In Ethiopia, graduates of the health profession lack the competencies required to provide reproductive health services before they entering practice. Since 2015 the Center for International Reproductive Health Training (CIRHT) supported ten higher teaching institutions to implement a new model that assures acquisition of competencies for reproductive health services focused on comprehensive abortion (CAC) and contraceptive care (CC) in pre-service (medical student and residency) education settings. A direct link with the departments of Gynecology and Obstetrics (GYNOBS) and schools of midwifery was established. The program included all levels of providers but targeted medical students, interns, residents and midwives. The multipronged approach of CIRHT focused on: 1) faculty development: ensuring up-to-date clinical knowledge and skills to teach and assess clinical andresearch skills; 2) establishing clinical simulation labs and comprehensive Sexual and Reproductive Health(SRH) (Michu)clinics 3) empowering students to become self-learners through the Peer Assisted Learning (PAL) program and engage in collaborative learning 4) strengthening systems support: work with the Ministry of Health(MOH), Ministry of education(MOE) and Professional societies in designingcompetency based curricula.