Ethiopian health care system pdf

The implementation of these reform initiatives was legalized through regional legislations and operationalized in line with. Development of an equitable and acceptable standard of health service system that will reach all segments of the population within the limits of resources. Attempts are underway to build, equip, and staff phcus for every kebele, with expediency given. National health care quality strategy was developed and launched in 2016. Development of an equitable and acceptable standard of health service system. The prioritized initiatives are mobilizing adequate resources mainly from domestic sources, reducing outofpocket spending at the point of service use, enhancing efficiency and. 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 first wave of decentralization resulted in the fmoh, regional health bureaus rhbs. Introduction to public health are not appropriate to our. Wamai1 table 1 shows the key countrys health related demographic and socioeconomic indicators. We will also produce annual reports about the state of health inequality in ethiopia to bring political attention and accountability in the sector. 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. The 2011 ethiopian demographic and health survey dhs reported that infant mortality declined by 42% and underfive mortality by 47% over the.

The graphic above depicts the threetier structure of the ethiopian health system. It envisions reaching universal health coverage by 2035. 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. The primary health care unit phcu exists at the kebele level and forms the foundation of the health care system. And these complexities of healthcare operations and the vast amount of challenges we are facing make. 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. Numbers of males and females are approximately equal. Ethiopian health care quality bulletin healthy newborn network.

Emperor haile sellasie i 1930 1974 prewar period up to 1935 reforms in economic and social conditions including health service expansion. A midterm evaluation of the health sector financing reform hsfr. Development of the preventive and promotive components of health care. Ethiopia is a democracy with a federal system of government. Using the hepuhc conceptual model and data from demographic and health surveys, the. The following two sections were written december 2007 by rachel brandon, based on information contributed by ethiopian medical. 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. Ethiopia has been implementing a community health extension program hep since 2003. Ethiopian health system health care in ethiopia health care in. As a result, ethiopia has done remarkably well in meeting most of the mdg targets. Since july 2002, woreda health offices have borne the primary responsibility for health service deliver y. The health system in ethiopia has to be revaluated because of an upcoming shift in disease patterns in the epidemiological transition. 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. Health information systems his is potentially very important for the development of the health sector in ethiopia.

Through the leadership of the federal ministry of health fmoh, the health. Chapter 8 is about health service in ethiopia and the history, the structure. Overview of ethiopian primary health care system with more than 90 million inhabitants, ethiopia is the second most populous country in africa, after nigeria. Ethiopias health system also includes district health centers like the. Ethiopia health sector transformation plan 2015162019.

Its a novel idea, which one could imagine would raise the heckles of western communities. Delivery of health care in the ethiopian system follows a fourtiered model. We all know that healthcare consists of many interlinked processes that result in a very complex system. Democratization and decentralization of the health service system. Health facility governance in the ethiopian health system. All white men considered to be physicians hakims until the italian occupation. Hss health system strengthening hstp health sector transformation plan iccm integrated community case management. 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. The health system of the federal democratic republic of ethiopia is guided by a 20year health sector. We will also produce annual reports about the state of health inequality in ethiopia to bring political attention and. Transforming ethiopias health care system from the ground. These kinds of primary health servicesgiving vaccines, educating women about family health, and promoting hygiene and environmental sanitationis the foundation for building good health systems in poor countries.

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. Ethiopian health care system pdf free download as pdf file. With more than 90 million inhabitants, ethiopia is the. Health department as indicated above, the ethiopian science and technology commission was established by decree in 1975. Ethiopia health sector federal ministry of health case study.

Health sector management and health management information systems. Health service delivery in ethiopia is characterized an inadequate number of welltrained health providers, limited health infrastructure and shortages of finance, equipment, and supplies. 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. Ethiopian health system health care in ethiopia health. The current ethiopia health care financing strategy focus on financing of primary health care services in a sustainable manner. Ethiopia is a democracy with a federal system of government comprising 9 regions and two administrative councils.

The 1st health legislation issued in 1930 ethiopian health care system history 10. This means that, due to economic development, the burden of disease shifts away from communicable diseases like. Health sector transformation plan global financing facility. Reviewing ethiopias health system development jmaj 524. The prevalence of tb in ethiopia is estimated to economics of hotel management am sheela pdf be 241 with incidence. The primary level of care includes primary hospitals, health. Transforming health care in ethiopia the lancet global. 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. Health care delivery is not just a problem in low and middleincome countries.

The six health system building blocks the world health organization recommends supporting and strengthening a health system based on the below framework figure 2. Improving quality and equity abstract ethiopia endorsed a health care financing strategy in 1998 that envisioned a wide range of reform initiatives. 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. Food, medicine and health care administration and control authority. Smallpox vaccination during the time of emperor yohannes iv ethiopian health care system history 7. 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. Use of child care centers for patients at health care facilities should be encouraged. Community health extension program of ethiopia, 20032018. Ethiopian health care system pdf ethiopia public health. The secondary and tertiary levels are comprised of general and specialized hospitals, and the coverage of each extends to larger portions of the population. 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. Health facility governance in the ethiopian health system hfg. Offices at different levels of the health sector, from the federal ministry of health fmoh to rhbs and woreda.