Goals of the partnership with NCD Synergies
NCD Synergies has been working with the Federal Ministry of Health (FMOH) in Ethiopia since 2015 to support operational planning for the expansion of decentralized and integrated NCD services at the primary health care level, and across the health system. This work has included:
- Supporting a Technical Assistant to work with the FMOH and partners such as Addis Ababa University to implement an integrated NCD response inclusive of the very poorest.
- Supporting the ongoing work of the NCD Division in strategic planning and operations.
- Ethiopia established a National NCDI Poverty Commission in September 2016 and will be releasing a final report in summer 2018.
- Since 2015, the NCD Synergies project has supported a Technical Assistant focused on operational planning for decentralized and integrated NCD services targeted at NCDs and injuries affecting the very poorest, such as rheumatic heart disease.
- The FMOH continues to focus on implementing the national strategic action plan on NCD (2014-2016) and plans to develop a national cancer control plan within the framework of national action plan for NCD prevention and control.
Ethiopia NCDI Poverty Commission
In September 2016, Ethiopia was the first country to establish a national NCDI Poverty Commission, focused on national priority-setting for NCDs in settings of poverty. In particular, the Ethiopia NCDI Poverty Commission has exhibited leadership in burden of disease analysis and defining NCDI intervention and service delivery packages.
The Ethiopia NCDI Poverty Commission is chaired by Dr. Mahlet Kifle Habtemariam, the former Director General for FMOH Ethiopia and a Takemi Fellow at Harvard School of Public Health. The National Commission includes national stakeholders from across the Ethiopian government, academic leadership, key implementers, and disease-specific associations. The National Commission has also worked with Prof. Ole Norheim, a global Lancet NCDI Poverty Commissioner, on a 4-day workshop covering the ethics of priority-setting.
Patient and community advocates involved with the Ethiopia NCDI Poverty Commission have been an inspiring presence in global advocacy forums, knowledge exchanges, and the Voices of NCDI Poverty project.
The story of NCDs and injuries in Ethiopia
Ethiopia is a large East African country of over 90 million people, 83 percent of whom lived in rural communities in 2012. Like most developing countries, Ethiopia is facing a double burden of diseases both communicable and non-communicable. According to the WHO 2014 report, NCDs accounted for 30% of death in Ethiopia. NCDs have multiple causations with highly interactive risk factors, including infectious diseases such as Streptococcal infections, which will require integration across existing health programs in order to reach patients at the community level. Injuries, particularly road traffic injuries, are also posing a major challenge to the health of the population. Ethiopia’s health service delivery facilities are overcrowded with patients visiting them from preventable injuries.
The primary health care system in Ethiopia is comprised of health posts, health centers, and district hospitals, and is the access point to NCD and injury care for the majority of the population, especially the poorest. Through this national model, health extension workers provide decentralized care and follow-up services at the community level.
The NCD Division in the Ethiopia Federal Ministry of Health (FMOH) has spearheaded strategic and operational planning for noncommunicable diseases and injuries in Ethiopia. The Strategic Framework for the prevention and control of chronic NCDs was finalized for 2011 – 2016. The National Strategic Action Plan (NSAP) was developed for 2014 – 2016, including full costing.
In order to implement the proposed national action plan on NCDS, the ministry requires wider technical supports.
Sources: World Databank, Ethiopia Federal Ministry of Health