264949 Structural Assessment of Primary Healthcare Facilities in Five regions of Ethiopia

Tuesday, October 30, 2012 : 11:15 AM - 11:30 AM

Tsegaye Asres , Ethiopia Assistance to Health Systems Expansion Project, Chemonics International, Addis Ababa, Ethiopia
Eskindir Eshetu , Ethiopia Assistance to Health Systems Expansion Project, Addis Ababa University School of Pharmacy, Addis Ababa, Ethiopia
Wasihun Andualem , Ethiopia AHSE Project, Chemonics International, Addis Ababa, Ethiopia
Ethiopia suffers from high incidence of infectious diseases and nutritional deficiencies. There is also very low access to quality health care services. The government has prioritized quality of health services in its fourth Health Sector Development Program (HSDP). Baseline data is needed to evaluate the status of health services at the different referral levels and their capability to implement priorities as outlined by the HSDP.

The USAID-funded Ethiopia Assistance to Health Systems Expansion (AHSE) project conducted a facility-based, descriptive, cross-sectional survey employing a quantitative data collection method between April and July, 2011. The study assessed the overall situation of hospitals and Health Centers (HCs) found in four populous regions and one city administration of Ethiopia. Structured checklists were prepared based on national standards set by the Food, Medicines and Healthcare Administration and Control Authority (FMHACA). A total of 131 HCs and 24 hospitals were selected for the study.

The present survey documented positive performance of the health facilities especially in the types of services provided. However, structural deficiencies were observed including human resources for health, backup generators, adequacy of financial supplies, access to patients with disability and presence of important guidelines. Although the magnitude is different, these deficiencies were shared by both the studied HCs and hospitals.

An orchestrated effort should be made by the health offices both at regional and national level and partners to improve their premises, documentation practices and quality of services provided. Furthermore, structural deficiencies should be addressed starting with areas where swift changes are possible.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Program planning
Provision of health care to the public
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
1. Analyze the service delivery capacity of the primary healthcare infrastructure in selected regions of Ethiopia 2. Assess the potential of Ethiopian health facilities to implement national intervention strategies in terms of current practices and available resources

Keywords: Developing Countries, Service Delivery

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Wasihun Andualem has a Bachelor Degree in Statistics and Masters Degree in Public Health. Wasihun is an employee of Chemonics International Inc, in Ethiopia in the capacity of Monitoring and Evaluation Director. He has more than 14 years of experience in local and international organizations on M&E of HIV, TB, Reproductive Health, and other development programs. Wasihun provided technical assistance to Malawi and South Sudan to facilitate Emergency Obstetrics and New Born Care needs assessments.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.