As one of the first countries to join the GFF - in 2015 - Ethiopia has made substantial progress in reducing under-five mortality, maternal deaths, and adolescent fertility. These achievements are impressive, but the Government of Ethiopia recognizes that continued efforts are needed to strengthen the nation’s health system to achieve the objectives of its investment case.
The GFF Partnership Response
To align and coordinate external resources, with the objective of accelerating progress on maternal and child health outcomes, the federal Ministry of Health manages the Sustainable Development Goals Performance Fund (SDG-PF), a pooled donor fund that includes financing from 11 donors, including the World Bank and the GFF, with approximately US$700-750 million committed for the 2015-2020 period.
The GFF partnership is supporting the government’s efforts to close the remaining financing gap through improved domestic resources use and mobilization, to track, mobilize, and align resources, improve efficiency of spending, and strengthen the implementation of the Health Sector Transformation Plan. The GFF Trust Fund, World Bank, and Power of Nutrition are co-financiers of the Ethiopia Health Sustainable Development Goals Program for Results focusing on increasing private sector engagement in the health sector. Financing for this program is contingent on Ethiopia meeting maternal and child health and health system disbursement-linked indicators.
With the support of the GFF partnership, a national Service Availability and Readiness Assessment was conducted in 2018 and a “mini” Demographic and Health Survey was conducted in 2019 showing improvements in several health system indicators: the share of health centers reporting their health management information system data on time increased to 84 percent, exceeding the initial target of 80 percent; the coverage and the completeness of civil registration have also increased, with the proportion of kebeles (subdivisions of Woreada districts) providing civil registration service increased to 89 percent in 2018; from 2017 to 2018, the number of registered births increased by 20 percent, and the number of registered deaths increased by 19 percent.
More information on how Ethiopia has achieved results is available in the latest GFF Annual Report.