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Strengthening the Health System in Jimma Zone

Project Health System Strengthening
Jimma -

The minimal usage of healthcare services in Jimma Zone is primarily attributable to the area’s distance from the nearest hospital or health centre and its residents’ inability to pay for both treatment and transportation. This had negative consequences on improving healthcare and hindered progress on reducing maternal mortality and postnatal care, along with low-quality healthcare and limited access to services.

Performance-based financing in health care

Health system finance has changed as a result of performance-based financing (PBF). By explicitly tying payments to performance, the finance mechanism takes the place of passive purchase arrangements. After their outputs are verified, healthcare practitioners are paid in PBF.

In Borana, Cordaid Ethiopia used the PBF strategy. We made the decision to expand PBG in Jimma’s healthcare system in light of the outcomes in Borana. Since it was put into place, the strategy has greatly increased data dependability, care quality, and accessibility to healthcare.

Implementation Area
Jimma / Oromia Region
Government of the Netherlands – Ministry of Foreign Affairs
Thematic area
Health care
Project Start Date – End Date
April 1, 2019 – March 31, 2023
Embassy of the Kingdom of the Netherlands Ethiopia

People That We Work With

The project targeted 13 Jimma zone districts which will mainly operate through medical facilities. The PBF project will contract with 65 Health Centers and 5 Hospitals altogether. In total, 1.828.148 persons who reside in the 13 targeted districts of the Jimma zone are served by these facilities.


A better health system overall and increased access to and availability of high-quality primary and secondary healthcare services in the Jimma Zone (Oromia Region, Ethiopia) assist the gradual attainment of Universal Health Coverage (SDG 3.8) in this region.


See this project results in the International Aid Transparency Initiative (IATI) Registry HERE