Past Projects in Ethiopia

Ethiopian Millennium Rural Initiative

GHLI served as the external evaluator to the Ethiopian Millennium Rural Initiative (EMRI), which provided support to 30 rural Primary Health Care Units (PHCUs) over a period of three years. Each PHCU was comprised of one health center and five satellite health posts to serve 25,000 people. EMRI provided financial, technical and other support to the PHCUs to enhance accessibility, utilization, and quality of health services. GHLI measured the overall impact of the project and identified factors of the design and implementation critical to the program’s success.


Supported by the Bill and Melinda Gates Foundation, GHLI partnered with the FMOH, Harvard School of Public Health, and John Snow International to inform the long-term capability of Ethiopia’s Health Extension Program Platform (HEPCAPS). This project facilitated development of strategies to improve primary health care in Ethiopia to ensure long-term sustainability and quality across the primary health care unit (PHCU). The project conducted in-depth assessments of PHCUs and tested new models of PHCU structure and governance. This work has informed new primary health care structures and national reform efforts being implemented throughout the country.

Senior Leadership Program

Through USAID’s Leadership, Management, and Governance (LMG) Project and in partnership with Management Sciences for Health, GHLI delivered a Senior Leadership Program (SLP) for Ethiopia’s Regional Health Bureau core process teams as well as the Federal Ministry of Health leadership team. These executive certificate program strengthened both individual and group leadership capacities to address health system challenges with evidence-based strategies, effective management, and accountable governance. In addition to Ethiopia, the SLP has been implemented in over 15 countries across Africa and Southeast Asia.