Our programme · Ethiopia

Healthy Village Ethiopia works with the Government of Ethiopia to end child stunting, and in 2025 its integrated model was adopted as the national blueprint for reaching every district in the country.

The headline

From a programmeto national policy

In 2025, the Healthy Village approach was integrated with the government’s own model into a single national framework, the Malnutrition-Free Healthy Village, and adopted by the Federal Ministry of Health as the official village-level unit for the Seqota Declaration, Ethiopia’s strategy to end child stunting by 2030. Its national implementation guideline is now being finalised. From 2026, the model scales across the whole country.

125M
people to reach
across Ethiopia by 2030
1,050
districts
every woreda in the country
31.1M
children under two
reached through the model
6,000
water schemes
planned by 2030

Scale-up phase, 2026 to 2030, across all 1,050 woredas.

The challenge

A nationalcommitment

In 2015, Ethiopia pledged to eliminate child stunting by 2030 through the Seqota Declaration, a government-owned, nationally-funded strategy. At the time, more than a third of children under five were stunted, and the country was losing a large share of its economy each year to the effects of undernutrition. The task was to make an integrated model work at national scale.

38%
children under five stunted
nationally, when the pledge was made
17%
of GDP lost each year
to the effects of undernutrition
2030
the national deadline
to end child stunting
Our approach

How themodel works

The Healthy Village model integrates what matters at household level, nutrition, safe water and sanitation, and maternal and child health, delivered together rather than in parallel. A village is declared Healthy once almost everyone meets and keeps the key standards. It is designed for scale from the start, so it can be carried by the systems already in place.

Government-led delivery
Health extension workers deliver services through the systems and structures Ethiopia already has.

Nutrition and food
Local entrepreneurs and homestead gardens keep nutritious food and health products within reach.

Safe water and sanitation
New and rehabilitated water schemes support a healthy environment around every home.

Growth and child health
Community-based growth monitoring catches problems early, alongside maternal and child care.
Why it lasts

Government leads and sustains
Delivery runs through existing government systems, so it continues when external support ends.

Markets keep access open
Local markets ensure a continuous supply of the products families need, long after a project closes.

Communities own the demand
Communities drive behaviour change and hold the standard, so the work belongs to them.
In 2025

What the programmedelivered

Alongside shaping national policy, the programme kept delivering on the ground in Amhara and Tigray, where operations in Tigray resumed in 2024 and accelerated through 2025.

100,000
people reached
in Amhara and Tigray
33
Healthy Villages declared
meeting the full standard
25,000
children’s growth monitored
tracked for early action
18,000
gained safe water
new and rehabilitated schemes

Alongside these, 10,000 farmers were trained, and two technical staff were seconded to regional and national government to help carry the model forward.

A mother holds her young son at home in East Gojjam, Ethiopia.
Why it matters

When a programmebecomes a system

The measure of this work is not a programme that runs, but a national system that keeps children well without it. In 2025, Ethiopia’s work stopped being a programme and started becoming policy, carried by government, markets and communities so it can reach every child.

Insights and stories

More fromour work in Ethiopia

News
The Healthy Village approach, now national policy
How Ethiopia merged the Healthy Village approach into its national framework for ending child stunting.

Read more →

Event
Linking and Learning in Addis Ababa
Government, civil society and private sector came together around the Seqota Declaration to share what works.

Read more →

Approach
Strengthening systems, not replacing them
Why we work with governments and existing systems so services keep running long after we step back.

Read more →

Partnership

Workingin partnership

Healthy Village Ethiopia is developed with Plan International Netherlands and implemented by iDE Ethiopia and the Organization for Rehabilitation and Development in Amhara (ORDA), alongside the Government of Ethiopia. In 2025 the work grew through new partnerships with CoWASH IV, Ethiopia’s largest community-managed water programme, and with P4G and Waterlife on solar-powered clean water in Sidama.

Government of EthiopiaPlan International NetherlandsiDE EthiopiaORDACoWASH IVP4G & Waterlife
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