The Last Ten Kilometers (L10K) works to strengthen the bridge between households and the primary health care unit (PHCU), Ethiopia’s basic health service delivery structure. The aim is to improve high impact maternal, neonatal and child health (MNCH) care practices among the rural households and contribute towards achieving child and maternal health related Millennium Development Goals 4 and 5, decreasing child and maternal mortality rates.
With funding from the Bill and Melinda Gates Foundation, the L10K platform strategy in the 115 woredas (districts) enhances the interactions among frontline Health Extension Workers (HEWs) and Health Development Army (HDA) members, households, and communities to ensure that more, better, cost‐effective and equitable maternal, newborn and child health services are provided by the PHCU. L10K provides tools and skills to HEWs to work with their communities by organizing and utlizing the HAD network. It strengthens primary health care units by building the capacity of health workers and enabling health facilities to provide quality MNCH services.