The project builds on a long-standing partnership between the Eichsfeld Klinikum and the Hiwot Fana Specialized University Hospital at Haramaya University in Harar. The project focuses on enhancing clinical care in gynaecology/obstetrics, surgery and anaesthetics by sharing knowledge and providing support for the training of specialists. Problem: Ethiopia’s public health sector lacks well-trained medical staff, and in rural areas in particular medical equipment is in short supply in hospitals. Main activities: The German partner is supporting the Ethiopian partner hospital in the basic and further training of medical staff, especially through advanced training and practical training in Ethiopia. This is to provide a framework for knowledge sharing among professionals in the fields of gynaecology, surgery, anaesthetics and pathology. Support is to be provided for training specialists and sub-specialisations are to be established. The new Pathology Department is also to be fitted out and structured in conjunction with the Ethiopian colleagues. Short-term results: The quality of treatment available to patients is to be raised and new specialisations established in various fields. Long-term results: Medical care in the region is to be ensured and the quality of care enhanced.