Ethiopian health care system pdf

The six health system building blocks the world health organization recommends supporting and strengthening a health system based on the below framework figure 2. The primary level of care includes primary hospitals, health. Hss health system strengthening hstp health sector transformation plan iccm integrated community case management. Ethiopia has been implementing a community health extension program hep since 2003.

All white men considered to be physicians hakims until the italian occupation. Yet community engagement is essential in populations with low levels of health literacy such as ethiopia, where, despite recent progress, health, healthcare access, and quality of care vary widely by socioeconomic status, education, location, and sex. Numbers of males and females are approximately equal. National health care quality strategy was developed and launched in 2016. Monitoring the performance of the health sector is based on a core set of sectorwide indicators to provide a comprehensive picture on the performance of ethiopian health sector. With more than 90 million inhabitants, ethiopia is the. Conclusion s the ethiopian health care reform has laid the groundwork for health system improvement, but progress was slow and the health care delivery system was still fragile. Emperor haile sellasie i 1930 1974 prewar period up to 1935 reforms in economic and social conditions including health service expansion. We are committed to improving health systems by strengthening human resources, expanding health financing options, and increasing health commodity and essential drug availability. Information about health facilities and health plan options should be available through community organizations.

Ethiopia is a democracy with a federal system of government comprising 9 regions and two administrative councils. Ethiopia country factsheet pdf the benefits of family planning to avert infant and child deaths in ethiopia the ethiopian ministry of health, in collaboration with hpp, recently used the famplan model to measure the impact of increased family planning use on the number of infant and child deaths. 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 health systems ethiopian health care system is augmented by the rapid expansion of the private. Overview of ethiopian primary health care system with more than 90 million inhabitants, ethiopia is the second most populous country in africa, after nigeria. Reviewing ethiopias health system development jmaj 524. It envisions reaching universal health coverage by 2035. The implementation of these reform initiatives was legalized through regional legislations and operationalized in line with. Transforming ethiopias health care system from the ground. Health service delivery in ethiopia is characterized an inadequate number of welltrained health providers, limited health infrastructure and shortages of finance, equipment, and supplies.

We aimed to assess the successes and challenges of the hep over time, and develop a framework that may assist the implementation of the program toward universal primary healthcare services. Attempts are underway to build, equip, and staff phcus for every kebele, with expediency given. Transforming health care in ethiopia the lancet global. Ethiopias health system also includes district health centers like the. Health sector transformation plan global financing facility. Health information systems his is potentially very important for the development of the health sector in ethiopia. A midterm evaluation of the health sector financing reform hsfr. The graphic above depicts the threetier structure of the ethiopian health system. The prioritized initiatives are mobilizing adequate resources mainly from domestic sources, reducing outofpocket spending at the point of service use, enhancing efficiency and. This means that, due to economic development, the burden of disease shifts away from communicable diseases like.

We all know that healthcare consists of many interlinked processes that result in a very complex system. Development of the preventive and promotive components of health care. Use of child care centers for patients at health care facilities should be encouraged. In brazil, where health is a constitutional right for all citizens, the decentralized health care system using innovative family health teams has made gains in improving access but suffers from stagnant government funding. Democratization and decentralization of the health service system. The management, coordination, and distribution of technical support in each and every level is the responsibility of. The health system in ethiopia has to be revaluated because of an upcoming shift in disease patterns in the epidemiological transition. Through the leadership of the federal ministry of health fmoh, the health. 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. Introduction to public health are not appropriate to our. Ethiopia health sector transformation plan 2015162019. Health facility governance in the ethiopian health system hfg. The current ethiopia health care financing strategy focus on financing of primary health care services in a sustainable manner. Smallpox vaccination during the time of emperor yohannes iv ethiopian health care system history 7.

The first wave of decentralization resulted in the fmoh, regional health bureaus rhbs. The primary health care unit phcu exists at the kebele level and forms the foundation of the health care system. 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. 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. Ethiopian health care system pdf free download as pdf file.

Ethiopia health sector federal ministry of health case study. Ethiopia is a democracy with a federal system of government. Ethiopian health care system pdf ethiopia public health. Community health extension program of ethiopia, 20032018. Ethiopian health system health care in ethiopia health. We will also produce annual reports about the state of health inequality in ethiopia to bring political attention and. Development of an equitable and acceptable standard of health service system that will reach all segments of the population within the limits of resources. Its a novel idea, which one could imagine would raise the heckles of western communities.

The following two sections were written december 2007 by rachel brandon, based on information contributed by ethiopian medical. The 2011 ethiopian demographic and health survey dhs reported that infant mortality declined by 42% and underfive mortality by 47% over the. Health care delivery is not just a problem in low and middleincome countries. Food, medicine and health care administration and control authority. From haue sellassie to meles zenawi helmut kloos department of epidemiology and biostatistics, university of california, san francisco this paper examines developments in primary health care phc in ethiopia under the authoritarianfeudal regime of emperor haile sellassie, the socialist military. The secondary and tertiary levels are comprised of general and specialized hospitals, and the coverage of each extends to larger portions of the population. Chapter 8 is about health service in ethiopia and the history, the structure. The 1st health legislation issued in 1930 ethiopian health care system history 10. Since july 2002, woreda health offices have borne the primary responsibility for health service deliver y. Improving quality and equity abstract ethiopia endorsed a health care financing strategy in 1998 that envisioned a wide range of reform initiatives. And these complexities of healthcare operations and the vast amount of challenges we are facing make. The health system of the federal democratic republic of ethiopia is guided by a 20year health sector. Health facility governance in the ethiopian health system. Health department as indicated above, the ethiopian science and technology commission was established by decree in 1975.

Ethiopian health care quality bulletin healthy newborn network. When you strengthen a health system, you improve the six health system building blocks and manage their interactions in ways that achieve more equitable and sustained improvements. The strategy aims in transforming the quality of health care in the country and gives due emphasis for experience sharing across facilities and institutions. As a result, ethiopia has done remarkably well in meeting most of the mdg targets.