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The Ethiopia Private Health Sector Project


  • Ethiopians access to health care is improving, but they don’t yet have equitable access to services
  • Abt Associates is working with the private health sector to expand access to health care
The Challenge

Ethiopia has made significant strides in recent years in providing health services to its citizens, particularly through community-based health insurance and with the assistance of the private health sector. However, much more work remains to ensure that all Ethiopians have equitable access to health care.

The Approach

In partnership with the U.S. government and PEPFAR, Abt Associates has supported the private health sector in Ethiopia through successive programs since 2004. In collaboration with the government of Ethiopia at federal and regional levels, these programs have made substantial contributions towards the development of the private health sector and increase its reach to address diseases of public health concern.

The Private Health Sector Project (PHSP) is a five-year effort that began in October 2015 and is designed to build on the foundations established by preceding programs and leverage the enthusiasm and willingness of the private health sector to deliver critical public health services at an affordable cost. PHSP’s goal is to elevate the active engagement of the private health sector to contribute towards the mitigation of impact of diseases of public health importance in Ethiopia. The project has the following specific objectives:

  • Improving the enabling environment for private sector engagement in public health;
  • Increasing access to quality services for diseases of public health importance through the private health sector;
  • Strengthening the private health care system; and
  • Enhancing program learning and innovative ventures for the private health sector for continuous decision making, innovation and use of data.

To achieve these objectives, PHSP works in collaboration with the government of Ethiopia, specifically the Federal Ministry of Health and its agencies, the regional health bureaus, and the private health sector and its associations.

The project operates in Addis Ababa, Amhara, Afar, Benishangul Gumuz, Dire Dawa, Harari, Gambela, Oromia, SNNPR, and Tigray regions, targeting 490 facilities. The project’s program portfolio includes services in reproductive, maternal, neonatal, and child health in addition to TB, HIV, PMTCT, STI, and malaria.

The Results

The results of our partnerships have been dramatic:

  • Between October 2015 and September 2017, we helped more than 300 private facilities provide HIV testing services. Over two years, private facilities have tested more than 440,000 clients and identified more than 12,300 HIV positive people who are linked to care and treatment.
  • We’ve expanded comprehensive ART service delivery to 75 facilities to provide antiretroviral therapy (ART) to 7200 + people living with HIV.
  • We have supported 55 private facilities that now provide prevention of mother to child transmission services. The result is that more than 42,000 pregnant women know their HIV status, and more than 480 HIV positive pregnant women have been identified and treated with ART to prevent mother to child transmission
  • We encouraged more than 370 private facilities to diagnose and refer or treat clients with TB. More than 31,000 clients have received notification, representing a 10 percent contribution to the annual national TB case notification.  

Watch a video about our work.

Focus Areas
Sub-Saharan Africa