While rich in natural resources, Ethiopia’s rural communities have struggled from the effects of climate change and drought. Without alternative livelihoods, many turned to environmentally destructive practices to earn incomes. Our Ethiopian Sustainable Tourism Alliance program, which ran from 2007 to 2013, helped rural communities develop a local tourism industry. The program launched 34 new businesses that used on the area’s natural beauty to attract tourists, ultimately protecting 106,000 hectares of land and bringing sustainable incomes to families. The program also responded to a need for greater HIV/AIDS awareness in these rural communities by training more than 500 citizens to conduct peer-to-peer health training, reaching 50,000 people about HIV/AIDS prevention and treatment.