Advancing Strategic Health Purchasing in Ethiopia

Ethiopia, a low-income country in Eastern Africa and the second most populous country on the continent, is committed to achieving universal health coverage (UHC). The country’s 2022–2031 health financing strategy aims to accelerate progress toward that goal by increasing access to primary health care (PHC), expanding subsidized community-based health insurance (CBHI) schemes, subsidizing user fees through government budget allocations, and providing exemptions (no-cost services) for priority interventions. The assessment, which employed the Strategic Health Purchasing Progress Tracking Framework and its accompanying tools, looked at health purchasing arrangements and provider payment mechanisms across 11 purchasers and 17 providers as representative of the many schemes at the federal, regional, and district (woreda) levels. It yielded insights into how provider payment practices are working, what needs improvement, and what lessons can be drawn for policymakers.

Publication Year:

2022

Publisher

SPARC

Author:

Ministry of Health Ethiopia, Ethiopian Health Insurance Agency
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A message from the partners of the Strategic Purchasing Africa Resource Center (SPARC)

Since 2018, The Strategic Purchasing Africa Resource Center (SPARC) has been a unique and significant force in supporting countries within Sub-Sahara Africa (SSA) in crucial areas of strategic health purchasing (SHP), Healthcare Financing as they make progress towards the realization of Universal Health Coverage (UHC) goals. This initiative, a collaboration between Amref Health Africa and Results for Development (R4D), has made expertise in these areas more accessible and has been instrumental in the progress of the target countries. The initiative was designed to advance policy discussions and actions that strengthen the application of strategic health purchasing to strengthen African health systems and support countries as they address foundational reforms…