With funding through grants and donations, an international development organization has provided developmental services to a woreda in southern Ethiopia since the early 1980s. This study is intended to assess the outcome and impact of the program and address the following questions: (1) Did direct beneficiaries of the CDTP program exhibit better program outcomes than indirect beneficiaries; if so, to what extent has participation in the CDTP program led to increased economic, health, and education related outcomes for sponsored households and youth? (2) What are the pathways through which program effects ripple from direct to indirect beneficiaries? The program team collected background information from a total of 4,075 residents. The most positive outcomes tend to center around the household agricultural and economic variables. This study revealed some basic social and educational problems of the community, which have important implications on program improvement in the developing world. Future research needs to address to how efforts and resources from governmental and non-governmental sources can be utilized effectively to meet the needs of the existing inhabitants and lead to purposive and sustainable improvement. Tables are appended.