Menghesteab Tesfamariam was born in Berakit, in the Asmara Eparchy then in Ethiopia, on 24 December 1948.

[1] Pope John Paul II appointed him Bishop of Asmara in Eritrea on 25 June 2001,[3] and he received his episcopal consecration from his predecessor in Asmara, Bishop Zekarias Yohannes, on 16 September.

[1] On June 30, 2011, in a speech in Nairobi, he proposed the establishment of a new scholarship fund in each diocese in the Association of Member Episcopal Conferences in Eastern Africa (AMECEA) to provide assistance to underprivileged students.

At the same time he elevated the Eparchy of Asmara to the dignity of an Archeparchy and named Tesfamariam to that position.

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