Health sector reform in ethiopia pdf merge

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. Moving further on civil service reforms in ethiopia. Ethiopia health extension program a s a lowincome country, ethiopia has made impressive progress in improving health outcomes. The ethiopia country private sector diagnostic was prepared by paul brenton, stephan dreyhaupt, and mamo mihretu, with support from tilahun kassahun, fantu. Britain in comparative perspective article pdf available in the international journal of human resource management 115. Now, in grade 12, students will focus on our national economy. Ethiopia health sector transformation plan 2015162019. Some lessons within the last decade, the concept of health sector reform for middle and lower income countries has gone from being a new idea to becoming an overused buzz word that is attached to any and all efforts to improve health systems. The implementation of these reform initiatives was legalized through regional legislations and operationalized in line with. Key words hstp quality and equity universal health coverage. Ethiopia school health program framework 1 forward the federal democratic republic of ethiopia, ministry of health moh recognizes that a lack of health and nutrition programs in schools impacts a childs ability to learn and leads to poor school attendance and higher dropout rates, increasing education wastage. 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.

Hstp is also the first phase of the 20year health sector. The health sector transformation plan hstp federal democratic republic of ethiopia, ministry of health. Many people lost their jobs, had no access to healthcare and education because. 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. 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. As a result the bsc management tool has been introduced over the last five years. View enhanced pdf access article on wiley online library html view. The conference showcases research carried out within the indepth networks 53 health and demographic surveillance systems hdss. Ethiopian public health association epha, addis ababa, ethiopia. Transforming health care in ethiopia the lancet global health. 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.

Health service delivery in ethiopia is characterized an inadequate number of welltrained health providers, limited health infrastructure and shortages of finance, equipment, and supplies. 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. Ethiopian grade 12 economics student textbook pdf download. This study aimed to determine the impact of healthcare reform on job satisfaction in the public healthcare sector in ethiopia. In this paper, we propose a framework to understand the interrelationships connecting health sector reform processes and health systems strengthening, with specific focus on systems thinking and on interactions between health reforms and country health systems. Ethiopian health development plans, like the health sector. 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. Csae working paper 200217, centre for the study of african. 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. The process lays down a set of policy measures covering the four main core functions of 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. While healthcare reform has been a central attention for local governments, its impact on job satisfaction is poorly understood.

At least two weeks should be set aside for module 4. Pdf health sector reform and human resource management. Available records indicate that no less than 5,000 health and health related publications and documents are issued in ethiopia. The health service system in ethiopia is federally decentralized. 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. There are many reasons why women do not use health services in ethiopia. Introduction in recent years, economic pressures on the government and specifically on the health sector have forced the governments of developing countries to initiate health sector reforms. The implementation of ethiopian hospitals reform implementation guidelines ehrig for ethiopia and health sector provides a unique opportunity of improving the quality of care given by hospitals. Since the improvement in the health sector is still very far from reaching.

Over the last decade, ethiopias macroeconomic performance has been impressive, with an average economic growth rate of about 10 percent per. Although ethiopias official language is amharic, there are a. According to official statistics, during the ten fiscal years ending june 2016, ethiopia s gdp averaged 10. Health sector reform is a sustained process of fundamental change in policies and institutional arrangements of the health sector1, usually guided by the government. For more than 5 years, ethiopias federal ministry of health has relentlessly followed a vision. Federal ministry of health ethiopia population, health, and. This is an american idea but most donors seem to use it. Implications on access to essential medicines background the ethiopian health care system is under tremendous reform. At the same time, in order to combine the search of theoretical models. Request pdf hospital management in the context of health sector reform. Through health sector reform in developing countries, ministries of health have sought to. 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.

It has also stated the importance of targeting the most. Kenya and botswana, ethiopia, mali, nigeria and senegal. The derg borrowed its ideology from competing marxist parties, all of which arose from the student movement. Health sector reform and human resource management. Health sector reforms and district health systems unit 1 health policy, strategies and reform. The ethiopian health care system is under tremendous reform. Reviewing ethiopias health system development jmaj 524. In ethiopia, quality of hospital care was improved through. Ethiopias health extension program hep was introduced under health sector development programme hsdp ii to deliver highimpact interventions at the family and community level and address some of the challenges listed above. Various legal and regulatory reforms in all sectors have been implemented to improve. The programs aims were to develop a health system that provides comprehensive and integrated primary care services, primarily based at community health level facilities. A pivotal moment for reform ethiopia has made impressive strides along its developmental path.

With an estimated population of more than 85,000,000, ethiopia is africas second most populous country. Implementing health care reform journal of global health. Improving quality and equity abstract ethiopia endorsed a health care financing strategy in 1998 that envisioned a wide range of reform initiatives. Health information systems his is potentially very important for the development of the health sector in ethiopia. The health policy of the transitional government is the result of a critical examination of. Ethiopia has made significant health gains in recent years, such as lowering infant mortality, but more work needs to. Through health sector reform in developing countries, ministries of health have. Beyond the health care reform in ethiopia, there have been debates on implications of.

