In the dynamic provision of the Ethiopian Health Care System, The Federal Ministry of Health (FMoH) is working relentlessly to improve Service delivery and Medical Education which go hand in hand. So remarked Dr.Wendwessen Eshetu, Public Health expert with a caliber of Country Director in different parts of the world mainly in Ethiopia, Djibouti, Uganda, Jordan and United Kingdom.
In an exclusive interview with The Ethiopian Herald, he said, in order to keep the quality of both arms, providing Compassionate, Respectful and Caring (CRC) professionals has become a high priority issue in the current Health Sector Transformation agenda item (HSTP). In the meantime, Health Equity is one of the flagships to address the wide-range of health needs in the community at large.
He also said,towards this goal, manuals and curriculum have been developed and health care workers are taking training on all cadres to achieve the goal of CRC and be better professionals.
“Moreover, Ethiopia is making substantial progress in improving the health of its population; however, these gains are unevenly distributed and aggregate indicators hide striking inequalities in health across population groups. In general, interventions such as preventive services can be routinely scheduled and provided at community level with higher coverage and lower gaps between urban and rural areas and across socio-economic groups than those that rely on functional health systems and clinical services.Hence, corrective actions have been implemented to address inequalities while improving the health of the overall population,”he noted.
Approached by Herald for his take on the matter Wendemagegn Enbiale MD, MPH, Dermatovenerologist, BahirDar University seconded Dr.Wendwessen Eshetu .
He said, following the millennium and Ethiopia’s commitment to achieve the Millennium Development Goal, the country had to cope up with with one physician to 42,000 people and one midwife to 57,000. With the critical shortage of other cadres Ethiopia was in the worst challenges even compared to the average for Sub-Saharan countries. In HSDP IV improving human capacity and governance was one of the ten strategic objectives. The plan envisioned “achieving a positive balance between production versus loss of health staff in order to attain the right numbers and skills mix of health workers; Improving availability of key HRH categories at all levels through scaling up pre-service training of professionals in scarce supply focusing on medical doctors, IESOs, anesthesia and midwives. ”
For the implementation of the above mentioned human resource strategies from 2010 to 2015 the accelerated midwifery program was initiated and the midwifery training institution had increased from 5 in 2000 to 46 in 2012. Emergency surgical officer program was launched in 2009 in 2 universities. In 2010 the number showed a leap to 9. In an unprecedented manner, the medical education program witnessed expansion from 3 schools in 2000 to 27 public schools in 2012, increasing the enrollment rate of medical students by 20 folds (from 150 to 3000). In 2015 the HSDP IV performance evaluation had shown the number of physician to population ratio to be 1 to 23000 while the number of midwife to population 1 to 9600. True to the set objectives of the second health Growth and Transformation Plan (GTPII) ,regarding quality and equity such marked achievements have been manifested in the other essential human resource indicators for health.
By ADDISALEM MULAT