The purpose of this study was to assess the Factors Affecting the Role of Health ExtensionrnProfessionals in the Implementation of Health Packages in Addis Ababa, Yeka Sub city. Tornthis end, descriptive survey design was employed. Both quantitative and qualitative methodsrnwere used. Primary source of data were heads and vice heads of Woreda Health Offices andrnHealth Extension Professionals. The secondary sources were relevant policy documents,rnreports of Woreda Health Offices and minutes of the HEP of Addis Ababa CityrnAdministration and the respective Woredaâ€™s reports. Sample size of this research on therntotal of forty four respondents form the Yeka sub-city Woreda Head Officer and Vice Headrnofficer (two in number), from the 14 Woreda Health Offices / two supervisor per Woredarnassigned/, then selected one from each (14 in numbers), twenty eight Health ExtensionrnProfessionals from each Woreda were participated in this study. Respondents used as arnsample simple random sampling technique was used to select Woredaâ€™s form the totalrnnumber. Further-more, from a total of 13 Woredaâ€™s in the sub-city a proportion of 7rnWoredas were considered through systematic random sampling technique. Whereasrnselection of tow HEPs from each of the seven Woredas who have worked one year and abovernas a formal HEP in purposive sampling technique. Data gathering tools were questionnairernon self-administer question, interview and focus group discussions (FGD) with heads andrnvice heads of Woreda Health Offices such as supervisors and Health ExtensionrnProfessionals. The data analysis lead to the following major finding; (1) according to therndata optioned the educational background of HEPs and Woreda health office experts andrnsupervisors, no respondents of HEP having Degree and all the sub-city or Woreda HEPsrnsupervisors were Degree holders , (2) the perception of the community towards HEPs inrnYeka Sub-City is low and even they do not consider Health Extension Workers asrnprofessionals who have qualifications and experience and have seen low communityrnunderstanding , (3)The jobs satisfaction of HEPs ,since there is no incentive like up gradingrn, refresher course and per-diem for daily activity , It difficult to say all respondents satisfiedrn, above half of respondents were not satisfied, (4) mainly lack of practical exposure duringrntrainng session means it is fully over run by thoertical assumptions , and (5) majority ofrnrespondents response shown that there is shortage or/ and luck of incentive, motivation,rntraining and refresher training, non-monitory remuneration support. Based on the majorrnfindings, it was concluded that the health extension service poorly implemented inrncommunity awareness on HEPs role and responsibility subjects. Based on the major findingrnand conclusions drown, it was recommended that Yeka sub-city should conduct continuousrncommunity awareness creation program to change the preception of the community onrnHEP role and responsibility. Beacuse the profession is correlates it self with life of thernpeople, in addition to upgrading to the educational level, HEPs course needs actualrnpractical attachment within the working area rather than fully involved in the theorticalrnassumptions. Moreover, fair and competent working environment is the driving factor for thernprofessionals to stay on job safely Thus, Incentives or reward should be forwarded to the one whornhad commitement in his/her performance results.