All reasonable precautions have been taken by the world health organization to verify the information contained in this publication. Access to modern health care is very limited, and in many rural areas it is virtually nonexistent. Proportion reporting diabetes as a common health problem per site 68. Ethiopia recently introduced a threetier health care delivery system. Utilization of health information system was assessed by using information for decision making to take immediate action such as feedback from respective supervisors, calculation of area coverage and preparation of maps, presentation of key indicators with charts or tables and presentation of achievements of targets.
Health service delivery in ethiopia is characterized an inadequate number of welltrained health providers, limited health infrastructure and shortages of finance, equipment, and supplies. In the context of the health sector reform and decentralization in ethiopia, generating health information and intelligence that is standardized, integrated and well linked at all levels is well recognized to monitor the health services and health status of the. Ethiopia is the largest and most populated country in the horn of africa. Attempts to modernize land ownership by giving title either to the peasants who till the soil, or to largescale farming programs, have been tried under imperial rulers like emperor haile selassie, and under marxist regimes like the derg, with mixed results. Assessment of health management information system hmis performance in snnpr, ethiopia. Gis geographic information system goe government of ethiopia gtp growth and transformation plan hda health development army hct hiv counseling and testing hep health extension programme hews health extension workers his health information system hiv human immunodeficiency virus hivaids human immunodeficiency virusacquired immunodeficiency. Zelelew, hailu 2012 health care financing reform in ethiopia. Pdf challenges in health information systems integration. We are committed to improving health systems by strengthening human resources, expanding health financing options, and increasing health commodity and essential drug availability. The idea was that the only way for one of the poorest countries in the world to improve health services would be to build an operation up from the communities, as opposed to focusing on the top tier of health careimproving major hospitalsand building. Strengthening health systems through continuous analysis and improvement of existing health and health related policies, proclamations, regulations, guidelines, standards, directives and other health related legal frameworks in the sprit of health in all policies outcomes. Health sector development program iv 201011 201415. Utilization of health information system at district level.
If you continue browsing the site, you agree to the use of cookies on this website. The health sector transformation plan hstp federal democratic republic of ethiopia, ministry of health. His health information system hiv human immunodeficiency virus hmis health management information system hpn health, population and nutrition. Jan 30, 2012 health management information system in ethiopia ownership starts on day one slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Health information systems his is potentially very important for the development of the health sector in ethiopia. Community perceptions and perspectives vi annexes 65 annex 1. Agency for international development usaid under terms of cooperative agreement ghaa00080000300 and implemented by the carolina population center, is. But even if the world achieved essential health coverage and financial protection, health outcomes would still be poor if services were lowquality and unsafe. The capital is addis ababa new flower, located almost at the centre of the country. Health management information system hmis is one of the six building blocks essential for health syst em strengthening who. Pdf using the world health organization health system.
Supplyside readiness requires all the inputs, functions and actors behaviors to be aligned. Evidence suggests that substandard care wastes significant resources and harms the health of populations, destroying human capital and reducing productivity. Transforming ethiopias health care system from the ground. Assessment on utilization of health management information. Health information systems world health organization.
Wamai1 table 1 shows the key countrys health related demographic and socioeconomic indicators. Federal democratic republic of ethiopia ministry of health health sector development program iv 201011 201415 final draft. By closing this message, you are consenting to our use of cookies. 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 management information system hmis has sub system under his is specially designed to assist the management and planning of health programmes opposed to delivery of care that provides decentralized decision making and planning.
Ethiopian health system health care in ethiopia health. Health sector reform deals with equity, efficiency, quality, financing, and sustainability in the provision of health care, and also in defining the priorities, refining the policies and reforming the institutions through which policies are implemented. Now, as the country embarks on a 20year plan to improve primary care delivery, the countrys federal ministry of health has enlisted the help of hsph and ghli, with funding from the bill. Health systems in africa world health organization. Utilization of health information system at district level in. This chapter provides a brief overview of the health system in egypt as it relates to health facilities and outpatient services. The secondary and tertiary levels are comprised of general and specialized hospitals, and the coverage of each extends to larger portions of the population. Millennium development goal indicators in context of maternal and child health can be met with a robust health management information system hmis in india. 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.
Oct 28, 2006 evidence is good for your health system. Transforming ethiopias health care system from the ground up. The country financial accountability assessment cfaa for ethiopia was undertaken between april 2001 and november 2002, culminating in the incountry mission carried out over a threeweek period in september and early october 2002 by a joint team of federal govemment of ethiopia officials, world bank staff, and a number of donorfunded. The implementation of these reform initiatives was legalized through regional legislations and operationalized in. Health systems strengthening efforts will be organized around four. However, the published material is being distributed without warranty of any. Low health expenditures were compounded by an inequitable and fragmented health insurance system. Hence, to ensure the effective and efficient utilization of a system, periodic. Executive summary the government of ethiopia goe has guided all public sectors towards resultsoriented. Examples from mexico, ethiopia, and turkey illustrate the positive contributions health systems analysis has made to development of successful health system strengthening policies. One of the issues high on the agenda is health care financing. Sustainable development and poverty reduction program. Delivering quality health services is essential to uhc. This is but just a dream, however, for the typical ethiopian.
