Pastoral communities of the Elwak Somalia district, is vulnerable to HIV/AIDS because it is located to Ethiopia border, where traffic movement is between the two countries at the same same time there remarkable number of trucks and light vehicles that travel back and forth.

• The culture of wife inheritance is more practice among the pastoral communities since it is cheaper to keep a widower than marrying a young girl.
• The pastoral communities still practice harmful female genital mutilation (FGM) as tradition and culture exercise.