HSTP - Global Financing Facility

1 The Federal Democratic Republic of Ethiopia Ministry of Health HSTP. Health Sector transformation Plan Health Sector transformation Plan 2. HSTP. Health Sector transformation Plan 2015/16 - 2019/20. (2008-2012 EFY). October 2015. Contents 7. Foreword by the Minister of 10. Executive 12. Chapter 1: 16. Chapter 2: Country 18. Chapter 3: Performance of the Health Sector Development Programme (HSDP) Situational 22. Community Ownership the center of remarkable 22. Health Status Impact and Outcome 23. Overall health outcome: Life Expectancy and Demographic 23. Reproductive, Maternal, Neonatal, Child, Adolescent and Youth Health (RMNCAYH).. 23. Maternal and child health MDG 23.

2 Child health 24. Maternal health 25. Family Planning:.. 28. Adolescent and youth friendly reproductive 29. Prevention and control of major disease 31. HIV/AIDS, Tuberculosis and Malaria - MDG 6 31. HIV/AIDS Prevention and Control 33. Tuberculosis and Leprosy Prevention and Control services;.. 33. Malaria Prevention and Control 35. Non-Communicable Diseases (NCD).. 36. Mental 37. 37. Neglected Tropical Diseases - 37. Eye 39. Hygiene and environmental 39. The unfinished agenda to further improve health Processes and Health Extension Process of improving quality and access to health 41. Public Health Emergency Preparedness and Health Information Health 45. Pharmaceuticals Supply Chain and Logistics 47.

3 Infrastructure and 49. Health Care 52. Leadership, Management and Situational Analysis from perspective of 55. Lessons Learned from 61. Key successes and their contributing factors in the health Chapter 4: Health Sector transformation The Structure of HSTP:..68. The Policy 69. The Health Sector Strategic 71. Vision of the Health Sector:.. 71. Mission of the Health 71. Core Values and Guiding Principles of the Health Sector:.. 71. Strengths, Weaknesses, Opportunities and Threats - SWOT 72. Stakeholder 74. Strategy of 75. Customer Value 75. Strategic Themes and Strategic 75. Strategic 83. The Health Sector Strategic Management 83. Strategic Objectives (SO) and Strategy List of Strategic Objective Strategy Performance Measures and Strategic C1: Improve Health C2: Enhance Community F1: Improve efficiency and P1: Improve Equitable Access to Quality Health P2: Improve Health Emergency Risk 103.

4 P3: Enhance Good 103. P4: Improve Regulatory P5: Improve Supply Chain and Logistic 105. P6: Improve Community Participation and P7: Improve Resource P8: Improve Research and Evidence for 107. CB1: Enhance use of Technology and CB2: Improve Development and Management of CB3: Improve Health CB4: Enhance Policy and The transformation 110. Quality and Equity in Health 111. Information 114. Woreda 116. An agenda for developing Caring, Respectful and Compassionate health Chapter 5: HSTP Costing and 122. 122. Fiscal Space Analysis and Fnancing 133. Funding 139. Chapter 6: HSTP Implementation 142. Health Service Delivery 142. HSTP 143. Planning and 144. Inter-sectoral Collaboration and Public-Private 146.

5 Risk Mitigation 147. Chapter 7: HSTP Monitoring and Evaluation Measuring progress towards Universal Health Coverage: the focus on equity and Transforming data into information and information into action: the data Annex 1: The Indicators and Targets for HSTP 159. Acronyms AIDS Acquired Immune Deficiency Syndrome ANC Antenatal Care ARI Acute Respiratory Illness ART Anti-Retroviral Therapy ARV Anti-Retroviral BCC Behavioral Change Communication BPR Business Process Reengineering CDC Communicable Disease Control C-IMCI Community Integrated Management of Childhood Illnesses CSOs Civil Society Organizations DHS Demographic and Health Survey DNA PCR Deoxyribonucleic Acid Polymerase Chain Reaction EDHS Ethiopian Demographic and Health Survey EFY Ethiopian Fiscal Year EHNRI Ethiopian Health and Nutrition Research Institute EmONC Emergency Obstetrics and Newborn Care eMTCT Elimination of Mother-To-Child Transmission of HIV.

