Although it is one of the poorest countries in the world, Ethiopia has made great strides in strengthening their health care system. Working with the former Minister of Health, Dr. Tedros Adhanom Ghebreyesus, and the Clinton Health Access Initiative, GHLI helped launch the Ethiopian Hospital Management Initiative (EHMI) which builds management and leadership capacity across government-run hospitals. 

GHLI addresses primary care issues across Ethiopia through the Health Extension Program, which enables health care workers to reach beyond rural centers and bring public health to communities. This program is rapidly improving maternal and child health outcomes. To ensure the sustainability and effectiveness of this model, GHLI collaborates with the Ministry of Health and development partners to create a national, evidence-based strategy and implementation roadmap for primary health care.

As part of USAID's Leadership, Management, and Governance Project, GHLI is also delivering a Senior Leadership Program at Addis Ababa University. The program, tailored for Regional Health Bureau Curative and Rehabilitative Core Process Teams, focuses on strengthening skills in performance monitoring, evidence-based decision making and key practices in leadership, management, and governance.