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