In many countries, health sector reform and decentralization have brought about shifts in functions between. Health management information system hmis data are important for guiding the attainment of health targets in low and middleincome countries. In addition to being essential for monitoring and evaluation, the information system also serves. Distribution of respondents who had ever attended school by sex 67 annex 4. The management, coordination, and distribution of technical support in each and every level is the responsibility of.
Reconsidering civil service reform in ethiopia devex. 1 health metrics network framework and standards for country health information systems, world health organization, january 2008. Health institutions and services the low life expectancy in ethiopia is the result of poor health, especially in infancy and childhood. Only major cities have hospitals with fulltime physicians, and most of the hospitals are in addis ababa. Health management information system hmis learning objectives at the end of this unit, the learner will be able to. In addition, turkey had the lowest number of doctors and nurses per capita in europe and one of the lowest nurse to doctor ratios. A collection of components that work together to achieve a common objective health system. Ethiopia is a democracy with a federal system of government comprising 9 regions and two administrative councils.
Ethiopia is the home of a mosaic nations, nationalities and peoples varying in population size from more than 18 million to less than 1005 spread across the country and with more than 80 different spoken languages. In brazil, where health is a constitutional right for all citizens, the decentralized health care system using innovative family health teams has made gains in improving access but suffers from stagnant government funding. However, decentralized informational management is at infancy stage in ethiopia. Improving quality and equity abstract ethiopia endorsed a health care financing strategy in 1998 that envisioned a wide range of reform initiatives. The first wave of decentralization resulted in the fmoh, regional health bureaus rhbs, and woreda health offices sharing the decisionmaking about. An interview with dr julio frenk, mexicos health minister, discussing the. Ethiopia gears up for more major health reforms the lancet.
The infant mortality rate is almost twice that of the world. The ethiopian health care system is under tremendous reform. Health facility governance in the ethiopian health system. Health management information system hmis inethiopiawho owns thehmis slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Foreword by the minister of health ethiopia has implemented successive health sector development plans hsdps since 1997 in four phases. Community health information system data recording and reporting. A good health information system brings together all relevant partners to ensure that users of health information have access to reliable, authoritative, useable, understandable, comparative data. Health care delivery is not just a problem in low and middleincome countries. The health information system is sometimes equated with monitoring and evaluation but this is too reductionist.
The chapter provides a context in which to view the findings of the egypt service provision assessment espa survey. Despite the above developments, shortage of highly qualified researchers and the absence of a strong nd functional health research system are the major problems that requirea immediate attention. Health management information system in ethiopia ownership starts on day one slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 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. As part of health sector reform, most developing countries are in the process of restructuring the health information systems his by way of standardizing and integrating various vertical. Zonal health management information system hmis performance. His is utilized for collecting, processing, storing, retrieving, and transferring the required information. Sustainable development and poverty reduction program federal democratic republic of ethiopia fdre. The woreda district includes a primary hospital with population coverage of 100,000 people, health centers 125,000 population, and their satellite health posts 15,000 population connected to each other by a referral system. Utilization of hmis data and its determinants at health. 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 systems analysis for better health system strengthening.
In spite of some efforts to make the health care system integrated with information systems, it continues to be not welldeveloped in the nations health sector. Community health information system data recording and. Ethiopia is the second most populous country in subsaharan africa, with a population of over 94. In an effort to protect citizens from catastrophic effects of the clearly high share of outofpocket expenditure, the government is currently working to. In conjunction with the operationalization of the nhp at the township level, investments will be needed to strengthen key functions of the health system at all levels. In the 1990s, health expenditures in turkey averaged 3. Information is presented with respect to general organization of the health system. Expectations of a country health information system health information systems serve multiple user s and a wide array of purposes that can be summarized as the generation of information to en able decisionmakers at all levels of the health system to identify problems and needs, make evidencebased decisions on health policy and allocate. 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. Highquality information is especially important for populations experiencing high burdens of disease and mortality, such as pregnant women, newborns, and children. In the context of the health sector reform and decentralization in ethiopia, generating health information and intelligence that is standardized, integrated and well linked at all levels is well recognized to monitor the health services and health status of the population. Better health is a key to individual happiness and a countrys development. A quality assessment of health management information.
The problem of land reform in ethiopia has hampered that countrys economic development throughout the late 19th and 20th centuries. In ethiopia despite improvement on initiative of health management and information system and reform changes. During this period, our country has made huge strides in improving access to health services and improvements in health outcomes. Aug 29, 2012 ethiopia has made significant health gains in recent years, such as lowering infant mortality, but more work needs to be doneparticularly in rural areas. Health information system his has been utilized for collecting, processing, storing, and transferring the required information for planning and decisionmaking at different levels of health sector to provide quality services. Reviewing ethiopias health system development jmaj 524. To learn about our use of cookies and how you can manage your cookie settings, please see our cookie policy. The graphic above depicts the threetier structure of the ethiopian health system. Ethiopias health care system includes primary health centres, clinics, and hospitals.
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