Ethiopia

Leveraging the Private Health Sector to Enhance HIV Service Delivery in Lower-Income Countries

This article reviews findings on the types of HIV/AIDS services provided by the private health sector in developing countries and elaborates on the role of private providers of HIV services in Ethiopia. [from abstract]

Scale-Up of Task Shifting for Community-Based Provision of Impanon

This technical brief presents a project in Ethiopia focused on scaling-up efforts in underserved rural communities to enable access to long-acting family planning at the village level through task-shifting to Ethiopia’s health extension worker cadre. [adapted from author]

Attitudes of Undergraduate Medical Students of Addis Ababa University Towards Medical Practice and Migration, Ethiopia

This study was carried out to assess the attitudes of Ethiopian medical students towards their training and future practice of medicine, and to identify factors associated with the intent to practice in rural or urban settings, or to migrate abroad. [from abstract]

Stigma and Discrimination Against People Living with HIV by Healthcare Providers, Southwest Ethiopia

This study was conducted to explore stigma and discrimination against PLHIV amongst healthcare providers in Jimma zone, Southwest Ethiopia. [from abstract]

Discovering the Real World: How Health Workers' Early Work Experience affects their Career Preferences - Findings from the Second Wave of a Cohort Study of Young Ethiopian Doctors and Nurses

This paper summarises the findings from the second wave of a cohort study with health workers in Ethiopia including data on: where they end up and how health workers are distributed; career preferences and how they have changed; what is important in the choice between rural and urban areas; and what drives the likelihood to migrate abroad. [from summary]

Honourable Calling? Findings From the First Wave of a Cohort Study with Final Year Nursing and Medical Students in Ethiopia

This report contains results from descriptive analysis of a cohort study with final year health students in Ethiopia to build a base line for a cohort survey with future health workers and to provide insights on the supply side aspect of human resources in the health sector. [adapted from summary]

Health Worker Preferences for Job Attributes in Ethiopia: Results from a Discrete Choice Experiment

This paper estimates the effectiveness of a range of policy interventions aimed at improving the supply of health workers to rural areas in Ethiopia. Using data from a survey of 861 health workers, it employs stated preference techniques to predict labor market responses of doctors and nurses to changes in rural wages, working conditions, housing bene…ts, and training opportunities. [from abstract]

Health Workforce in Ethiopia: Addressing the Remaining Challenges

This document reviews the current human resources for health situation in Ethiopia, summarizes the evidence on population use of select health services, and offers relevant policy options to assist the government finalize its new human resources strategy and address remaining health challenges. [from summary]

Study on Health Extension Workers: Access to Information, Continuing Education and Reference Materials

This study was undertaken to make a clear needs assessment, define priorities and identify resources to plan appropriate continuing education programs and prepare reference materials for health workers, particularly with the deployment of 30,000 health extension workers which will create additional information access needs in Ethiopia. [adapted from abstract]

Study of the Working Conditions of Health Extension Workers in Ethiopia

The study focuses on the first batch of Ethiopian Health Extension Workers (HEWs) with the overall objective of assessing the working conditions of HEWs and their job satisfaction. [from abstract]

Positive Spill-Over Effects of ART Scale Up on Wider Health Systems Development: Evidence from Ethiopia and Malawi

The impact of HIV-specific funds and programmes on non-HIV-related health services and health systems in genera has been debated extensively. Drawing on evidence from Malawi and Ethiopia, this article analyses the effects of ART scale-up interventions on human resources policies, service delivery and general health outcomes, and explores how synergies can be maximized. [from abstract]

Taking Forward Action on Human Resources for Health in Ethiopia, Kenya, Mozambique and Zambia: Synthesis and Measures of Success

This paper discusses the background of HRH shortages in the listed countries, as well as plans for steps to resolve the issue. [from publisher]

Revisiting the Exclusion of Traditional Birth Attendants from Formal Health Systems in Ethiopia

Traditional birth attendants have been a subject of discussion in the provision of maternal and newborn health care, especially in developing countries where there is a lack of infrastructure and trained health personnel. The objective of this study was to assess the role of trained traditional birth attendants in maternal and newborn health care in Afar Regional State. [from abstract]

Ethiopia’s Health Extension Program: Improving Health through Community Involvement

This article discusses the Health Extension Program, an innovative community-based health program in Ethiopia. It is based on the assumption that access to and quality of primary health care in rural communities can be improved through transfer of health knowledge and skills to households.

