Past Projects in Ethiopia

Ethiopian Hospital Management Initiative

The Ethiopian Hospital Management Initiative (EHMI) launched in 2006 in partnership with the Ethiopian Ministry of Health and the Clinton Health Access Initiative. Through EHMI efforts, great strides have been made to improve hospital-based and primary care in Ethiopia, including:

  • The creation of management tools and systems outlined in the Blueprint for Hospital Management by Yale-Clinton Fellows. The Blueprint includes tools to measure key components of hospital performance for ongoing hospital reform, including research in patient and staff satisfaction and the performance of hospital governing boards. The Blueprint evolved into the Ethiopian Hospital Reform Implementation Guidelines, which now serve as the backbone of hospital evaluation and reform in the country. In addition, supported by Yale staff and collaborations at the GHLI conference, Ethiopia developed a system to monitor hospital performance.
  • The design and implementation of the first Master’s of Hospital Administration (M.H.A.) degree program in Africa. Launched in 2008 at Jimma University and expanded to Addis Ababa University, more than 120 health care professionals have been trained through this program. M.H.A. students’ work helped reduce delays in outpatient care and acute mental health admission; the length of inpatient stays and rates of post-surgical infection rates; and increased cleanliness and adherence to infection prevention standards.
  • Catalyzed by work at the GHLI Conference, Ethiopia launched the Ethiopian Hospital Alliance for Quality (EHAQ) in 2012. EHAQ is the continent’s first national quality improvement collaboration designed to create a network of hospitals committed to helping one another improve services, with an initial focus on patient satisfaction. The program is modeled after the successful American College of Cardiology door-to-balloon alliance in the U.S. for which GHLI provided research and evaluation support. 

Health Extension Program

The cornerstone of Ethiopia’s primary care system is the Health Extension Program. GHLI works with the Ethiopian Ministry of Health, Harvard School of Public Health and The Bill and Melinda Gates Foundation to facilitate the development of a long-term strategic plan for primary care in Ethiopia. Our goal is to identify, test and refine strategies to ensure long-term sustainability and quality.

Ethiopian Millennium Rural Initiative

GHLI served as the external evaluator to the Ethiopian Millennium Rural Initiative (EMRI), which provided support to 30 rural Primary Health Care Units (PHCUs) over a period of three years. Each PHCU was comprised of one health center and five satellite health posts to serve 25,000 people. EMRI provided financial, technical and other support to the PHCUs to enhance accessibility, utilization, and quality of health services. GHLI measured the overall impact of the project and identified factors of the design and implementation critical to the program’s success.


Supported by the Bill and Melinda Gates Foundation, GHLI partnered with the FMOH, Harvard School of Public Health, and John Snow International to inform the long-term capability of Ethiopia’s Health Extension Program Platform (HEPCAPS). This project facilitated development of strategies to improve primary health care in Ethiopia to ensure long-term sustainability and quality across the primary health care unit (PHCU). The project conducted in-depth assessments of PHCUs and tested new models of PHCU structure and governance. This work has informed new primary health care structures and national reform efforts being implemented throughout the country.

Senior Leadership Program

Through USAID’s Leadership, Management, and Governance (LMG) Project and in partnership with Management Sciences for Health, GHLI delivered a Senior Leadership Program (SLP) for Ethiopia’s Regional Health Bureau core process teams as well as the Federal Ministry of Health leadership team. These executive certificate program strengthened both individual and group leadership capacities to address health system challenges with evidence-based strategies, effective management, and accountable governance. In addition to Ethiopia, the SLP has been implemented in over 15 countries across Africa and Southeast Asia.