Workplace culture and service delivery are both candidates.
Language: an interpreter labeled Ethiopian, Somali, or Oromo who is not Amharic as this household speaks it is a closed door. Confirm whether Amharic is first language or the empire’s second language in this home. If Oromo, book Afaan Oromoo. If Tigrayan, book Tigrinya. Gender match may be requested in maternal and intimate care.
Names: given name plus father’s name. The database that invents a last name is a gate that follows the person. Same trap as Somali. Different people.
Fasting: Wednesday, Friday, Lent, Advent, other seasons for many Orthodox households. Medication with food, labs, morning appointments. Ask. “No-show” may be the feast you scheduled against.
Hour caps, exception processes, and life-sharing matches without language are not culturally neutral.
Notices and comment: an eList and an English PDF is not how this community was reached. Empty follow-up cells are theater. SOS already prints Amharic for voters — the packet can too.
Workforce: Amharic-speaking staff are not the interpreter pool and not the community.
Legislation, funding, rule: you cannot advocate for a channel you will not study. This cultural intelligence exists so the 40% has a household in it — not a paternalistic program designed in a building that heard “East African” and booked Somali.