AHRI

The Armauer Hansen Research Institute (AHRI) was founded in 1970 through the initiative of the Norwegian and Swedish Save the Children organizations seconded by the Ministry of Health of Ethiopia. The Institute got its name from the Norwegian physician, Gerhard Henrik Armauer Hansen, who first described the leprosy bacillus (Mycobacterium leprae). AHRI was established as a biomedical research institute located next to the All Africa Leprosy Rehabilitation and Training Hospital (ALERT).

AHRI has a great contribution in performance of different projects of REACH Ethiopia please please visit

Projects Outputs

 

Enhancing health worker performance in Ethiopia with mHealth

Health extension workers (HEW) in Ethiopia occupy a unique position by providing a vital link between communities and the health sector. The front line of Ethiopia’s primary health system, HEWs shoulder the tremendous responsibility of providing services to families and communities. They also transmit information to higher-level facilities to ensure appropriate care for patients and adequate resources for treating them. for more see the link below.

https://www.idrc.ca/en/article/enhancing-health-worker-performance-ethiopia-mhealth

https://reliefweb.int/report/ethiopia/enhancing-health-worker-performance-ethiopia-mhealth

In Shebedino REACHOUT’s Quality Improvement approach is here to stay

 By Rosalind Steege

 The European Commission funding of the REACHOUT project may have officially come to an end, but the impact of the work and its legacy will surely live on. This became apparent to me when I was fortunate enough to visit the REACH team in Ethiopia for the project’s final dissemination meeting. REACHOUT has been working for the past five years in Shebedino district just outside of Hawassa.

 It had been a year since my last visit and the road from Hawassa to Shebedino (where the project was implemented) is still being worked on, it makes for a strenuous journey as stretches of new tarmac are interspersed with patches of rubble that would challenge even the best suspension mechanisms. Over time of course, piece by piece, the rubble will be filled in until inevitably one 25km swathe of smooth tarmac will connect the two and greatly improve the efficiency (not to mention comfort) of the journey. Travelling this bumpy road on the way to visit the health centres in Shebedino, I couldn’t help but reflect on how the incremental step by step approach they have taken to building the road, is not dissimilar to the approach REACHOUT has taken with its Quality Improvement (QI) cycles, where QI teams use a PDSA (plan, do study, act) approach resulting in continuous incremental improvements that expands the overall quality of health service provision. for more see the link below

http://www.reachoutconsortium.org/news/in-shebedino-reachout-s-quality-improvement-approach-is-here-to-stay/

https://reliefweb.int/report/ethiopia/enhancing-health-worker-performance-ethiopia-mhealth

Ethiopia: Health System

In 2004 Ethiopia launched its internationally acclaimed Health Extension Program, a national health policy which included community-based health interventions.  The aim of this strategy was to achieve universal coverage in primary health care for the rural population.  Female health extension workers were trained and paid by the government. They work in the community at ‘health posts’ covering populations of 5000 on average and delivering primary health services under sixteen separate health packages under the Health Extension Program. The health extension workers are supported by volunteer community health promoters, the ‘health development army’, who train ‘model families’ to implement health initiatives and to serve as role models or graduated households, showing the benefits to their village. The health development army links one model family to five other households. In Ethiopia, the community in general has benefited from political commitment to deliver primary health services to the community, but more is to be done to ensure universal coverage.

 http://www.reachoutconsortium.org/countries/ethiopia/

 

 

 

case study

Case study on TB Client in Sidama Zone

Woto Wansara – She is 29 years old female client In Sidama Zone Arbegona District  in charicho kebele Manadame Goti, She presented with cough more than a month on 29/11/2008 E.C to Charicho HP, she has massive weight loss, poor appetite and continuous headache. her husband died in 2006 E.C after defaulting DOTs , she took DOTs only for 27 days, with this history and presented chief complaint we took her sputum slide to yaye Hospital on 21/12/2008 E.C and she becomes SS + read more   

