In 2018, less than 3 percent of refugees went home. The vast majority struggle to get by in countries unable to meet their needs. Most relief efforts are focused on food, shelter and basic health care—but refugees also require education and livelihoods opportunities if they are to rebuild their lives. The IRC strives for “better aid” that delivers assistance more effectively, efficiently and sustainably.

This report describes the implementation and evaluation of the “Fifth Child Project” to increase the use of immunization and perinatal services in northwestern Ethiopia.