Aid, ownership, and coordination in the health sector in Ethiopia

Teshome, Shumey B.; Hoebink, P.R.J.

doi:10.1080/21665095.2018.1543549

Cited by 22 publications

(20 citation statements)

References 27 publications

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“…These successes have been facilitated by harmonization and alignment of the different activities in a one-plan, one-budget, one-report approach. 29 Ethiopia was one of the signatories of the International Health Partnership + Global Compact and the first country to develop and sign a country-based compact. Ethiopia’s Joint Consultative Forum has promoted harmonization and alignment of programme activities, mobilization of resources, and implementation and monitoring.…”

Section: Policy and Systemmentioning

confidence: 99%

Primary health care contributions to universal health coverage, Ethiopia

Assefa

Hill

Gilks

et al. 2020

Bull. World Health Organ.

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Section: Policy and Systemmentioning

confidence: 99%

Primary health care contributions to universal health coverage, Ethiopia

Assefa

Hill

Gilks

et al. 2020

Bull. World Health Organ.

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“…Indeed, coordination and collaboration with non-state actors is a recognized challenge across global health efforts [45], particularly since development partners may contribute substantially to health financing (in the case of Ethiopia, development partners contributed 15.30% of total health expenditures in 2015) [46]. Over the past two decades, the Ethiopian Federal Ministry of Health has benefited from strong leadership in rolling out certain donor coordination reforms [47]; however, our findings suggest a need to extend these efforts subnationally to ensure that NGO activities are better oriented to further health equity. Likewise, the scale-up of the WDA initiative should be informed by where gaps exist geographically, heeding the impact of the program design on the well-being of its participants [48].…”

Section: Roles and Responsibilities In Tackling Health Inequitiesmentioning

confidence: 99%

Subnational health management and the advancement of health equity: a case study of Ethiopia

Bergen

Rückert

Kulkarni

et al. 2019

glob health res policy

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Background: Health equity is a cross-cutting theme in the United Nations 2030 Agenda for Sustainable Development, and a priority in health sector planning in countries including Ethiopia. Subnational health managers in Ethiopia are uniquely positioned to advance health equity, given the coordination, planning, budgetary, and administration tasks that they are assigned. Yet, the nature of efforts to advance health equity by subnational levels of the health sector is poorly understood and rarely researched. This study assesses how subnational health managers in Ethiopia understand health equity issues and their role in promoting health equity and offers insight into how these roles can be harnessed to advance health equity. Methods: A descriptive case study assessed perspectives and experiences of health equity among subnational health managers at regional, zonal, district and Primary Health Care Unit administrative levels. Twelve in-depth interviews were conducted with directors, vice-directors, coordinators and technical experts. Data were analyzed using thematic analysis. Results: Subnational managers perceived geographical factors as a predominant concern in health service delivery inequities, especially when they intersected with poor infrastructure, patriarchal gender norms, unequal support from non-governmental organizations or challenging topography. Participants used ad hoc, context-specific strategies (such as resource-pooling with other sectors or groups and shaming-as-motivation) to improve health service delivery to remote populations and strengthen health system operations. Collaboration with other groups facilitated cost sharing and access to resources; however, the opportunities afforded by these collaborations, were not realized equally in all areas. Subnational health managers' efforts in promoting health equity are affected by inadequate resource availability, which restricts their ability to enact long-term and sustainable solutions. Conclusions: Advancing health equity in Ethiopia requires: extra support to communities in hard-to-reach areas; addressing patriarchal norms; and strategic aligning of the subnational health system with non-health government sectors, community groups, and non-governmental organizations. The findings call attention to the unrealized potential of effectively coordinating governance actors and processes to better align national priorities and resources with subnational governance actions to achieve health equity, and offer potentially useful knowledge for subnational health system administrators working in conditions similar to those in our Ethiopian case study.

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“…Ethiopia has developed and adopted national and international child health intervention strategies; including a national newborn and child survival strategy (2015-2020) to reduce NMR from 28 to 10/1000 by 2020 [7,8]. Also, Ethiopia has strived to achieve sustainable development goals (SDGs), aiming to reduce neonatal mortality to at least as low as 12 per 1000 live births by 203 0 [34].…”

Section: Introductionmentioning

confidence: 99%

Neonatal mortality among neonates admitted to NICU of Hiwot Fana specialized university hospital, eastern Ethiopia, 2020: a cross-sectional study design

et al. 2021

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Background In Ethiopia, neonatal mortality is unacceptably high. Despite many efforts made by the government and other partners to reduce neonatal mortality; it has been increasing since 2014. Factors associated with neonatal mortality were explained by different researchers indifferently. There is no clear evidence to identify the magnitude of neonatal mortality and associated factors in the study area. The study aimed to assess the magnitude and factors associated with neonatal mortality. Methods Facility-based cross-sectional study was conducted among 834 randomly selected neonates. The study was conducted from February 20 to March 21, 2020. Data were extracted from medical records using a checklist adapted from the World Health Organization, and neonatal registration book. The data were inserted into Epi-data version 3.1 and then exported into SPSS window version 20 for analysis. Bivariate and multivariate analyses were employed to identify the association between independent variables and the outcome variable. Results Magnitude of neonatal mortality was 14.4% (95% CI:11.9,16.7). Being neonates of mothers whose pregnancy was complicated with antepartum hemorrhage [AOR = 4.13, 95%CI: (1.92,8.85)], born from mothers with current pregnancy complicated with pregnancy-induced hypertension [AOR = 4.41, 95%CI: (1.97,9.86)], neonates of mothers with multiple pregnancy [AOR = 2.87, 95% CI (1.08,7.61)], neonates delivered at the health center [AOR = 5.05, 95%CI: (1.72,14.79)], low birth weight [AOR = 4.01, 95%CI (1.30,12.33)], having perinatal asphyxia [AOR =3.85, 95%CI: (1.83,8.10)], and having early-onset neonatal sepsis [AOR = 3.93, 95%CI: (1.84,8.41)] were factors significantly associated with neonatal mortality. Conclusion The proportion of neonatal mortality was relatively in line with other studies but still needs attention. Antepartum hemorrhage, Pregnancy-induced hypertension, place of delivery, low birth weight, having perinatal asphyxia, and having neonatal sepsis were independent factors. The hospital, and health care workers should give attention to neonates admitted to intensive care units by strengthening the quality of care given at neonatal intensive care unit like infection prevention and strengthening early detection and treatment of health problems during Antenatal care visit.

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Aid, ownership, and coordination in the health sector in Ethiopia

Cited by 22 publications

References 27 publications

Primary health care contributions to universal health coverage, Ethiopia

Primary health care contributions to universal health coverage, Ethiopia

Subnational health management and the advancement of health equity: a case study of Ethiopia

Neonatal mortality among neonates admitted to NICU of Hiwot Fana specialized university hospital, eastern Ethiopia, 2020: a cross-sectional study design

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