OPENING SPEECH OF H.E. Dr.KESETE-BIRHAN ADMASSU MINISTER OF HEALTH THE 16th ANNUAL RVIEW MEETING

OPENING SPEECH OF H.E. Dr.KESETE-BIRHAN ADMASSU

MINISTER OF HEALTH

THE 16th ANNUAL RVIEW MEETING OF HSDP

OCTOBER 17, 2014

DIRE DAWA

  • Your Excellency Ato Assed Ziyad,Mayor of Dire Dawa City,
  • Esteemed Officials of the Federal Ministry of Health and Regional Health Bureaus,
  • Esteemed Representative of Development Partners,
  • Esteemed Invited participants,
  • Ladies and Gentlemen.

First of all, on behalf of the Ministry of Health of the Federal Democratic Republic of Ethiopia, I welcome you all to the 16thAnnual Review Meeting the Health Sector Development Programme

Ladies and Gentlemen,

As all of us recall, EFY 2006 was a year when we commences work by tolling the last bell to achieve the targets set in the Growth and Transformation Plan and the Heath MDGs.

The last budget year was one in which we started work by strengthening the building of health development army at all levels and by supporting all our activities through the mobilization of this army.

The other task given priority during the year was the scaling-up of best practices that were achieved at the levels of institutions and the community in the process of building the development army.

Although the level varies from institution to institution, and from Region to Region, better performance has been achieved in all areas of our Country in the work of development army building. The army that was organized at the level of institutions had scored better performance during the year. At the level of the community as well, by adequately strengthening health development groups, it has been possible to create many rural kebeles like that have enabled mothers to deliver in health institutions.

Ladies and Gentlemen,

By reducing Infant Mortality Rate by two-third, Ethiopia has achieved MDG 4 three years ahead of the target period. All of us know that, in terms of MDG 5-the goal of improving the health of mothers, MDG-6-the goal of preventing and controlling communicable diseases such as HIV,TB and Malaria, Ethiopia's performance is on the right track.

During EFY 2006, which was a decisive period for the achievement of MDGs, through strengthened and coordinated effort, it has been possible to score satisfactory results in improving the health of mother and children and reduce death. It has been possible to increase the percentage of skilled birth attendance from 23%  to 41%. If this is added to the 9% clean delivery service provided by HEWs, the percentage of mothers that have received  assistance by trained workers during delivery will reach 50%.

In line with the activity that was started to increase  the access to delivery service by supplying one ambulance to one woreda, 450 ambulances have been distributed to the Regions during the 2006 budget year, which brings the total number of ambulances currently giving service to 1,262.

As the recent DHS result shows, Contraceptive Prevalence Rate(CPR) has grown from 27% in 2011 to 42% in 2014.

In terms of the work done to strengthen PMTCT services, out of the 2.9 million  pregnant mothers who had received ANC service, 65%(1.9 million) have received counseling and testing services. Out of 32,000 pregnant HIV suspected mothers, 20,000 (61%)have started(Option B+) treatment.

In line with the plan to strengthen the Immunization Programme, Pentavlent 3 Vaccine was given to 2.5 million children (91%), Measles vaccine for 2.4 million children (87%).

Encouraging results have also been achieved in the prevention and control  of major communicable diseased such as HIV,TB and Malaria.The number of people getting HIV treatment is increasing. Currently,300,000 patients are receiving the treatment in the health institutions providing the service.In the control of malaria, through community mobilization activities of environmental protection and destroying of mosquito breeding places have been carried out. 4 million houses found in malarious areas have been sprayed with insecticides.  For the prevention of malaria 11.7 million Long- lasting Insecticide Treated Nets have been distributed. This will bring the total number of  nets distributed to 58 million.

 Although extensive work had been undertaken in the prevention and control of TB, the absence of satisfactory implementation in the field of DOT treatment, the poor performance in community based TB service, the interruption in the supply of inputs, particularly laboratory chemicals, the existence of skill gaps in TB detection work, the low index of suspicion for TB among health professionals, resulted in the low case detection rate as seen against the ambitious target and require focus and more work.

2006 has been a year in which encouraging work has been done in the prevention and control of non-communicable diseases such as cancer and mental health. National Strategy has been launched and based on the Strategy, awareness creation activities have been undertaken.  Awareness raising workshop f on cancer has been organized for members of the House of Representatives. In addition, work is being done to expand cancer treatment service in the Country in five universities. As part of the this activity,  six modern radiotherapy machines are being procured at a cost of more than 12 million Dollar.

The activities undertaken in 2006 to improve the quality of medical services include: the measure taken to award hospitals that have achieved high performance in terms of various reform activities and customer service satisfaction. Accordingly, 6 hospitals as best leaders, 3 best clusters and 11 reformed best member hospitals have received the award and the recognition.2 hospitals from the emerging regions have received the award for special performance.

In 2007, the Hospital Alliance for Quality is continuing work by including University Hospitals and focusing specially on delivery service.

In line with the plan to expand the Blood Bank Service as part of the  health service access expansion programme, the number of the regional branches has increased from  12 to 25; and the capacity to serve health institutions has also increased to cover a radius of 125 kms. During the budget year it has been possible to collect more than 76,000 Units of blood, 70% of which was given by voluntary donors.

In the area of human resources development, thousand of health professionals have graduated and  joined the service.

In the Country, there are a total of 156 hospitals, out of these 150(96.2%) were functional. In addition 123 hospitals are under construction. On the other hand, by completing the construction of 50 Health Centers, during the budget year, the total number of Health Centers in the Country was raised to 3,335, out of these, 3,315 (99.4%) were functional.

