Abstract
This report is the midterm evaluation of the Health Sector Financing Reform Project (HSFRP) in Ethiopia, which is a five-year, $15 million U.S. Agency for International Development (USAID) financed bilateral contract to Abt Associates, Inc., to support government at the federal, regional, and woreda levels, as well as to work closely with health facilities to improve financing of health care. The project began August 1, 2008 and is scheduled to end July 31, 2013. The purposes of the midterm evaluation were to: (1) assess the performance of the project in meeting its four main goals, results, and targets; (2) identify areas of success and challenges in the implementation; (3) develop next steps and any modifications for the remainder of the project; and (4) identify opportunities for the future of the health sector financing reform efforts and develop specific recommendations for USAID and Ethiopia for the next five years. The results of the evaluation will be used to inform USAIDs and Ethiopias immediate and future program planning and implementation.