The ethiopian health care system is under tremendous reform. Measuring eficiency of public health centers in ethiopia executive summary ethiopias health sector over the last 20 years has seen unprecedented expansion particularly for its primary health care phc system. The district health management training modules have been developed to cover four major areas. Ethiopia is a democracy with a federal system of government comprising 9 regions and two administrative councils. Pdf strengthening health systems by health sector reforms. Abstract this brief discusses the progress made in the ethiopia health sector development program. Africa and the research and technology transfer coreprocess of the addis. Ethiopia, landlocked country on the horn of africa, the largest and most populous country in that region. A step on the road to universal health coverage 3 for example, interviews with users revealed that improved availability of drugs and medical supplies has increased client satisfaction rosapep et al.
Available records indicate that no less than 5,000 health and health related publications and documents are issued in ethiopia. Key principles of public sector reforms the commonwealth. Mar 12, 2015 the 2016 survey will build on previous surveys and strengthen capacity of local organizations. Hstphealth sector transformation plan 201516 201920 20082012 efy october 2015 4. This brief discusses the progress made in the ethiopia health sector development program. Ethiopia s economy depends heavily on the agricultural sector. Our work in ethiopia began back in 2003 when we introduced services to prevent mothertochild transmission of hiv called pmtct. We are committed to improving health systems by strengthening human resources, expanding health financing options, and increasing health commodity and essential drug availability. Among the important features of the economic reform in ethiopia. Only major cities have hospitals with fulltime physicians, and most of the hospitals are in addis ababa. Ethiopia health sector transformation plan 201516201920 global financing facility skip to main content. Quality of the delivery services in health facilities in. Ethiopia health sector transformation plan 201516201920. At no time in the past has the country enjoyed the.
The capital is addis ababa new flower, located almost at the center of the country. Beyond the health care reform in ethiopia, there have been debates on. The process lays down a set of policy measures covering the four main core functions of the. Health sector transformation plan global financing facility. There are many reasons why women do not use health services in ethiopia. The funding for the 2016 edhs was provided by the government of ethiopia, the united states agency for international development usaid, the government of. The programs aims were to develop a health system that provides comprehensive and integrated primary care services, primarily based at community health level facilities. Health system reforms in five subsaharan african countries that. The centers for disease control and prevention cdc office in ethiopia was established in 2001 and works closely with the ministry of health and other partners to maintain strong programs in training, treatment, counseling and testing, and laboratory capacity building. The implementation of these reform initiatives was legalized through regional legislations and operationalized in line with. A facility based survey was conducted from december 2014 to february 2015 in. Sector programme assistance is targeted at a particular sector and often linked to specific policy conditions. Some bilateral donors view this type of assistance as a set of interlinked projects aimed at a specific sector. The country financial accountability assessment cfaa for ethiopia was undertaken between april 2001 and november 2002, culminating in the incountry mission carried out over a threeweek period in september and early october 2002 by a joint team of federal govemment of ethiopia officials, world bank staff, and a number of donorfunded.
In the ethiopian health system, some public health services have been provided to all citizens free of charge regardless of level. Access to modern health care is very limited, and in many rural areas it is virtually nonexistent. Health service delivery in ethiopia is characterized an inadequate number of welltrained health providers, limited health infrastructure and shortages of finance, equipment, and supplies. It is based on a broad assessment of sector specific needs. Sustainable development and poverty reduction program federal democratic republic of ethiopia fdre. Our study showed three general health system reforms across all five countries that. Substantial improvements have been observed in the coverage of and access to maternal health service, especially in skilled birth attendants, in ethiopia. The ehstg, which is consistent with the national focus on quality.
Produced in collaboration with the ethiopia public health training initiative, the carter center, the ethiopia ministry of health, and the ethiopia ministry of education. Fmoh bases its activities on the implementation framework of the health sector development program hsdp, which has had three successive strategic plans. Federal democratic republic of ethiopia ministry of health health sector development program iv 201011 201415 final draft october 2010. Health sector transformation plan the federal democratic republic of ethiopia ministry of health hstphealth sector transformation plan 2. Ppt health sector development programme, the ethiopian case. Ethiopia among the least privileged nations in the world. The historical development of reforming the public sector in africa dates back to the 1980s and it was.
