ረዥም የሥልጣን ጉዟቸው የጀመረው እኤአ በ1991 ፒኤችዲአቸውን እንደያዙ የትግራይ ጤና ቢሮ መሪ ተደርገው ሲሾሙ ነው።
His meteoric rise to power started soon after he finished his Ph.D. in 1999 when he was tasked to lead the Tigray region’s health department.