Ethiopia

Region

MSH in Ethiopia works to create access to quality health services for all Ethiopians. We work in collaboration with local leaders and government stakeholders on leadership and governance, knowledge exchange, HIV and AIDS treatment, tuberculosis, malaria and the pharmaceutical sector.

Through the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program, MSH supports pharmaceutical systems strengthening in Ethiopia to contribute to PEPFAR, PMI, USAID, and the Government of Ethiopia’s common goal of achieving an “AIDS-free Generation” (90-90-90) and reducing preventable malaria-related morbidity and mortality and maternal/child deaths. To this end, SIAPS works to strengthen governance, improve medicine availability and quality of care, design information systems to support evidence-based decision making, and build the capacity of health facilities to achieve cost saves during selection and prioritization of medicines for procurement. Among its achievements:

Implementing an auditable pharmaceuticals transations and services (APTS) plan in 77 health facilities increased the availability of key medicines and decreased wastage.
Drug and Therapeutic Committees (DTCs) at 149 hospitals and 409 health centers resulted in 75% of these DTCs documenting evidence-based improvements in medicine use. Stronger DTCs have improved rational medicine use and decreased the number of prescriptions containing injections or antibiotics.
The National Advisory Committee developed a national strategy to prevent and contain AMR and guide the implementation of strategies to minimize the risk of AMR. In addition, DTCs own and lead the implementation of facility-level interventions, including rational medicine use and antimicrobial resistance activities.
Between 2012 and 2014, 200 pharmacists from 65 hospitals were trained and deployed, and 98.5% provided clinical pharmacy services. A study of 43 hospitals found that 17 (39.5%) had full-time pharmacists in their wards supporting clinical services in 36 hospitals and identifying and supporting the management of 8,257 drug therapy problems.
The first patient-centered service delivery model for pharmacy services in Ethiopia was introduced.
Pharmacovigilance and antimicrobial resistance courses were introduced into university curricula and integrated into preservice education.

Our Impact

Our Projects

Project Name	Health Systems	Health Areas	Date
Systems for Improved Access to Pharmaceuticals and Services Program	Pharmaceutical Management, Financing Health Services	Malaria, Tuberculosis, HIV & AIDS, Maternal, Newborn, & Child Health, Family Planning & Reproductive Health	2011 - 2018
Challenge TB	Leadership, Management & Governance, Pharmaceutical Management, Financing Health Services	HIV & AIDS, Tuberculosis	2014 - 2019
African Strategies for Health Completed	Leadership, Management & Governance, Financing Health Services	Malaria, Tuberculosis, Maternal, Newborn, & Child Health, HIV & AIDS	2011 - 2016
Leadership, Management and Governance Project Completed	Leadership, Management & Governance	Family Planning & Reproductive Health, HIV & AIDS, Tuberculosis	2012 - 2017
Grant Management Solutions Completed	Leadership, Management & Governance	HIV & AIDS, Tuberculosis, Malaria	2012 - 2015
Help Ethiopia Address Low Tuberculosis Performance Completed		Tuberculosis	2011 - 2016
Supply Chain Management System Completed	Pharmaceutical Management	HIV & AIDS	2006 - 2016
Evidence to Action for Strengthened Family Planning and Reproductive Health Services for Women and Girls Completed		Family Planning & Reproductive Health, Maternal, Newborn, & Child Health	2011 - 2016
Strengthening Human Resources for Health Ethiopia Completed			2012 - 2017
The Health Communication Collaborative Completed	Leadership, Management & Governance	HIV & AIDS, Tuberculosis, Maternal, Newborn, & Child Health, Family Planning & Reproductive Health, Malaria	September 26, 2012 - July 31, 2017