Ethiopia
Building momentum for girls’ health
Tiko has worked in Ethiopia since 2018. We continue to scale our impact each year, creating greater sustainability through strong public-private partnerships.
The challenge
Major gaps leave girls unprotected
Young people aged 15-24 years old make up around a fifth of Ethiopia’s population. Adolescent girls are among the most vulnerable. Around 40% are married by the age of 18, exposing them to domestic violence, early pregnancy and health risks. While HIV rates are lower among young people than adults, a 3% prevalence rate among adults aged over 15 in Addis Ababa in 2025 highlights a worrying trend – the virus continues to spread among this generation.
8
%
teenage girls in urban Ethiopia have experienced pregnancy.
1
in
14
girls aged 15-24 experience sexual violence.
40
%
girls are married by 18.
Significant school dropout rates, high rates of coerced and transactional sex driven by poverty, and major gaps in healthcare provision leave girls without the safety and protection they need to thrive.
Our solution
Our trusted tech-enabled platform
Tiko supports girls and young women in Ethiopia to feel healthy and safe by connecting them to an integrated package of healthcare and support services powered by our trusted, tech-enabled platform.
Pathway to health, safety and dignity
Through our platform, an ecosystem of mobilisers, community organizations, public and private healthcare partners, pharmacies and retailers become trusted companions who enable girls to follow a single, seamless pathway towards health, safety and dignity.
High quality, stigma-free care
Through this integrated healthcare approach, girls can access free sexual and reproductive health services, HIV testing and care, and sexual and gender-based violence support without being judged. Through tech-enabled feedback, we work with our partners to strengthen services and ensure girls receive the high quality care they deserve.
Explore our ecosystem approach
Tiko connects girls to a no-cost, integrated ecosystem of healthcare and support, designed around their lives. The ecosystem consists of peer mobilisers, community-based organizations, health providers and retailers who are all connected to the Tiko platform to give girls access to family planning, HIV prevention and treatment, sexual violence screening and support, and health products.
Where we work
Expanding our reach and impact
We work with more than 80 public and private health facilities, and 10 community-based organizations, in densely-populated areas of Addis Ababa and Hawassa, with plans to expand to four further cities by 2030: Dire Dawa, Mekelle, Adama and Harar.
We continue to increase the number of public clinics we work with, scaling contraception, HIV and sexual violence services in areas where there is the greatest need. Working closely with national and regional health leaders, we ensure our programmes and priorities align with government health policies and goals for lasting impact.
Impact
Our impact in numbers in 2025
107,018
girls’ lives impacted
226,059
services delivered
883
sexual violence services provided
220,477
contraceptive services accessed
We aim to serve
650,000
girls annually by 2030, reaching around 75% of girls aged 15-24 in our target areas.
Girls’ stories
New beginnings for girls
More than mobilisers: sisters to the girls
Tiko mobilisers in Ethiopia share how their work motivates them to impact girls’ lives in their communities and their own…
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Reclaiming my future
“Living in a semi-urban community as a stay-at-home mum often made me feel isolated and left behind.”
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Abebe’s voice: perspectives from an Addis clinic
Addis Ababa, Ethiopia – Abebe has been working as a senior nurse at the Abay Medium clinic in Addis Ababa…
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Impact stories from Addis Ketema, Ethiopia: Improving the health and wellbeing of young women in Addis Ababa
Despite rapid economic growth over the last decade, Ethiopia still ranks in the bottom 20 countries worldwide in terms of…
Read MoreRead our evidence briefings
Boosting equitable contraceptive uptake among Adolescent Girls and Young Women (AGYW) in Addis Ababa: Insights from an evaluation of Tiko’s SRH programme
Since January 2022, Tiko, supported by the Embassy of the Kingdom of the Netherlands (EKN), has worked to increase access to high-quality, youth-friendly family planning services by adolescent girls and young women (AGYW) aged 15–24 across 11 sub-cities of Addis Ababa
Enhancing Access to Integrated Health Services by Adolescents and Young People through the Tiko Platform
Adolescents and young people (AYP) aged 15-24 in Uganda face significant barriers to accessing sexual and reproductive health (SRH), HIV, and mental health (MH) services due to social stigma, limited service integration, and economic challenges
Impact of the Tiko Platform on Tiko-Integrated and Non-Integrated Facilities: The case of Kampala, Uganda
The Tiko Platform is revolutionizing sexual and reproductive health (SRH) service delivery by integrating digital tools that enhance accessibility, streamline data management, and improve service delivery.
Read our insights
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A promising blueprint for maternal and child health
Breaking the cycle – how group antenatal care is transforming adolescent girls’ and child health in Kenya
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Ten things we can learn about the role of AI in revolutionising community-centred public health reforms
Key takeaways from our all-women panel discussion ‘From Promise to Dignity: Powering Human-Centred Care with AI’ hosted by Tiko at the 2025 Global Digital Health Forum
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Standing with girls against sexual and gender-based violence
Violence forces girls out of school, fuels unintended pregnancies and increases vulnerability to HIV. Why addressing SGBV is a key pillar of tackling the triple threat.
