, faces significant challenges regarding elderly care and poverty. The World Health Organization (WHO) estimates that the elderly in Eritrea (aged 65 and above ) constitute approximately 5.4% of the population. Most elderly citizens live in rural areas with limited access to essential services.

Economic Hardship

The deterioration of traditional family support systems for the elderly in Eritrea is predominantly linked to prolonged conflict, emigration and financial constraints. Indeed, one of the primary factors for elderly poverty in Eritrea is the substantial effect of national service on family structure. Furthermore, this is compounded by the inadequate wages provided to conscripts.

In Eritrea, national service is mandatory for individuals aged 18 to 50, impacting nearly 3 million of the 6.1 million population. As of January 2020, conscripts are remunerated with a minimal monthly salary of 3,000 nakfa. The salary is equivalent to approximately $190, which fails to suffice for basic family necessities. This inadequate income may contribute to rising poverty levels among the elderly, as numerous families rely on the insufficient earnings of conscripts. Ongoing conflicts and limited opportunities have resulted in significant emigration, leaving behind elderly individuals without adequate care.

Health Care Challenges

Access to health care is a significant issue for elderly people in Eritrea. The World Health Organization (WHO) states that there are only 0.8 physicians for every 10,000 residents in the country, one of the lowest figures globally.

The Eritrean Population and Health Survey (EPHS) found that 75% of Eritreans reside within a convenient 10 kilometers of a health facility. This is a concerning reality for some elderly people who are left with the daunting task of traveling beyond this distance to reach a health care center capable of addressing their age-related health conditions. Many elderly individuals face financial hardships that prevent them from affording the necessary transportation to access essential health services.

During an advocacy meeting on aging and health from March 26 to 28, 2019, Dr. Andebrhan Tesfatsion, the acting Director General of Public Health Services, affirmed that Eritrean elderly receive respect and support from families and communities, viewing aging as a positive aspect. However, he pointed out significant challenges for healthy aging, including unprepared health systems, insufficient social support, inadequate nutrition, food security and a lack of health information systems for aging indicators.

Limited Pension Coverage

Elderly poverty in Eritrea is becoming an increasingly pressing issue, with many older adults facing significant financial hardships. One key reason for this rise in poverty is the limited effectiveness of the current social support programs available to the elderly. Unfortunately, these programs reach only a small fraction of older adults in the country. This leaves many vulnerable individuals without the assistance they desperately need.

In Eritrea, the formal social protection system for senior citizens is minimal. Official programs aimed at helping elderly individuals and pensioners account for a mere 1.8% of all national social protection initiatives. This staggering statistic highlights the lack of resources and support structures necessary to assist a growing elderly population.

According to ILOSTAT data, as of 2021, social protection covers only 8.4% of Eritrea’s overall population. This means that a vast majority of people, including the elderly, do not receive any form of social safety net. The situation is dire and many seniors struggle to meet their basic needs.

Food Insecurity

The Food and Agriculture Organization (FAO) reports that 65% of Eritrea’s population faces undernourishment, especially in rural areas where 78% live. Despite this, agriculture only contributes 14% to the country’s GDP, revealing a gap between rural conditions and economic support.  

Elderly poverty in Eritrea is a critical concern, with 37% experiencing severe food insecurity. Indeed, only 60% can secure adequate nutrition in good years, and during droughts, this drops by 25%. This fluctuation highlights the vulnerability of agricultural systems and the urgent need for sustainable solutions to improve food security and quality of life for affected populations.

Solutions

Eritrea has progressed in elderly health concerns, from basic health care access to a comprehensive strategy aligned with international frameworks like the UN Decade of Healthy Ageing. The initial program (2017-2021) established objectives and a national focal point.

Eritrea’s current strategic plan (2022-2026) sets an ambitious goal of increasing healthy life expectancy from 53.7 to 63.6 years by 2026. Furthermore, the strategic plan addresses ageism and promotes age-friendly environments under the UN Decade of Healthy Ageing. It includes enhancing community care for older adults, improving data collection on healthy aging and revising health care policies to remove the fees for seniors. A nominal hospital registration fee of 6 Nakfa applies with waivers for those in need. Additional provisions include 24-hour emergency services, medication access for major non-communicable diseases (NCDs), improved governance and regional healthy aging programs.

