While there are strong and functional joint government-donors aid coordination structures in Ethiopia that support country leadership over its development policies and strategies, nearly half of the development assistance in 2013 was disbursed outside the country financial and procurement system, which undermines country ownership and sustainability of the development efforts. In a bid to increase donors' use of host country system in Ethiopia, the writer suggested for rolling-out the Global Alliance for Vaccines and Immunization/Civil Society Support model for aid delivery across sectors. As the model uses host government's financial and procurement systems in disbursing aid funds, the government remains in charge in designing and managing the development assistance and non-government organizations play implementation roles. The Study also argued that with the new development finance landscape, western donors' continued dominance in aid partnership and dialogue with recipient country is no longer the case. Instead, a vibrant country ownership is emerging that both developing countries and their development partners must embrace and uphold it.