The primary objective of the Sub-National Public Expenditure Review (PER) is to analyse recent fiscal developments in Ethiopia in the context of investments in health sector for achieving universal health coverage through provision of promotive, preventive, curative, and rehabilitative health services.
As part of study, we analysed the trends, levels and composition of health spending at regional and Woreda (district) level, both on and off-budget resources; assessed the efficiency of health spending, including allocative efficiency and technical efficiency on issues related to budget execution, financial management information systems in the health sector and productivity of health services at regional, Woreda (district) and health facility level; assessed equity of public and external resources, including resource allocation patterns of block-grants and external funding at regional and Woreda (district) level; provided recommendations to improve domestic resource mobilisation and equity & efficiency of public and external expenditures; recommended ways to improve financial management systems and budget execution at the lower level administration.
