The pUl1Jose of this study was to assess the implementation of health extension program in somernselected woredas of Jimma zone of Oromiya Regional State. To accomplish this purpose, thernstudy employed a descriptive servey method; this is supplemented by qualitative researchrnmethods to enrich the data. With this respect, household models, health extension wokers zonalrnand woreda health extension experts were sources of data for the study. The data gatheringrninstruments included questionnaires, interviews, foucs gourp disucsions and documet analysis.rnData obtained through questionnaires were quantitatively described and interpreted in light ofrnavailable literature where as the information obtained through interview, FGD and documentrnanalysis were qualitatively described to supplement the quantitative data. The result of the studyrnrevealed that model households participated in health extension training through the organizersrnof model households were health extension workers and kebele administrators. Modelrnhouseholds agreed on the criterion for selecting only female health extension agents in therernkebeles and neighboring kebele. Models households are giving training during coffee ceremony, .rnin development work and in large community meetings to the other households. Furtheremore,rnthe study revealed that lack of trained supervisors, lack of support or incentives, lack of careerrngrowth and continuing education to health extension workers, and lack of clearly diffined jobrndescription to the supervisory personel hindered proper implementation of health extensionrnprogram in the study area. Finally, recommendations are made based on the results of the study.rnThe point of recommendation include; timely response to social and psychological need of healthrnextension workers such as arrangement of upgrading program based on their performance andrnyear of service can decrease dropout rate. Regular supportive supervision and follow up ofrnhealth extension workers will increase the motivation of health extension workers and facilitaternthe provision of quality services.