Ethiopia gears up for more major health reforms
Source: The Lancet, Volume 377, Issue 9781, Pages 1907 – 1908, 4 June 2011
Ethiopia has been widely lauded for introducing health reforms that have transformed primary health care in the country. Now it is embarking on two new initiatives. John Donnelly reports.
For more than 5 years, Ethiopia’s Federal Ministry of Health has relentlessly followed a vision of supporting community-based health care. The idea was that the only way for one of the poorest countries in the world to improve health services would be to build an operation up from the communities, as opposed to focusing on the top tier of health care—improving major hospitals—and building down. That gave birth to the hiring, training, and the deployment of more than 30 000 health extension workers, almost all women, most of them high-school graduates with 1 year of training, to work in pairs in villages all over this rural nation of 85 million people.
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