The public sector, through the Pharmaceuticals Fund and Supplies Agency (PFSA), procures almost 70% of all the medicines consumed in Ethiopia, but there is still significant out-of-pocket expenditure on health, estimated at 46% by the Ethiopian Food, Medicines, Healthcare Administration and Control Authority (FMHACA). PFSA procurement increased from US$ 27 million in 2007 to US$ 310 million in 2014[1].

[1] National Strategy and Plan of Action for Pharmaceutical Manufacturing Development in Ethiopia (2015–2025): Developing the Pharmaceutical Industry and Improving Access (Abridged Version), p.2.