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