Post on 21-Jun-2015
Scaling Up for Scaling Up for Better Health in Better Health in
Ethiopia Ethiopia
IHP+IHP+
Progress in Harmonization and Progress in Harmonization and alignment in Ethiopiaalignment in Ethiopia
• Well consulted and agreed 5 years HSDP
• Code of conduct to promote H&A signed in 2005
• Implementation mannual (HHM)
• to one-plan, one-budge and one-report• Ethiopia is one of the countries that signed the
compact in September 2008
• IHP opportunity to enhance H&A
Actions taken to realize IHP in EthiopiaActions taken to realize IHP in Ethiopia
• Developed Roadmap for realization of IHP
• Consulted twice• The contents of the Roadmap
– Updated costs of HSDP-III– Gap analysis by programmes– HSDP financing arrangement (pooling arranement)
• Launched (February, 2008)• Compact circulated to HPN D Group• Discussion on the feedback on return
from WHA
How much do we need to scale How much do we need to scale up?up?
• $3.3 billion under scenario-1
• $4.1 billion under scenario-2
• $4.6 billion under scenario-3 (MDG Scenario)
Significant uncertainty in financingSignificant uncertainty in financing
Break down of health expenditures indicative plans by financing sources
118 146223 253 296
421
538434 346 220
-
200
400
600
800
2005/ 06 Pre-
Actual
2006/ 07 Pre-
Actual
2007/ 08 Plan 2008/ 09 Plan 2009/ 10 Plan
Government of Ethiopia Treasury Donor Funds
Inequitable distribution of donors’ Inequitable distribution of donors’ commitments!commitments!
Donor rsource mapping by programmatic areas
0
50
100
150
200
250
300
HIV/AIDS andTB
Malaria HealthSystems (incl.
HEP)
Child Health(EPI, IMNCI)
MaternalHealth
Nutrition Water,sanitation and
hygiene
Pre-
Act
uals
and
Pla
ns in
mill
ion
US$
2005/06 Pre-Actual 2006/07 Pre-Actual 2007/08 Plan 2008/09 Plan 2009/10 Plan
A gap of $2.8 billion to scale up!A gap of $2.8 billion to scale up!
HSDP-III Financing Gap, 2007/08 to 2009/10
773 773 773
1,001 1,001 1,001
1,5612,344
2,840
-
1,000
2,000
3,000
4,000
5,000
Scenario 1 Scenario 2 Scenario 3
In m
illio
n U
S$
Funds by GoE Funds by Donors Financing Gap
HSDP
Gates Results Based
Health Financing
Norway Global Business Plan For MDG 4 and
5
GAVI Health System
Strenghening
PBS Component
2
Global Fund Health System
Window
MDGs Performance
Fund
UK Scaling Up For Better
Health Initiative
Canada UNICEF Catalytic Initiative
Joint Consultative Committee (JCC)
Government of Ethiopia
HPN donor group
PNMCH
Common Results Framework
HPN partners in Ethiopia: