Measuring Ethiopia’s health system performance: More efforts are needed to achieve SDG 2030

Authors

  • Ashenif Tadele Ethiopian Public Health Institute Author
  • Theodros Getachew Ethiopian Public Health Institute Author
  • Tefera Taddele Ethiopian Public Health Institute Author
  • Mulugeta Gajae Ethiopian Public Health Institute Author
  • Shegaw Mulu Ministry of Health Author
  • Tewabe Manaye Ministry of Health Author
  • Tamrat Awel Ministry of Health Author
  • Getachew Tollera Ethiopian Public Health Institute Author
  • Dessalege Y. Melesse University of Manitoba Author

DOI:

https://doi.org/10.20372/ejphn.v7i1.236

Keywords:

composite coverage index, universal health coverage index, health system strengthen index Ethiopia, subnational

Abstract

Background: Health systems are essential platforms for accessible, quality health services, and population health improvements. Monitoring the coverage of interventions in maternal and child health continues to be central to assessing progress towards sustainable development goals. This study aimed to estimate the health system performance through composite coverage index, universal coverage and health system strengthen index.

Methods: To assess the health system performance, three indexes such as composite coverage index (CCI), universal health coverage index, and health system strengthen index were estimated. The composite coverage index was constructed from 11 tracer indicators of the continuum of care. The UHC service coverage index mainly focused on treatment and prevention was constructed from the geometric means from 14 tracer indicators. The health system strengthen index computed from two broad categories: health input and output scores. The data sources for all the analysis were from five Demographics and Health Surveys, health facility surveys, routine and administration reports. We estimated the national and subnational performance of the health system.

Results: The CCI showed over a twofold increase in 2019 (17.6 in 2000 to 55.0 in 2019) compared to 2000. The national UHC-service coverage index by 2020 was 34.0%.  The coverage of RMNCH, infectious diseases, NCD and service capacity & access were 45.0%, 69.0%, 71.0% and 6.0%, respectively. The Health system strengthen index was 36.0% in 2020. There were variations on the composite coverage, universal health coverage and health system strengthen indexes by regions, wealth quintile place of residence, education level and regions.

Conclusion: In Ethiopia, there were improvements in health interventions coverage.   Inevitable disparities in health service coverage existed by wealth quintile, mothers education level, residence, and regions. It is recommended that the policymakers at the national and subnational levels should take initiatives to narrow the disparities among subpopulations. The health system needs more intensified effort particularly to strengthen the service capacity and access, the health infrastructure and input to achieve the SDG -2030 goals

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Author Biographies

  • Ashenif Tadele, Ethiopian Public Health Institute

    Health system and reproductive health research directorate, Ethiopian Public Health Institute, Ethiopia

  • Theodros Getachew, Ethiopian Public Health Institute

    Health system and reproductive health research directorate, Ethiopian Public Health Institute, Ethiopia

  • Tefera Taddele, Ethiopian Public Health Institute

    Health system and reproductive health research directorate, Ethiopian Public Health Institute, Ethiopia

  • Mulugeta Gajae, Ethiopian Public Health Institute

    Health system and reproductive health research directorate, Ethiopian Public Health Institute, Ethiopia

  • Shegaw Mulu, Ministry of Health

    Strategic Affairs Lead Executive Office, Ministry of Health, Ethiopia

  • Tewabe Manaye, Ministry of Health

    Strategic Affairs Lead Executive Office, Ministry of Health, Ethiopia

  • Tamrat Awel, Ministry of Health

    Strategic Affairs Lead Executive Office, Ministry of Health, Ethiopia

  • Getachew Tollera, Ethiopian Public Health Institute

    Health system and reproductive health research directorate, Ethiopian Public Health Institute, Ethiopia

  • Dessalege Y. Melesse, University of Manitoba

    Countdown to 2030 for Women’s, Children’s and Adolescents’ Health, Institute, University of Manitoba, Canada

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Published

2024-01-31

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How to Cite

Tadele, A. (2024) “Measuring Ethiopia’s health system performance: More efforts are needed to achieve SDG 2030”, Ethiopian Journal of Public Health and Nutrition (EJPHN), 7(1), pp. 1–10. doi:10.20372/ejphn.v7i1.236.

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