Ethiopia Health Sector Transformation Plan (2015/16-2019/20)
In the past two decades, the Government of Ethiopia has invested heavily in health system strengthening guided by its pro-poor policies and strategies resulting in significant gains in improving the health status of Ethiopians. As a result, Ethiopia has done remarkably well in meeting most of the MDG targets.
Among the notable achievements include achievement of MDG-4 with a 67 percent drop in under-five mortality from the 1990 estimate, that contributed to an increase in average life expectancy at birth from 45 in 1990 to 64 in 2014. A 69 percent decrease in maternal mortality from a high estimated base of 1400 per 100,000 live births. An improvement in contraceptive prevalence rate from 3% to 42% has led to a drop in total fertility rate from 7.7 in the 1990s to 4.1 in 2014.
Though good trends are observed, the country is still facing a triple burden of diseases consisting of communicable diseases, non-communicable diseases and injuries. This burden coupled with the ever increasing demand urges the Government to be increasingly focused on addressing equity in access to health care, quality in health services provision and in strengthening community engagement and ownership in health decision-making and management.
Building on the lessons learned in implementing the earlier plans and to be highly responsive to the current socioeconomic landscape, the Government of Ethiopia has developed Health Sector Transformation Plan (HSTP), which is part of the second Growth and Transformation Plan(GTP II). HSTP is also the first phase of the 20-year health sector strategy called ‘Envisioning Ethiopia’s Path to Universal Health Care through strengthening of Primary Health Care’.