Ethiopia Program focus

In Ethiopia, MLI is working with the Federal Ministry of Health (FMoH) to implement a strategic planning and management system, the Balanced Scorecard, designed to facilitate more effective and efficient planning, monitoring and management of health sector development activities. At the request of Health Minister Tedros Adhanom Ghebreyesus, MLI and the FMoH engaged the Balanced Scorecard Institute based upon the Institute’s experience in implementing the Balanced Scorecard framework within the public sector.  MLI activities to support implementation of the Balanced Scorecard have included:

• Advancing Ethiopia’s Health Sector Development Plan by aligning the Balanced Scorecard with Ethiopia’s new Health Sector Development Program (HSDP-IV), which serves as the overarching health sector strategy.  The Balanced Scorecard helped with the HSDP-IV strategic planning process and is now used for health sector performance management. 
• Building knowledge and skills to design and effectively use the Balanced Scorecard by organizing workshops and trainings with senior ministerial leaders, regional and hospital level health personnel and managers/CEOs across all government sectors.  This has included provision of Balanced Scorecard Master Professional and Mid-level certification courses for a total of 125 staff from the health sector and the Ministry of Capacity Building. These trained professionals will be responsible for scaling up Balanced Scorecard implementation at different levels of the health sector and ministries across the Government of Ethiopia, respectively. 
• Cascading of the health sector Balanced Scorecard to all levels of the health sector. Through multiple Balanced Scorecard workshops and technical assistance, the health sector Balanced Scorecard has been cascaded down to FMoH, the Medical Service Directorate of FMoH, and the St. Paul Specialized Hospital under this directorate. Cascading will continue under a second phase of the project supported directly by the Gates Foundation.  The goal is to cascade the Balanced Scorecard down to the primary care level.