– Vanuza Antonio

Vanuza is based in London, UK and focuses on Good News and Global Health for The Borgen Project. 

Photo: Unsplash

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Indefinite Instability: Rule of Law in Eritrea

Rule of Law in EritreaDespite its short history as an independent nation, Eritrea has endured decades of conflict, economic insecurity and harsh leadership. For many Eritreans, the actions of President Isaias Afwerki have brought an air of uncertainty to the Horn of Africa. Here is information about the rule of law in Eritrea and efforts to help those who it affects.

Origins of Corruption

After tasting peace for the first time in three decades, the citizens of Eritrea witnessed the climactic ascent of a guerilla fighter to the nation’s highest office. Isaias Afwerki emerged from the war of independence as the head of the Eritrean People’s Liberation Front, the primary organization that led the fight against Ethiopian rule. Afwerki quickly became the frontrunner to usher the nation into a new age of prosperity that has yet to be realized.

Eritrea declared its independence in a United Nations-supervised referendum on April 23, 1993, and appointed Afwerki as head of state. In the following year, President Afwerki renamed the EPLF to the People’s Front for Democracy and Justice (PFDJ). To this day, the president’s rule of law in Eritrea ensures that the PFDJ remains the nation’s sole political party.

Indefinite Servitude

Almost immediately after taking office, Afwerki’s administration drew international condemnation. Elections originally set for 1997 were indefinitely postponed and the country ratified a constitution but never fully implemented it. Meanwhile, an all-encompassing conscription policy shaped the nation into a militaristic society. Initially, every adult under the age of 55 would serve in the military for 18 months, however, Afwerki revised the policy and extended the length of service for an indefinite amount of time, forcing some Eritreans into decades of military service.

In turn, indefinite conscription has created a workforce with no private sector; as the military and the PFDJ oversee projects in construction, agriculture and government administration. National conscription also ensures a continuous and cheap workforce, with the average salary for conscripts amounting to just 450 Nakfa per month ($30). According to the World Bank Group, 70% of Eritreans live under the poverty line, while Afwerki’s administration allocated an average of 24.9% of the nation’s GDP to military expenditures between 1993 and 2003.

Human Rights Abuses

Rule of law in Eritrea dictates that refusing military service, practicing outlawed religions, forming opposition parties and reporting on the state’s human rights abuses are all punishable offenses. Eritrea maintains a total independent media blackout and ranks dead last out of 180 countries listed in the World Press Freedom Index. The PFDJ holds journalists and other prisoners in deplorable conditions, often leaving them in metal shipping containers in the desert for indefinite amounts of time. 

A New Horizon

Ironically, Eritrea’s rule of law for keeping its citizens in check has had the opposite effect, as many citizens decide to flee the country despite the significant risks. As of 2024, there are an estimated 559,000 Eritrean refugees around the world. With roughly 17% of the population having fled the country, there is a great need for refugee assistance organizations like the America Team for Displaced Eritreans (ATDE).

Based out of Pennsylvania, the ATDE is a nonprofit organization that advocates on behalf of Eritrean refugees and asylum seekers around the world. Volunteers with the ATDE assist refugees with housing, asylum case support and connecting with international organizations that are equipped to provide protection and medical assistance to those in need. Additionally, the ATDE lobbies government officials in the United States and abroad to enact positive change in the way Eritrean refugees are treated when seeking better lives for themselves and their families.

Despite the PFDJ’s efforts, the resiliency of the Eritrean people continues to shine brightly, illuminating the possibility of a prosperous future. Additionally, groups like the America Team for Displaced Eritreans continue the important work of advocating on behalf of the victims of Afwerki’s administration. With the world bearing witness and governments being pressured into action, change might be on the horizon for this fledgling nation.

– Burke Bunyard

Burke is based in Austin, TX, USA and focuses on Politics for The Borgen Project.

