In December 2024, seismic activity in Afar and Oromia worsened vulnerabilities, heightening GBV risks in evacuation sites and straining already limited health services. Ongoing conflict in Amhara and Oromia continued to drive displacement, while malnutrition and disease outbreaks surged. UNFPA scaled up mobile health teams and GBV monitoring, but urgent gaps remain. Increased funding is critical to sustain life-saving SRH and protection services into 2025.