Across Ethiopia, community initiatives and local government are coming together to make a difference in the AIDS response. At the heart of health service delivery in Ethiopia are the government-run local health centres which deliver primary health services such as family health, communicable disease prevention and control, including HIV, and health education. District health office officials also shared experience of coordinating the multi-sectoral AIDS response, implementation of HIV programmes and service delivery. Governments, people living with HIV, civil society leaders, and partners—we all need creative platforms to join in open discussion of the issues and identify ways to move forward together in the AIDS response. The village gatherings enable taboos to be aired and misunderstandings about sex and AIDS to be clarified. Traditional practices that may be factors in the spread of HIV are also discussed.
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Ethiopia, 85 million people, almost half of its population is under 14 years of age. In rural and urban areas, children often begin working at 5 years. Poverty, death of one or both parents, child trafficking, forced early marriage are key factors that push children into work, above all young girls to be involved in commercial sex work.