Health Service Providers
Health Sector Organization
Important steps have been taken in the decentralization of the health care system. Decision making processes in the development and implementation of the health system are shared between the Federal Ministry of Health (FMoH), the Regional Health Bureaus (RHBs) and the Woreda Health Offices. As a result of recent policy measures taken by the Government, the FMoH and the RHBs are made to function more on policy matters and technical support, while the woreda health offices have been made to play the pivotal roles of managing and coordinating the operation of the primary health care services.
Health Care Coverage and Utilization
The overall potential health service coverage in 2000 EFY is estimated at 89.6%, 25.6% increase from 1996. Nonetheless, this varies substantially among the regions depending on their topographic and demographic characteristics. Geographical distance from a health facility and socio economic factors are the major obstacle for the bulk of the Ethiopian population. However, the trend over time shows that there is a steady increase both in health care coverage and utilization.
Health Care Financing
Health services in Ethiopia are financed by four main sources. These are government (both federal and regional); bilateral and multilateral donors (both grants and loans); non-governmental organizations; and private contributions. The National Health Accounts exercise for financial year 2000/01 revealed that households contribute 36%, government 33%, and bilateral and multilateral donors 16%.
Mission, Vision & Objectives
To see healthy, productive and prosperous Ethiopians.
“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."
- Community first
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Liverpool School of Tropical Medicine (LSTM), founded in 1898, was the first institution in the world dedicated to research and teaching in the field of tropical medicine.
As a registered charity, we work across the world, often in very difficult circumstances, to fulfil our mission of reducing the burden of sickness and mortality in disease endemic countries. We do that through the delivery of effective interventions which improve human health and are relevant to the poorest communities.
Our work in combating diseases such as TB, HIV/AIDS, malaria, dengue and lymphatic filariasis is supported by a research order book of well over £210 million.
Our worldwide reputation and the calibre of our research outputs has secured funding to lead over 10 international consortia and product development partnerships aimed at reducing or eliminating the impact of diseases upon the world's poorest people.
Our state-of-the-art facilities continue to develop new drugs, vaccines and pesticides which put us at the forefront of infectious disease research.
As a teaching institution, we attract more than 600 students from 68 countries, from PhD research and Masters programmes to a range of professional courses, and work in partnership with health ministries, universities and research institutions worldwide to train the next generation of doctors, scientists, researchers and health professionals.
The provision of technical assistance is a major component of LSTM's mission of promoting the improved health of the poor and disadvantaged peoples. LSTM consultancy improves health systems in developing countries whilst helping to inform our teaching and research agendas.
REACH Ethiopia Projects such as EHealth and REACHOUT Projects are supported by Liverpool School of Tropical Medicine.
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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). The Institute joined the Ethiopian Ministry of Health in 2004.
AHRI receives core support for its research activities from SIDA and NORAD. It enjoys tax free privileges from the Ethiopian government. Postgraduate (MSc and some PhD) theses are funded from the core budget of the Institute. Most of other research is funded by competitive grants. AHRI research activities cover basic (immunology and molecular biology), epidemiological and translational research. AHRI has published more than 900 papers in peer reviewed journals so far. It has also produced several theses and dissertations from Ethiopian and international scholars in biomedical research. The Institute has a network of national and international collaborators in peer reviewed grant projects, clinical trial partnerships, capacity building activities and in training of MSc and PhD students.
REACH Ethiopia Project “the Population base TB Case finding” project is implemented in collaboration with AHRI.
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Since its inception in 1961, USAID has provided assistance to Ethiopia. The U.S.-Ethiopian relationship was first established in 1903 and remained in good standing until the Italian occupation in 1935. After WWII, Ethiopia and the U.S. re-established their relationship, and in 1951 signed a treaty of amity and economic relations. Haile Selassie and Franklin Delano Roosevelt developed an amicable relationship over the latter’s opposition to British imposition after the British had liberated Ethiopia. Selassie was eager to “develop relations with the U.S. because he believed that the U.S. had no colonial aspirations” in Ethiopia. Consequently, on May 15, 1952, Ethiopia signed a Four Point Technical aid agreement and the U.S. commenced its activities in Ethiopia under the directorship of Herman Kleine and Selassie as Emperor and since 1961, USAID has continued and expanded on U.S. economic and development assistance to Ethiopia.
Ethiopia is important to the success of U.S. initiatives in the greater Horn of Africa because of its size, location and potential. Ethiopia has been a key player in trying to improve the ability of the countries in the region to prevent conflicts and improve overall food security and hence, avoid crises of drought and war, which have plagued the Horn.
