This proceeding provides the papers and discussion results of a two-day workshop that was organized at International Water Management Institute (IWMI) office in Addis Ababa during the period of February 6-8, 2009 in relation to CPWF Project 19 – Improved water and land management in the Ethiopian Highlands and its impact on downstream stakeholders dependent on the Blue Nile. Short title: Upstream Downstream (USDS) in the Nile. The project is being under implementation during the last one and half years in partnership with various institutions that include International Livestock Research Institute, Cornell University, Omdurman Islamic University-UNESCO Chair in Water Resources, Addis Ababa University, Bahir Dar University, Amhara Regional Agricultural Research Institute and Forum for Social Studies. The main aims of the workshop had been: Bring together key stakeholders relevant to the project; Present, debate and validate the intermediate results of the project; Disseminate key results to wider audiences through workshop participating stakeholders; Follow up on the progress of the project and plan remaining tasks of the project. The workshop focus themes were: General characterization of the Blue Nile Basin; Watershed modeling and analysis; Water demand and allocation modeling and simulation; Policy and institutions of the water management in the Blue Nile basin.