Ethiopia vs. Djibouti

Ethiopia is a predominantly agricultural country - more than 80% of the population lives in rural areas - that is in the early stages of demographic transition. Infant, child, and maternal mortality have fallen sharply over the past decade, but the total fertility rate has declined more slowly and the population continues to grow. The rising age of marriage and the increasing proportion of women remaining single have contributed to fertility reduction. While the use of modern contraceptive methods among married women has increased significantly from 6 percent in 2000 to 27 percent in 2012, the overall rate is still quite low.

Ethiopia's rapid population growth is putting increasing pressure on land resources, expanding environmental degradation, and raising vulnerability to food shortages. With more than 40 percent of the population below the age of 15 and a fertility rate of over 5 children per woman (and even higher in rural areas), Ethiopia will have to make further progress in meeting its family planning needs if it is to achieve the age structure necessary for reaping a demographic dividend in the coming decades.

Poverty, drought, political repression, and forced government resettlement have driven Ethiopia's internal and external migration since the 1960s. Before the 1974 revolution, only small numbers of the Ethiopian elite went abroad to study and then returned home, but under the brutal Derg regime thousands fled the country, primarily as refugees. Between 1982 and 1991 there was a new wave of migration to the West for family reunification. Since the defeat of the Derg in 1991, Ethiopians have migrated to escape violence among some of the country's myriad ethnic groups or to pursue economic opportunities. Internal and international trafficking of women and children for domestic work and prostitution is a growing problem.

Djibouti is a poor, predominantly urban country, characterized by high rates of illiteracy, unemployment, and childhood malnutrition. More than 75% of the population lives in cities and towns (predominantly in the capital, Djibouti). The rural population subsists primarily on nomadic herding. Prone to droughts and floods, the country has few natural resources and must import more than 80% of its food from neighboring countries or Europe. Health care, particularly outside the capital, is limited by poor infrastructure, shortages of equipment and supplies, and a lack of qualified personnel. More than a third of health care recipients are migrants because the services are still better than those available in their neighboring home countries. The nearly universal practice of female genital cutting reflects Djibouti's lack of gender equality and is a major contributor to obstetrical complications and its high rates of maternal and infant mortality. A 1995 law prohibiting the practice has never been enforced.

Because of its political stability and its strategic location at the confluence of East Africa and the Gulf States along the Gulf of Aden and the Red Sea, Djibouti is a key transit point for migrants and asylum seekers heading for the Gulf States and beyond. Each year some hundred thousand people, mainly Ethiopians and some Somalis, journey through Djibouti, usually to the port of Obock, to attempt a dangerous sea crossing to Yemen. However, with the escalation of the ongoing Yemen conflict, Yemenis began fleeing to Djibouti in March 2015, with almost 20,000 arriving by August 2017. Most Yemenis remain unregistered and head for Djibouti City rather than seeking asylum at one of Djibouti's three spartan refugee camps. Djibouti has been hosting refugees and asylum seekers, predominantly Somalis and lesser numbers of Ethiopians and Eritreans, at camps for 20 years, despite lacking potable water, food shortages, and unemployment.