Abstract

The Ethiopian Federal Ministry of Health (FMOH) has made great strides in creating a culture of planning. From strategic to operational planning, members of the health sector at large appreciate the value of planning their work and working their plans. In 2007, the FMOH embarked on a journey to transform its strategic planning and management processes by adopting the Balanced Scorecard (BSC) as their framework. Extensive work has been done at the leadership level to inculcate the Sector with the concepts of balanced scorecard and to link day-to-day activity with the organization’s long term direction. However, an assessment of the current state of BSC implementation within the Sector has revealed that, in order to evolve the FMOH BSC into a truly strategic system and for the Sector to full realize the benefits of a best practice BSC system, significant changes in both the FMOH BSC structure and leadership action must be carried out.