USAID Transform: Health in Developing Regions Activity

(2017 – 2022)

A health worker Gambella Region

Transform Health in Developing Regions (HDR) is one of the USAID Transform Health Activities, co-created with the Ministry of Health (MOH), to further improve maternal and child health in Developing Regional States of Ethiopia. The overall objective of the activity aims to increase the utilization of high impact and quality reproductive, maternal, neonatal and child health (RMNCH) as well as family planning (FP) services and support the Government of Ethiopia’s (GOE) overall progress towards meeting the MOH Health Sector Transformation Plans. Transform HDR is expected to contribute to increasing the number of healthy mothers with successful birth outcomes and sustaining gains of reduction in under five morbidity and mortality in developing regions of Ethiopia. Four strategic approaches to meet these results are increased access to RMNCH and FP; health system strengthening, demand creation for RMNCH and FP services, and strategic information focusing on data use, operational research and collaborative learning.


Transform HDR focuses its intervention in 60 woredas with a total population reach of four million in Afar, Benishangul Gumuz, Gambella and Somali by supporting more than 1,168 health facilities; 984 health posts, 167 health centers and 17 hospitals (See Figure 1).

USAID Transform: Health in Developing Regions (HDR) Activity has worked towards reducing preventable maternal and child health in Afar, Benishangul- Gumuz, Gambella and Somali regions since 2017, targeting pastoralist regions and hard-to-reach communities in Ethiopia. As we enter the program’s final year of implementation, below are highlights of the achievements we have made through our five year partners and collaboration with the regional health bureaus.

Intervention Areas of Transform Health in Developing Regions (2020)

Twenty-four health facilities have been selected to be centers of excellence in 20 woredas to demonstrate effective intervention for cross-learning and scale-up to remaining woredas in the regions.


Key stakeholders for Transform HDR include: the Ministry of Health and respective Regional Health Bureaus; the Ministry of Women, Youth and Children; respective universities in the regions, and US Government (USG) and Non-USG implementing partners working in the DRS.


The Activity is led by Amref Health Africa as a prime partner with Project HOPE: The People-to-People Foundation Inc., IntraHealth International Inc., and General Electric Health Care as consortium partners.

Key Achievements

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