Background: This study investigates the relationship between climate variables and malaria incidence in Ethiopia’s Gambella region, a hotspot for malaria transmission. Methods: Utilizing 30 years of satellite-derived climate data and 10 years of malaria incidence records from the Ethiopian Public Health Institute, this research analyzed trends and correlations. Climate variables, including rainfall, temperature, and relative humidity, were extracted using GPS data and global climate models from NASA. Autoregressive modeling was employed to assess the impact of these variables on malaria incidence at different time lags (lag 0, 1, and 2). Results: The analysis revealed significant upward trends in rainfall, relative humidity, and temperature over the 30-year period, coinciding with a rise in malaria cases over the past decade. Rainfall exhibited delayed effects on malaria incidence, while relative humidity demonstrated both immediate and persistent impacts. Relative humidity at lag 0 had the strongest influence (IRR = 1.002, 95% CI: 1.001–1.003), whereas temperature showed minimal effects (IRR = 1.000, 95% CI: 1.000–1.001). Conclusions: These findings underscore the critical role of climate variables in driving malaria transmission and highlight the urgent need for climate adaptation strategies, early warning systems, and strengthened health infrastructure. Leveraging climate data for predictive modeling and expanding targeted interventions, such as insecticide-treated nets (ITNs), is essential to mitigate climate-driven malaria risks and protect vulnerable communities in Gambella and similar regions

Adolescent sexual and reproductive health and rights (SRHR) challenges, including gender inequality, child marriage, female genital mutilation/cutting and sexual and gender-based violence remain pervasive globally, particularly in Ethiopia. The Power to You(th) programme was designed to address these issues by centering youth voices and fostering transformative community change. This evaluation applied Outcome Harvesting, drawing on mixed quantitative and qualitative data, and employed a participatory approach that engages youth and stakeholders in identifying and verifying programme outcomes between 2021 and 2023. The findings revealed substantial improvements in youth participation in decision-making platforms, advocacy capacity, and awareness of SRH rights. Community attitudes shifted positively, particularly among religious and traditional leaders, who increasingly advocate against harmful practices. Youth-led networks emerged as powerful agents of change, contributing to policy shifts such as increased youth representation in health governance bodies. The evaluation also captured unexpected yet influential changes in community dynamics and institutional responsiveness. These findings highlight the value of participatory approaches in capturing complex social transformations and underscore the role of youth as active agents in reshaping SRHR outcomes. Outcome Harvesting proved effective in documenting both intended and emergent changes, offering valuable insights for scaling inclusive, youth-driven interventions.