Photo: Flickr

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Renewable Energy in Eritrea: The Effects of Solar Power

Renewable Energy in EritreaAccess to electricity is a fundamental driver of economic growth and poverty reduction. Without it, businesses cannot run, schools cannot provide quality education and healthcare facilities struggle to operate effectively. In Eritrea, where nearly half of the population lives in poverty, access to electricity remains a significant challenge. Only 53% of the population has access to electricity, 76% in urban areas and only 10% in rural regions. This limited access hinders economic opportunities; however, a recent push toward renewable energy, particularly solar power, offers hope for a brighter future. As Eritrea experiences steady GDP growth and declining poverty rates, renewable energy in Eritrea has the potential to accelerate this progress by expanding electricity access sustainably and cost-effectively.

The Role of Electricity in Economic Development

The World Bank identifies inclusive economic growth as the most effective means of reducing poverty. However, sustainable development is impossible without adequate, reliable and competitively priced modern energy. In Eritrea, where heavy reliance on imported oil has historically shaped the energy sector, the transition to renewable energy is not just about environmental sustainability–it is an economic necessity. By reducing dependence on expensive and volatile fossil fuel imports, Eritrea may be able to stabilize its economy and allocate resources more efficiently. 

Solar Power: A Sustainable Solution

Eritrea is investing in renewable solutions to address this energy gap, including constructing a 30 MW Solar Photovoltaic Power Plant in Dekemhare funded by the African Development Bank. The plant will create both short-term and long-term jobs, but its secondary benefits are transformative. Increasing national energy capacity from 35 MW to 65 MW–closer to the 70 MW peak demand–will reduce power shortages and load shedding, ensuring more consistent access to electricity. This additional power is crucial for small businesses, agricultural operations and educational institutions. More stable energy access means businesses can extend working hours, farmers can use solar-powered irrigation systems, and schools can introduce digital learning tools.

Addressing Agricultural Challenges

Agriculture is the backbone of Eritrea’s economy, with more than 75% of the population relying on it for their livelihoods. However, limited electricity access restricts agricultural practices such as irrigation. Conventional pumps for irrigation require diesel, but low domestic oil production, decreased imports and high fuel prices have made it increasingly difficult for farmers to maintain operations. With a peak energy demand of 70 MW and only 35 MW of operational capacity, power shortages further exacerbate poverty and food insecurity. The introduction of solar power can significantly improve irrigation systems across the country and enhance overall agricultural productivity. By investing in renewable energy, Eritrea can strengthen food security while simultaneously driving economic growth.

A Path Forward

The transition to renewable energy is not just about meeting electricity demand–it is about transforming lives. With Eritrea’s GDP projected to reach $10.1 billion by 2043 and extreme poverty expected to decline to 13%, Eritrea stands at a pivotal moment where renewable energy can accelerate progress. By reducing reliance on fossil fuels and expanding electricity access, the country can unlock new economic opportunities, improve living standards and pave the way for sustainable development. 

As the push toward renewable energy in Eritrea continues, the benefits will extend far beyond electricity. They will reshape communities, empower businesses and create a more prosperous future for all.

– Linnéa Matlack

Linnéa is based in Boston, MA, USA and focuses on Good News, and Technology for The Borgen Project.

Photo: Pixabay

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Organizations Improving Homelessness in Eritrea

Organizations Improving Homelessness in Eritrea Eritrea, after gaining independence from Ethiopia, enjoyed four years of stability. However, climate challenges such as drought led to a significant decline in water resources and food production. The usual rainy season along the coast ceased, adversely affecting farmers’ agricultural output. With a poverty threshold of $1.90, many families fell into debt and poverty. The return of Eritrean refugees from war exacerbated housing shortages, making it increasingly difficult to find rental homes due to limited availability and lack of employment opportunities. Consequently, many resorted to living in slums in urban centers, facing neglect and overcrowding, highlighting the severe impacts of homelessness in Eritrea.

International Fund for Agricultural Development

Stabilizing the ecosystem is a top priority for International Fund for Agricultural Development (IFAD), addressing the impact of droughts and climate shocks on homelessness in Eritrea. Since 1966, IFAD has concentrated efforts in rural areas, where poverty rates are highest, by integrating climate change adaptation strategies to enhance crop production and combat malnutrition. The focus has been on raising awareness among women and youth about sustainable fishing and marketing techniques, promoting conservation farming and developing climate-smart technologies to boost the agricultural sector. Moreover, IFAD is dedicated to establishing a market-oriented rural agriculture to enhance rural livelihoods and food security.

