Since the Millennium Villages project began in Dertu in 2006, the village community has made great strides in achieving its development priorities:
- Trained and equipped community animal health workers on basic animal husbandry and disease surveillance. Vaccinated and treated tens of thousands of heads of livestock.
- Created a livestock market and improved marketing features including putting in place a community truck and improving physical infrastructure to facilitate access. Since its establishment in early 2008, the market has seen profits of approximately $14,000 monthly, in addition to significant barter trading.
- Established a mobile school with a teacher who was provided with a bicycle, camel, flashlight, teaching materials, a metallic box for storage and a mobile phone.
- Finalized construction of boys and girls dormitories.
- As a result of improvements in education, Dertu Primary was the third best school in the region in 2009 and all twenty-eight students who took the standard eight examinations passed and joined secondary schools. Notably, a student from Dertu scored the highest marks on the exam in the region.
- Rehabilitated or constructed a maternity ward, laboratory, semi-permanent ward and fencing for livestock.
- Conducting regular health outreach clinics for the pastoralist community which have played a significant role in reducing routine illnesses and deaths especially from malaria, snakebites and childbirth.
- Provided mobile phone access in partnership with Ericsson and Zain.
- As a result of road improvements and mobile networks, approximately over 70% of traffic heading into northern regions of Kenya passes through the once remote Dertu.
- In 2009, the Dertu team installed or rehabilitated five water kiosks and purchased seven plastic water tanks for the drought disaster and promoted rainwater harvesting for ten small pans.
- Improved livestock trade by establishing mobile phone connectivity to enable more efficient price discovery. Also provided a community truck and improving physical infrastructure to facilitate access to markets.