Ethiopia has the fastest growing economy in sub-Saharan Africa, but the country still faces challenges in ensuring equitable access to quality essential RMNCAH-N services. For example, although neonatal mortality is declining, the decline is at a slower rate than child mortality and continues to be a challenge. The country still has high rates of morbidity and mortality from preventable causes, and there is a disparity in uptake and coverage of high impact interventions amongst different regions and woredas (or districts). The quality of health care—particularly patient safety, effectiveness, and patient-centered care—is often inconsistent and unreliable.
Ethiopia’s Health Sector Transformation Plan (HSTP) places universal access to RMNCAH-N care at the center of the government’s vision for human development. HSTP aims to improve equity, coverage and utilization of essential health services, improve quality of health care, and enhance the implementation capacity of the health sector at all levels of the system. A focus on quality and equity requires a shift in the status quo to drive improvements at national scale over the next five years. A national health care quality strategy will be developed to guide the country’s investment towards safer, more effective, more accessible, and more equitable care for every Ethiopian by 2020.
Priorities identified in the investment case include:
- Improve equitable access to quality health services.
- Improve health emergency risk management.
- Enhance good governance.
- Improve regulatory systems.
- Improve supply chain and logistics management.
- Improve community participation and engagement through strengthening of the functionality of the country’s community health workers, also called the “Women’s Development Army.”
- Improve resource mobilization.
- Improve research and evidence for decision making.
- Improve the development and management of human resources for health.
- Improve health infrastructure.
How the GFF partnership works in Ethiopia
The GFF is supporting a diverse and ambitious health financing portfolio in Ethiopia. Significant analytical work, training, and capacity building are supporting the government’s implementation of its new health financing strategy for universal health coverage. Progress has also been made with a portfolio of analytical work and advisory services planned for fiscal year 2019 to support the ministry of health to develop Ethiopia’s first private health sector engagement strategy, in alignment with the Health Systems Transformation Plan.
Financing Ethiopia’s priority investments
Multiple partners contribute to financing the priorities outlined in Ethiopia’s investment case, including Gavi, Global Fund, European Union, UNICEF, WHO, the governments of the United Kingdom (DFID) and United States (PEPFAR, USAID), and others (Community Based Health Insurance [CBHI], Households and Social Health Insurance [SHI]).