Funding Flows for the Health Extension Program in Ethiopia

Channel 1: Ministry of FinanceChannel 2: Ministry of HealthChannel 3: Outside of GOE Oversight
DescriptionFlows via Ministry of Finance. Includes unearmarked general budget support from donors (PBS) and GOE, and program-specific funds from some donorsFlows via Ministry of Health. Includes pooled donor funds (M/SDG fund) and program-specific funds from some donorsFlows from donors via implementing partners, largely outside of GOE oversight (but aligned with government strategies)
% of total health fundinga50% (includes Government of Ethiopia and donor budget support funds)25%25%
Key mechanismsPBS: Pooled donor fund launched in 2006 to provide general budget support for basic services (across sectors) via federal block grants. ∼20% of PBS at woreda level used in health, largely for HEW salaries, and some for procurementM/SDGPF: Non-earmarked pooled donor fund for health sector support, launched in 2008. Scope of activities determined through consultative process and joint financing agreement each year. Funds supplies, training, construction (not salaries). Became SDGPF in 2015.
Major donor contributors
  • PBS: CIDA, Italy, Netherlands, World Bank

  • Other Channel 1: Austria, Spain, Irish Aid, UNICEF, UNFPA, WHO

  • M/SDGPF: DFID, Irish Aid, Italy, Spain, Netherlands, Gavi, UNFPA, WHO, World Bank

  • Other Channel 2: UNDP, CIDA, Italy, USAID, World Bank, Global Fund

  • USAID, PEPFAR, CDC (largest)

  • Most other bilateral and some multilateral donors provide some funds through channel 3

  • Abbreviations: CDC, U.S. Centers for Disease Control and Prevention; CIDA; Canadian International Development Agency; DFID, United Kingdom Department for International Development; GOE, Government of Ethiopia; M/SGDPF, Millennium/Sustainable Development Goal Performance Fund; PBS, Promoting Basic Services Program; PEPFAR, U.S. President's Emergency Plan for AIDS Relief; UNDP, United Nations Development Programme; UNFPA, United Nations Population Fund; UNICEF, United Nations Children's Fund; USAID, U.S. Agency for International Development; WHO, World Health Organization.

  • a Approximated based on Harvard/Ministry of Health data (2010).14 Estimates of % of funding through each channel are order of magnitude based on Harvard/Ministry of Health data from 2010. Indicative, not comprehensive.