The United States Agency for International Development (USAID) Transform: Primary Health Care Activity has implemented several activities to strengthen GBV prevention and response services within Ethiopia’s primary health care system. Conflict between Tigrayan security forces and the Ethiopian Federal Government has affected populations in Tigray and parts of the Amhara and Afar regions and has devastated the health system in these areas. Simultaneously, sexual and gender-based violence (SGBV) significantly increased in conflict-affected areas, leading to steep increases in community members’ need for mental health and psychosocial support (MHPSS) services. In response, the activity sought to strengthen post-SGBV health services and referral, particularly awareness of and referral to MHPSS services. This brief provides an overview of the process and lessons learned from designing and delivering a Community-based SGBV and MHPSS Awareness Creation and Case Identification training-of-trainers curriculum, which was cascaded in selected conflict affected districts in Amhara. Considerations for future programming, informed by inputs from trainers and training participants, are also included to support future programming to improve SGBV response services, including adequate MHPSS service referrals and care.
Photo by: Nena Terrell, USAID/Ethiopia