Health Sector Organization
Important steps have been taken in the decentralization of the health care
system. Decision making processes in the development and implementation of the
health system are shared between the Federal Ministry of Health (FMoH), the
Regional Health Bureaus (RHBs) and the Woreda Health Offices. As a result
of recent policy measures taken by the Government, the FMoH and the RHBs are
made to function more on policy matters and technical support, while the woreda
health offices have been made to play the pivotal roles of managing and
coordinating the operation of the primary health care services.
Health Care Coverage and Utilization
The overall potential health service coverage in 2000 EFY is estimated at 89.6%,
25.6% increase from 1996. Nonetheless, this varies substantially among the
regions depending on their topographic and demographic characteristics.
Geographical distance from a health facility and socio economic factors are the
major obstacle for the bulk of the Ethiopian population. However, the trend over
time shows that there is a steady increase both in health care coverage and
Health Care Financing
Health services in Ethiopia are financed by four main sources. These are
government (both federal and regional); bilateral and multilateral donors (both
grants and loans); non-governmental organizations; and private contributions.
The National Health Accounts exercise for financial year 2000/01 revealed that
households contribute 36%, government 33%, and bilateral and multilateral donors