National health promotion and communication strategy 201620. The technology informatics guiding education reform. Ethiopias health care system includes primary health centres, clinics, and hospitals. The regular droughts combined with poor cultivation practices, make ethiopia s economy very vulnerable to climatic changes. Hsdp launched in 1998 in response to the prevailing and newly emerging health problems in ethiopia and the weaknesses observed in the existing health delivery system. Domestic and international environment for education sector reform 19872007 212 6. Ethiopia health sector federal ministry of health case study. The government of ethiopia published its essential health services package for ethiopia in 2005 federal ministry of health 2005. Performance of the health sector development programme. Pdf background understanding the way health care reforms have succeeded or failed thus far. Pdf reconsidering civil service reform in ethiopia. Health sector reform is a sustained process of fundamental change in policies and institutional arrangements of the health sector1, usually guided by the government. Public sector management covers such aspects of management as productivity management, and management of human, financial and. Wamai1 table 1 shows the key countrys health related demographic and socioeconomic indicators.
Freedom house has rated ethiopia as not free since 2011. It is a democratic federation of nine states, governed by a bicameral legislature with 656 representatives combined, a prime minister and a president. Reviewing ethiopias health system development jmaj 524. Homedelivery free opendefecation free competency evaluation of model families.
This study aimed to determine the impact of healthcare reform on job satisfaction in the public healthcare sector in ethiopia. Tedros specific achievements in health leadership and diplomacy at both the national and international levels are highlighted below. A central feature of the sector is the priority given to the health extension programme, which delivers costeffective basic services that enhance equity and provide. However, there remain the serious challenges of accountability, ownership, and sustainability. The cwgpa was a direct outcome of the fifth commonwealth ministers for public service. This package was published with the intention to have public sector facilities provide a minimum standard of care that fosters an integrated service delivery approach essential for advancing the health of the. Health sector finance reform in ethiopia abt associates. Health information systems his is potentially very important for the development of the health sector in ethiopia. Measuring eficiency of public health centers in ethiopia. We continue to work closely with the ministry of health and our work. Health sector reforms and district health systems unit 1 health policy, strategies and reform. Ethiopia stands as a global model for effective health system. Ethiopian federal ministry of health view as single page except for third party materials andor otherwise stated see terms and conditions the content in openlearn is released for use under the terms of the creative commons attributionnoncommercialsharealike 2. For more than a decade, ethiopia has been implementing health sector reform which is now in its fourth phase of strategic planning but studies revealed that the ability of any institution attract.
Ethiopia health sector federal ministry of health case study page 3 of 22 this case study primarily focuses on the recalibration of the fmoh scorecard in 2009 provided by the bill and melinda gates foundation in 201120, the ministry of health began cascading the strategic scorecard throughout all levels of the health sector. In recent times, the country has experienced severe manmade and natural calamities and political upheavals, which have caused untold suffering to its peoples. However, the quality of care has been lagging behind. The health system in ethiopia has to be revaluated because of an upcoming shift in disease patterns in the epidemiological transition. Aug 11, 2016 ethiopian health sector transformation plan 1. Conclusion s the ethiopian health care reform has laid the groundwork for health system. Development of national minimum standards for healthcare facilities in ethiopia vi in ethiopia, government and development partners are investing a huge amount of resources to improve the quality of health services and ensure their sustainability. Despite the national efforts to change health system delivery, women in ethiopia still do not seem to seek access or use services, as depicted in the table below. The purpose of this research was to explore and describe the effectiveness of the health care reform implemented in ethiopia in the form of business process reengineering bpr and develop strategies to strengthen its implementation. The challenges and prospects of civil service reform and good governance in ethiopia c b kassa ethiopian management institute addis ababa ethiopia abstract the major purpose of this study is to assess the challenges and prospects of good governance and civil service reform in ethiopia. It has also stated the importance of targeting the most. Health information systems world health organization. Usaid to support central statistical agency for 2016 ethiopia. As literacy and socioeconomic status improves in ethiopia, the demand for quality service is also increasing.