The Projects subgranted from Challenge TB and URBAN TB LON Projects are fully funded by USAID
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Overview of the Region
The Southern Nations Nationalities and Peoples’ Regional State (SNNPR) is the third largest administrative region of Ethiopia and represents about 20% of the country’s population. According to 2007 census, in 2014 the regional population estimated to be 18.9 million, it is the most diverse region in the country in terms of language, culture and ethnic background. According to the 2007 census figures, about 93% of the population is rural, and 50% is within productive age range indicating that about half of the population is economically dependent. When we see the age distribution of the population, from a total population under 1 yrs of age consist 3.19% while less than 5 yrs of age consist 15.6%, women of child bearing age(15-49) comprises 23.3% of the population which 3.46% are pregnant women. Administratively the Region is divided into 16 zones, 7 special woredas, with a total of 130 woredas, 27 city administrations 3,058 rural kebeles and 324 urban kebeles. The region has an area of 118,000 sq.km and which consists of 10% of the total area of the country. There are 5 climatic zones: arid consisting 6.2%, desert consisting 48%, semi-highland consisting 36.8%, highland consisting 6.5% and frost consisting 0.7% of the total. The region consist with the lowest landscape, 376 meters above sea level, located in South Omo and the highest landscape, 4,207 meters above sea level, in Gamo and Gofa zones. Central, eastern and north eastern parts of the region are densely populated with 92 persons per square km; while southern and south western parts are sparsely populated with a predominantly pastoralist population. The Region’s economy is based on agriculture with subsistence crop production resulting in a very poor standard of living in the rural community.
- To see a healthy and productive community that shall contribute to the development of the region, by the year 2022 EC.
- Developing community ownership through disease prevention and health promotion by providing equitable and quality health services, and insuring health service accessibility and utilization in a coordinated leadership of the health system.
- Loyal to Professional Ethics
- Always Client First
- Team work
- Transparency and Accountability
- Role Model
- Self confidence
- Learning and change
The government Health bureaus have a great contribution for the performance of all RECAH Ethiopia projects.
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IDRC (International Development Research Center)
We invest in high-quality research, share knowledge globally, and mobilize alliances for a more sustainable and inclusive world.
Part of Canada’s foreign affairs and development efforts, we fund and support high-quality research in developing countries, share knowledge with researchers and policymakers to inform local and global action, and mobilize alliances to drive global positive change.
Combatting climate change and inequalities
Increasingly severe climate change impacts are threatening to undo hard-won development gains and undermine progress. Persistent inequality, whether based on gender, race, sexuality, economic status, or otherwise – prevent people from moving out of poverty and reaching their full potential.
Layered with the COVID-19 pandemic, we believe climate change and inequality are the main barriers to reaching the United Nations’ Sustainable Development Goals. These are the main drivers behind our work and guide our vision towards a more sustainable and inclusive world.
The REACHOUT Project that was implemented in Shebedino district was implemented with the support of IDRC
National Institute of Public Health (NIPH) is a governmental organization in the Ministry of Health, Cambodia. The institute was officially recognized by the Royal Government of Cambodia in October 1997 as a successor to the National Center for Hygiene and Epidemiology. Since 2007, NIPH has become administratively autonomous institution.
We want to become the leading institute of public health in Cambodia.
NIPH is the representative body of the ministry of health providing public health and laboratory services, training and research to improve the health of the Cambodian people.
- Advocate for more support from MoH
- Resource mobilization
- Capacity building
- Conduct health system and policy research, program evaluation and national scale survey
- Infrastructure development
- Dynamic governance and management
- National and international collaboration and networking
REACH Ethiopia project “Population Based TB Case Finding” is fully funded by NIPH
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EDCTP makes an important contribution to the development and strengthening of clinical research capacity in sub-Saharan Africa. EDCTP supports researchers at various career stages, from master’s and PhD training through to senior fellowships. The EDCTP Alumni Network fosters collaboration and networking among past and current fellows, through sharing of experiences and expertise. EDCTP also supports activities strengthening the ethical, regulatory and legal framework for conducting trials.
EDCTP supports REACH Ethiopia projects that was working the research on Molecular Biology test machine called Mlbio.
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TB REACH, established in 2010 with leadership of Global Affairs Canada, has funded ground-breaking approaches and technologies aimed at increasing the number of people diagnosed and treated for TB, decreasing treatment time and improving treatment success rates. TB REACH combines fast-track, results-based financing and rigorous, external monitoring and evaluation, so other donor agencies and/or national governments can scale-up successful approaches and maximize their own investments.
We set goals to fight TB globally. We grant funds to reach and treat people living with TB. We strive to raise the profile and understanding of TB. We bring the voice of TB communities to the fore. We procure drugs and diagnostics.