A key initiative is the Fisheries Resources Management Programme (FReMP), which aims to transform the small-scale fisheries sector into a sustainable industry with increased yields. This program also supports the creation of enterprises that provide the necessary tools for maintaining a sustainable fishing business, particularly in coastal areas that house small-scale fishermen and youth entrepreneurs.

UNICEF

Eritrea faces significant challenges, including drought, a lack of safe water and economic hardships, affecting more than 1.1 million people. In response, The United Nations International Children’s Emergency Fund (UNICEF) collaborates with the government to enhance preparedness and risk management. The organization has donated $14.7 million to improve the quality of drinking water and has initiated basic education programs for vulnerable families. These ongoing efforts include both formal and informal learning spaces staffed with skilled teachers to address educational deficits among the homeless.

UNICEF is addressing malnutrition by distributing ready-to-use therapeutic food and partnering with the Ministry of Health to enhance care in neonatal intensive care units. Mobile outreach clinics are being deployed to provide health care services to isolated and homeless populations, improving access to nutrition and sanitation. To further ensure access to clean water, the implementation of rechargeable water wells is underway to protect groundwater supplies.

Mental health, a significant concern among the homeless, is being tackled through community-based rehabilitation and frequent home visits, benefiting those with disabilities. These initiatives are gaining visibility through national media and feedback from the U.S. public and quarterly monitoring visits help UNICEF evaluate the effectiveness of their interventions. Bridget Talkty from A New Leaf notes that mental health issues and high rent costs are leading causes of homelessness, emphasizing the importance of addressing these factors.

Caritas Eritrea

Caritas, aligned with the mission of the Catholic Church, promotes justice for impoverished communities globally, focusing significantly on Eritrea. In Eritrea, Caritas operates a supplementary feeding program benefiting 35,000 individuals, coordinating with advisors in Asmara, Keren and Barentu. Additionally, the organization undertakes emergency aid projects to address climate-induced challenges, particularly drought. Aid is distributed through church clinics, including providing five goats and lambs to farming households to enhance their food and nutrient sources. Talty adds that although providing resources is the primary step in helping homelessness, people “should assist these programs that help them become more independent.”

Looking Forward

Efforts to address homelessness in Eritrea continue through targeted interventions by IFAD, UNICEF and Caritas Eritrea. These organizations focus on sustainable agriculture, access to clean water, nutrition and mental health support for vulnerable populations. By empowering women, youth and small-scale fishermen, IFAD aims to enhance livelihoods and food security. UNICEF improves water access, health care and education, while Caritas provides resources and aid to support communities affected by drought and economic hardship. Together, these initiatives strive to alleviate the impacts of climate challenges and poverty across the country.

– Linda Yoonseo Lee

Linda  is based in Phoenix, AZ, USA and focuses on Good News for The Borgen Project.

Photo: Flickr

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The IFAD’s Plans for Eradicating Rural Poverty in Eritrea

Rural Poverty in EritreaEritrea, a small country in East Africa, had a staggering poverty rate of 38.9% in 2019, which is expected to decrease by only 13% by 2043. Affecting mostly rural communities, this situation is partly due to the young nation’s recent independence from Ethiopia in 1993, which led to recurrent wars, in conjunction with famine and drought. The heavy reliance on subsistence agriculture is one factor responsible for rural poverty in Eritrea. Despite the government’s efforts to address rural poverty, a shortage of resources and poorly implemented poverty alleviation programs have hindered progress. 

In 2006, the International Fund for Agricultural Development (IFAD), an agency within the United Nations that combats poverty through low-interest loans and grants, released a plan to tackle rural poverty in Eritrea. This plan was further improved and updated in 2020, aiming to create sustainable solutions by providing finance programs and projects that empower those living in poverty to overcome it.

IFAD’s 2006 Plan

The IFAD initially planned to eradicate rural poverty in Eritrea, focusing on various areas related to economic development and food security. The plan included developing export markets for livestock, fruit, vegetables and flowers, re-establishing port activities, strengthening public services for small-scale farmers to increase agricultural productivity, promoting a supportive private sector, attracting private sector investments, privatizing state-owned enterprises and developing a robust financial system. 