In an effort to protect citizens from catastrophic effects of the clearly high share of outofpocket expenditure, the government is currently working to introduce health insurance. Ethiopian public health association epha, addis ababa, ethiopia. One of the issues high on the agenda is health care financing. Ethiopian health system health care in ethiopia health. Health in ethiopia has improved markedly since the early 2000s, with government leadership playing a key role in mobilizing resources and ensuring that they are used effectively. Pdf health sector reform and human resource management. We led the development of the first national pmtct guidelines and worked with local partners to roll out innovative approaches like support groups and homebased services for mothers with hiv. The health sector transformation plan hstp federal democratic republic of ethiopia, ministry of health. The development of the health sector was made possible by strong political commitment, a. Pdf the ethiopian national ehealth strategy and its. With the government of ethiopias commitment to providing national free treatment for hivaids, patients have increased access to hiv services in their local communities.
Ethiopia is an important country with a growing economy. Improving quality and equity abstract ethiopia endorsed a health care financing strategy in 1998 that envisioned a wide range of reform initiatives. Hsdp has been implemented as part of reformation process in the framework of the governments sector wide approach program swap. The challenges and prospects of civil service reform and. Increase in base salary in the public sector for selected hrh categories. The ethiopian national ehealth strategy and its alignment with the health informatics curriculum. Strengthening human resources for health in ethiopia introduction the strengthening human resources for health hrh is a fiveyear 2012 2018 health systems strengthening project that is working to build local capacity for the development of systems to manage human resources for health, improve the. The 2016 ethiopia demographic and health survey 2016 edhs was implemented by the central statistical agency csa from january 18, 2016, to june 27, 2016. Transfer coreprocess of the addis ababa city administration health bureau. Health sector reform and human resource management. Obviously this calls for a priority setting and judicious water resources management policy and associated finance. The essential services for health in ethiopia eshe project is the usaidethiopia fiveyear 20032005 bilateral initiative for child health and health sector reform with the ethiopian government. Theimplementation of civil service reforms in ethiopia.
Analyze updated data about the worlds health levels and trends from 1990 to 2017 in this interactive tool using estimates from the global burden of disease gbd study. Human capacity and social resilience increased by increasing the. If so, share your ppt presentation slides online with. Besides, changes in the demographic trends, epidemiology and mushrooming urbanization require more comprehensive services covering a wide range and quality of curative, promotive and preventive services. The reforms the health care financing reform strategy, recognizing that health care should be financed through multiple mechanisms to ensure longrange sustainability, underscored the importance of promoting costsharing in the provision of health services. In the past two decades, the government of ethiopia has invested heavily in health system strengthening guided by its propoor policies and strategies resulting in significant gains in improving the health status of ethiopians. As a result, ethiopia has done remarkably well in meeting most of the mdg targets. Health facility governance in the ethiopian health system abstract health governance one of the pillars of a health system has received appreciable attention from the ethiopian health sector over the past decade. Therefore, this study investigated the status of the quality of delivery services in northern ethiopia. Reconsidering civil service reform in ethiopia devex. In many countries, health sector reform and decentralization have brought about shifts in functions between. The commonwealth key principles of public sector reform were recommended and endorsed by the commonwealth working group on public administration cwgpa, which met on 2728 november 2014 in london. Over the last decade, ethiopias macroeconomic performance has been impressive, with an average economic growth rate of about 10 percent per. Human resource management practices in selected ethiopian private companies a study to increase employee productivity in ethiopia this dissertation examines how human resources are managed at selected ethiopian private companies, how ethiopian human resource management practice is evolving and how it can be improved.
