Ethiopia stands as a global model for effective health system. Ethiopia country procurement assessment report, june 28, 2002 1 executive summary and recommendations context of the cpar background 1. As literacy and socioeconomic status improves in ethiopia, the demand for quality service is also increasing. Substantial improvements have been observed in the coverage of and access to maternal health service, especially in skilled birth attendants, in ethiopia.
The health system in ethiopia has to be revaluated because of an upcoming shift in disease patterns in the epidemiological transition. 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. Ethiopia institute for health metrics and evaluation. Health sector finance reform in ethiopia abt associates. 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. The health sector transformation plan hstp federal democratic republic of ethiopia, ministry of health. At no time in the past has the country enjoyed the. 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.
Homedelivery free opendefecation free competency evaluation of model families. Reconsidering civil service reform in ethiopia devex. In spite of some efforts to make the health care system integrated with information systems, it continues to be not welldeveloped in the nations health sector. 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. If so, share your ppt presentation slides online with. 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. Wamai1 table 1 shows the key countrys health related demographic and socioeconomic indicators. There were 119 hospitals 12 in addis ababa alone and 412 health centers in ethiopia in 2005. 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. We are committed to improving health systems by strengthening human resources, expanding health financing options, and increasing health commodity and essential drug availability.
Health sector transformation plan the federal democratic republic of ethiopia ministry of health hstphealth sector transformation plan 2. 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. Guidelines for programme design, monitoring and evaluation. Globalization is said to affect the country, with many educated professionals leaving ethiopia for a better economic opportunity in betterdeveloped countries. One of the issues high on the agenda is health care financing. 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. This means that, due to economic development, the burden of disease shifts away from communicable diseases like.
It is based on a broad assessment of sector specific needs. 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. At least two weeks should be set aside for module 4. Beyond the health care reform in ethiopia, there have been debates on implications. Reviewing ethiopias health system development jmaj 524. 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. 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. Health sector reform and human resource management. 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.
Health sector transformation plan global financing facility. Pdf the ethiopian national ehealth strategy and its. However, the quality of care has been lagging behind. Transfer coreprocess of the addis ababa city administration health bureau. Health service delivery in ethiopia is characterized an inadequate number of welltrained health providers, limited health infrastructure and shortages of finance, equipment, and supplies. Key principles of public sector reforms the commonwealth. 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. Freedom house has rated ethiopia as not free since 2011. This study aimed to determine the impact of healthcare reform on job satisfaction in the public healthcare sector in ethiopia. This brief discusses the progress made in the ethiopia health sector development program. The funding for the 2016 edhs was provided by the government of ethiopia, the united states agency for international development usaid, the government of. Today, ethiopia stands as a global model for effective health system reform and governance and as an inspirational story of successful africanled development.
The study was designed as a facilitybased crosssectional survey of healthcare professionals and carried out in all public hospitals in. Important guidelines for printing and photocopying limited permission is granted free of charge to print or photocopy all pages of this. Federal democratic republic of ethiopia ministry of health health sector development program iv 201011 201415 final draft october 2010. Hospital management in the context of health sector reform. The process lays down a set of policy measures covering the four main core functions of the. Beyond the health care reform in ethiopia, there have been debates on.
Some bilateral donors view this type of assistance as a set of interlinked projects aimed at a specific sector. 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. Mar 12, 2015 the 2016 survey will build on previous surveys and strengthen capacity of local organizations. 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. 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. Access to modern health care is very limited, and in many rural areas it is virtually nonexistent. Hsdp has been implemented as part of reformation process in the framework of the governments sector wide approach program swap. In the ethiopian health system, some public health services have been provided to all citizens free of charge regardless of level. The project contributes to achieving usaidethiopias strategic objective 14. There are many reasons why women do not use health services in ethiopia. Our study showed three general health system reforms across all five countries that.
Ethiopia is a democracy with a federal system of government comprising 9 regions and two administrative councils. We continue to work closely with the ministry of health and our work. The district health management training modules have been developed to cover four major areas. Measuring eficiency of public health centers in ethiopia. What reform priorities should ethiopia pursue in the service sector and how can they be achieved while maintaining a more sustainable economic growth rate. Fmoh bases its activities on the implementation framework of the health sector development program hsdp, which has had three successive strategic plans. Ethiopias health care system includes primary health centres, clinics, and hospitals. 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. Available records indicate that no less than 5,000 health and health related publications and documents are issued in ethiopia.
With the government of ethiopias commitment to providing national free treatment for hivaids, patients have increased access to hiv services in their local communities. Pdf background understanding the way health care reforms have succeeded or failed thus far. Country financial accountability assessment ethiopia. Among the important features of the economic reform in ethiopia. Development activities carried out so far in the water sector in totality or individually reveal a very low level of performance. Tedros specific achievements in health leadership and diplomacy at both the national and international levels are highlighted below. The findings confirmed that the hospitals gave free services for.
Health sector reforms and district health systems unit 1 health policy, strategies and reform. 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. 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. The development of the health sector was made possible by strong political commitment, a. Key words hstp quality and equity universal health coverage.
