“For the first time in human history, the majority of the world’s population is living in urban areas – and the proportion continues to grow. By 2050, estimates suggest 42 percent of Ethiopians will live in urban settings.” – World Urbanization Prospects 2007


To address health challenges related to rapid urbanization in Ethiopia, the U.S. Agency for International Development (USAID) launched Strengthening Ethiopia’s Urban Health Program (SEUHP) in July 2014 to promote urban health leadership and enhance implementation capacity in cities and towns across seven regions of Ethiopia. SEUHP extends cost-effective, high quality, and appropriately targeted support and services to strengthen the roll-out of the Government of Ethiopia’s Urban Health Extension Program (UHEP) and related urban services. Program activities are closely aligned with the PEPFAR blueprint—creating an AIDS-free Generation—and other PEPFAR guidance, as well as the Government of Ethiopia’s strategic priorities at the federal, regional and city/town levels.
Strengthening Ethiopia’s Urban Health Program promotes access to health care and improved health status for more than 1.6 million households in 47 cities in Addis Ababa, Dire Dawa, Harari, Oromia, Tigray, Amhara, and SNNP regions. The activity focuses on building sustainable urban system for more and better primary health care outcomes, bringing together urban stakeholders across multiple sectors, and fostering stronger community and private sector involvement in primary care and community health service delivery.The project will be implemented until June 2018.


To strengthen the Government of Ethiopia’s UHEPs, by incorporating new programmatic directions and innovations to build capacity, strengthen the health system, and ensure scale, quality, and sustainability. Objectives are:
• Improved quality of community-level-urban health services,
• Increased demand for facility-level urban health services,
• Strengthened regional platforms for improved implementation of the national urban health strategy, and
• Improved sector convergence for urban sanitation and waste management.


• Activity duration: July 2014 – June 2018

• Goal: Improve the health status of the urban population in Ethiopia by reducing HIV/TB-related maternal, neonatal and child morbidity and mortality, and the incidence of diseases

• Geographic coverage: Addis Ababa, Amhara, Dire Dawa, Harari, Oromia, SNNP, and Tigray

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