Nine hundred households from t ~ irt y separate c ommunitiesrnwere surveyed in one urban district, Ketena 5 in t he cityrnof Addis Ababa, and one rura l ri i strict, Chebo-Gurege , tornassess c ommunity involvement i n decision-making , planningrnand implementation of sev,"n ~; p ec ific communi ty health act i vi ties.rnThe health activities se lectcl were recruitment and supportrnof CHAs and TEAs, construction of a he alth post, cons tructionrnof lat rine and refuse pits, immunization program activity andrnprovision of safe water sunply. The s t udy c ommunities werernalso assessed with respect to the ava i l abi lity of communityrnhealth services by l ooking at the activi t ] of CHAs and TEAsrnand the existence of a health post and activity of t he localrnhealth committee, while the r a te of i mmunizat ion covera2:e inrnthe under two year olds and pregnant women was a lso determined.rnIn all three areas of community invo l vement i.e decisionmaking,rnimplementa tion and planning , rur a l communities scoredrnhigher than urban communities, with the exception ofrnenvironmental activities where urban communities were slightlyrnmore involved than rural communities in im o le~ A nt a ti o n butrnnot in the decision-making an~ l ' l a ~ nt n ~ asnec ts .rnLower c ommunit y invo lvcr",en t i ll l~ :: h "" '1 T i!" ] S VI"" '1ssoci'Jtedrn": .~ J.rnwith lower activity in t.hc .ir "nmmIlJlit~- hp.tllt-h Sf'J'-iJ'es andrnin some cases almost i:: totn.l 1;1, -,, 1;; o f s ll r h rnmlllilnit.y h ~illt. hrnservices , ..-hereas rural C'OfJlm lnTt i( ' ~ hnd fl higher l e-e ] ofrnactivity and existence o f r.nmnll!llit~,: h p.