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Pro-poor pathway towards universal health coverage: lessons from Ethiopia.

Admasu K, Balcha T, Ghebreyesus TA - J Glob Health (2016)

View Article: PubMed Central - PubMed

Affiliation: Ministry of Health, Addis Ababa, Ethiopia.

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Guided by these cross cutting pro–poor government policies and spurred by the United Nations Millennium Development Goals (MDGs), the health sector has implemented multi–pronged initiatives towards ensuring every citizen an access to affordable health services without catastrophic expenditures... For example, while the government has assigned trained and salaried HEWs as civil servants in each village and provided ambulance vehicles at district level, the community has constructed health posts and maternity waiting homes at health centers, and has procured additional ambulance vehicles for medical referral through Health Development Army... The new government–community partnership has improved service uptake and health outcomes... Ethiopia has established a stringent regulatory system to guard the poor against low standard and counterfeit medicines... Evidence shows that the comprehensive supply management and robust regulation has effectively blocked entry of counterfeit medicines into the market and significantly reduced stock–outs and wastage of medicines... In 2013, the availability of essential medicines at public health facilities in Ethiopia was 76%... The average price of generic medicines significantly reduced between 2004 and 2013, positively impacting the poor... During the same period, a considerable drop in price of medicines at private for–profit outlets was reported, implying the strategy’s proxy impact on price regulation in the country’s health care market, further contributing to the mitigation of catastrophic expenditures on the poor... Further, differences in service uptake exist within communities, denting Ethiopia’s pro–poor, pro–equity route towards UHC... The two schemes are expected to cover 80% of the population within the next 5 years and will be consolidated as a single payer system within the next 10 years... In conclusion, Ethiopia advances locally–tailored, multi–faceted pro–poor approaches to ensure UHC building on its successful transformation of the health sector in the last two decades and the achievement of key health MDG targets... Broader plan for inclusive economic development, effective implementation of primary health care, expansion of access to medicines and introduction of health insurance is the pathway towards UHC for all citizens... We believe that these approaches to health care could propel Ethiopia to expedite its efforts to achieve the sustainable development goals including UHC within a short time.

No MeSH data available.


Photo: Children at a vaccinations clinic near Sululta, Ethiopia. Yasmin Abubeker/DFID [CC BY-SA 2.0 (http://creativecommons.org/licenses/by-sa/2.0)], via Wikimedia Commons
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Fa: Photo: Children at a vaccinations clinic near Sululta, Ethiopia. Yasmin Abubeker/DFID [CC BY-SA 2.0 (http://creativecommons.org/licenses/by-sa/2.0)], via Wikimedia Commons


Pro-poor pathway towards universal health coverage: lessons from Ethiopia.

Admasu K, Balcha T, Ghebreyesus TA - J Glob Health (2016)

Photo: Children at a vaccinations clinic near Sululta, Ethiopia. Yasmin Abubeker/DFID [CC BY-SA 2.0 (http://creativecommons.org/licenses/by-sa/2.0)], via Wikimedia Commons
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4920007&req=5

Fa: Photo: Children at a vaccinations clinic near Sululta, Ethiopia. Yasmin Abubeker/DFID [CC BY-SA 2.0 (http://creativecommons.org/licenses/by-sa/2.0)], via Wikimedia Commons

View Article: PubMed Central - PubMed

Affiliation: Ministry of Health, Addis Ababa, Ethiopia.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Guided by these cross cutting pro–poor government policies and spurred by the United Nations Millennium Development Goals (MDGs), the health sector has implemented multi–pronged initiatives towards ensuring every citizen an access to affordable health services without catastrophic expenditures... For example, while the government has assigned trained and salaried HEWs as civil servants in each village and provided ambulance vehicles at district level, the community has constructed health posts and maternity waiting homes at health centers, and has procured additional ambulance vehicles for medical referral through Health Development Army... The new government–community partnership has improved service uptake and health outcomes... Ethiopia has established a stringent regulatory system to guard the poor against low standard and counterfeit medicines... Evidence shows that the comprehensive supply management and robust regulation has effectively blocked entry of counterfeit medicines into the market and significantly reduced stock–outs and wastage of medicines... In 2013, the availability of essential medicines at public health facilities in Ethiopia was 76%... The average price of generic medicines significantly reduced between 2004 and 2013, positively impacting the poor... During the same period, a considerable drop in price of medicines at private for–profit outlets was reported, implying the strategy’s proxy impact on price regulation in the country’s health care market, further contributing to the mitigation of catastrophic expenditures on the poor... Further, differences in service uptake exist within communities, denting Ethiopia’s pro–poor, pro–equity route towards UHC... The two schemes are expected to cover 80% of the population within the next 5 years and will be consolidated as a single payer system within the next 10 years... In conclusion, Ethiopia advances locally–tailored, multi–faceted pro–poor approaches to ensure UHC building on its successful transformation of the health sector in the last two decades and the achievement of key health MDG targets... Broader plan for inclusive economic development, effective implementation of primary health care, expansion of access to medicines and introduction of health insurance is the pathway towards UHC for all citizens... We believe that these approaches to health care could propel Ethiopia to expedite its efforts to achieve the sustainable development goals including UHC within a short time.

No MeSH data available.