Most Projects of REACH Ethiopia such as WAVE I, WAVE III, WAVE V, and WAVE 9 Projects are funded by Stop TB for more click
2014 Award Winner
REACH Ethiopia sets the bar high as winner of this year's Stop TB Partnership Kochon Prize.
REACH Ethiopia is based in Sidama Zone in the Southern Nations, Nationalities and Peoples Region in collaboration with the TB control programme. The aim is to improve TB case-detection and treatment outcomes in vulnerable groups, particularly women, children, the elderly and disabled. This is a community-based approach that has engaged locally deployed female Health Extension Workers (HEWs). The HEWs are employees of the Ministry of Health, live in the villages where they work, and are thus part of and accepted by the community and familiar with the local culture.
In year 1 HEWs working in 524 villages and over 300 staff from health facilities were trained. Individuals with symptoms of TB are identified by HEWs through house-to-house visits and outreach activities, they collect sputum, prepare smears and liaise with supervisors using mobile phones. One supervisor with a motorbike is deployed in each of the districts to collect and submit slides to laboratories and feedback results, initiate treatment for smear-positive cases in their residence and screen contacts. In year 2 the diagnostic process is being strengthened by introducing LED Fluorescent microscopes and the automated nucleic acid test (Xpert® MTB/RIF) for smear-negative patients with a high risk of having active TB (such as HIV co-infected individuals and children). In year 3 the intervention is being scaled up to cover a much larger population of 7 million. The innovative community-based approach is supported by key stakeholders in the region; it brings services closer to communities and in year 1 smear-positive case notification almost doubled.
Additional information regarding REACH Ethiopia’s work can be found at:
The EU provides funding for a broad range of projects and programmed covering areas such as:
- regional & urban development
- employment & social inclusion
- agriculture & rural development
- maritime & fisheries policies
- research & innovation
- Humanitarian aid.
Management of funds
Funding is managed according to strict rules to ensure there is tight control over how funds are used and that the money is spent in a transparent, accountable manner.
As a group, the 27 EU Commissioners have the ultimate political responsibility for ensuring that EU funds are spent properly. But because most of the funding is managed within the beneficiary countries, responsibility for conducting checks and annual audits lies with national governments.
The EDCTP Project and REACH OUT Projects are supported by European Union
For more click here for EDCTP Projects
For more click here for REACH OUT Projects
LVCT Health is a Kenyan Non-Governmental Organisation (NGO) dedicated to preventing new HIV infections and promoting universal access to quality HIV care and treatment services in Kenya and globally. We offer client-centred services in HIV testing (HTS), HIV prevention, HIV treatment and psychosocial care, sexual and reproductive health (SRH) and gender-based violence (GBV). We integrate prevention and treatment for other health areas including STIs, TB, and family planning whilst addressing social and structural factors that affect health such as stigma and policies. LVCT Health also runs a Training Institute, which has trained more than 75% of the country’s HTS counsellors and delivers certificate, diploma and other courses in HIV and GBV. We undertake capacity building of community organisations, workplace wellness services, and support health systems strengthening and quality improvement in Kenya and other African countries. We carry out operations and implementation research and utilise the evidence generated for advocacy and improvement of services and programmes. We give special attention to those with greatest vulnerability to HIV infection and/or with special service needs; young people, female sex workers, survivors of violence, persons living with disabilities, men who have sex with men, adolescents, people who inject drugs, girls, young women and people living with HIV. For more Click Here
REACH Ethiopia shares an experience with LVCT
The objective of the visit was to share experience on organization growth track, project M & E activities, engagement with key stakeholders (government, partners and community), financial management, fundraising procedures and quality improvement activities among others being implemented by the organization and assumed to be beneficial to both institutions.
- undertakes research and implement programs in 27 counties across the c
- provides technical support to governments in Africa, civic society organizations and private sectors
Purpose of the experience sharing visit
The experience sharing visit was held in December, 2016. The objectives of the visit are:
- To share valuable experiences on how the LVCT program functioned and on the need to scaling it up to southern Region of Ethiopia in particular and the nation in general;
- To exert every effort to document the process led to the success of this particular host program and to acquire additional information and replicable approaches employed during the program implementation and replicate it on to own context;
- To make effort to engage all involved in such successful process and discuss on the process as well as favorable policies that led to achieve the initial intended objectives;
- To make attempt to assess real impact brought as the result of the introduction of such program and measure ideological gulf between the current approach and routine implementation practices and compare with ours that the best could be adopted;
- To share REACH Ethiopia's experience to host organization and country.