To promote health and wellbeing of Ethiopians through providing and regulating a comprehensive package of promotive, preventive, curative and rehabilitative health services of the highest possible quality in an equitable manner.
Organisation's Contributions
| Process Indicator | Contribution | Description |
|---|---|---|
| Annual MOH pool fund allocated for FP commodities | SGD pool fund contributors made USD 211.25 million commitment | SGD pool fund contributors made USD 211.25 million commitment and USD 159.82 million (75.7%) disbursed to SDG PF with 25.6% reduction from te previous budget year. Total Budget USD 135,810,636 (22%) spends on Public Health Commodity Procurement. |
| NHA reports produced | NHA is recognized and an accepted resource tracking methodology for the Ethiopia health sector. | National Health Account (NHA) is recognized and an accepted resource tracking methodology for the Ethiopia health sector. The NHA estimate the flow of health resource in the overall health sector of Ethiopia. It also tracks spending on health sector priority areas including reproductive health every two years. The seventh round NHA (FY 2014/15) was launched recently in September 2019. Results indicated that THE increased from 49.5 billion birr to 72billion Birr while the OOP reduced from 33% to 31% |
| 40,000 HEWs working on FP deployed | More than 42,000 government-salaried female HEWs are deployed in the country | More than 42,000 government-salaried female HEWs are deployed in the country. In addition, the HEP was revised to provide an additional one year training to the HEWs. |
| Advocacy worksohop conduct and their support to family planning , health sector budget strengthened | Organized a meeting to orient members of the Social Standing Committees on the health status with a focus on family planning in Ethiopia. | The FMoH-MCH-N Directorate organized a meeting to orient members of the Social Standing Committees on the health status with a focus on family planning in Ethiopia. A total of 70 members of the social standing committee of the Ethiopian parliament were in attendance. The meeting provided constructive discussions between members of the Social Standing Committees of the House of People Representatives to deliberate on priority policy interventions build and sustain the momentum for political will for FP within the existing situation. |
| Annual salary budgeted for HEWs reflected in the Health sector budget | Implementing a community health extension program (HEP) since 2003 | Ethiopia has been implementing a community health extension program (HEP) since 2003. Upon completion of the 12-month training, HEWs are assigned as salaried government employees to health posts and work directly with households. A total of ETB 466.77 million has been allocated from government at federal level for capital and operating budget and out of which ETB 399.22 (86%) has been utilized. The percentage of health budget from the total government budget in 2011 EFY was 12.2%. |
| New PSA organisation structure endorsed by Parliament | Led the initiative and restructured PFSA | The ministry led the initiative and restructured PFSA currently renamed as Ethiopian Pharmaceuticals Supply Agency (EPSA), which is responsible to ensure uninterrupted supply of quality assured pharmaceuticals to the public at affordable price through strengthening Integrated Pharmaceutical Logistics System (IPLS), efficient procurement, improved warehousing and inventory management, and efficient distribution of pharmaceuticals to health facilities to make the supply chain easy and effective. Such recognition of the essential strategic role of supply chain and its workforce is basic to solve the challenge and there is a pressing need to continually build up the momentum towards stronger supply systems. |
| Annual quantification and forecasting conducted | Measured the forecast accuracy rate for malaria, TB, HIV/AIDS, family planning supplies | During EFY 2011, EPSA has measured the forecast accuracy rate for malaria, TB, HIV/AIDS, family planning supplies and the average forecast accuracy rate for health program pharmaceuticals was found to be 82.78%. Moreover, for selected Revolving Drug Fund (RDF) pharmaceuticals, the forecast accuracy rate has reached to 62.3%. |
| Integrated supportive supervision to health posts conducted | Conducted Integrated Supportive Supervision (ISS) | Integrated Supportive Supervision (ISS) was conducted along with the Joint Review Mission (JRM) in all the nine regions and the two city administrations on selected 20 zones, 57 woredas, 25 hospitials, 68 HCs, 171 health posts and 224 households. Onsite technical support on family planning service provision was conducted for health facilities and health posts. |
