Systemwide Effects of the Global Fund in Ethiopia

Study Aim

The overall objective of the research is to document the effects on Ethiopia?s health care system of the processes involved in applying for and receiving a GFATM grant and implementing GFATM supported activities.


  • The policy environment. The research examines the effects of the GF on the relative power of policy actors, the degree of alignment between GF processes and other national planning processes, and the extent to which GF money truly represents additional resources.
  • Human resources. The study examines how the GF affects capacity building and the distribution of human resources and whether any shift of personnel occurs from non-focal diseases. The study also addresses the impact of GF-supported activities on the distribution, quality, and number of health staff.
  • Public/private mix. The study?s focus on the public/private mix examines whether the GF has contributed to a changed role for private sector actors and how it has affected the quality, quantity, and distribution of private sector providers.
  • Pharmaceuticals and commodities. The research evaluates the impact of GF support for HIV/AIDS, TB, and malaria drugs on pharmaceutical procurement and distribution systems and the accessibility of drugs for non-focal diseases.

Country team

  • Principal Investigator: .
    Miz-Hasab Research Centre, Ethiopia

Research Partners

  • Miz-Hasab Research Centre, Ethiopia
  • Health Systems 20/20, Abt Associates

Research Funder

  • United States Agency for International Development (USAID)

Ethiopia Study Outputs

  • The System-wide Effects of the Scale-up of HIV/AIDS, Tuberulosis, and Malaria Services in Ethiopia, Oct 2010, Final
  • System Wide Effects of the Global Fund with respect to ART Scale-up: Evidence from Ethiopia (.ppt)
  • The System Wide Effects of the Global Fund in Ethiopia: Final Study Report
  • The System Wide Effects of the Global Fund in Ethiopia: Baseline Study Report
Sponsored by DFID, Danida, Irish Aid