L10K Presence


Text Box:  The Last Ten Kilometer Project is implemented in 215 woredas of the four most populous regions of Ethiopia: Amhara, Oromiya, SNNP, and Tigray.


In the Amhara Regional State, 9,552,505 people in 1709 kebeles of 78 woredas are L10K beneficiaries. The Amhara Development Association (ADA) is the only grantee implementing L10K project strategies in five zones of the region.

The different L10K interventions are supported by different donors.

  • Bill and Melinda Gates Foundation supports 35 woredas in the implementation of
    • Reproductive, maternal ,newborn, and child health interventions,
    • Participatory community quality improvement (PCQI),
    • Referral solutions,
    • Respectful maternity care,
    • Family planning, and
    • Continuum of care.
  • USAID supports 46 woredas in the implementation of
    • Basic Emergency Obstetric and Newborn Care  (BEmONC) in 35 woredas (105 primary health care units), and
    • Expanded Program on Immunization (EPI)
  • UNICEF supports 57 woredas in the implementation of,
    • ICCM/community based newborn care

Oromiya Regional State

In the Oromiya Regional State, L10K covers 3,707,583 people in 1,001 kebeles of 35 woredas. Sixty-four percent of those kebeles are accessible by road. The three Tier I grantees implementing the L10K project in 35 woredas of the Oromiya Regional State are the Oromiya Development Association (ODA), the Feyya Integrated Development Association (FIDA), and the Illu Women and Children Integrated Development Association (IWCIDA). ODA implements L10K project strategies in the 26 woredas in the East and West Wollega zones, as well as the Jimma and Illubabor zones; FIDA is present in four woredas of the Jimma Zone, and IWCDI is present in five woredas of the Illubabor Zone.


In the Southern Nations, Nationalities and People’s (SNNP) Regional State, 4,752,140 people in 1039 kebeles of 39 woredas are covered by the L10K Project. Fifty-seven percent of these kebeles are accessible by road.

Five grantees implement L10K components in the region:

  • The Ethiopian Kale Hiwot Church (EKHC) in Gedeo zone,
  • The Keffa Development Association (KDA) in Keffa Zone,
  • The Sheka Peoples’ Development Association (SPDA) in Sheka Zone,
  • The Bench Maji Development Association (BMDA) in Bench-Maji Zone, and
  • The Silte Development Association (SDA) in Silte Zone.

In four woredas (Konta and Yem special woredas and Mierab Abaya and Arbaminch Zuriya woredas of Gamo Gofa zone) L10K directly implements the Project’s activities.


The different L10K interventions are supported by different donors.

  • Bill and Melinda Gates Foundation supports 30 project woredas in the implementation of:
      • L10K platform activities
      • Participatory community quality improvement (PCQI)
      • Early care seeking and referral solutions
      • Continuum of care
      • Family planning
    • USAID supports implementation of:
      • BEmONC in 30 project woredas
      • EPI in 2 zones and 1 special woreda (Gedio Zone, Bench-Maji zone and Yem special woreda)
    • UNICEF supports implementation of:
      • ICCM/IMNCI/CBNC in all project areas except A/Zuriya and M/Abaya woredas of Gamo Gofa Zone
      • CBN- in 15 woredas of the project areas



In the Tigray Regional State, 2, 730219 people in 420 kebeles of 20 woredas are beneficiaries of L10K. Seventy-seven percent of these kebeles are accessible by road. L10K has one grantee in the region; Relief Society of Tigray (REST). It implements activities in ten woredas of Central, Northwestern, and Southeastern Zones of the region. L10K directly implements activities in 5 woredas in Eastern, Central, Northwestern, and Southern Zones of the region.

The different L10K interventions are supported by different donors.

  • Bill and Melinda Gates Foundation supports 15 project woredas in implementing L10K platform activities. 
  • UNICEF supports four project woredas in undertaking community based newborn care (CBNC) intervention (these woredas overlap with woredas supported by BMGF and USAID)
  • USAID supports eight project woredas in implementing expanded program on immunization (EPI).  


Central Office

The L10K central office, based in Addis Ababa, is the leading entity and is responsible for the overall implementation of the L10K Project in Ethiopia. The central office works closely with the Ministry of Health (MoH) and provides technical and financial support for implementing the Health Extension Program. This includes developing training and BCC material; providing capacity building training to health workers (skills and tools); and piloting and scaling up innovative community based strategies to improve interaction between families, communities, health extension program and primary health care units.

The central office is comprised of technical staff, including RMNCH, research, and communication experts, and a strong M&E team. Results and findings obtained from the various studies and surveys conducted by the M&E team are used in publications that highlight and discuss best practices and lessons learned from L10K project implementation. These findings and documents are shared with partners at multiple levels.

Regional Offices

The Last Ten Kilometers Project has four regional offices:

  • Oromiya Regional Office - located in Addis Ababa
  • Amhara Regional Office - located in Bahir Dar
  • SNNP Regional Office - located in Hawassa
  • Tigray Regional Office - located in Mekelle

The regional offices link with grantees and partners (i.e. regional/zonal/woreda health bureaus etc.) at the local level. The regional offices support L10K grantees implement project strategies, and ensure that sufficient focus is provided to project achievements.

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