The Last Ten Kilometers Project

What it takes to improve health outcomes in rural Ethiopia.

Nefisa and her husband with their two weeks old daughter

A change of heart

Nefisa finalized her preparation of what she needed when the time came to go to Shebe Health Center to deliver her child. The wife of her brother‐in‐law has agreed to come over to her home and take care of her daughter. Read more »

Ato Awel a QIT member showing the renovated Mendera HP

How a community worked to improve the quality of health services

Mendera is a community found in Limmu Woreda of Jimma Zone in Oromia region of Ethiopia. Read more »

Fentiya Asmare a mother with her two months old son

Adding Light to Health

Fentiya Asmare went to Jabi Genet Health post with her three week old son to have him examined by Mulualem Wubliker, the health extension worker.Read more »

About L10K

A health extension worker on her way to visit a household

The Last Ten Kilometers: What it takes to improve health outcomes in rural Ethiopia works to strengthen the bridge between households and the primary health care unit (PHCU), Ethiopia’s basic health service delivery structure. Read more »

L10K News

US Agriculture Deputy Minister, five female senators and their Assistants made a visit to Hakfen kebele, La’ilay Adiyabo woreda in Northwestern Zone of Tigray region on August 27, 2014 . The aim of their visit was to get a glimpse of how the health system in Ethiopia operates especially at community level.  Read more


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Featured Resource

 Thumbnail cover image of the Midterm Household Health Survey

The Midterm Survey Report, titled "Changes in maternal, newborn and child health in 115 rural woredas of Amhara, Oromia, SNNP, and Tigray, 2008 – 2010," summarizes findings from the L10K baseline (2008) and midterm surveys (2010). The report describes the survey methodology, household and respondent characteristics for both surveys, and changes in health service availability and utilization and health outcomes. Read more »