Ethiopia has made significant advances in health and development in the last two decades. During this time, the country’s under-five mortality rate has dropped consistently (and significantly) from 166 deaths per 1000 live births in 2000 to 59 in 2015. Similarly, maternal mortality has fallen from 897 deaths per 100,000 live births to just 353. The government of Ethiopia has worked to increase access to voluntary family planning, thereby lowering unplanned and unwanted pregnancies and contributing to reductions in both child and maternal mortality. From 2000–2014, the percentage of married Ethiopian women using any method of contraception increased from 4.7 percent to 41.8 percent.
Despite significant improvements in the availability of contraception, population growth remains high and access to high-quality family planning (FP) is still limited, especially in rural areas. In 2014, 24 percent of married women in Ethiopia reported that they did not currently use any method of contraception, despite wishing to delay or prevent their next pregnancy. By 2020, the government of Ethiopia has committed to increase contraceptive prevalence to 55 percent, and reduce unmet need for contraception to 10 percent.
The USAID-funded Health Policy Project, the predecessor to HP+, supported Ethiopia’s government in developing a six-year Costed Implementation Plan (CIP) to better understand the costs of delivering on global and national FP goals. Since the development of the CIP, the Ministry of Health (MOH) has made several changes to its FP objectives, including increasing the contribution of long-acting methods as a proportion of the contraceptive method mix.
What We Do
HP+ will support the government of Ethiopia to revise and finalize the CIP for family planning:
Build the capacity of MOH staff to update tools used to estimate costs and impacts of Ethiopia’s FP program
Update the CIP to reflect a broader method mix
Collaborate with the MOH and other relevant stakeholders to review and update the plan
We will also focus on improving the ministry’s capacity to use tools and models to inform future updates, thus allowing the CIP to remain reflective of Ethiopia’s FP context and objectives as new data becomes available. Following the revision, HP+ will finalize the CIP and present it to the MOH for dissemination.