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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 building capacity to improve priority health services offered through the private sector.
  • 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, reproductive, maternal, neonatal, child health/family planning (RMNCH/FP), 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: 341 private health facilities in eight regions added/improved services for tuberculosis, HIV, RMNCH and malaria through training, mentoring and linkage to the public sector for essential commodities.
  • Ninety-three health facilities obtained $9.8 million in loans to improve infrastructure and health services.
  • Established 22 workplace malaria treatment clinics in partnership with private companies to provide prevention and treatment services to 34,289 mobile and migrant workers.
  • Developed public-private mix guidelines adopted by the government for tuberculosis, HIV, RMNCH/FP and malaria services.
  • Established private health facilities associations to provide sustained support of the private health sector.

Watch a video about our work.