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The
Sub-Saharan Africa per capita average health expenditure
is US$12. The macroeconomics and health commission
for essential services recommends US$34. Ethiopia's
per capita expenditure of US$5.60 has been one of
the underlying problems limiting expansion of health
services and contributing to deterioration in quality
and efficiency of health care delivery.
This
is reflected in inadequate investment in human resource
development; declining operating budget of facilities;
shortage of essential inputs such as drugs; limitations
in the scope of various health programs; insufficient
investment in health infrastructure; and, thus, low
access of health services.
Increased
health sector resources, with concurrent effective
and efficient utilization, are key results ESHE aims
to achieve. Objectives of the Health Care Financing
(HCF) reform are:
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To
identify and mobilize resources which can be dedicated
to preventive, promotive, curative, and rehabilitative
health services.
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To increase efficiency in use of available resources.
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To
promote HCF sustainability and improve the quality,
equity, and coverage of health services.
Objectives will be achieved through:
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Increased government budgetary allocations to health,
particularly Primary and Preventive Health Care
(PPHC)
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Increased share of public health expenditure-covered
cost sharing/cost recovery
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Increased government capacity at central and regional
levels for resource mobilization and utilization
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Enhanced involvement of the private sector (for-
and not-for-profit)
HCF operates at the national and regional levels. At
the national level, ESHE is working with the Ministry
of Health and relevant government bodies, such as the
Ministry of Finance and Economic Development. Regionally,
ESHE supports the three focus regions and works with
other regions, as appropriate.
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