The well-being of an individual depends on numerous factors that go far beyond pure healthcare. We actively involve populations, communities, and local partners to ensure all our actions are decentralised and sustainable. Engera supports Gurage’s clinics in the following ways:


  • Through regular missions (doctors, nurses, midwives, drugs, protocols, training and retraining of local personnel).

  • Covering the annual running costs (personnel, drugs, medical devices),

  • Through special projects such as improved infrastructure, a new natal ward, or a water well.

Engera aims to continue to provide support in line with our commitments, ensuring a sustainable model that has shown measurable results over the years we’ve been active in Ethiopia.

With more significant funding, the Engera approach could be expanded to several other clinics in the region, providing standardisation of the healthcare coverage, better economies of scale, and efficiencies in the supply and supervision of the facilities during our missions. We can expand our work and impact a much wider population.

This is our ambition.


Gurage map

Healthcare facilities



Population: 30,000
Employees: 22
Patients 2021: 28,573
Vaccinations 2021: 387
Births 2021: 379

Zizencho is an isolated village on the highlands. Until recently, the village had no proper road, no electricity, and no running water. Roughly 30,000 people live in the catchment area of the Clinic. Over the years, Engera has built a pre/postnatal ward, a tuberculosis centre and a water well that provides clean water to the village.



Population: 30,000
Employees: 25
Patients 2021: 19,185
Vaccinations 2021: 183
Births 2021: 205

Built in 2014, Shebraber is the most recent of Engera’s clinics. Thanks to the donation of an American Foundation and a project from the Region Tuscany, today, it assists 25,000 people across a few villages. Engera has also built a Tuberculosis centre annexed to the main clinic.



Population: 25,000
Employees: 15
Patients 2021: 18,257
Vaccinations 2021: 451
Births 2021: 353

Engera has supported the healthcare centre of Burat since the early days, with regular doctor and volunteer visits, supply of medicines and diagnostic tools. Over the years, Engera has also financially supported various scholarships for young Ethiopian girls who went on to become nurses.


Galeya Rogdha

Population: 15,000
Employees: 10
Patients 2021: 11,620
Vaccinations 2021: 147
Births 2021: 134

Galeya-Rogda is one of the latest projects taken on by Engera. The goal is to activate a healthcare centre in this remote area with the same standards as the other infrastructures we support in the rest of the region. The centre focuses on prevention, vaccination for infants and pre-post natal assistance. 

Translation result



Population: 20,000
Employees: 16
Patients 2021: 8,821
Vaccinations 2021: 365
Births 2021: 91

The Dakuna clinic is located not far from the urban area of Emdibir. Over the years, thanks to philanthropic support, it has developed and distinguished itself, especially for its organization and efficiency. Well before the COVID emergency, the clinic had already implemented a patient flow system with independent chambers to minimize internal contamination. The clinic is also equipped with an ambulance and a rather advanced laboratory by local standards.



Population: 25,000
Employees: 14
Patients 2021: 16,052
Vaccinations 2021: 317
Births 2021: 257

In Getche, Engera didn’t have to build the infrastructure from scratch. However, it has supported the development of the natal facility with an improved reception facility for pregnant women and the supply of equipment for a safer pregnancy and delivery. Focus has been on the training of the gynaecological and obstetric nurses.



Population: 35,000
Employees: 32
Patients 2021: 17,910
Vaccinations 2021: 552
Births 2021: 272

Maganesse is one of the first clinics established in the region and is located just over 7km from Endibir. It was founded by CUAMM (Doctors for Africa) and has developed over the years thanks to the support of various organizations. The clinic is superbly managed by Sister Luciana and Sister Arnolda, two veterans in the region who have developed excellence in the management of spaces and patients. Maganesse has a structure dedicated to tuberculosis and is characterized by a large surface on several buildings in traditional form (Toukul).

Urgent Projects

Engera’s mission brings life-saving healthcare to the people of the Gurage zone of Ethiopia.  Our team of doctors and other staff work closely with community leaders and our partners on the ground – to respond in partnership to their most pressing needs.