WAVE V towards a community test and treatment strategy for TB

 

Wave5 Project Summary

 The evaluation population (EP): comprise the rural communities of West Arsi Zone (Oromia Region) and Sidama Zone (Southern Region). In West Arsi zone, we will include the two woredas (or districts) called Shashemene Zuria and Kofole and in Sidama zone we will includethe woreda Wondo Genet. Shashemene Zuria, Kofole and Wondo Genet are geographically adjacent to each other, have similar socioeconomic conditions and culture and comprise about 623,472 population. The main economic activities are subsistence farming and cash crops such as coffee, sugar, khat and avocado. The areas have a poor road infrastructure resulting in poor utilization of the health services. Similar to the rest of the country, it is estimated that only 30% of the population access the services provided at health centers.

 

Description of health facilities: There are 23 health centers and 92 health posts in the evaluation area. All 23 health centers provide TB treatment services and 19 conduct smear microscopy. Most individuals accessing smear microscopy services are self-referred and are screened using spot-spot sputum examinations, as recently endorsed by the NTP. There are no XRay facilities, hospitals, GeneXpert or culture facilities in the EP.

 

Health centers are staffed by medics, nurses/midwifes and support staff, including five health officers. Each health officer supports one health post of the five assigned to the health center. The health posts at located at kebele (village) level and are staffed by two Health Extension Workers (HEWs). The HEWs visit the households to implement the 16 basic packages of health care within the Ethiopian Health Extension Program (HEP) and staff the health posts. The villages are also organized in a grass root network for health promotion called the Health Development Army (HDA) in which one female community leader promotes healthy lifestyles among her five neighboring families (thus commonly named the 1:5 network).

 

TB epidemiology: Passive case finding is the main stay for getting patients to care, which is compromised by the limited access to diagnostics. A total of 639 all forms TB cases were reported from the evaluation population in 2015. This number translates to a case notification rate of 102 per 105 population and a case detection rate of 49%. This low case detection suggests there are large numbers of cases that did not reach or were not reported by the health services.

 

Population size: The intervention will focus on two rural districts of Oromia (Shashemene Zuria and Kofole) and one district in the Southern Region (Wondo Genet) which altogether have 93 rural villages. Districts in Ethiopia are called Woredas. The project area has an estimated population of 623,472 inhabitants, of which 470,294 (75%) live in Oromia and 153,178 (15%) in the Southern Region. The targeted population represents about 70 % of the population in these areas after exclusion of young children unable to expectorate.

Project Goal and Objectives

Goal

The major goal of the project towards a community test and treat strategy for TB through community based intervention in 2 districts of West Arsi Zone of Oromia region.

Objectives

1)    To Engage the HDA in 1:5 household networks to identify TB cases in the community and improve access to TB diagnosis and treatment  in the targeted districts

2)    To use Xpert MTB/RIF and ULTRA as the first diagnostic test for TB screening

3)    To identify 47,029 (10% of total population) individuals with TB symptoms  and in support by the project improve linkage to treatment by providing TB treatment in the community

4)    To evaluate a transport preservation medium to maintain the integrity of sputum for molecular testingandarrange referral systems for  identified TB patients

5)    Building the capacity of the project and government staffs engaged on improving TB diagnosis

Project Strategy

 Through the course of project implementation the project will employ the following strategies:

  • engaging HDAs and HEWs who are expected to make a house to house visits to establish contacts and find TB cases from among families and communities;
  • establishing strong collaborations with all relevant government structures at all levels and the communities;
  • launching the project and creating awareness to all involved directly or indirectly in the process of project implementation;
  • Identification of TB suspects and communication;
  • conducting training and workshops to professionals and HEWs as well as HDAs who will be involved throughout the project implementation;
  • undertaking x-ray and laboratory investigations with better equipment, treatment and case finding and applying gender sensitive approaches.

