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The Ethiopia Private Health Sector Project


  • Ethiopia’s growing private health sector needs to improve engagement and service quality.
  • Abt is strengthening the private sector’s capacity to improve health services and ensuring an enabling policy and regulatory environment
  • More quality health services are now available through the private sector.
The Challenge

While health care delivery remains dominated by the public sector, the Ethiopian private health sector is growing in size and scope. About half of Ethiopian health expenditures go to private providers, and the quality and availability of priority health services by private providers is uneven. The Ethiopian government’s plans include an enhanced role for the private sector in delivering priority health services in an effort to improve access to tuberculosis, HIV, family planning (FP), maternal, neonatal, child health (MNCH), and malaria programs.

The Approach

Through the USAID-funded Ethiopia Private Health Sector Project (PHSP), Abt works with Ethiopian counterparts to:

  • Build capacity to expand and improve the quality of priority health services delivered by private providers.
  • Strengthen the support and oversight of private providers by government and private sector associations.

Efforts focus on maintaining a favorable and inclusive regulatory environment for quality and accessible private health services, applying and enforcing quality standards, creating opportunities for private providers to access financing, strengthening regulatory bodies to enforce quality and strengthening public-private referral networks.

The Results

As a result of PHSP, the country has:

  • Expanded private sector provision of quality health services: 862 private health facilities in eight regions and two city administrations added/improved services for tuberculosis, HIV, FP, MNCH and malaria through training, mentoring and linkage to the public sector for essential commodities and referral networks.
  • Developed a national Public Private Mix guideline for FP and MNCH services in private health facilities, endorsed by the Federal Ministry of Health.
  • More than 156,400 clients received FP services over the life of the project, 64 percent were repeat users, resulting in more than 109,000 couple years protection.
  • Integrated FP services into over 125 facilities providing HIV, MNCH, and tuberculosis services.
  • Forty two health facility owners obtained $11.4 million in loans to improve infrastructure and health services through two banks that participated in the Development Credit Authority loan guarantee scheme.
  • Established 23 temporary malaria treatment clinics in partnership with Regional Health Bureaus and private companies to provide prevention and supported 31 workplace clinics in remote areas to serve more than 1 million migrant and mobile workers.
  • Established private health facilities associations to provide sustained support of the private health sector.

Learn more about our work on PSHP