Service delivery related lessons from implementation abstract context and purpose. Blended learning module for the health extension programme. An innovative solution to public health challenges of ethiopia a case study abstract the health extension program is a flagship of the ethiopian health sector development program. Ethiopia has implemented a nationwide primary health program the health extension program at the grassroots level since 2003. How do health extension workers in ethiopia allocate their time. Background primary health care services are fundamental to improving health and health equity, particularly in the context of low and middleincome settings where resources are scarce. Ethiopia the health extension program in ethiopia resumo. This report examines how ethiopias health extension program hep has contributed to the countrys move toward univeral health coverage uhc, and to shed light on how other countries may learn from ethiopias experiences of hep when designing their own path to uhc. Chapter 5 mobile health data collection at primary health care in 83 ethiopia. Usaiduhep works to strengthen the capacity of uhe professionals to identify vulnerable groups and most atrisk populations in their catchment areas and provide public health services to.
This report examines how ethiopias health extension program hep has contributed to the countrys move toward univeral health coverage. Kesetebirhan admasu,minister of health, ethiopia visited johns hopkins bloomberg school of public health on february 8, 20 and talk about the successes and challenges of ethiopia s. May 26, 2016 during the past decade, ethiopia undertook an ambitious investment in primary health care known as the ethiopian health extension program that recorded impressive gains in several health outcomes. During the past decade, ethiopia undertook an ambitious investment in primary health care known as the ethiopian health extension program that recorded impressive gains in several health outcomes. How do health extension workers in ethiopia allocate their. The health extension programme is now an established part of the health system. Since 2003 the government of ethiopia has been deploying specially trained new cadres of community based health workers named health extension workers hews. Program of severe acute malnutrition, federal ministry of health, 2010, addis ababa, ethiopia not printed. University hepcaps1 project team to work with ethiopia s federal ministry of health, and other relevant stakeholders, to create a platform of longterm strategies in line with ethiopia s vision for an effective, adaptable, and sustainable health extension program hep ethiopia s primary health care system.
Ethiopia has been implementing a community health extension program hep since 2003. Herbst, feng zhao, agnes soucat, and christophe lemiere in 2005 more than half of the population of ethiopia lived more than 10 kilometers from health services. Pdf the ethiopian health extension program and variation in. Community health workers are widely used to provide care for a broad range of health issues. Governments are increasingly reliant on community health workers to undertake health promotion and provide essential curative care. Posts in bale zone, oromiya regional state, southeast ethiopia. The federal ministry of health fmoh of ethiopia launched the health extension program hep in 2003 and it became operational with the 20042005 graduation of 76 health extension workers hew, trained to work mainly in disease prevention and health promotion in rural villages. Ethiopia urban health extension program usaid uhep works to support at scale, the implementation and monitoring of the government of ethiopia s uhep and to improve access to and demand for health services. Following the launch of the health extension program, pathfinder initiated a series of efforts to provide concrete assistance to the fmoh. As a lowincome country, ethiopia has made impressive progress in improving health outcomes. Ethiopia health extension program examines how the countrys health extension program hep has contributed to the move toward universal health coverage uhc, and it sheds light on. A reference for health extension workers in ethiopia 2008, which was.
We have supported the government of ethiopia to train and deploy more than 38,000 health extension workers and 4,000 health officers, and is helping the government develop and deploy midwives, nurses, and anesthesiologists. Your story matters citation fetene, netsanet, erika linnander, binyam fekadu, hibret alemu, halima omer, maureen canavan, janna smith, peter. Effect of ethiopias health extension program on maternal and. Pdf the ethiopian health extension program and variation. In 2009, the government of ethiopia has initiated the urban health extension program to expand the coverage of communitylevel health services to the urban population. In 2003, the government of ethiopia launched the health extension programme and introduced a new cadre, health extension workers hews, to improve access to care in rural communities. Ethiopia undertook an ambitious investment in primary health care known as the ethiopian. Improved access and coverage for the rural poor nejmudin kedir bilal, christopher h. The health extension program is one of the most innovative communitybased health programs in ethiopia. Ethiopia has made substantial progress in improving health outcomes during the last decade and is on track to achieve some of the health millennium development goals. Journal of clinical epidemiology chapter 6 usability of an mhealth application by health extension 97 workers and midwives for maternal health care service.
