Ethiopia experiences a heavy burden of diseases with a growing prevalence of communicable infections. Many Ethiopians face high morbidity and mortality largely attributed to potentially preventable infectious diseases and nutritional deficiencies.
In response to such prevailing and newly emerging health problems, the Ethiopian Government-developed a 20-year rolling Health Sector Development Program (HSDP) in 1997/98 (1990 EFY), which proposes long-term goals for the health sector, and the means to attain them through a series of phases.
HSDP aims to develop a health system, which provides comprehensive and integrated primary care services, primarily based at community level health facilities. It focuses on communicable and noncommunicable disease prevention and control, common nutritional disorders, environmental health and hygiene, reproductive health care, maternal and child health, immunization and the treatment and control of basic infectious diseases like upper respiratory tract infections. It also focuses on health care administrative issues such as establishing quality health care, human resource management and financial resource mobilization.
The first and second phase of HSDP was completed in 2001 and 2005 (G.C.) respectively. Currently, the third phase of HSDP covering the period of 2005/06 (G.C.)is now in its second year of implementation. In the course of these years, the program has been continually reviewed through joint exercises as Mid-Term Reviews (MTRs), Final Evaluations and Annual Reviews Meetings (ARMs).
The phases of all HSDP have clear strategies for making targeted interventions against poverty related health issues. Overall the project has eight focus areas:
- Expand primary health care access;
- Improve the quality of primary health care service provision;
- Ensure a regular and safe supply of effective, safe, affordable and high-quality drugs while improving prescribing behavior by health providers;
- Improve awareness about personal and environmental hygiene and basic knowledge of common diseases and their causes as well as promote political and community support for health services;
- Transform the health system into a four-tiered system that is linked, equitably distributed and managed in a decentralized, participatory and efficient manner;
- Monitor improvements in service delivery, quality and financial performance as well as evaluate the impact and cost-effectiveness of the project's components and
- Improve financial sustainability.
Improving the health status of the Ethiopian peoples and achieving the United Nations Millennium Development Goals (MDGs) is the ultimate goal of HSDP.
- Blindness Prevention and Control Program
- Child Health Services Program
- Health Facility Construction and Rehabilitation
- Health Service Extension Program
- HIV/AIDS Control and Prevention Program
- Hygiene and Environmental Health Program
- Malaria Prevention and Control Program
- Maternal Health Services
- National Nutrition Program
- Tuberculosis and Leprosy Prevention and Control