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The GSF-supported Ethiopia Sanitation and Hygiene Improvement Programme (ESHIP) is integrated into the Government’s Health Extension Programme which aims to provide universal access to essential health care services for the country’s rural population. ESHIP seeks to scale-up sanitation and hygiene improvement across rural communities, health facilities, public spaces and schools. In line with the Government’s decentralized health service delivery system, the programme works in 40 woredas (districts) across 4 regions of Amhara, Oromia, SNNPR and Tigray. Implementing Partners are comprised of 44 government health offices at the regional and woreda levels.