As a core component of the broader health system, Health Extension Program (HEP) focuses onrnthe household and community that calls for coordinated action at all levels (FMOH, 2007). Thisrnstudy focused on the health communication strategies used by health extension program workersrnto reduce maternal and child mortality rate in the rural areas, with an emphasis on whetherrnthese strategies were effective in promoting participation and creating awareness among thernrural communities in the Baso liben Woreda. This was chosen purposively as case study arearnbecause it is one of the woredas with high child and maternal mortality rate. Six kebeles (threernout of 12 â€˜Weyina Degaâ€™ kebeles) and three of 11 â€˜Qolaâ€™ kebeles) were purposively selected forrnthe study. Qualitative methods were used for data collection. Accordingly, from the selectedrnkebeles, in-depth interviews were conducted with 13 women from the FGD, six HEWs and threernkey informants and six FGD sessions of the health army group (one-to-five), one in each kebele.rnAll the data were transcribed.rnBased on the participatory communication model as a theoretical framework, the data wasrnanalyzed. The analysis indicated health extension program depended on interpersonalrncommunication, team communication, and door to door communication and teamrncommunication strategies. Among those methods of communications, interpersonalrncommunication had a better acceptance by the community and the health extension practitioners.rnIn the case of community participation even through the Ministry of Health Bureau implementedrna participatory development process as set out in the policy documents participation of therncommunity horizontal communication. However, it was found out that in the study area, the toprndown communication was more predominantly used. Men were not included in therncommunication. Finally, it was recommended that gender based health army group should bernrestructured including both men and women in order to help raise menâ€™s awareness.