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Unlock the Secrets of Successful Policy Reform: What Ethiopia’s Abortion Law Teaches Us

Unlock the Secrets of Successful Policy Reform: What Ethiopia’s Abortion Law Teaches Us

In 2005, Ethiopia undertook a significant reform of its abortion law as part of a broader overhaul of its Penal Code. This reform has been instrumental in expanding women's access to safe and legal abortion services, contributing to a decrease in maternal mortality rates due to unsafe abortions. For practitioners interested in policy reform, Ethiopia's experience offers valuable insights into the dynamics of agenda setting and the role of national actors in driving change.

The Role of National Actors in Policy Reform

The Ethiopian case highlights the importance of national actors in the process of policy reform. The ruling party's openness to reform, coupled with the energy and advocacy efforts of civil society organizations, played a crucial role in facilitating the liberalization of the abortion law. This underscores the significance of having a receptive government that prioritizes women's rights and health as part of its developmental agenda.

Civil society organizations, particularly those focused on women's rights and reproductive health, were pivotal in advocating for change. Their efforts were supported by professional associations such as the Ethiopian Society of Obstetrician-Gynecologists (ESOG), which provided essential research and framed the need for reform as a public health issue. This collaboration between government and civil society was instrumental in overcoming opposition and achieving meaningful policy change.

Strategic Framing and Collaborative Efforts

A key takeaway from Ethiopia's experience is the strategic framing of policy issues. By presenting abortion law reform as a public health necessity rather than solely a rights-based issue, advocates were able to garner broader support. This approach was particularly effective in Ethiopia's socially conservative context, where framing the issue around maternal mortality prevention resonated more with policymakers and the public.

The collaborative relationship between civil society and government was another critical factor in the success of the reform. Civil society organizations were not only advocates but also partners in shaping policy options and providing technical expertise. This partnership facilitated a smoother implementation process and ensured that the new law effectively expanded access to services.

Implications for Practitioners

For practitioners looking to drive policy reform, Ethiopia's experience offers several lessons:

Encouraging Further Research

Ethiopia's successful reform provides a compelling case study for further research into agenda setting and policy change. Practitioners are encouraged to explore how similar strategies can be applied in other contexts, particularly in sub-Saharan Africa, where legal reforms on socially contentious issues remain infrequent.

The findings from this case study suggest that focusing on national actors and processes may offer more explanatory power than theories emphasizing external influences. By understanding the dynamics at play within national contexts, practitioners can better navigate the complexities of policy reform.

To read the original research paper, please follow this link: Agenda setting and socially contentious policies: Ethiopia’s 2005 reform of its law on abortion.


Citation: Holcombe, S. J., & Gebru, K. (2022). Agenda setting and socially contentious policies: Ethiopia’s 2005 reform of its law on abortion. Reproductive Health, 19(Suppl 1). https://doi.org/10.1186/s12978-021-01255-z
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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