Ethiopia experiences a heavy burden of diseases with a growing prevalence of communicable infections. Many Ethiopians face high morbidity and mortality largely attributed to potentially preventable infectious diseases and nutritional deficiencies.

In response to such prevailing and newly emerging health problems, the Ethiopian Government-developed a 20-year rolling Health Sector Development Program (HSDP) in 1997/98 (1990 EFY), which proposes long-term goals for the health sector, and the means to attain them through a series of phases.

HSDP aims to develop a health system, which provides comprehensive and integrated primary care services, primarily based at community level health facilities. It focuses on communicable and non-communicable disease prevention and control, common nutritional disorders, environmental health and hygiene, reproductive health care, maternal and child health, immunization and the treatment and control of basic infectious diseases like upper respiratory tract infections. It also focuses on health care administrative issues such as establishing quality health care, human resource management and financial resource mobilization