The Millennium Water Alliance (MWA) has been implementing the five-year Sustainable WASH Project in Ethiopia to strengthen water supply, sanitation, and hygiene (WASH) services in schools, health facilities, and communities, contributing directly to Ethiopia’s One WASH National Program and the Conrad N. Hilton Foundation’s Safe Water Initiative 2025 strategy.

Acting as a central hub, MWA has coordinated partners’ activities in the Amhara Region, and supported the expansion of improved WASH services. In August 2024, PATH conducted the endline evaluation of WASH services in 26 selected health facilities across Dera, Farta, and North Mecha Woredas.

This evaluation focused on assessing the quality, functionality, and improvements in WASH services, particularly for facilities implementing the Clean Clinic Model. The findings highlight progress achieved since baseline and midline assessments, while emphasizing the challenges faced due to Ethiopia’s ongoing conflict and climate change impacts.