Implementing a Balanced Scorecard at St. Paul's Hospital, Addis Ababa Ethiopia

Rahel Gizaw and Dr. Lia Tadesse Gebremedhin
Ministerial Leadership Initiative for Global Health
March 25, 2011


St. Paul’s Hospital Millennium Medical College is a referral hospital in Addis Ababa under the Ethiopian Federal Ministry of Health (FMOH). It is the second largest public hospital in the nation, built by the Emperor Haile Selassie in 1961 with the help of the German Evangelical Church. The hospital was established to serve the economically under privileged population, providing services free of charge to about 75% of its patients. In 2007 it became a medical college and its core services include the provision of medical care, teaching and research. 275 medical students attend the college, and its new and integrated curriculum stands out in comparison to the country’s other medical schools. Although its transition to a medical college had its own challenges, the staff members at St. Paul are striving to set high academic standards which produce competent and compassionate physicians. It has 800 clinical and non clinical staff members that provide medical specialty services to an estimated 110,000 people annually who are referred from all over the country.

In 2008,  Hon. Minster of Health Dr. Tedros Adhanom Ghebreyesus requested support from the Ministerial Leadership Initiative for Global Health (MLI) to implement the Balanced Scorecard (BSC), a strategic planning and performance management tool, and to apply it throughout the health sector in Ethiopia. With MLI’s support the FMOH selected the Balanced Scorecard Institute (BSCI) to provide the technical support for the implementation of the Balanced Scorecard.

This Case Study analyzes the progress of BSC at St. Paul since the implementation.

  • 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.


Connect with Us



Contact Us

Please direct all inquiries to