The strategy prioritized decentralization to improve access to services and emphasized gender equality as a crucial element in poverty reduction efforts, recognizing that households headed by women are the most vulnerable. Additionally, implementing programs that encourage wealthier households to provide loans and assistance during difficult times through asset and labor sharing has also contributed to the reduction of rural poverty in Eritrea.

Issues to Implementation

Although this plan appeared to present a solid push to eradicate rural poverty in Eritrea, many barriers hindered the application of these plans. Conflict deeply affected the country, exacerbating constraints on institutional capacity and human resources. This resulted in a scarcity of human capital to initiate and sustain new projects in these regions, despite the knowledge that these programs would offer relief. The eastern and western lowlands of Eritrea, in particular, faced severe rural poverty due to these conflicts, making social and economic improvement in these areas a top priority. Additionally, Eritrea grappled with challenges in natural resource management and lacked readily transferable technologies that could facilitate investments, management and maintenance implementation.

IFAD’s 2022 Improved Plan

The 2020-2025 plan for eradicating rural poverty in Eritrea aims to address these issues actively, maximizing the effectiveness of poverty reduction solutions. The Country’s Strategic Opportunities Programme will ensure that IFAD’s lending and non-lending support aligns with the government’s priorities, focusing on three strategic objectives: enhancing climate resilience, improving technology and infrastructure access for smallholder systems and building capacities for food security and sustainable livelihoods. These objectives are in line with IFAD’s Strategic Framework 2016-2025. 

To further alleviate rural poverty, the plan emphasizes various aspects in the agriculture and fishery sector, such as establishing a resource base, strengthening producers’ organizations, improving input delivery systems, enhancing intensification and value addition, developing institutional capacity and managing aquatic ecosystems. Additionally, IFAD’s investment portfolio in Eritrea will prioritize gender, youth, nutrition and employment opportunities for those most at risk.

Looking Ahead

The IFAD’s programs will actively contribute to reducing rural poverty in Eritrea by assisting local communities in becoming more commercial, competitive, resilient and sustainable. Sustainable development becomes achievable through the establishment of strong institutions and systems, effective policy and regulatory frameworks, enhanced production capacities and robust partnerships. Eritrea is progressing toward the goal of eliminating rural poverty, and with investments in plans like these, a poverty-free future appears to be within reach.

– Ada Rose Waga
Photo: Flickr

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Eritrean Women Fight Gendered Poverty

Eritrean Women Fight Gendered PovertyThe Eritrean War of Independence oversaw a liberation on two fronts. The first was a divergence from Ethiopian colonial rule and the creation of a free Eritrea. The second was a women’s emancipation from culturally embedded subordination and the development of a semi-feminist state. The women’s movement began alongside the Eritrean War of Independence in 1961. It was quick to gain support and traction. The movement allowed women freedoms they did not have pre-revolution. However, as the state transitioned its focus towards a restructuring of administrative processes, the women’s movement lost steam and support. Now the Eritrean women fight gendered poverty. They are fighting issues such as malnutrition, the pan-African AIDS epidemic and limited access to education and health resources.

Poverty and Eritrea

According to the World Health Organization, 53% of Eritreans are living below the poverty line. Further research conducted by UNICEF reported that female-headed households in Eritrea tended to be the poorest. Many long-standing traditions in Eritrean society, pre-dating the civil war, are sources of this income disparity between male and female-headed households. An example of these gender norms is the fact that Eritrean women were not allowed to own property; this often led to unemployment and as a result, a lower income. These outdated expectations cause female ex-combatants a great deal of difficulty in readjusting to gendered cultural norms.

The National Union of Eritrean Women (NUEW)

Poverty hit the women of Eritrea women hard, but that has not stopped them from fighting. The National Union of Eritrean Women (NUEW) is a direct response to the feminist movement born out of the liberation war.

As an organization, the NUEW works with communities of women, including demobilized women fighters. The organization lifts women out of poverty through a combination of literacy programs, vocational training, income-generating activities and micro-credit schemes. In addition, another big part of the NUEW’s mission is promoting women’s participation in local and national government. In working closely with the Government of the State of Eritrea (GSE), the NUEW secured a hold on 30% of elected positions for women. After additional advocacy, the NUEW is working with the GSE to increase that number. The NUEW provided more than just relief programs to women in poverty; it created a space where women were able to have their voices heard.

