In ethiopia, with the exception of some vertical programs, there are no. The secondary and tertiary levels are comprised of general and specialized hospitals, and the coverage of each extends to larger portions of the population. The project helped the ethiopian government advance its efforts to create a national health insurance program and implement healthsector financing reforms at the. This important component of the health care system has received policy attention and federal government is a promoter for private health care. As a result, ethiopia has done remarkably well in meeting most of the mdg targets.
Kesetebirhan admasu, minister of health ethiopia, said, it took us over 25 years to reduce child mortality by 70% and maternal death by 75%. If we change only health financing its not health sector reform william hsiao 8. As part of the new health sector financing reform hsfr initiatives, in june 2011 the ethiopian government launched a pilot cbhi scheme in districts across the four main regions tigray, amhara, oromiya. Impact of ethiopias community based health insurance on. The district health management training modules have been developed to cover four major areas. An event organized by an abt associatesled project in ethiopia and the countrys federal ministry of health jumpstarted a dialogue among a wide range of stakeholders on the issues of publicprivate partnerships ppps in health, health regulations, and financing in the health sector. Pdf health sector reform and human resource management. Our pdf merger allows you to quickly combine multiple pdf files into one single pdf document, in just a few clicks. Health facility governance in the ethiopian health system. The health sector transformation plan hstp federal democratic republic of ethiopia, ministry of.
Fmoh bases its activities on the implementation framework of the health sector development program hsdp, which has had three successive strategic plans. Ethiopia country report ethiopia is a landlocked country located in east africa, and is bordered by eritrea, djibouti, somalia, kenya and sudan. The hep is the primary channel through which healtheducation, basic curative care and. 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 third round national health accounts nha for ethiopia is the product of significant efforts by institutions and persons devoted to improve healthcare services in ethiopia. Ethiopia health sector development program english the. This brief discusses the progress made in the ethiopia health sector development program. While healthcare reform has been a central attention for local governments, its impact on job satisfaction is poorly understood. As part of the new health sector financing reform hsfr initiatives, in june 2011 the ethiopian government launched a pilot cbhi scheme in districts across the four main regions tigray, amhara, oromiya, and. 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. Health sector reforms and district health systems unit 1 health policy, strategies and reform. Interviews and documents were used to examine the politicaleconomy of recent health sector reforms in those. However, there is shortage of evidence on the effect of the health care financing reforms on access to essential medicines in the.
Beyond the health care reform in ethiopia, there have been debates on implications of. Security sector reform in developing and transitional countries. Ethiopian dialogue on supporting the private health sector. Health policy of the transitional government of ethiopia preamble ethipoia, an ancient country with a rich diversity of peoples and cultures has however remained backward in socioeconomic and political development, and in technological advances. Human development officer, human development department, afdb july 2012 increased investments in health and getting the best value. Health sector financing reform hsfr project banyan global. Reviewing ethiopias health system development jmaj 524. Ethiopia health sector development program english. 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. Over the last decade, ethiopias macroeconomic performance has been impressive, with an average economic growth rate. The federal ministry of health would like to express its deepest thanks and appreciation to all organizations and individuals. The reforms introduced include implementing revenue retention and use at health facility level, systematizing a feewaiver system for the poor, standardizing. Ratings for the ethiopia health sector development program were as follows. The ethiopian health care system is under tremendous reform.
Health sector transformation plan global financing facility. Over the past decade there is a trend of fast development in the private hospital sector in ethiopia. As literacy and socioeconomic status improves in ethiopia, the demand for quality service is also increasing. Tedros specific achievements in health leadership and diplomacy at both the national and international levels are highlighted below. I am police officer and student of development management as well. Health service delivery in ethiopia is characterized an inadequate number of welltrained health providers, limited health infrastructure and shortages of finance, equipment, and supplies. The programs aims were to develop a health system that provides comprehensive and integrated primary care services, primarily based at community health level facilities. Today, ethiopia stands as a global model for effective health system reform and governance and as an inspirational story of successful africanled development. At least two weeks should be set aside for module 4. During this period, our country has made huge strides in improving access to health services and improvements in health outcomes. Britain in comparative perspective article pdf available in the international journal of human resource management 115. Chrome pdf merge files nest pas affiliee a adobe system inc.
Donors and the political dimensions of health sector reform. As part of the new health sector financing reform hsfr initiatives, in june 2011 the ethiopian government launched a pilot cbhi scheme in districts across the four main regions tigray, amhara, oromiya, and snnpr of the country. Impact of ethiopia s community based health insurance on. Health sector transformation plan foreword by the minister of health ethiopia has implemented successive health sector development plans hsdps since 1997 in four phases. This paper is a country case study for the universal health coverage collection, organized by who. The focus of this study is to assess security sector reform in ethiopia with a. The 2014 national health accounts nha report 20102011 indicates private providers forprofit and nonprofit are concentrated in. Ethiopia launches its health sector transformation plan. Health facility governance in the ethiopian health system abstract. Wamai1 table 1 shows the key countrys health related demographic and socioeconomic indicators. Your wesite helping me very much specially in our countries policies and strategies. Ethiopia is the oldest country in africa and one of the oldest in. Ethiopia is a democracy with a federal system of government comprising 9 regions and two administrative councils. Conclusions the ethiopian health care reform has laid the ground.