Ethiopia country procurement assessment report, june 28, 2002 1 executive summary and recommendations context of the cpar background 1. Many people lost their jobs, had no access to healthcare and education because. At least two weeks should be set aside for module 4. The project contributes to achieving usaidethiopias strategic objective 14. The cause for this poor achievement and the dillema for the. While healthcare reform has been a central attention for local governments, its impact on job satisfaction is poorly understood. Kenya and botswana, ethiopia, mali, nigeria and senegal.
Others include strategies on free service for key maternal and child health. Overview of the health system in egypt chapter 2 overview of the health system in egypt. Guidelines for programme design, monitoring and evaluation. Important guidelines for printing and photocopying limited permission is granted free of charge to print or photocopy all pages of this. Challenges and opportunities by teresa curristine, zsuzsanna lonti and isabelle joumard this article examines key institutional drivers that may contribute to improving public sector efficiency and focuses on one of them in more detail. The study was designed as a facilitybased crosssectional survey of healthcare professionals and carried out in all public hospitals in. The united states agency for international development usaid and the ethiopia central statistical agency csa today signed an agreement to begin planning for the 2016 ethiopia demographic and health survey. Today, ethiopia stands as a global model for effective health system reform and governance and as an inspirational story of successful africanled development. Beyond the health care reform in ethiopia, there have been debates on implications. Economic outlook and challenges it was to be expected that ethiopia s strong economic growth would slow down in 201516 due to the recent drought. Overview ethiopia is the second most populous country in africa, with an estimated population of 90 million in 201445 percent of whom are under the age of 15. While malaria control measures will be scaled up and sustained, the country will implement strategies to pave the way for malaria free ethiopia by 2030. It appears that bpr is quite popular in ethiopia for public sector reform not so much for private firms. Ethiopia institute for health metrics and evaluation.
Health sector transformation plan foreword by the minister of health ethiopia has implemented successive health sector development plans hsdps since 1997 in four phases. Health sector development programme, the ethiopian case is the property of its rightful owner. The ethiopian hospital services transformation guidelines ehstg build on and expand the ethiopian hospital reform implementation guidelines ehrig and are consistent with the health sector transformation plan hstp. Key health and social indicators for uganda and subsaharan africa 104. In phase i, the effectiveness of the bpr health care.
Ethiopia science and technology commission estc 1975 with the increasing number of training and research institutes, the effort in health research increased, both in volume and in the variety of fields. During this period, our country has made huge strides in improving access to health services and improvements in health outcomes. Addis ababa, june 11, 2018 in its latest economic update for ethiopia, the world bank group provides answers to several key questions what role can the services sector play in ethiopia s economy. First generation civil service reform program of ethiopia, 1980s early 1990s. Implementing health care reform journal of global health. Health sector reform in ethiopia is an undergoing process as a. Through the leadership of the federal ministry of health fmoh, the health sector has various coordinating mechanisms. Since the hivaids epidemic arrived in ethiopia, attitudes toward the disease as well as the opportunities for treatment and a healthy life have changed dramatically. Globalization is said to affect the country, with many educated professionals leaving ethiopia for a better economic opportunity in betterdeveloped countries. Development activities carried out so far in the water sector in totality or individually reveal a very low level of performance. Ethiopia health sector transformation plan 2015162019. In accord with these principles and practices the federal ministry of health fmoh has integrated spm into its procedures and is reengineering the ministry itself using bpr methodology. There were 119 hospitals 12 in addis ababa alone and 412 health centers in ethiopia in 2005. This means that, due to economic development, the burden of disease shifts away from communicable diseases like.
This is an american idea but most donors seem to use it. Ethiopia aspires to achieve subnational elimination of malaria from its mid and low lands in the eastern part of the country. The findings confirmed that the hospitals gave free services for. The health workforce in ethiopia public disclosure authorized. Policies and strategies rss opens new window agriculture policy. Health facility governance in the ethiopian health system.
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