Schapen

Healthprogramme Ethiopia

ThemeBasic Healthcare - HIV/AIDS
CountryEthiopia
RegionAfrica
Program nameHealthprogramme Ethiopia
Financed partnersEKHC, EECMY-YDCS, MKC-RDA Ethiopia, ECFE Ethiopia, Addis Ababa Mulu Wongel Believers’ Church, Dorcas Aid International Ethiopia

Context

Small producers, female headed households and PLWHA in rural areas are vulnerable to a range of (e.g. food and waterborne) diseases while having poor access to medical services. At the micro level, poor referral systems and poverty lead to low use of health services. Due to low antenatal service usage and stigma VCT services are often not used. Abject poverty reduces local support capacity for OVCs. At the meso level health facilities are limited to the major urban areas in the districts, and there is poor access to these centers. Availability of antenatal care and PMTCT is limited. There is little influence of the target groups on the performance of the health institutions, while the motivation of health staff is low due to poor support and working conditions. Coordination between different health actors (government, NGOs, private sector) is lacking. Policies on harmful traditional practices like FGM are poorly implemented. At macro level there is a poor country strategy for coordination of health activities. There is inadequate learning within the health service on its performance and the incentive package for health staff is not supporting their commitment.


Aim of the programme

The partners involved in the Health HIV program aim to build local structures which can provide support to health of vulnerable people (Home Based Care, Self Help Groups etc) and spread information on preventive measures for health. These structures will also be available to speak with health care providers, like local government departments and clinics, to promote the rights of the poor. Since most of the partners are presently working on HIV prevention, care and support, the emphasis of the program is on HIV affected groups, but it is expected that other public health issues and disability issues will take a larger share in the coming years as partners get exposed to more activities. Policy influencing is difficult to work in due to government legislation. Therefore it is a sensitive issue for the partners and possibilities need to be carefully assessed.


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