The major goal ofthi thesis was to conduct a study on the practices and challenges pertaining to clinicalrnpractice program in private TVET Health Colleges and the respective cooperating health care institutionsrnin Addis Ababa City Administration. To achieve the goal, this research attempted to focus on thernadministrative, social, economical and practical problems of both private TVET Health Colleges andrnhealth care institutions providing clinical practice. To this end, a descriptive survey method wasrnemployed to conduct the research. The major tools used during data collection were questionnaires andrninterviews and documents were also consulted. Unstructured observation was also made. Data analysisrnwas conducted by using percentages and Chi-square -test as needed. While data secured throughrninterview, observation, and open ended questions and document review was summarized and analyzedrnqualitatively in a narrative way. The information used in the data analysis was obtained from 6rnvocational counselors, 37 supervisors, and 218 trainees of the six private TVET Health Colleges. Whilernno sampling was needed in selecting vocational counselors, deans, for their manageability, samplernrespondents of trainees and workplace supervisors were selected using stratified and purposive samplingrntechniques respectively. The results of the study indicated that there are no adequate willing health carerninstituti~ns with the necessary readiness to cope up with the requirements of clinical practice program.rnThose found have little or no awareness about the benefits of the training owing to the absence ofrncollaborative work relationships with private TVET Health Colleges. Thus, Supervisors were unwillingrnand incompetent in carrying out their roles and responsibilities in relation to the training. There was lackrnof proper placement, support, guidance and evaluation of trainees. Thus, it is concluded that clinicalrnpractice program is entangled with a set of problems from both sides of the training providers. Thernproblems range from personal factors of willingness and competence, through administrative factorsrn(improper placement, poor follow-up and support, lack of promotion, etc.), to institutional problemsrn(poor coordination). Therefore, it is recommended to create strong awareness among all provides ofrnclinical practice program about the mutual benefits to be derived from it; providing trainings tornworkplace supervisors; reschedule the overall programs; and establish stronger links with afew and ablernorganizations in the vicinity of the TVET Colleges Lastly new alternative mode of deliver is forwarded tornsolve the problems