The community-based initiatives programme was introduced in Djibouti in 2001. Initially the programme was implemented in two districts but has since been expanded to cover a population of 25 000 in six districts.

The programme supports a range of activities, including: creating health insurance, promoting hygiene, developing agriculture and strengthening the capacity of community health workers. Its main achievements have been improving adherence to prenatal care, expanding immunization coverage in programme-implementing areas and developing agricultural activities.

Key partners of the programme in Djibouti include the United Nations Population Fund that provides financial assistance in mutual health insurance projects, and UNICEF who provide assistance in hygiene promotion.