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Health Financing Profile of Ethiopia

Health Financing Profile of Ethiopia. Background. ZHD. Health Service Organization. Referral Hospital. FMOH. Federal HPTI*. RHB. Regional Hospital. District Hospital. Regional HPTI**. WorHO. HC. PHCU. 5 satellite HPs. Health Sector Indictors 2007/08 (1).

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Health Financing Profile of Ethiopia

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  1. Health Financing Profile of Ethiopia

  2. Background

  3. ZHD Health Service Organization Referral Hospital FMOH Federal HPTI* RHB Regional Hospital District Hospital Regional HPTI** WorHO HC PHCU 5 satellite HPs

  4. Health Sector Indictors 2007/08 (1) Source: FMOH, 2007/08 * DHS, 2005

  5. Health Sector Indictors 2007/08 (2) Source: FMOH, 2007/08

  6. Health Expenditure

  7. Sources of Finance Source: FMOH, NHA various years

  8. Health Care Functions

  9. Health Financing System • Predominantly user fee based (since 2005 retention) • Fee waiver (means tested) • Exemption • Government line item budget to HFs • Donor support • private health insurance < 1% • SHI – under design • CBHI – under pilot

  10. Challenges (1) • User fees • Regressive • Weakness in targeting systems • Limited revenue • Govt budget • Limited • Donor resource • HIV • Still issue with aid effectiveness • Private health insurance • Unaffordable • culture

  11. Challenges (2) • SHI • Limited formal sector (<10%) • HF availability (rural/remote) • Inequity • CBHI • Unaffordable to most • Other barriers • Service availability (rural) • Overall • Effective access (HR, supplies,….) • Quality • HR crisis

  12. Way Forward • CBHI – under pilot with voluntary and mandatory options • Huge subsidy • Networking/risk pooling • SHI – to start with civil servant and family with expansion to all public sector • Explore options for non-public sector • Longer term donor commitments

  13. References • CSA. (2006). Demographic and health Survey 2005. Addis Ababa. • FMOH. (2007). Scaling Up For Better Health in Ethiopia: IHP+ Road map for harmonization and alignment of government and partner programmes and financing towards attaining the health related MDGs. Addis Ababa, November. • FMOH. (2008). Health and Health Related Indicators. Addis Ababa. • FMOH. (2008). Human Resource for Health Strategy: Presentation during the annual review meeting of the HSDP. Mekelle, October. • FMOH, National Health Accounts Studies (various years) • NBE. (2009). National Bank Annual Report 2007 – 2008. Addis Ababa, August.

  14. Thank you

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