Scoping Study of National Level Institutional Arrangements for Health Related SDGs Implementation and Monitoring in Ethiopia

Haile Mariam
Date of Publication: 
September 2017

Ethiopia has achieved six of the eight MDGs and did a visioning exercise for setting goals and targets that could be taken during 2016-2030. It contributed for the formulation of SDGs and the 2063 African Union Agenda. The main purpose of this assessment is to assess adaptation/implementation status of health related SDGS in Ethiopia. Both desk review and key informant interview were used for this scoping study.

The assessment indicated that the commitment of the government of Ethiopia for the successful implementation of SDGs is high and it ensured ownership by incorporating in its growth and transformation plan; different sectors including health have their own five years plan which is devolved into regional states and districts for its implementation. The government has given priority for six goals (Goals 1, 2, 3, 5, 9 and 14) and conducted Voluntary National Reviews (VNRs) on SDGs of Ethiopia in which achievements in the past one year and a half related to these goals is documented.

The main lessons drawn from the 2017 VNRs include availability of pro-poor and pro-growth and development, decentralized administrative system with power devolution coupled with institutional and organizational arrangement for effective implementation of SDGs as integral part of GTP II to realize the principle of “Leaving No One Behind” and the 2017 Analytical Theme “Eradication of Poverty and Promoting Prosperity in a changing world” under the Ethiopian realities. On the other hand the main challenges include climate change induced drought with negative impacts on the economy and human capacity, declining market prices of major Ethiopia’s export commodities in international market, lack of commitment on the part of the international community in mobilizing financial resource for implementation of SDGs, particularly for infrastructure financing, and global unpredictability of peace and security which can affect aid, loan and foreign direct investment flows. Moreover, the country is doing well in achieving the SDGs.

Addressing the challenges requires more integrated and coordinated national effort and strong effective global partnership. In conclusion, based on its experience on achieving MDGs and its track record of performance in implementing SDGs in the past one year and a half, Ethiopia is going well in achieving health related SDGs. We recommend that awareness creation should be sustained to the grass root level using different channels, to implement the planned capacity assessment up to the lower level of administration, availability of a clear guideline on the roles and responsibilities of stakeholders, to define the role of academia, health policy research institutes, professional associations and the Ethiopian academy of science in the implementation of SDG targets, there should also be a mechanism to attract more funding for the implementation of SDG targets in Ethiopia, the disaggregation of data sources used for M&E of SDG targets should also be strengthened. The HMIS data should also be strengthened to the level that it can be disaggregated by elderlies, people with disabilities and the marginalized group to leave no one behind.

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