The document discusses Ethiopia's community-based health information system. It describes how health extension workers play a key role in collecting patient data on family folders and aggregating the data to generate service statistics. The data is reported to health centers and shared with communities. It allows health managers to monitor activities at the community level and identify unusual data patterns. The system was recognized as one of the top 10 USAID health success stories in 2014. It faces ongoing challenges around staff turnover and ensuring continuous capacity building and supervision.