6 EOC Emergency Operations Center EPHI Ethiopian Public Health Institute EPI Expanded Program on Immunization EQA External Quality Assurance ESPA+ Ethiopia Service Provision Assessment Plus FDRE Federal Democratic Republic of Ethiopia FMHACA Food, Medicine and Health Care Administration and Control Authority GDP Gross Domestic Product GIS Geographic Information System GOE Government of Ethiopia GTP Growth and transformation Plan HDA Health Development Army HCT HIV Counseling and Testing HEP Health Extension Programme HEWs Health Extension Workers HIS Health Information System HIV Human Immunodeficiency Virus HIV/AIDS Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome HMIS Health Information Management System HR Human Resource HSDP Health Sector Development Programme HSS Health System Strengthening HSTP Health Sector transformation Plan ICCM Integrated Community Case Management 7.

7 Health Sector transformation Plan ICT Information Communication and Technology IDSR Integrated disease surveillance and response IEC Information Education Communication IFMIS Integrated Financial Management System IHP International Health Partnership IMNCI Integrated Management of Newborn and Childhood Illnesses IMR Infant Mortality Rate IPFS MIS Integrated Pharmaceuticals Fund and Supply Management Information System IRS Indoor Residual Spray IRT Integrated Refresher Training ISS Integrated Supportive Supervision ITN Insecticide Treated Net IYCF Infant and Young Child Feeding JANS Joint Assessment of National Health Strategies JCCC Joint Core Coordinating Committee JSC Joint Steering Committee KM Knowledge Management KMC Kangaroo Mother Care LB Live Births LLIN Long Lasting Insecticidal Net LMIC Lower Middle Income Countries M&E Monitoring and Evaluation MARPs Most At Risk Populations MCH Maternal and Child Health MDG Millennium Development Goal MDG PF MDG Performance Fund MDGs Millennium Development Goals MDSR Maternal Death Surveillance and Response MICs Middle Income Countries MIS Malaria Indicator Survey MMR Maternal Mortality Ratio MNCH Maternal, Neonatal, and Child Health MOFED Ministry of Finance and Economic Development MoH Ministry of Health MTCT Mother-To-Child Transmission of HIV.

8 NBB National Blood Bank NCD Non Communicable Disease NGO Non-Governmental Organization NHA National Health Accounts NMR Neonatal Mortality Rate OHT OneHealth Tool OI Opportunistic Infections OOP Out of Pocket 8. Health Sector transformation Plan OPD Out-patient Department OVC Orphans and Vulnerable Children PASDEP Plan for Accelerated and Sustainable Development to End Poverty PFSA Pharmaceuticals Fund and Supply Agency PHC Primary Health Care PHCU Primary Health Care Unit PHEM Public Health Emergency Management PLHIV People Living With HIV. PMQI Performance Monitoring and Quality Improvement PMTCT Prevention of Mother to Child Transmission PNC Post Natal Care PPA Public Procurement Agency PPP Purchasing Power Parity PRSP Poverty Reduction Strategic Paper QA Quality Assessment RHBs Regional Health Bureaus RMNCAYH Reproductive, Maternal, Neonatal, Child.

9 Adolescent and Youth Health SAM Severe Acute Malnutrition SBA Skilled Birth Attendants SHI Social Health Insurance SLMTA Strengthening Laboratory Management Towards Accreditation SNNPR Southern Nations & Nationalities and Peoples Region SO Strategic Objective SRH Sexual and Reproductive Health STD Sexually Transmitted Disease STI Sexually Transmitted Infection TB Tuberculosis TT Tetanus Toxoid U5MR Under Five Children Mortality Rate UHC Universal Health Coverage UN United Nations UNAIDS Joint United Nations Programme on HIV/AIDS. UNDP United Nations Development Programme UNICEF United Nations Children's Fund USAID United States Agency for International Development VCT Voluntary Counseling and Testing VERA Vital Events Registration Agency VIA Visual Inspection with Acetic Acid VNRBDs Voluntary, non-Remunerated Blood Donations WBP Woreda Based Planning WHO World Health Organization WMS Welfare Monitoring Survey WoHO Woreda Health Office ZN Ziehl Neelsen 9.

10 Health Sector transformation Plan Foreword by the Minister of Health Ethiopia has implemented successive Health Sector Development Plans (HSDPs) since 1997 in four phases. During this period, our country has made huge strides in improving access to health services and improvements in health outcomes. Ethiopia's health indicators have been remarkably improved from one of the worst in Sub-Saharan Africa to amongst the stand out performers in just two decades. The lives of millions of children have been saved, millions of new infections and death from communicable diseases such as HIV, malaria, and tuberculosis have been averted. All this was done while building a health system that can sustain the gains over the long term.