The ethiopian national ehealth strategy and its alignment with the health informatics curriculum. The implementation of these reform initiatives was legalized through regional legislations and operationalized in line with. Health sector transformation plan foreword by the minister of health ethiopia has implemented successive health sector development plans hsdps since 1997 in four phases. 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.
While healthcare reform has been a central attention for local governments, its impact on job satisfaction is poorly understood. The challenges and prospects of civil service reform and. This is an american idea but most donors seem to use it. 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. Ethiopia is an important country with a growing economy.
A facility based survey was conducted from december 2014 to february 2015 in. Ethiopian health system health care in ethiopia health. Others include strategies on free service for key maternal and child health. 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.
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 information systems world health organization. Ethiopia health sector transformation plan 2015162019. Health information systems his is potentially very important for the development of the health sector in ethiopia. It appears that bpr is quite popular in ethiopia for public sector reform not so much for private firms. In recent times, the country has experienced severe manmade and natural calamities and political upheavals, which have caused untold suffering to its peoples. 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. Health sector reform in ethiopia is an undergoing process as a. The health workforce in ethiopia public disclosure authorized. 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. The programs aims were to develop a health system that provides comprehensive and integrated primary care services, primarily based at community health level facilities.
Ethiopia among the least privileged nations in the world. Health sector reform is a sustained process of fundamental change in policies and institutional arrangements of the health sector1, usually guided by the government. Key health and social indicators for uganda and subsaharan africa 104. Ppt health sector development programme, the ethiopian case. Produced in collaboration with the ethiopia public health training initiative, the carter center, the ethiopia ministry of health, and the ethiopia ministry of education. Ethiopian public health association epha, addis ababa, ethiopia. First generation civil service reform program of ethiopia, 1980s early 1990s. However, there remain the serious challenges of accountability, ownership, and sustainability. The regular droughts combined with poor cultivation practices, make ethiopia s economy very vulnerable to climatic changes. The technology informatics guiding education reform.
Through the leadership of the federal ministry of health fmoh, the health sector has various coordinating mechanisms. Sector programme assistance is targeted at a particular sector and often linked to specific policy conditions. The capital is addis ababa new flower, located almost at the center of the country. Health system reforms in five subsaharan african countries that. Over the last decade, ethiopias macroeconomic performance has been impressive, with an average economic growth rate of about 10 percent per. Improving quality and equity abstract ethiopia endorsed a health care financing strategy in 1998 that envisioned a wide range of reform initiatives. National health promotion and communication strategy 201620.
Kenya and botswana, ethiopia, mali, nigeria and senegal. Quality of the delivery services in health facilities in. The ethiopian health care system is under tremendous reform. Pdf strengthening health systems by health sector reforms. 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.
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. Obviously this calls for a priority setting and judicious water resources management policy and associated finance. 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 ehstg, which is consistent with the national focus on quality. Only major cities have hospitals with fulltime physicians, and most of the hospitals are in addis ababa. Human capacity and social resilience increased by increasing the. 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. Health facility governance in the ethiopian health system. 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. The cause for this poor achievement and the dillema for the. 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. Aug 11, 2016 ethiopian health sector transformation plan 1. 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. Usaid to support central statistical agency for 2016 ethiopia.
Ethiopia health sector federal ministry of health case study. Pdf reconsidering civil service reform in ethiopia. 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. 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. Public sector management covers such aspects of management as productivity management, and management of human, financial and. Overview of the health system in egypt chapter 2 overview of the health system in egypt. Theimplementation of civil service reforms in ethiopia. Ethiopia health sector transformation plan 201516201920 global financing facility skip to main content. Domestic and international environment for education sector reform 19872007 212 6. In phase i, the effectiveness of the bpr health care. 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. It is a democratic federation of nine states, governed by a bicameral legislature with 656 representatives combined, a prime minister and a president. The government of ethiopia published its essential health services package for ethiopia in 2005 federal ministry of health 2005. Hstphealth sector transformation plan 201516 201920 20082012 efy october 2015 4.
Our work in ethiopia began back in 2003 when we introduced services to prevent mothertochild transmission of hiv called pmtct. Conclusion s the ethiopian health care reform has laid the groundwork for health system. In many countries, health sector reform and decentralization have brought about shifts in functions between. Increase in base salary in the public sector for selected hrh categories. Ethiopia health sector transformation plan 201516201920. Health sector development programme, the ethiopian case is the property of its rightful owner. It has also stated the importance of targeting the most. As a result, ethiopia has done remarkably well in meeting most of the mdg targets.
Therefore, this study investigated the status of the quality of delivery services in northern ethiopia. 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. Pdf health sector reform and human resource management. Implementing health care reform journal of global health. Ethiopia s economy depends heavily on the agricultural sector. Ethiopia aspires to achieve subnational elimination of malaria from its mid and low lands in the eastern part of the country. 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.
Sustainable development and poverty reduction program federal democratic republic of ethiopia fdre. 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. The historical development of reforming the public sector in africa dates back to the 1980s and it was. During this period, our country has made huge strides in improving access to health services and improvements in health outcomes. Performance of the health sector development programme. Health sector development program iv 201011 201415.
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