1 / 19

Supporting the Regional Health Bureaus in Ethiopia Zenebe Melaku, MD ICAP-Ethiopia

Supporting the Regional Health Bureaus in Ethiopia Zenebe Melaku, MD ICAP-Ethiopia. ICAP Guiding Principles. Integration with national AIDS control plans Capacity building for health systems and broad infrastructure support Involvement of PLWHA - adherence, social support

tayte
Télécharger la présentation

Supporting the Regional Health Bureaus in Ethiopia Zenebe Melaku, MD ICAP-Ethiopia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Supporting the Regional Health Bureaus in Ethiopia Zenebe Melaku, MD ICAP-Ethiopia

  2. ICAP Guiding Principles • Integration with national AIDS control plans • Capacity building for health systems and broad infrastructure support • Involvement of PLWHA - adherence, social support • Integration of Prevention, Care & Treatment • Family-centered care (adults and children) • Multidisciplinary Team Approach • High quality services with program evaluation, operations research, and program improvement

  3. FMOH - National Road Map& ICAP Support ICAP- CU National Level - TA ICAP- CU Regional Road Map Implementation ICAP- CU Facility Level Implementation

  4. Characteristics of ICAP-E Program • National • Pediatrics; EID; TB-HIV; • PLWHA; MLDM • Four RHBs • Capacity Building/TA ICAP - Ethiopia Regional Univ. Comprehensive Site Level Support

  5. Oromiya : 29,118,188 Somali : 4,325,446 Dire Dawa : 388,731 Harari : 194,745 Total Population : 34 million Characteristics of ICAP-E Program

  6. Health Care System - Ethiopia • Policy • National Strategy • Guideline and • Training Curriculum FMOH RHB RHB RHB • Oversee Program Implementation and Monitoring H H HC HC HC

  7. Initial Step: • Needs assessment with RHBs • Identification of gaps • Critical Gaps Identified:- • Coordination and Strategic planning • Human Resource • Infrastructure • Systems

  8. Modalities of Support: • Two mechanisms: • Direct support: • Short/Medium term • Sub-agreement: • Medium/Long term

  9. Regional level Capacity Building – Coordination and Strategic Planning • TA in the development of regional annual plan • Regional Partners Forum • Joint Regional Planning and Review Meetings

  10. Building Regional Ownership through Participatory Planning A Key Strategy for Sustainability

  11. Regional level Capacity Building – Human Resource • Basic and ToT • Local/International Training: • Clinical • Program Mx • Financial Mx Multi-pronged Approach: • Program staff • Accountant • Data clerks…. Secondment/ Additional staff • Clinical, Program & Finance Mentoring • Access to Internet • Resource centers • Office furnitures ….. Enabling Environment

  12. Capacity Building: Human Resources (Training)

  13. Regional Capacity Building – Resource Center

  14. Regional level Capacity Building – Infrastructure – Training Centers Training Center with Video-conferencing Facility

  15. Regional level Capacity Building – Systems • Laboratory System: • Development of SOPs: Sample referral • Implementation of EQA systems • Monitoring and Evaluation System: • Data QA systems • Data use for CQI • Referral System: • SOPs for decentralization • Financial Management System: • Development of SOPs

  16. Key Achievements and the Way Forward • Increased scope of activities with increased funding (5X) Responsibilities handed over to the RHBs : • Annual review and planning meetings • Quarterly Supportive Supervisions • Hiring of supernumerary staff • Sample transport system • Management of minor renovations In the future: • Phased and Incremental Manner

  17. Challenges: • Human Resource: • Shortage • Work overload • Lack of staff motivation • High Staff Turn-over • Financial management system At All Levels

  18. Conclusions-Lessons learned • Regional level capacity building • Key strategy for successful transition • Requires commitment from government, availing HR and other required inputs • It requires longer time-frame • Phased and Incremental Manner • Attention: Maintaining the ‘Desired Quality’

  19. Thank You . Obrigado

More Related