 

 

 

 

 

 

news

USAID Challenge TB/ KNCV granted Project is launched on May 26, 2018

To further strengthening the effort and to the achievement of the optimum result, REACH Ethiopia has continued Searching for possibilities of winning projects. As the result of such relentless effort, the organization has won a new project that focuses on "Strengthening contact investigation through health system intervention in selected districts of Sidama Zone (Shebedino, Boricha and Hawassa Zuria) in southern Ethiopia".  

 New Delhi, India Received The 2017 Kochon Prize award

was awarded on Tuesday, 13 March to the Indian Council of Medical Research (ICMR) for building a tradition of excellence in TB research and development. The 2017 Prize celebrated those who have been pushing scientific boundaries to improve the lives of people affected by TB. read more

REACH Ethiopia Received 2014 Kochon Prize award

Dr.Daniel Accepted the 2014 Stop TB Kochon Prize on behalf of REACH Ethiopia at the WHO global TB symposium on Tuesday,28 October KimDoo Hyun of the Kochon foundation and Lucica Ditiu of STOP TB Partnership presented the $65000 award

WAVE V Stop TB supported Project launching 

Towards a community test and treat strategy for TB in Ethiopia Project was launched in three different implementation areas Wendo genet, Shashemene Zuria & Kofele districts in August 2nd, August 4th, and September 5th, 2017. During the launching session, Various stakeholders MoH at all levels, BoFED, Zonal and woreda, donors, NGOs, Religious Organizations, Health Facilities, Media and staffs were present.

 Objectives of kick-off meeting are

 1. To stimulate interest and understanding of the project to ensure the involvement of government at all levels, the involvement and NTP, partners, influential and religious leaders as well as the HEWs and the field team

2. To create an opportunity whereby health and financial policy makers at district, zone and region level are engaged and to involve other relevant stakeholder to discuss on the cooperation expected throughout program implementation;

3. To engage donors in the process and update them on the level of integration between project implementing organization and government relevant authorities as well as the community; 

4. To start documenting on the process leading to the programme implementation;

 Catchment-based review meeting was held in ehealth Project implimentation areas from March 23/2017 upto March 29/2017 

The review meeting was held because of the following reseaons

  • To discuss on encountered challenges
  • to review project perfomance in each district
  • To provide solution on technically unsolved issues at field level
  • To establish and have common understanding among all actors on the implementation and performance of each project;
  • To draw lessons on effective Resource utilization, handling and importance of concerted efforts
  • To encourage field level staffs
     
     
    During the review meeting the following participants were present
  • District Health office officials and experts
  • District OoFED officials and experts
  • HCs staffs
  • HEWs
  • District supervisors of Reach Ethiopia
  • Reach Ethiopia zonal coordinators
  • Reach staff from the HQs   See more

1st International Symposium of CHWs was held in Hotel Africana, Kampala, Uganda from 21st-23rd February 2017 on title of abstract 

  1. Factors influencing the motivation of HEWs inSidama Zone Southern Ethiopia
  2. Perception and experience of supportive supervision as quality improvement intervention to improve the performance of health extension workers on maternal health in Sidama Zone, South Ethiopia. 

4th Global Symposium on Health systems Research was held in Vancouver convention center, Canada from 14-18 Nov 2017 on title of abstract

       Factors influencing motivation of CHWs: the case of Ethiopia HEWs: A qualitative study  

project: Population Based TB Case Finding Data Collection Training for Health workers and Health Extensions

Summary

Data collection training was given on October, 7-8/2016 at Yirgalem town. More than 120 participants were trained; and they all are directly involved in data and sample collection procedure.

Participants of training: data collectors 76 HEWs, 38 health professionals from 36 kebeles and 1 district TB focal, 1 district office head, Reach Ethiopia staff (facilitator) and supervisors were involved. The training was well organized, participatory, learning and received well by audiences. Readmore

The REACHOUT consortium meeting was held from 7th-16th October and was hosted by the Eijkman Institute in Cianjur, Indonesia. Readmore

Additional information