Optimizing the Ethiopian health extension programme: strategies to address workforce challenges

The Health Extension Programme (HEP) serves as a flagship programme in the delivery of primary health care (PHC) in Ethiopia. However, its implementation has faced various health system barriers. By laying out transformative strategies, the HEP Optimization Roadmap (2020–2035) presents an opportunity to restructure and standardize the programme’s service delivery approach to ensure long-term sustainability and impact