Primary Health care units (PHCUs (17,550 health posts and 3,735 health centers) are the main source of primary care services, especially for rural communities in Ethiopia. The Health Extension Program, or HEP, provides a package of 18 primary care packages for family health, health promotion and disease prevention, hygiene, and environmental sanitation. Findings from the 2019 national HEP assessment suggest that the program has contributed to improvements in health indicators, especially family health. HEP has helped to reduce maternal and child mortality by increasing service utilization among mothers.

PHC facilities continue to face challenges such as lack of access to basic amenities (water, electricity, communication equipment, and sanitation facilities), shortage of skilled and committed leadership, high staff attrition, and low staff motivation and competencies.

Universal access to quality and comprehensive rights-based family planning information and services at all levels of health care delivery system, with emphasis to post-pregnancy family planning services, expand family planning and sexual and reproductive health services to workplaces, private health facilities, people with special needs, universities and colleges, and in humanitarian settings, and expand access to quality comprehensive abortion care services.

Strengthen Prevention and management of GBV and child marriage, and to expand access to quality comprehensive abortion care services.

Facilitate the development of mental health legislation to protect the rights of people with mental health conditions, to strengthen integration and coordination of mental health care implementation and scale up at each level of the health system, and to ensure availability of mental health services to vulnerable groups or special populations.