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Families marry off girls before they are ready for childbirth.
Most of them have escaped early marriage. Even though the legal age to marry in Ethiopia is 18, more than 30 percent of girls living in rural parts of the country are married by age 15, according to the Population Council. In Amhara region, where most of the girls at the center come from, almost half of the girls have married by age 15 and close to two-thirds by age 18. Ethiopia ranks among the top 10 countries for child marriage, according to the International Center for Research on Women's analysis of the country's Demographic and Health Survey data.
Families marry their daughters early due to cultural beliefs and practices related to attempting to keep a girl's chastity, ensuring a young bride's obedience and subservience, maximizing childbearing years and enhancing a family's status, according to UNFPA.
Early marriage can cause higher rates of maternal and infant mortality, vulnerability to HIV/AIDS, abuse, isolation and long-term psychological trauma from forced sex, according to UNFPA.
Girls aged 15 to 20 are twice as likely to die during childbirth as women in their 20s and girls under the age of 15 are five times more likely to die of maternal causes, according to UNFPA. This is because girls' bodies are often too young and undeveloped to endure child birth. When a girl gives birth before her body is fully developed, she often has difficulty during labor and there is a higher chance of developing a maternal complication such as hemorrhaging or obstetric fistula.
A 2005 U.N. Children's Fund (UNICEF) on child marriage also found that girls who marry young have a much higher chance of being victims of domestic violence.
The majority of the girls at the Biruh Tesfa center fled their rural villages, took a bus to Addis and got off at a bustling, chaotic station close to the program site. They arrived in Addis alone without access to services or support, says Habtamu.
"These girls are the invisibles. No program is covering them," he says.
So-called brokers found the girls at the bus station and got them jobs as domestic workers for low-income Ethiopian families in Addis. They often work under demeaning and difficult conditions, with no time to go to school or make friends.
The Biruh Tesfa project employs mentors, young women who come from the community, to go to the homes where the girls work and convince their employers to let them participate in the program.
Aynalem Kibebew, 25, lives in a tiny house made of corrugated metal across the street from the center and serves as a mentor for about 30 of the girls. Since the employers often do not allow the girls to attend school, the mentors like Kibebew provide them with informal education for an hour or two every day at the center. They also teach the girls life skills like reproductive health, HIV education and hygiene. Once the girls finish the program, they are eligible to enter formal school in the fourth grade, Habtamu says.
Another girl at the center, Kelemua Wondimu, says she fled her village in Amhara region to Addis when she was 17 because she too did not want to get married. She had seen what happened to her older sister and did not want that life for herself.
When her sister turned 15, Kelemua says, her parents prepared a wedding ceremony and made her marry a man she had never met. She then had a baby within a year.
"I saw that and decided not to marry at that age," Kelemua says, clutching her notebook as she sits at a desk in one of the center's classrooms. Charts teaching numbers and punctuation marks cover the walls. "Instead, it is better to continue my education and learn more."
To read more of Win's series on Ethiopian maternal health or to see her photographs, click here.