Ethiopia is the second most populous country in Africa and the tenth most populous in the world. It is estimated that two-thirds of women do not have access to sexual and reproductive healthcare services. Our member association - Family Guidance Association of Ethiopia (FGAE) is bridging the gap between the need for healthcare and women by bringing services into the heart of the workplace across Ethiopia, a country where 47% of the workforce is female. FGAE currently provides services to over 125,000 people at sixteen large-scale workplaces across Ethiopia, from coffee plantations to textile factories.

The Association Burundaise pour le Bien-Etre Familial's (ABUBEF) provides vital integrated services to local communities, including contraception, prevention and treatment of HIV, youth-friendly counselling and education, pre-marital counselling, and antenatal and post-natal care. ABUBEF has 18 service points, including static and mobile clinics, and community-based services. An estimated 80% of its clients are poor, marginalized, socially excluded and/or under-served. ABUBEF supports young people living with HIV, internally displaced persons, sex workers, drug users and street children.   The continuation of many of these vital health services are under threat following the reintroduction of the Global Gag Rule by the US Administration. The Global Gag Rule, or Mexico City Policy as it is formally known, stops US aid to all health programmes run by organisations who perform or counsel on abortion.  ABUBEF says: “Almost all contraceptives, HIV reagents, STI drugs, antiretroviral and consumables for HIV management are procured through UNFPA, USAID and US-financed government programmes, which will be affected by the Global Gag Rule.” 

This publication shares the experiences of people living with HIV. Men and women from Ethiopia, Mozambique and Swaziland talk about HIV-related stigma and describe their courage, inspirations, suffering, resilience and determination to trigger change. Their stories demonstrate how stigma and discrimination can hinder access to vital support and care and the prevention, testing and treatment of HIV. National and international organizations working on HIV-related issues have an immense responsibility towards people living with HIV, to change the unjust reality revealed by these personal stories into a better one. We must increase our efforts towards ensuring everyone enjoys a dignified, stigma-free life – one where every human being is valued and free of discrimination.