| AYH included in HSTP review and monitoring process | Conducted HSTP Mid-term review to assess the level of performance of the HSTP’s four transformation agendas and fifteen strategic objectives | The Ministry conducted HSTP Mid-term review to assess the level of performance of the HSTP’s four transformation agendas and fifteen strategic objectives. The Ministry also conducted the 21st Annual Review Meetings (ARM) from October 15th-19th, 2019. |
| A national list of key indicators for all categories of the AYH program identified and developed | Developed comprehensive National AY Health Strategy (2016 – 2020) | Ministry of Health developed comprehensive National AY Health Strategy (2016 – 2020) with accompanied implementation guideline with service provision standards, minimum service delivery package, and quality and coverage measurement tools. |
| Evaluation conducted | Established different quality structures including technical working groups and learning platforms. | The ministry of health has established different quality structures including technical working groups and learning platforms. MoH endorsed the Ethiopian Hospital Service Transformation Guideline (EHSTG) and Ethiopian Health Centres Reform Implementation Guidelines (EHCRIG) which have chapters on operational standards for pharmacy services and medical equipment management. These guidelines have indicated performance standards and guidance to ensure efficient and quality service delivery in hospitals and health centres. Several trainings, workshops, supportive supervision, collaborative learning forums and mentoring have been conducted to improve health workers and managers capacity in the area of health care quality. Service providers retrained and oriented on appropriate counselling techniques, Quality of training was monitored and training manuals revised to address quality of the services while skill labs of universities were equipped with necessary training materials and demonstration models to provide quality pre service training. |
| All Health workers trained on AYH friendly servic | Pre-service training curricula revised with CRC principles | Pre-service training curricula revised with CRC principles CRC incubation centers established Experience sharing on professionalism and ethical practices in the health care for the health workforce was conducted |
| Postpartum and Permanent FP scaled-up and integrated in the health system | Post-partum FP services scaled up in 150 hospitals | Post-partum FP services scaled up in 150 hospitals that have high delivery caseload to address high unmet need among postpartum women and HMIS is revised to capture Postpartum Family Planning (PPFP |
| Number of HEWs trained in comprehensive family planning and counseling services | Level four HEWs were trained on comprehensive FP provision. | Level four HEWs were trained on comprehensive FP provision, focusing on Implanon insertion/removal and IUCD services. More than 23,000 of the level three Health Extension Workers (HEWs) have been graduated as level 4 Health Extension- Professionals (HE-Ps) and redeployed to their Kebeles. In addition, health posts were assessed for readiness, level 4 HEWs trained on IUCD insertion and removal, and health posts were equipped with equipment for IUCD insertion and removal in bid to expand IUCD service to the community. Health professionals from pastoralist regions trained on comprehensive FP to increase the number of skilled health care providers in FP, especially in LARCs and Implanon service were scaled up in pastoralist regions through training L4HEWs. |
| HEP minimum package revised to incorporate interventions for vulnerable adolescents and youth | The revision of the scope of practice and curriculum for HEWs program has been completed | The revision of the scope of practice and curriculum for HEWs program has been completed. The 18 health extension packages, implementation manual and program framework documents have been prepared and technical and financial support have been given to regions for translation into their working languages and printing of the documents. The following documents were revised: Family planning guideline Postpartum family planning implementation guide draft Value Clarification and Attitude Transformation (VCAT) toolkit for family planning |
| Scale up of SMART START and Willow Box | Implemented and scaled up a willow-box initiative | The government implemented and scaled up a willow-box initiative (follow up box) at community and household level through health extension program to address unmet need for FP of the rural women in general and with a particular emphasis on adolescent and youth who are in/out of school, by ensuring the availability and accessibility of contraceptives and reduce social- cultural and financial barriers. |