Ethiopia placed 12th out of 18 countries in a ranking of good governance in health. Out of a possible 100 points on the index, Ethiopia scored 63. The Health Governance Capacity Index (HGCI) comes from the Brookings Institution, a Washington-based nonprofit public policy organization.
In the March 2017 report, Ethiopia scored highest in policies but lowest in health system.
Authors of the report Darrell West, John Villasenor, and Jake Schneider examine the quality of healthcare governance in a set of 18 low- and middle-income African and Asian countries, including Ethiopia. “Good governance is a foundational condition for global health investment,” the authors write. “It conditions the overall environment in which both public and private sector health investment takes place.”
The researchers assess “overall health governance capacity” by examining 25 indicators related to the management capacity, the regulatory processes, health infrastructure and financing, health systems, and policy conditions in each of the 18 examined nations.
The HGCI measures the capacity of Ethiopia, along with 17 other countries, to effectively utilize private investment in health care research and development.
There are 25 indicators with a scale of 1-4. Added together, each category is scored out of 20 possible points. All 25 indicators, once combined, reach an overall score on a 100 point scale.
Ethiopia scored 14 out of 20 in the category of leadership and management capacity, higher than most of the countries ranked except Ghana, Mozambique, Liberia and Sierra Leone in the ability to utilize resources for effective health outcomes.
The country scored 16 out of 20 on the health policies category, which measures the country’s vision, priorities, budgetary decisions and course of action for improving and maintaining the health of Ethiopians.
On the category of regulation, Ethiopia scored 12 out of 20, with a poor performance in the quality of regulation, state compliance with international health norms and a regulatory body for pharmaceutical drugs.
On infrastructure and financing, which measures the ability of a nation to provide basic health services and obtain positive health outcome for its citizens, Ethiopia scored 11 out of 20, performing badly in private health insurance.
The country scored 10 out of 20 in the health systems category, which measures health actions that improve health outcomes. Nurses and midwives as well as physicians were the contributors to this poor score.
Vietnam, South Africa, China, and Ghana ranked highest on the Index, indicating these nations have a strong ability to attract and leverage private investment in health research and development.