




For decades, health systems measured success by counting headcounts—how many mothers delivered in a clinic or how many children were vaccinated. Fenot Associates is helping Ethiopia move to the next frontier: Effective Coverage. We provide the analytical engine for the Ministry of Health to measure not just if a service was provided, but how well it was performed and if it resulted in a real health gain. By combining access, quality, and outcomes into a single actionable lens, we empower leaders to invest in what truly saves lives.
We led the development of Ethiopia’s first landmark framework for measuring health system performance, turning a complex vision into a living, measurable system.
We help managers see the “Quality Gap.” Our tools show where a service is available but failing to meet clinical standards, allowing for targeted quality improvements.
Our M&E systems illuminate disparities by geography, wealth, and gender, ensuring that “Universal Health Coverage” actually reaches the most underserved populations.
We link inputs directly to outcomes. By providing decision-makers with evidence-linked performance data, we reinforce a culture of performance-based planning.
We don't work in a vacuum. Whether it's the MoH–MoF Joint Committee or the Regional Health Bureaus, we perform technical tasks alongside government staff to ensure hands-on skill transfer.