The objective of this research was to examine the role of local governments in promoting equity in PHC. The study sample comprised 10 randomly selected rural local governments from Tigrai and 10 from North Omo. Qualitative and quantitative data collection methods were used. A questionnaire was administered to 60 local governors, 11 focus group discussions were held with key groups; and in depth interviews with 14 key informants. Document review of local government (LG) archives, enrolment records from 276 primary schools and routine data from 58 health units was collected for quantitative...