Improve Primary Health Care Services Delivery

A young mother with her child in Jinka, South Ethiopia, Amref intervention site

Improve Primary Health Care Service Delivery (IPHCSD) is a five-year project partnership designed to strengthen Ethiopia’s health systems and increase capacity to improve implementation of the Health Extension Program (HEP) roadmap, pressure-testing primary health care (PHC) service delivery approaches and modalities, and provide the evidence to inform future national PHC policies, leverage larger financing mechanisms, and transform PHC service delivery for improved health outcomes. 

Primary project partners include Amref Health Africa and JSI Research & Training Institute, Inc. (JSI) with financial support from the Bill & Melinda Gates Foundation.

Our Objective 

IPHCSD aims to strengthen the functionality of and bidirectional linkages across Ethiopia’s PHC delivery platforms—health post (HP) to the health center (HC) to the primary hospital (PH)—for improved reproductive, maternal, newborn, child, adolescent health, and nutrition (RMNCAH-N) outcomes. 


The project intends to achieve the following at the primary health care level:

Our Footprints

We work in eight regions that represent agrarian, pastoralist, and agro-pastoral contexts of Ethiopia. Amref Health Africa operates in pastoralist and agro-pastoralist areas while JSI operates in agrarian areas. 







          Southern Nations, Nationalities and People

          Southwest Ethiopia People


IPHCSD Project Amref Ethiopia
Mobile outreach health service supported by Amref in Afar region, Ethiopia

Major Activities

Ensure equitable access to and utilization of essential health services

Improve the quality of essential health services

Strengthen technical oversight and accountability for Primary Health Care

A trained health worker counselling a pregnant woman
Young mother with her kid, North Ethiopia, Amref intervention
A young health worker on duty, Gambella Amref intervention, Ethiopia

Gender Intentional Design and Implementation 

All  life cycles of this project will adopt a gender lens to identify and respond to gender gaps and barriers. This helps deliver the project interventions that serve everyone and meet its objectives well.