Our collaboration includes special projects to address urgent needs.

pozzo zizencho

Clean water for Zizencho Clinic

Zizencho is an isolated village with around 4500 inhabitants, largely women, children and the elderly. About 860 students attend schools in the area. The population’s health revolves around the clinic’s activity, which Engera supports. 100 to 200 patients are looked after by the clinic every day. Women travel up to 30 kilometres to give birth and undergo pre- and post-pregnancy checks.  The well that the clinic uses has recently dried up. 


The Sisters running the Centre in Zizencho have already raised 70,000 euros, enabling the well for the clinic to be constructed. However, we urgently need to raise 20,000 euros to pay for the pumps, motor, panelboard, PVC pipes, and other final touches. 

cracks in wall

Reconstruction of the Metcha Clinic

The Metcha Clinic is located in a village known as Metcha Boeodo, eight km far from Ginchi town, the capital town of Dendi Woreda.


The Metcha clinic was built over 50 years ago and is no longer fit for purpose. It is in   terrible condition with considerable cracks in the wall and the floor. The roof is also falling apart. 


Over the years, the number of patients has increased, and the number of daily visitors can be from fifty to a hundred – many from far away. In addition, the Clinic runs eye camps twice a year, benefitting more than two thousand people, and more than six hundred people have had cataract operations. 


Sadly, post-operative patients and those who live further away are forced to sleep outside the Clinic due to the poor facilities. Therefore, there is a great need to construct a new building with ten rooms, adequate toilets, and an incinerator. This need is urgent because although the government is delighted with the Clinic’s work, they have warned that they will cancel the license unless a new building is constructed. Thankfully, the Sisters have received funding from the Papal Foundation, enabling them to start the construction of a new building. However, we need to raise €50,000 to finish it.


Make a difference in Burat by supporting the purchase of an Ambulance

Burat Health Clinic is in urgent need of an ambulance.

Burat is our clinic farthest from Attat Hospital, the referral hospital and is located in a remote and hilly area.

The clinic provides a wide range of health services to the local population, but emergency care in the area is limited, especially life-saving transportation from remote areas.

Currently, there is no ambulance at the clinic and the car used instead is in poor condition and is already being used to pick up medications and other necessary tasks.

With the purchase of a new ambulance, the team plans to integrate all resources available before and after the hospital and create an integrated system for emergency medical services. This will allow daily emergencies and disasters to be managed in an organised manner and provide quality emergency care that prevents unnecessary deaths.   

Other projects


Education - Nursing

It is challenging to find skilled nurses willing to quit the cities and work in rural areas; it is, therefore, necessary to educate motivated village boys and girls to study this profession. Engera is committed to launching several scholarships for local villagers to attend a qualified nursing school in Addis Ababa. We believe that this is a good, sustainable approach for the long term, which will offer education to underprivileged youths and, at the same time, provide trained personnel for the local medical infrastructure assisting their community.


Infrastructure - Water well

Despite focusing mainly on healthcare projects, sometimes engineering is better than many drugs. For example, water is the basis of everything; it is fundamental for hygiene. In 2012 we contributed to financing a new 160m deep water well which saves the village people a daily 5km walk. Now the whole community finally has fresh, clean water.


Infrastructure - Clinic workers safety

The Shebraber clinic is fully working. It took some time to finish the construction, but it looks fabulous. However, we have a minor issue with night cats. Hyenas approach the village at night, and our poor nurses are scared to death. So we had to build a fence around the clinic to protect the patients and the staff.


Emergency response to fire

In February 2018, an accidental fire destroyed more than 28 houses (Toukul) in the village of Zizencho, metres away from our clinic.


Engera, jointly with other NGOs, has rapidly responded to the emergency, supplying funds for basic needs and temporary shelter and contributing to the rebuild. 

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Siamo un’associazione no-profit fondata e costituita da medici, infermieri e Volontari che a titolo personale si sono impegnati e si impegnano nell’ambito dell’assistenza socio-sanitaria in Etiopia.

Engera - Via di Scandicci Alto, 33 50018 Scandicci (FI) - Italy - CF 94146690485

Siamo un’associazione no-profit fondata e costituita da medici, infermieri e Volontari che a titolo personale si sono impegnati e si impegnano nell’ambito dell’assistenza socio-sanitaria in Etiopia.

Engera - Via di Scandicci Alto, 33 50018 Scandicci (FI) - Italy - CF 94146690485