for mothers increased from 34% in 2009/10 to 50.5% in 2012/13, and the percentage of births attended by skilled health personal increased from 15.7% in 2009/10 to 23.1 in 2012/13. By the end of 2012, 812 Ambulances had been distributed to all regions, and the government had allocated more than 681 million birr for purchasing and distributing contraceptive drugs and medical equipment.49 In 1990, the country‟s under-five mortality rate (UMR) was one of the highest in Africa, at 211 deaths per 1000 live births. However, UMR has steadily declined, falling to 88 deaths per 1000 live births in 2010. The Infant mortality rate (IMR) also declined from 97 in 2000/01 to 59 per 1000 live births in 2010/11. In order to improve child health services, significant efforts have also been made to increase pentavalent and measles vaccination coverage50 The Government has maintained a continuous focus on utilizing financial mechanisms to improve access to and quality of healthcare in the country for nearly two decades. In particular, the FMOH has developed and implemented a comprehensive Healthcare Financing Strategy that has emphasized the importance of strong coordination and harmonization between development partners and the government. In close collaboration with development partners, the Federal Ministry of Health has made significant progress toward realizing the goal of “One plan, one budget, and one report.” During the course of the years the MDG priority pooled fund has increased from 17 million USD in 2009/2010 to 110.7 million USD in 2013/14, a significant increase, and one which has had a significant impact on the health care delivery in Ethiopia. Efforts have been made to address the challenge of malaria. In 2011/12 a total of 6.6 million bed nets and 957,100 kg of Deltametrin chemical were distributed and 4.4 million houses were sprayed. The Government of Ethiopia has partnered with various countries and international organizations in this effort. For example, Ethiopia and the United States of America agreed to a five-year Partnership Framework through the U.S. President‟s Emergency Plan for AIDS Relief (PEPFAR). This outlines a five-year joint strategic framework in line with the objectives of Ethiopia‟s Health Sector Development Plan IV and the Strategic Plan for Intensifying Multi-Sectoral HIV/AIDS Response in Ethiopia 2010-2014.51 49Ethiopia´s UPR report UPR report 51Ethiopian UPR report 50Ethiopia´s 82