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: