It is cultivated in Gojjam, and the Semien Omo Zone and Konso special woreda of the Southern Nations, Nationalities and Peoples Region, on lands between 1300 and 2000 meters above sea level.
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Most Tsamai live in the Bena Tsemay woreda of the Debub Omo Zone of the Southern Nations, Nationalities, and People's Region, in the Lower Omo River Valley and just to the west of the Konso special woreda.
For example, according to an article by Tina Rosenberg for National Geographic, in the mountain-top village Foro in the Konso special woreda of southwestern Ethiopia women make three to five round trips per day to fetch dirty water from the Koiro river.