Encouraging activities are being undertaken to introduce organizational and operational changes in the PFSA with the view to make the procurement and distribution system more efficient. In order to improve the supply, drugs and medical supplies worth 10 Billion Birr have been procured and distributed. In this respect, the what the result of the survey has indicated is that, the supply of essential drugs has reached 90%.

 As part of the coordinated effort to modernize the storage hubs, out of the 17 stores that have been under construction, 6 stores have become functional. The rest are expected to be completed in the middle of the current fiscal year. This will increase the  storage capacity from 46,000 to 580,000 metric cube.

In order to improve the supply of drugs that require cold-chain, 17 trucks fitted with refrigeration system have begun service. In addition the construction of cold-chain reserve stores, in 11 locations has been completed.

Public health emergency control and monitoring has been conducted in a more strengthened manner. In this regard, intensive control activity is being undertaken to prevent the occurrence of Ebola in our Country, the disease that has become an international public health threat and that is greatly spreading in West African countries and killing people. At the national level, the laboratory capacity that enables to diagnose Ebola and other viruses has been built.

The fact that the WHO has recently declared that Algeria and Ethiopia are found in a state of full-readiness is cause for encouragement but not complacency.

On this particular occasion, I would like to categorically confirm that there is no Ebola case in our Country. Based on the responsibility of its mandate, the Ministry of Health is giving the appropriate information at the appropriate time; and this action will continue.

Ladies and Gentlemen,

In 2006, more effort than ever before has been made to strengthen good governance in the health sector. Although more remains to be done, we have already embarked upon the implementation good governance plans prepared with the participation of the workers. On the other hand, improved condition is being observed at different federal and regional levels to involve the community in planning and evaluation processes. Particularly, towards the end of  budget year, the meeting chaired by H.E. the Prime Minister and wich brought together 800 people from the Federal Ministry, representatives of professional associations, officials of Regional Health Bureaus can be cited as one the most effective meetings. In  addition, at hospitals and Health Centers monthly public forums are being organized, and the community is actively involved in the performance of the health institutions. Because we have been able to create these forums, the community is contributing a lot to fill the gaps found in the health institutions. For example, by collecting money and buying ambulances, the population is making considerable contribution.

In general, it can be said that, in EFY 2006, better performance was seen in all aspects of the health sector development. For the attainment of these results, all health sector leaders and professionals at different levels, the society and our development partners have all played crucial roles.The Ministry has been making efforts to ensure that the support that the development partners provide has to be flexible and predictable and be used to enable implement priority programmes. Due to this effort, it has been possible, to increase the number of the partners and also the volume of assistance.

EFY 2007 is the last year of the past 20 years health sector development programme as well as the last year of the Growth and Transformation Plan. The 16 Annual Review Meeting is unique as it convened at a time when we design the next 20 years vision of the health sector as well as the next GTP. As spelt out in  Central Theme of the Review Meeting, this is the year when we are crossing the finishing line of our stride to achieve the goals of the GTP, and beyond that, we are envisioning the attainment of equitable and better quality health service in the Country. The following are some of the focus areas that are selected to bring about big change in EFY 2007.

1.We shall work to bring about health transformation in all parts of our Country by resolving the bottle-necks of attitude, skill  and inputs that is affecting the health development army and by scaling up the best practices so far identified.

2. The work of upgrading HEWs to Level Four will be effected by training 6000 HEWs annually. In addition, Conduct the training of Level Three HEWs to maintain and continue the deployment policy of at least 2 HEWs per health post.

3.We shall carry out intensive work to expand the CBNC and facility based Neonatal Care Neonatal Corner,Unidts and ICUs

4.To address the problem of quality in our hospitals, the training of all Diploma holding nurses in speciality training in Degree Programme.

5. To improve the nutritional status of mothers and children comprehensive and multi-faceted work shall be carried out. To this end the Nuitrition Coordinating body that is coordinating nutritional activities at the national level work will be cascaded at all levels and  down  to the kebele level. In addition, we shall give special emphasis to the one thousand days spanning from inception to two years that mainly  contribute to the prevention of nutritional deficiency.

6. In 2006, by strengthening the implementation of HEP and conducting extensive work around personal and environmental hygiene  3,655 kebeles were declared ODF.This result shall be rolled out to other kebeles. Community based general personal and environmental hygiene initiative (Commitment Led Total Sanitation and Hygiene-LTSH) shall be strengthened. In addition, OWNP and IUSH carried out in cooperation  with other sectors.

7.The Task-force  that was setup to address the problems of emergency health service in Addis Ababa has performed very well. This experience and good performance shall be strengthened and scaled up.

8.The lack of  cleanliness and safety being observed in health institutions especially in most of the  hospitals shall be addressed to make them clean,safe and patient friendly innstitutions.

9.To solve the lack of some laboratory services prevailing in Government Hospitals, measures will be taken to create a system that will enable clients to get backing service in the Ethiopian Public Health Institute and regional reference labs  

Esteemed Participants,

As I mentioned earlier, we have to move fast to cross the  finishing line to achieve the goals of GTP. To do this we have to strengthen the development army at all levels so that we can perform our activities through the army.

To align the next five year health sector plan with the Second GTP, and based on our commitment to bring about a great leap in terms of service quality and equity, the heath sector plan will be called Health Service Transformation Plan. And the preparation in this regard is being finalized.

Accordingly, I take this opportunity to call on participants to actively participate in the discussions, especially the group discussion to come up with useful inputs around the focus areas we have mentioned earlier.

Finally, on behalf of the Federal Ministry of Health and on my own behalf, I would like to express my thanks for the officials, professional and other staff of the Ministry of Health and Dire Dawa Health Bureau as well as our partners who have extended their usual support, for having prepared this colorful meeting in Dire, the Beautiful City of Love.

 Thank You