The health and well-being of an individual depend on numerous factors that go far beyond pure healthcare. In our projects we actively involve populations, communities and local realities to create decentralized and sustainable actions. ENGERA supports Gurage’s clinics in the following ways:

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

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

3) Through special projects as improved infrastructure, a new natal ward, or a water well

ENGERA wants to continue to provide the support in line with its commitments, ensuring a sustainable and a reliable support to a model that has shown great improvements and results over the past years.

With larger fundings the ENGERA approach could be expanded to several other clinics in the region, providing a standardisation of the healthcare coverage, creating economies of scale and efficiencies in the supply and supervision of the facilities during our missions. It would allow to expand the coverage and have an impact on a much wider population. This is our ambition.

Gurage map

Healthcare facilities



Population: 30,000
Employees: 15
Patients 2020: 43,243
Vaccinations 2020: 459
Births 2020: 394

Zizencho, is an isolated village on the highlands. Until no long ago the village had no proper road, no electricity and no running water. Roughly 30,000 people live in the catching area of the Clinic. Over the years Engera has built a Pre-post natal ward, a tuberculosis centre and a water well that provide clean water the village.



Population: 30,000
Employees: 11
Patients 2020: 17,989
Vaccinations 2020: 195
Births 2020: 235

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



Population: 25,000
Employees: 15
Patients 2020: 37,450
Vaccinations 2020: 448
Births 2020: 437

ENGERA has supported the healthcare center of Burat since the early days, with regular Doctors and Volunteers visits, supply of medicines and diagnostic tools. Over the years ENGERA has also financially supported various scholarships for young Ethiopian girls who then became nurses.


Galeya Rogdha

Population: 15,000
Employees: 10
Patients 2020: 7,355
Vaccinations 2020: 95
Births 2020: 54

Galeya-Rogda is one of the latest projects taken on by ENGERA. The goal is the activation of an healthcare centre in this remote area, with the same standards of the other infrastructures we support in the rest of the region. Special focus is on prevention, vaccination for infants and pre-post natal assistance.  

Translation result



Population: 20,000
Employees: 16
Patients 2020: 12,861
Vaccinations 2020: 348
Births 2020: 120

The Dakuna clinic is located not far from the urban area of Emdibir. Over the years, thanks to some foreign sponsors, 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 2020: 4,939
Vaccinations 2020: 291
Births 2020: 298

In Getche ENGERA didn’t have to build the infrastructure from zero, but it has supported the development of the natal facility with an improved reception facility for existing pregnant women and the supply of equipment for safer pregnancy and deliver. Focus has been around the training of the gynecological and obstetric nurses.



Population: 35,000
Employees: 32
Patients 2020: 11,034
Vaccinations 2020: 593
Births 2020: 340

Maganesse is one of the first clinics established in the region and is located just over 7km from Endibir. It was founded by CUAM (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 been able to develop 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).

Other projects


Education - Nursing

It is difficult 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 toward this profession. ENGERA is committed to launch a number of scholarships for local villagers to attend a qualified nursing school in the capital, Addis Ababa. We believe that this is a good, sustainable approach for the long term, which will offer an education to underprivileged youths, providing at the same time trained personnel for the local medical infrastructure assisting their community.


Infrastructure - Water well

Despite focusing mainly on healthcare projects, sometimes engineering is better then many drugs….. Water is at the base of everything, it sets the base for hygiene and save to the village people a daily 5km walk. In 2012 we contributed to the financing of a new 160m deep water well. Now the whole community has finally 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. We just have a small issue with night cats……
Hyenas approach the village at night and our poor nurses are scared to death. 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, meters away from our clinic.
ENGERA jointly with other NGOs has rapidly responded to the emergency, supplying funds for basic need, temporary shelter and first contribution to the rebuild.

Support ENGERA

With PayPal, Credit Card or Bank transfer, you can immediately help with a single or recurring donation 

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