Hospital management in the context of health sector reform. The district health management training modules have been developed to cover four major areas. Aug 29, 2012 the objective was to provide the ethiopian delegation with the opportunity to learn from health leaders from other low and middleincome countries that have successfully managed primary care system reform efforts of their own. We are committed to improving health systems by strengthening human resources, expanding health financing options, and increasing health commodity and essential drug availability. A decade of health sector reform in developing countries. Pdf strengthening health systems by health sector reforms. Cbhi covers 11 million people making it one of the largest health insurance schemes in africa. During the 2010 reform of the health sector, the drug administration and control agency was reestablished to focus on regulating drugs and food, and expanded their scope by including the regulation of health facilities and personnel. Transforming health care in ethiopia the lancet global. Ethiopia launches its health sector transformation plan who. 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 policy and systems research who world health. Sustainable development and poverty reduction program federal democratic republic of ethiopia fdre. Our study showed three general health system reforms.

Ethiopia the public sector has undergone several reform initiatives at both federal and regional government levels. The objective was to provide the ethiopian delegation with the opportunity to learn from health leaders from other low and middleincome countries that have successfully managed primary care system reform efforts of their own. Therefore, this material should be regarded as an introduction to health economics rather than to economics. Kesetebirhan admasu, minister of health ethiopia, said, it took us over 25 years to reduce child mortality by 70% and maternal death by 75%. Strengthening health systems by health sector reforms. The study was designed as a facilitybased crosssectional survey of healthcare professionals and carried out in all public hospitals in. Wamai1 table 1 shows the key countrys health related demographic and socioeconomic indicators.

Findings and implications from a civil service survey and qualitative analysis english abstract this report identifies key challenges facing the ethiopian civil service today and suggests avenuesfor further reforms. Bsc, performance measures, good governance, public sector. 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. In its approach to the ethiopian health sector, the united states should do the following. It has also just embarked on an ambitious health sector transformation plan hstp. Ethiopia health extension program examines how the countrys health extension program hep has contributed to the move toward universal health. Enabling policy and legal environment that enhances the business processes in the health sector. Ethiopia health sector federal ministry of health case study. 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.

Addis ababa, june 11, 2018 ethiopia s gdp growth will decelerate to 9. 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. The government of ethiopia launched the health sector development program hsdp in the 1990s. Aug 11, 2016 32 health sector transformation plan ethiopia is on track in achieving the mdg 6 target of universal access to treatment of hivaids by having 344,344 plwhiv were currently on art by the end of efy 2006 out of the target of 431,644 who need art, with achievement of 79. Transforming ethiopias health care system from the ground. The cwgpa was a direct outcome of the fifth commonwealth ministers for public service. Ethiopia health sector transformation plan 201516201920. Through the leadership of the federal ministry of health fmoh, the health sector has various coordinating mechanisms. Overview of the health system in egypt chapter 2 overview of the health system in egypt.

Often, the climate community is eager to provide information but is not aware what is exactly needed to inform solutions to problems in the public health sector. Federal democratic republic of ethiopia ministry of health. 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. Through health sector reform in developing countries, ministries of health have sought to enhance health care through greater community governance and improved management effectiveness in. 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.

Health sector transformation plan foreword by the minister of health ethiopia has implemented successive health sector development plans hsdps since 1997 in four phases. The solution to the public health problem must be demanddriven, meaning that the health sector must take a leading role in defining the requirements for environmental information. 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. The study concludes that decentralization in the health sector is likely to be more. Ethiopia has more hdss sites than any other country in the network. Health facility governance in the ethiopian health system. 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 care to millions of women, men and children. One of the rationales for undertaking this particular study was the curiosity to check the.

One of them, the ethiopian peoples revolutionary party eprp, believed so strongly in civilian rule that it undertook urban guerrilla war against the military rulers, and anarchy ensued in the following years. Health economics as a course is meant to give medical, health officer and other paramedical students basic principles regarding economics and its application to the health sector. Transforming ethiopias health care system from the ground up. Federal democratic republic of ethiopia, addis ababa. Ethiopia is a democracy with a federal system of government comprising 9 regions and two administrative councils. Eritrea emphasised combining midwifery and nursing as. The ethiopian government has been piloting and scalingup communitybased health insurance cbhi for the informal sector since 2010 and is establishing social health insurance for formal sector workers as a means of achieving uhc. If we change only health financing its not health sector reform william hsiao 8. Fmoh bases its activities on the implementation framework of the health sector development program hsdp, which has had three successive strategic plans. Abstract this brief discusses the progress made in the ethiopia health sector development program. Conclusions the ethiopian health care reform has laid the ground. It appears that bpr is quite popular in ethiopia for public sector reform. Sustaining improvements to public health in ethiopia aws. The implementation of these reform initiatives was legalized through.

Public health and weather servicesclimate information for. Im delighted to highlight that since the launching of ehrig in may of 2010, 8 hospitals have implemented the guidelines, which is encouraging. So, this unit presents an overview of the main sectors, the resource base, and the national development objectives and strategies as they have evolved over the years. 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 development program iv 201011 201415. During this period, our country has made huge strides in improving access to health services and improvements in health outcomes. Federal democratic republic of ethiopia ministry of health health sector development program iv 201011 201415 final draft october 2010. 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. Ethiopian health system health care in ethiopia health.