While Eritrean women have had to overcome numerous hurdles in post-independence Eritrea, they did not do so alone. Eritrean women are fighting gendered poverty. The NUEW provides an invaluable service to Eritrean women through advocacy, education and relief programs. Today, the NUEW is working towards the total emancipation of women and continuing their efforts to raise their country up one woman at a time.

– Elizabeth Price

Photo: Flickr

Sanitation in Eritrea: Efforts to End Open Defecation

Sanitation in Eritrea
One in three people, or 2.4 billion of the world’s population, don’t have access to sanitation facilities. This number equates to about 946 million people who still defecate in the open. Health problems intermix with poverty to create havoc in some of the poorest regions of the world, and such circumstances become prevalent with sanitation in Eritrea, Africa.

Eritrea

The World Health Organization reports that Eritrea remains one of the poorest countries in Africa. The country has experienced independence from Ethiopia for only 16 years, and with this separation comes some developmental setbacks.

In 2018, 66 percent of the population lives below the poverty line, and there remains an extreme lack of resources and poverty alleviation programs.

State of Sanitation

In 2008, Community Led Total Sanitation (CLTS) was adopted by the government of Eritrea. The goal of the program was to end open defecation — a practice that leads to a variety of health concerns such as diarrhea, intestinal worms, typhoid, cholera, hepatitis and polio trachoma. To be open-defecation-free, each household in a community or village must have their own latrine.

In 2010, only 3.5 percent of the rural population of the country had access to a latrine. This meant that over 96 percent of the population continued to practice dangerous hygiene, including open defecation. UNICEF, along with the Ministry of Health, devised a plan to help aid the country’s poorest gain proper sanitation in Eritrea.

Program Design for Proper Sanitation in Eritrea

Education and communication were the program’s two objectives in the effort to disperse proper sanitation in Eritrea. To do this, they first had to alter the taboo tied to talking about the bathroom and toilets.

Additionally, the design took into consideration the Millennium Development Goal of 2015 to have 54 percent of people able to access proper sanitation.

The program evaluated the country by six regions, or zobas, in which reside nine ethnic groups of indigenous people. To best address the concerns of each region, a case study was performed within each ethnic group to discover the specific morals and barriers in accessing sanitation.

In 2012, 52.8 percent of the population within these regions used unimproved water sources, which includes unprotected public wells or rivers and streams. Additionally, sanitation access was scarce, with only 47.3 percent having access to a latrine; in fact, over 75 percent of the rural population defecated in the open.

Tigrinya

The Tigrinya is the largest ethnic group in the country and makes up 55 percent of the population. In 2012, Knowledge, Attitude and Practice (KAP) surveyed the area on hygiene and sanitation and identified a variety of barriers in the group’s understanding of hygiene.

Firstly, the scarcity of water was a huge problem in the area. Not only did humans share water sources with animals, but also problems of distance and protection of wells raised health concerns regarding sanitation in Eritrea.

Culturally, Tigrinyan people felt that water was holy. As a result, most people felt there was no need to boil water before consumption; however, water can carry bacteria that can lead to such illnesses as schistosomiasis, giardiasis, diarrhea, abdominal cramps and vomiting.

Effective Social Support

To combat cultural and physical barriers within this group, UNICEF designed a plan specific to Tigrinyan. For instance, people were concerned that wood latrines would collapse if they used them, and thus preferred stone latrines.

However, stone materials are difficult to transport, so UNICEF educated the Village Health Committee on how to properly construct the latrines so there would be no chance of collapse. This social support provides the proper knowledge and motivation to follow through with the construction of latrines and sanitation facilities.

Successes

In 2015, almost 600 villages in Eritrea achieved open-defecation-free-status. This statistic represents 30 percent of the rural population of Eritrea — 586,000 people — who now have access to proper sanitation.

Additionally, since the adoption of CLTS the child mortality rate for children under five has dropped. In 2008, the inaugural year of the program, the child mortality rate was 89 percent. The World Bank reports in 2016 that the rate has dropped to 45 percent.

Although the progress is below the MDG of 54 percent with access to improved access by 2015, there have been significant strides in ending preventable diseases from improper sanitation in Eritrea.

– Taylor Jennings

Photo: Flickr