In August 1998, The Council of Ministers of the Government of the Federal Democratic Republic of Ethiopia approved the Ministry of Health’s proposed Health Care Financing Strategy. The strategy sought to institute a number of policy changes aimed at increasing the resources available for the health sector, improving the efficiency of resource use, and promoting quality and sustainability.

The principal components of the Health Care Financing Reform include development of the legal and regulatory provisions related to:
– Local retention and use of facility user fee revenue, Fee waiver and exemption systems, Establishing and operation of hospital management boards and related steps toward hospital autonomy
– Outsourcing of non-clinical health services, Management and operation of private wings in public hospitals

This operational manual for establishing private wings in public health facilities is a technical guide for implementing of the principal components of the reform initiative. This manual is meant to be a “living” document that is periodically reviewed and updated.

This manual is a customized document in line with the ratified Health Service Delivery, Administration and Management legal framework of the Addis Ababa City Administration.