The Last Ten Kilometers Project

is dedicated to learning and documenting what
works in improving health outcomes in rural Ethiopia.

Thumbnail photo of a community health worker volunteer.

Maternal and Child Health, House-by-House

Dejyetnu Tadesse, an energetic 29-year-old mother of two in the kebele of Kurar, was invited to become a volunteer community health worker (vCHW). Read more »

Thumbnail photo of a community health worker volunteer.

Pulling Together for Community Change

"The community is the greatest supporter in ensuring maternal health" says Ato Arefaine Hagos, the Adimenber Kebele Administrator, explaining the tremendous benefit of having all levels of a community work together to solve problems. Read more »

Two female staffers at the Kersa Harbu Kene Kebele Health Post in the Oromiya Region.

Adding Light to Health

The Kersa Harbu Kenne kebele is one of L10K's Community Solutions Fund (CSF)*- targeted districts in the East Wollega Zone of the Oromiya Regional State. Read more »

About L10K

Thumbnail photo of a community health worker volunteer.

The Last Ten Kilometers: What it Takes to Improve Health Outcomes in Rural Ethiopia (L10K) Project is designed to find long-term solutions to improve maternal, reproductive, newborn, and child health—particularly in rural areas—and to reduce maternal and newborn mortality at the community level. Read more »

L10K News

Mr. Bill Gates Visits the Last Ten Kilometers Project
During the week of March 26th, Bill Gates paid a visit to JSI's Last Ten Kilometers: What it takes to improve health outcomes in rural Ethiopia Project. The goal of this initiative, funded by the Bill & Melinda Gates Foundation, is to strengthen the health extension program in rural Ethiopia by empowering families and communities to adopt healthy behaviors. Since October 2007, L10K has worked with... 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 »