Ethiopia 2018 Report Card on Physical Activity for Children and Youth Chalchisa Abdeta1*, Zelalem Teklemariam1, Alem Deksisa2, Endashew Abera2 Purpose Children and youth aged from 5-17 years old are advised to move 60 minutes moderate to vigorous intensity aerobic activities in every day. However, technologies such as smartphone, play game, TVs and others are discouraging children & youth to move. Methods A review of literatures, policy documents and experts interview were made following Active Healthy Kids Global Alliance (AHKGA) guidelines and indicators. Children and youth aged from 5-17 years were included in the report card. Data were collected from December 2017 to April 2018. Results Active play indicator scored the highest grade (B). Organized sport participation and active transportation were scored grade C. The overall physical activity, school and government indicators were scored grade D. Indicators such as sedentary behavior, family and peers, and community and environment were scored grade F. Only physical fitness indicator scored incomplete grade. Conclusion The results showed that many policy, practice and evidence gaps are visible about physical activity on children and youth in Ethiopia. Thus, further work should be done to reverse this situation through multi- sectoral collaboration.