The document provides information about Ethiopia's progress in improving health outcomes and establishing the Institute of International Primary Health Care Ethiopia (IIfPHC-E). It notes that Ethiopia cut under-5 mortality by 2/3 and reduced maternal mortality by 69% between 1990-2015 by implementing its Health Extension Program and achieving near universal primary health coverage. The IIfPHC-E was established in 2016 to continue supporting this progress by providing training, research, and resources on primary health care approaches to national and international stakeholders. It aims to contribute to the global "Health for All" movement through these activities.

1. CORE Group Fall Meeting 2017

2. Ethiopia Country Profile
Total Pop. : ~ 100 million
Area: 1.1 million sq km
Rural population = 83%
9 regional states/2 city administrations
Diverse country with multi-ethnic
Primary health service coverage = 100%

3. Evolution of Ethiopia’s Health Sector
• Struggle to improve the health of Ethiopia’s population
• In 1990, under-5 mortality rate in Ethiopia was 205/1,000 live births (Countdown to 2015, 2015)
• In 2009, over 3 million cases of Malaria and 150 000 case of TB (WHO, 2015)
• By 2015, remarkable progress in the health sector by
achieving the Health related MDG 4, 5, and 6.
• Under-5 mortality rate cut by 2/3 to 68/1,000 live births, in 2012 (UNICEF, 2013)
• Reduced maternal mortality by 69% for the last 20 years (UNICEF, 2013)
• Reduced new HIV infections by more than 90% (UNICEF, 2013)
• TB and malaria cases also reduced
3
"Health for All" through Primary Health Care

4. How was this achieved ?
"Health for All" through Primary Health Care

5. Health Extension Program (HEP)
• Introduction and full implementation of HEP since 2003
• HEP as a strategy to move towards universal health coverage
• Community-based health care system focus on the effort
• Through the HEP Ethiopia has become a leader throughout the world
in accelerating the achievement of ‘Health for All’ through the primary
health care approach
• Ethiopia has achieved 95% health service coverage since 2003
5
"Health for All" through Primary Health Care

6. Ethiopian 3-Tiered Health System
General hospital
1-1.5 million people
Health
center
Primary hospital
60,000-100,000 pop
Health center
15000-25000 pop
Health post
3000- 5000 pop
Tertiary level
Secondary level health care
Primarylevel
health care
Specialized
Hospital
3.5- 5million
URBAN RURAL

7. How does this relate to the
establishment of IIfPHC-E?
"Health for All" through Primary Health Care

8. Visits from other countries
• Ethiopia has been hosting ministers of health and other health
officials from countries throughout Africa and beyond:
➢Making it possible to learn firsthand how Ethiopia achieved these
remarkable results
• During the past three years alone, ministerial-level health officials
from more than 50% of African countries have come to Ethiopia for
this purpose:
➢ This has become very demanding for the FMOH
• The FMOH has also tried to provide ongoing follow-up support for
these countries to put what they have learned into practices.
8
"Health for All" through Primary Health Care

9. "Health for All" through Primary Health Care
Inauguration
1 February 2016

10. IIfPHC-E’s Staff
Professor Mengesha Admassu,
Executive Director
"Health for All" through Primary Health Care
Melody Kelemu, Training
Officer
Tilahun Debebe, Training
Officer
Dr. Seble Lemma,
Research Officer
Emebet Zerfu, Resource
Center Officer
Hiwot Tadesse, Office
Officer
Luidina Abebe,
Communiations Officer

11. IIfPHC-E’s Training Facilities
"Health for All" through Primary Health Care

12. IIfPHC-E : Vision and mission
"Health for All" through Primary
• The vision of the Institute is to contribute to the revitalization of the
global movement of “Health for All’ through primary health care
• The mission is to provide training on primary health care and to
conduct PHC research
12
"Health for All" through Primary Health Care

13. Objectives
• Provide short-term capacity-building trainings on identified needs for
national and international trainees related to designing and
strengthening PHC and community health programs
• Provide short-term trainings in line with the “transformation agenda’ of
the Government’s Health Sector Transformation Plan (HSTP)
and woreda/district transformation
• Carry out need-based health systems implementation research on
PHC and community-based health programs;
13
"Health for All" through Primary Health Care

14. Objectives, continued
• Organize forums to communicate research findings, policy changes, and
other updates
• Serve as a resource center for the FMOH, its Regional Health Bureaus,
and other institutions in Ethiopia and beyond
• Launch and issue an international journal on PHC
14
"Health for All" through Primary Health Care

15. Overall Approach
• It is a collaborative endeavor led by the Ministry of Health of Ethiopia and
supported technically by the Johns Hopkins Bloomberg School of Public
Health
• The institute is hosted by the Ethiopian Public Health Institute.
• Initial funding has been provided by the Gates Foundation
15
"Health for All" through Primary Health Care

16. Our Trainings
"Health for All" through Primary Health Care

17. 17
"Health for All" through Primary Health Care
Trainees Purpose
Policy Makers
Understanding the magnitude of the
health problem and developing a political
commitment for PHC implementation
Health Programmers
Sharing of Ethiopian best practices on
how to implement PHC at the community
level
PHC Implementers
Sharing of Ethiopian best practices and
hands-on- training for PHC
implementation and lessons from case
studies
Health Officers
Strengthening HSTP implementation and
leadership capacity

18. 18
"Health for All" through Primary Health Care
Trainees
International or
National
How many at a time? How long?
Policy makers
(lawyers, economic
advisors &
parliamentarians)
International & national 25
3 days
(2 days of classes & 1
day of field visit)
Health programmers
(regional, provincial,
bureau heads)
International & national 25
2 weeks
(10 days of classes and 2
days of field visits)
PHC implementers
(professionals at
woreda and health
centre levels)
International & national 25
6 weeks
(5 weeks of classes & 1
week of field visits)
Health officers national 25 2 weeks

19. Our Trainings:
"Health for All" through Primary Health Care
Delegations and Field Visits

20. International trainees
"Health for All" through Primary Health Care

23. "Health for All" through Primary Health Care

25. Evaluation feedbacks from our trainees
“The experience was very
powerful. You thought us
the concepts and we have
something that we could
take back home; especially,
the community aspect that
you were able to implement.
You have been successful to
see the linkage.”
“Thank you for taking your
time to lend your experience.
We did not know where to
go if the Institute was not
established.
“We saw compassionate service
and shared tasks at the health
center and the health post.
When compared to that of yours,
our indicators were low. We
need to re-visit our programs to
reach the same level.”

26. Thank you
“Health for all” through Primary Health
Care!
26
"Health for All" through Primary Health Care