Ethiopia's Rural Care Crisis Eased by Community Health Workers

This article and the accompanying video tell the story of a community health worker, Almaz Doiso, in Ethiopia who is responsible for the health needs of more than 500 families in one of the most remote regions of the world - South Omo Ethiopia. [adapted from author]

Human Resources for Health Implications of Scaling Up For Universal Access to HIV/AIDS Prevention, Treatment, and Care: Ethiopia Rapid Situational Analysis

This report presents the findings and key messages of rapid situation analysis in Ethiopia of the human resources for health implications for scaling up to universal access to HIV prevention, treatment, care, and support. [from summary]

Efficiency and Effectiveness of Aid Flows Towards Health Workforce Development: Exploratory Study Based on Four Case Studies from Ethiopia, the Lao People's Democratic Republic, Liberia and Mozambique

This paper reflects an initial review of aid effectiveness in relation to human resources for health. It asks whether the recent aid effectiveness agenda, as expressed in commitments made to the Paris Declaration, is responding appropriately to the specific needs of HRH and countries’ efforts to strengthen and scale up human resources. [from author]

Making HRH the Centerpiece of Program Management and Improving Productivity: the Ethiopia Experience

This presentation is an overview of the Ethiopian experience in strengthening human resources for health as a strategic approach to integrate services and improve productivity for family planning. [from publisher]

Health Sector Development Programme III: Annual Performance Report (Ethiopia)

Numerous initiatives were undertaken during the third Health Sector Development Programme (HSDP III) to achieve universal access to primary health care, notably through the implementation of the health extension program and the accelerated expansion of health centers. This report highlights the major achievements and challenges of the health sector in 2002 under five major sections: leadership and governance, human resources development and management, essential medical products and technologies, service delivery and quality of care, and health financing.

Exploring Health Workforce Inequalities: Case Studies from Three Countries

With the aim of arriving at a better understanding of specific dimensions of health workforce inequalities in their national contexts, three case studies are presented from Ethiopia, Brazil and Mexico. [from introduction]

Non-Financial Incentives for Voluntary Community Health Workers: a Qualitative Study

Through in-depth interviews and focus group discussions, this study explores the potential efficacy of non-financial incentives (NFI) proposed by the L10k project, an Ethiopian health extension project. The results of the study outline factors motivating voluntary community health workers, indicate other NFI mechanisms for consideration, and suggest programmatic recommendations. [adapated from publisher]

Network-Based Social Capital and Capacity-Building Programs: an Example from Ethiopia

This study assessed the social networks in a Master of Hospital and Healthcare Administration program. The authors’ conclusions suggest that intentional social network development may be an important opportunity for capacity-building programs as healthcare systems improve their ability to manage resources and tackle emerging problems. [adapted from introduction]

HRH Country Profiles

The HRH country profiles serve as a tool for systematically presenting the HRH situation, policies and management. They are expected to help to monitor trends, generate regional HRH overviews, provide comparable data between countries and identify points for focused action in countries. They will also serve for a comparison of countries’ responses to similar HRH challenges.

Launching Pay for Performance in Ethiopia: Challenges and Lessons Learned

This case study provides an example of a broad public sector pay for performance approach that incorporates intergovernmental transfers in a decentralized context with rewards for concrete health results at the facility level and the challenges of moving from design to implementation. [from author]

Who Wants to Work in a Rural Health Post? The Role of Intrinsic Motivation, Rural Background and Faith-Based Institutions in Ethiopia and Rwanda

This paper examines the extent to which health workers differ in their willingness to work in rural areas and the reasons for these differences, based on the data collected in Rwanda analysed individually and in combination with data from Ethiopia. [from introduction]

Determinants of Satisfaction with Health Care Provider Interactions at Health Centres in Central Ethiopia: a Cross Sectional Study

This study aimed to assess patient satisfaction with health care provider interactions and its influencing factors among out-patients at health centers in West Shoa, Central Ethiopia. [from abstract]

Community Case Management Improves Use of Treatment for Childhood Diarrhea, Malaria and Pneumonia in a Remote District of Ethiopia

Ethiopia’s health extension workers (HEW) deliver preventive interventions and treat childhood diarrhea and malaria, but not pneumonia. Most of Ethiopia’s annual estimated 4 million childhood pneumonia cases go untreated. The purpose of this study was to evaluate the performance of volunteers in providing community case management for diarrhea, fever and pneumonia in a pre-HEW setting in Ethipia. [adapted from abstract]

Cost and Cost-Effectiveness of Smear-Positive Tuberculosis Treatment by Health Extension Workers in Southern Ethiopia: A Community Randomized Trial

In this study, we aimed to determine the cost and cost-effectiveness of involving health extension workers in tuberculosis treatment in Southern Ethiopia. This paper presents an ancillary cost-effectiveness analysis of data from a randomized control trial. [adapted from introduction]

Who Are Health Managers? Case Studies from Three African Countries

This report outlines a rapid descriptive assessment to gain an initial understanding of the management workforce for service delivery in Ethipia, Ghana and Tanzania and to test selected criteria for assessing managers as part of the health workforce. [adapted from summary]