Ethiopia

As a GFF front-runner country, the government of Ethiopia is seizing the GFF opportunity to drive a transformative process geared toward increased reproductive, maternal, newborn, child, and adolescent health (RMNCAH) service coverage, enhanced service quality and equity, and improved health service provider performance. 

Ministry of health contact

Dr. Mizan Kiros

Director, Resource Mobilization Directorate

@FMoHealth

RMNCAH profile

Over the last decade, the committed leadership and proactive stance of the government of Ethiopia catalyzed efforts to improve RMNCAH results, particularly with regard to maternal and child health. The efforts of the government of Ethiopia notably impelled the achievement of Ethiopia’s MDG 4 target, which was reducing under-five mortality by two-thirds by 2012, three years ahead of the 2015 deadline. Despite such positive developments, profound economic and geographical inequities challenge the attainment of better RMNCAH results. For instance, “the proportion of births assisted by a skilled provider ranged from 10 percent in Affar to 86 percent in Addis Ababa” (DHS, 2014).

Country platform

Ethiopia has strong existing systems for partner coordination led by the government and involving a wide range of national and international health (including RMNCAH) stakeholders. The Joint Consulting Forum is the highest governing body and serves as a joint forum for dialogue on sector policy and reform issues between the government, development partners, and other stakeholders and for oversight on the implementation of the International Health Partnership (IHP+), the Sustainable Development Goal performance fund, and other donor-supported projects. The Joint Core Coordinating Committee serves as the technical arm of the Joint Consulting Forum. The country plans to use these existing systems to serve as its platform for the GFF. This country platform will be supported by a technical working group, established to further focus on health financing.

Investment Case

Ethiopia’s transformative vision is outlined in a five-year costed plan, namely the Health Sector Transformation Plan (HSTP). RMNCAH investments are an integral part of the national HSTP, which proposes multisectoral interventions, including civil registration and vital statistics and nutrition, simultaneously targeting both users and providers, and further highlights the significant role of partnerships to mobilize and leverage support for accelerated and sustainable RMNCAH results.

Many partners—including the Department for International Development (DfID), the Global Fund to Fight AIDS, Tuberculosis and Malaria, the Power of Nutrition trust fund, the U.S. Agency for International Development (USAID) and the World Bank—with resources from the International Development Association (IDA) and the GFF Trust Fund—are increasingly interested in aligning their financing in support of the RMNCAH scale-up in Ethiopia.

Health financing strategy

To support its plans for Universal Health Coverage, the government of Ethiopia is finalizing its health financing strategy to guide investments and mobilize domestic resources. It proposes to do so by (1) tapping into innovative financing including sin taxes and engaging non-state actors like the private sector; (2) increasing government spending on health and maximizing resource allocations; and (3) attracting complementary funding. Further, to prevent catastrophic out-of-pocket health spending, the Ethiopian health financing strategy includes a proposed rollout of a social health insurance scheme for the formal sector as well as expanding a community-based health insurance scheme for the informal sector.

Results

Countries will be responsible for tracking progress on the indicators contained in the results framework of their Investment Cases. Information about progress will be made available on this site as it becomes available to the Secretariat.

Partners

Bill & Melinda Gates Foundation

Bill & Melinda Gates Foundation

Financier


US$ 75 million to the GFF Trust Fund
A founding donor of the GFF and key partner for financing, governance, and advocacy

Department for International Development of the United Kingdom

Department for International Development of the United Kingdom

Financier


US$ 180 million to the HRITF (precursor to the GFF Trust Fund)
A key partner of the GFF on co-financing and governance and financier of the HRITF

Global Affairs Canada

Global Affairs Canada

Financier


CAD 220 million to the GFF Trust Fund
A founding donor of the GFF and key partner for financing, governance, advocacy as well as CRVS

Norad

Norad

Financier


US$ 600 million to the GFF Trust Fund
A founding donor of the GFF and key partner for financing, governance, and advocacy

The Global Fund for AIDS, Tuberculosis and Malaria

The Global Fund for AIDS, Tuberculosis and Malaria

International organization



The Global Fund for AIDS, Tuberculosis and Malaria and the GFF look for synergy and complementarity in their country-based investments. The Global Fund is a member of the Investors Group

The World Bank Group

The World Bank Group

Multilateral organization



The World Bank (WB) hosts the GFF Secretariat and the GFF Trust Fund whose fiduciary arrangements are integrated into IDA/IBRD projects approved by the WB Board. The WB is a member of the Investors Group. 

USAID

USAID

Financier


US$ 200 million
A key partner of the GFF for co-financing, governance, and advocacy