The success story of ethiopias primary health care services 20 long wait for ethiopias universal health insurance may end soon 24 two way street in food, beverage business involving diaspora 27 ethiopias tough journey towards pharmaceuticals industry 30 ethiopia, us pay tribute to the brown condor 32 ethiopia pleas for private investment. Health research in ethiopia past, present and suggestions on the way forward article pdf available in ethiopian medical journal 463. The health sector transformation plan hstp federal democratic republic of ethiopia, ministry of health. 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. The most famous unknown people in the world stephen mansfield tedxnashville duration. We investigated womens utilization of family planning, antenatal care, birth assistance, postnatal care, hiv testing and use of iodized salt and compared our results to findings of a previous national survey from 2005. National policies and strategies ethiopian legal brief. Improving quality and equity abstract ethiopia endorsed a health care financing strategy in 1998 that envisioned a wide range of reform initiatives.
The fourth iteration of the health sector development program hsdpiv. Abebe alebachew and colleagues illustrate progress towards uhc and its monitoring and evaluation in ethiopia. One of the issues high on the agenda is health care financing. The federal democratic republic of ethiopia is the most populous landlocked country in the world. Ethiopia has implemented successive health sector development plans hsdps since 1997 in four phases. Transforming ethiopias health care system from the ground up. The management, coordination, and distribution of technical support in each and every level is the responsibility of.
The implementation of these reform initiatives was legalized through regional legislations and operationalized in. 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. Ethiopia launches its health sector transformation plan who. Ethiopia stands as a global model for effective health. Fusionner pdf combiner en ligne vos fichiers pdf gratuitement. The study was designed as a facilitybased crosssectional survey of healthcare professionals and carried out in all public hospitals in. The report highlights the need for strengthening engagement with stakeholders. The united states agency for international developmentfunded health sector financing reform hsfr project in ethiopia was a task order under the technical assistance and support contract, three tasc3 indefinitequantity contract.
Ethiopia health sector development program english abstract. 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. The ssr in ethiopia was introduced in 2002 by the justice system. Abstract this brief discusses the progress made in the ethiopia health sector development program. Its 96 million people live throughout ethiopias one million square kilometres of landmass, the majority in rural settings. 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. Monitoring and evaluating progress towards universal health. 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.
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 graphic above depicts the threetier structure of the ethiopian health system. 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. Donors and the political dimensions of health sector. 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 an effort to protect citizens from catastrophic effects of the clearly high share of outofpocket expenditure, the government is currently working to. 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 201516201920. A cross sectional survey of 725 randomly selected women with underfive children from three districts in northern ethiopia. 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. With an estimated population of more than 85,000,000, ethiopia is africas second most populous country. Conventional health parameters such as infant and maternal mortality. Among the important features of the economic reform in ethiopia. Performance of the health sector development programme hsdp situational.
Please see later in the article for the editors summary. Implementing health care reform journal of global health. Dera ato abrham i thank you for making things very easy. Ethiopia has made significant health gains in recent years, such as lowering infant mortality, but more work needs to. 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 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. Key words hstp quality and equity universal health coverage.
Health sector reform and human resource management. Section 4 presents the main findings from short field visits to tanzania and uganda. Ethiopias health indicators have been remarkably improved from one of the worst in subsaharan africa to. Security sector reform addresses security problems and tries to improve the situation through. Overview of health sector reforms in south africa december 2011 dfid human development resource centre 283292 d1 v system managers and experts from a range of institutions can help assist with the process of translating policy into practice. The 2014 national health accounts nha report 20102011 indicates private providers forprofit and nonprofit are concentrated in urban areas where less than 20%. 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. Ethiopia health sector transformation plan 2015162019. We are committed to improving health systems by strengthening human resources, expanding health financing options, and increasing health commodity and essential drug availability. Ethiopia stands as a global model for effective health system.
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. Instrument for preaccession assistance ipa ii 20142020 public administration reform serbia sector reform contract for. Ethiopia, an ancient country with a rich diversity of peoples and cultures has however remained backward in socioeconomic and political development, and in technological. Countrylevel programmes health extension workers in ethiopia delivering communitybased antenatal and postnatal care. Ethiopias fifth national health accounts, 201011 contextual factors in ethiopia, the public sector remains a major recipient of health sector resources. Available records indicate that no less than 5,000 health and health related publications and documents are issued in ethiopia. Although ethiopias official language is amharic, there are a.
Therefore, in health as in most other sectors, in both of the previous regimes there was no. The programs aims were to develop a health system that provides comprehensive and integrated primary care. The implementation of these reform initiatives was legalized through regional legislations and operationalized in line with. The list of countries in need of security sector reform is long. Monitoring and evaluating progress towards universal. The process lays down a set of policy measures covering the four main core functions of the. This study aimed to determine the impact of healthcare reform on job satisfaction in the public healthcare sector in ethiopia. Improve development and management of human resource for. Ethiopia health sector federal ministry of health case study.