Public Financial Management Perspectives on Health Sector Financing and Resource Allocation in Ethiopia

71 Pages Posted: 8 Feb 2020 Last revised: 18 Feb 2020

See all articles by Roy Kelly

Roy Kelly

Duke University-Sanford School of Public Policy

Richard Hemming

International Monetary Fund (IMF)

Ipchita Bharali

Duke University - Duke Global Health Institute

Graham Glenday

Duke University - Trinity College of Arts & Sciences

Abebe Asfaw

Breakthrough International Consulting

Date Written: February 7, 2020

Abstract

In this paper, we discuss Ethiopia’s approach to health delivery, trends in health financing trends, focusing on the financing arrangements and expenditure management systems through which health funding is allocated from various internal and external sources. The paper reviews Ethiopia’s public financial management system to identify challenges and opportunities to improve domestic resource mobilization for health and resource allocation within the health sector. With the imminent transition away from external donor support that Ethiopia faces due to economic growth, the paper explores the sources of fiscal space for health in Ethiopia to sustain progress in the health sector through a deep dive of the sources of health financing through tax and non-tax revenues, additional borrowing, future aid prospects, and better fiscal discipline and expenditure efficiency.

Keywords: Ethiopia, health financing, aid, resource mobilization, Sub-Saharan Africa

Suggested Citation

Kelly, Roy and Hemming, Richard and Bharali, Ipchita and Glenday, Graham and Asfaw, Abebe, Public Financial Management Perspectives on Health Sector Financing and Resource Allocation in Ethiopia (February 7, 2020). Duke Global Working Paper Series No. 18, February 2020. Available at SSRN: https://ssrn.com/abstract=3534342 or http://dx.doi.org/10.2139/ssrn.3534342

Roy Kelly (Contact Author)

Duke University-Sanford School of Public Policy ( email )

Durham, NC 27708-0237
United States

Richard Hemming

International Monetary Fund (IMF) ( email )

700 19th Street NW
Washington, DC 20431
United States

Ipchita Bharali

Duke University - Duke Global Health Institute ( email )

310 Trent Drive
Box 90519
Durham, NC 27710
United States

HOME PAGE: http://centerforpolicyimpact.org

Graham Glenday

Duke University - Trinity College of Arts & Sciences ( email )

Durham, NC 27708-0204
United States

Abebe Asfaw

Breakthrough International Consulting ( email )

Ethiopia

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