We also acknowledge the use of some illustrations from safe and clean birth and newborn care. We also support the development of much needed human resources and health financing schemes. The aim of the program is to increase public access to basic health services, mainly by producing model households. This policy brief gives more information on rural health extension program than the other two programs urban and pastoral health extension program, so it is better to give further. These are households which attend at least 75% of the training given by health extension workers and implement at least 75% of the health extension. Urban health extension services utilization in bishoftu town. Ethiopia urban health extension program usaiduhep works to support at scale, the implementation and monitoring of the government of ethiopia s uhep and to improve access to and demand for health services. Were giving away pln 100 vouchers when you purchase extension to product us air. Population training and research unit, northwest university mafikeng campus. Both qualitative and quantitative surveys were performed from march 10, 2012 to. The center for urban health development ethiopia is committed to advancing urban health in ethiopia and sharing lessons learned from global and national initiatives. The ethiopian health extension program and variation in health systems performance. Challenges of maternal health services utilization and. Despite this progress, substantial disparities in health outcomes persist across the country.
Innovative strategies to improve household behaviors and coverage of basic health care services contributed to ethiopia s achievements, and the health extension program hep remains the core of such innovations and provides a model for countries struggling to improve health outcomes in a resourceconstrained setting. Through the voices of rural women at health posts, health extension workers, and an orthodox priest, along with an official of the ministry of health and the first lady, the video vividly highlights the importance of family planning as a core component of ethiopias development. The same problem is observed in the urban health extension program implementation where heads of households and spouses are not interested in model family training ababor 2011. The health extension program hep is one of the most innovative communitybased health programs launched by the ethiopian federal ministry of health fmoh to make health services accessible to rural communities by setting out women health extension workers hews in rural health posts. A primary implementation modality of the health sector development program hsdps third cycle program 200405 to 200910, which focused on povertyrelated health conditions, communicable diseases such as malaria and diarrhea, and health problems that affect mothers and children, is the health extension program hep. In addition to their formal of the health extension program, usually one of the health extension worker is member of the community kebele administrative cabinet. We aimed to assess the successes and challenges of the hep over time, and develop a framework that may assist the implementation of the program toward universal primary healthcare services.
Jun 04, 20 the national health extension program hep includes communitybased newborn survival interventions. Mar 14, 2017 ethiopia has been deploying specially trained new cadres of community based health workers in urban areas of the country known as urban health extension professionals since 2009. The program is also dynamic enough to shift tasks between health centers and community. The health extension program uses taskshifting and community ownership to provide basic health services at the grassroots. These improvements are a result of the health extension program, a community based expansion of health facilities, launched in 2004. Hew health extension workers hf health facility hib haemophilus influenza type b. The use of mhealth for maternal health care in ethiopia. Wamai1 table 1 shows the key countrys health related demographic and socioeconomic indicators. Over the past decade, ethiopia has achieved dramatic progress in improving the health outcomes of its population. Ethiopia urban health extension program usaiduhep our work.
Hmis health management information system hpn health, population and nutrition group hsdp health sector development program hsep health service extension program hss health service support hw health worker icc interagency coordinating committee. The harvard community has made this article openly available. Table 2 respondents for gavihss tracking study in ethiopia, june 2009. Health extension program factors, frequency of household. Ethiopia urban health extension program usaiduhep home. Ethiopia health extension program a s a lowincome country, ethiopia has made impressive progress in improving health outcomes. Community health extension program of ethiopia, 20032018. At present, relatively little work has focused on understanding to what extent this new program is accepted and used by the community. The combine trial was implemented by the saving newborn lives. Community health workers, ethiopia, health extension workers. We report the effect of these interventions on changes in maternal and newborn health care practices between 2008 and 2010 in 101 districts, comprising 11. Ethiopia is a democracy with a federal system of government comprising 9 regions and two administrative councils. At pathfinders request, initial orientation and followup meetings were held for pathfinder staff and ipos by fmoh health extension program experts, to create a common understanding of. Usaid supports the ethiopian governments health extension program and works with local districts to provide training for health extension workers, who are then able to reach rural communities with basic health services.
Ethiopia has been implementing a community health extension program. The ethiopian health extension program and variation in. Executive summary improving health extension program in. It is based on the assumption that access to and quality of primary health care in rural. It was prepared by lucy mize, rebecca miles, mirgissa kaba, michael dejene, and kuleni berhanu through the gh tech bridge project. The impact of ethiopian health services extension program on. Jabari he likes to play resorakami sting ray iii, i recommend it people who are thinking at the time about name day gifts the land of ice elsa hairstyle.
Lead health researcher, mizhasab research center, addis ababa, ethiopia. Usaid efforts in ethiopia have contributed to this success. Reviewing ethiopias health system development jmaj 524. Does the ethiopian health extension programme improve. Ethiopia urban health extension program usaid uhep works to support at scale, the implementation and monitoring of the government of ethiopias uhep and to improve access to and demand for health services.