The health sector in Ethiopia is financed from multiple sources such as federal and regional governments and public enterprises, and grants and loans from bilateral and multilateral donors and from local and international Non-Governmental Organizations (NGOs). Another major source of health care financing in Ethiopia, as is the case in many developing countries, is household out-of-pocket (OOP) payment. Tracking the flow of financial resources to the health sector, as well as the type of health services that are purchased and the service provider being financed is of utmost importance to policy-makers, health managers and decision-makers at various levels. This National Health Accounts (NHA) study compiles such detailed information.

This study, conducted under USAID's Health Finance & Governance Project and implemented by Abt Associates, presents the findings of the fifth round of the Ethiopia NHA Household Survey, which was undertaken between mid-December 2012 and January 2013. The main aim of the study has been to generate sound empirical evidence on households’ use of health services, and on patterns of spending on health services in Ethiopia.