Resource Library

Country Program Evaluation: Ethiopia

The evaluation acknowledges the significant contribution made by DFID to development in Ethiopia, most notably in a high level of alignment with government strategies and its systems, particularly in the latter period the Protection of Basic Services.

Leadership and Management

A broken health system is a silent killer. People get sicker and die in disproportionate numbers just as they do during an epidemic. Yet the culprit is not lack of knowledge. Nor is it always a shortage of funds. Technically and medically, we know what to do to reduce illness and save lives. But what is sorely amiss is the dearth of knowledge and skill to manage these very complicated health systems. Dr. William H. Foege sums up the issue as "global health waits expectantly for management to match its science."

Strong Ministries for Strong Health Systems

The study and report were commissioned by the Rockefeller Foundation to explore the feasibility of establishing a support mechanism for ministers and ministries of health especially in the poorest countries, as part of the Foundation’s Transforming Health Systems initiative.

Reducing Financial Barriers to Reproductive Health Care: Experiences with Free Care and Health Insurance

High-level support and smart program design are crucial to launching health financing strategies, but success hinges on developing effective implementation and monitoring, according to a MLI issue brief on reducing financial barriers to reproductive health released this month. “While design of any financing strategy is important, it is often problems in implementation that derail effectiveness,” writes author Allison Gamble Kelley, a health economist and MLI Country Lead for Mali. Kelley outlines the need for continuous monitoring and adaptation of new programs to ensure that they meet their potential. The 13-page issue brief, “Reducing Financial Barriers to Reproductive Health Care: Experiences with Free Care and Health Insurance,” explores tensions between financing arrangements that bring rapid gains in targeted areas such as maternity care, and those aimed at sustainable progress for entire health systems. Kelley focuses her analysis on the five countries in which MLI is working to enhance health ministry leadership: Mali, Senegal, Sierra Leone, Ethiopia and Nepal. The report also reviews experiences from Ghana and Rwanda. Country spotlights in English and in French are also available.

  • Covering issues affecting the ministries and the people they serve.

    Leading Global Health Blog

    Even though I have worked in Sierra Leone in the past, the role of MLI Country Lead has given me the opportunity to build upon these previous experiences and to work closely with members of the Ministry of Health and Sanitation (MOHS), to support the implementation of health policies and reforms that they have prioritized.


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