 The spread of COVID-19 in Ethiopia has been relatively low compared to other countries, but it has still had a significant impact on the country's healthcare system. This study examines how the pandemic has affected health service utilization in 10 regions of Ethiopia. It finds that the pandemic has caused a decrease in both outpatient and inpatient visits, as well as visits for certain diseases such as diarrhea, pneumonia, and malnutrition. Additionally, the pandemic has had a greater impact on urban areas than rural ones. To prepare for future pandemics, the Ethiopian health system needs to be better equipped to absorb shocks and mitigate the indirect effects of the pandemic on public health. This article was authored by Anagod Dursay-Meberty, Adyam Niga, Anagage, and others.