72066325CA00003
Cooperative Agreement
Overview
Grant Description
The purpose of the Health Financing Activity (HFA) is to improve access to equitable and quality health services and prevent catastrophic health expenditure through increased resources for health, efficient allocation and utilization, and enhanced financial risk protection in alignment with Ethiopia’s overall aim of achieving Universal Health Coverage (UHC) through Primary Health Care (PHC) by 2035.
Health care financing reform in Ethiopia, initiated in 1998, aimed to improve the quality and equity of health services.
The strategy focused on increasing resources for health care, promoting efficiency, and ensuring long-term sustainability through multiple financing mechanisms.
Key interventions included revenue retention at health facilities, a fee-waiver system, standardized exemption services, and the introduction of health insurance schemes.
These reforms have significantly improved health service delivery and financial protection for citizens.
USAID’s investments in healthcare financing reform are largely focused on strengthening and institutionalizing health care financing (HCF) functions and systems to support Universal Health Coverage of quality Primary Health Care (PHC) services for Ethiopian citizens with reduced financial barriers.
The HFA will build upon the lessons derived from previous USAID Ethiopia health care financing reform initiatives, including the recent five-year Health Financing Improvement Program (HFIP).
The expected outcomes will be evidence-based and objectively measured through the progress made in the country's capacity to achieve sufficient, equitable, sustainable, and efficient financing for Universal Healthcare Coverage.
Health care financing reform in Ethiopia, initiated in 1998, aimed to improve the quality and equity of health services.
The strategy focused on increasing resources for health care, promoting efficiency, and ensuring long-term sustainability through multiple financing mechanisms.
Key interventions included revenue retention at health facilities, a fee-waiver system, standardized exemption services, and the introduction of health insurance schemes.
These reforms have significantly improved health service delivery and financial protection for citizens.
USAID’s investments in healthcare financing reform are largely focused on strengthening and institutionalizing health care financing (HCF) functions and systems to support Universal Health Coverage of quality Primary Health Care (PHC) services for Ethiopian citizens with reduced financial barriers.
The HFA will build upon the lessons derived from previous USAID Ethiopia health care financing reform initiatives, including the recent five-year Health Financing Improvement Program (HFIP).
The expected outcomes will be evidence-based and objectively measured through the progress made in the country's capacity to achieve sufficient, equitable, sustainable, and efficient financing for Universal Healthcare Coverage.
Awardee
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding / Funding Agency
Place of Performance
Ethiopia
Geographic Scope
Foreign
Related Opportunity
Analysis Notes
Termination This cooperative agreement was reported on the Department of Government Efficiency (DOGE) partial or complete termation list as of its last report October 2025. See All
Amendment Since initial award the End Date has been shortened from 01/20/30 to 04/07/25 and the total obligations have decreased 100% from $5,600,000 to $0.
Amendment Since initial award the End Date has been shortened from 01/20/30 to 04/07/25 and the total obligations have decreased 100% from $5,600,000 to $0.
Amref Health Africa was awarded
Ethiopia Health Financing Activity for Universal Health Coverage
Cooperative Agreement 72066325CA00003
from U.S. Mission to Ethiopia in January 2025 with work to be completed primarily in Ethiopia.
The grant
was awarded through assistance program 98.001 USAID Foreign Assistance for Programs Overseas.
The Cooperative Agreement was awarded through grant opportunity USAID/Ethiopia Health Financing Activity.
Status
(Complete)
Last Modified 8/11/25
Period of Performance
1/21/25
Start Date
4/7/25
End Date
Funding Split
$0.0
Federal Obligation
$0.0
Non-Federal Obligation
$0.0
Total Obligated
Transaction History
Modifications to 72066325CA00003
Additional Detail
Award ID FAIN
72066325CA00003
SAI Number
72066325CA00003-P002
Award ID URI
SAI NOT AVAILABLE
Awardee Classifications
Non-Domestic (Non-U.S.) Entity
Awarding Office
720663 USAID/ETHIOPIA
Funding Office
720663 USAID/ETHIOPIA
Awardee UEI
YDV7JLMNZ178
Awardee CAGE
SYB53
Performance District
Not Applicable
Modified: 8/11/25