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Author: Huihui Wang
Publisher: World Bank Publications
ISBN: 1464808163
Category : Medical
Languages : en
Pages : 121
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Book Description
As a low-income country, Ethiopia has made impressive progress in improving health outcomes. This report examines how Ethiopia s Health Extension Program (HEP) has contributed to the country s move toward Univeral Health Coverage (UHC), and to shed light on how other countries may learn from Ethiopia s experiences of HEP when designing their own path to UHC. HEP is one of the government s UHC strategies introduced in a context of limited resources and low coverage of essential health services. The key aspects of the program include the capacity building and mobilization of more than 30, 000 Health Extension Workers (HEWs) targeting more than 12 million model families, and the mobilization of health development army ? to support the community-based health system. Using the HEP-UHC conceptual model and data from Demographic and Health Surveys, the study examines how the HEP has contributed to the country s move toward UHC. During the period that the HEP has been implemented, the country has experienced significant improvements in many dimensions: in terms of socioeconomic, psychological, behavioral, and biological dimensions of the beneficiaries; and in terms of the coverage of health care services. The study finds an accelerated rate of improvements among the rural, less-educated, and the poor population, which is leading to an overall reduction in equity gaps and improvements in the equity indicators including the concentration indices - that suggest a more equitable distribution of resources and health outcomes. The HEP in Ethiopia has demonstrated that an institutionalized community approach is effective in helping a country make progress toward UHC. The elements of success in the HEP include the emphasis on community mobilization which identifies community priorities, engages and empowers community members, and supports their ability to solve local problems. The other aspect of HEP is the emphasis on institutionalization of the activities, which addresses the sustainability of community programs through high level of political commitment, and effective coordination of national policies and leveraging of support from partners. These findings may offer useful lessons for other low income countries facing similar challenges in developing and implementing a sustainable UHC strategy.
Author: Huihui Wang
Publisher: World Bank Publications
ISBN: 1464808163
Category : Medical
Languages : en
Pages : 121
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Book Description
As a low-income country, Ethiopia has made impressive progress in improving health outcomes. This report examines how Ethiopia s Health Extension Program (HEP) has contributed to the country s move toward Univeral Health Coverage (UHC), and to shed light on how other countries may learn from Ethiopia s experiences of HEP when designing their own path to UHC. HEP is one of the government s UHC strategies introduced in a context of limited resources and low coverage of essential health services. The key aspects of the program include the capacity building and mobilization of more than 30, 000 Health Extension Workers (HEWs) targeting more than 12 million model families, and the mobilization of health development army ? to support the community-based health system. Using the HEP-UHC conceptual model and data from Demographic and Health Surveys, the study examines how the HEP has contributed to the country s move toward UHC. During the period that the HEP has been implemented, the country has experienced significant improvements in many dimensions: in terms of socioeconomic, psychological, behavioral, and biological dimensions of the beneficiaries; and in terms of the coverage of health care services. The study finds an accelerated rate of improvements among the rural, less-educated, and the poor population, which is leading to an overall reduction in equity gaps and improvements in the equity indicators including the concentration indices - that suggest a more equitable distribution of resources and health outcomes. The HEP in Ethiopia has demonstrated that an institutionalized community approach is effective in helping a country make progress toward UHC. The elements of success in the HEP include the emphasis on community mobilization which identifies community priorities, engages and empowers community members, and supports their ability to solve local problems. The other aspect of HEP is the emphasis on institutionalization of the activities, which addresses the sustainability of community programs through high level of political commitment, and effective coordination of national policies and leveraging of support from partners. These findings may offer useful lessons for other low income countries facing similar challenges in developing and implementing a sustainable UHC strategy.
Author: Andrew Sunil Rajkumar
Publisher: World Bank Publications
ISBN: 0821387669
Category : Business & Economics
Languages : en
Pages : 227
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Book Description
Despite recent progress, malnutrition remains a severe problem in Ethiopia. This report provides the findings from an in-depth data-based analysis of malnutrition in Ethiopia and its causes.
Author: Punam Chuhan-Pole
Publisher: World Bank Publications
ISBN: 0821387456
Category : Business & Economics
Languages : en
Pages : 497
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Book Description
Takes an in-depth look at twenty-six economic and social development successes in Sub-Saharan African countries, and addresses how these countries have overcome major developmental challenges.
Author: Qaiser M Khan
Publisher: World Bank Publications
ISBN: 1464803331
Category : Business & Economics
Languages : en
Pages : 139
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Book Description
Ethiopia’s model for delivering basic services appears to be succeeding and to confirm that services improve when service providers are more accountable to citizens. As discussed in the World Development Report 2004, accountability for delivering basic services can take an indirect, long route, in which citizens influence service providers through government, or a more direct, short route between service providers and citizens. When the long, indirect route of accountability is ineffective, service delivery can suffer, especially among poor or marginalized citizens who find it challenging to express their views to policymakers. In Ethiopia, the indirect route of accountability works well precisely because of decentralization. Service providers are strictly accountable to local governments for producing results, but in turn, the local authorities are held accountable by the regional and federal governments. A degree of local competition for power and influence helps to induce local authorities and service provides to remain open to feedback from citizens and take responsibility for results. The direct route of accountability has been reinforced by measures to strengthen financial transparency and accountability (educating citizens on local budgets and publicly providing information on budgets and service delivery goals), social accountability (improving citizens’ opportunities to provide feedback directly to local administrators and service providers), and impartial procedures to redress grievances. Woreda-level (district) spending has been a very effective strategy for Ethiopia to attain its Millennium Development Goals (MDGs). Woreda health and education goes to pay for health extension workers (HEWs) and teachers. This study finds evidence that woreda-level spending in health and education is effective. Owing to the intervention of HEWs, the use of health services has increased, especially among the poorest quintiles. Finally, the effect of woreda-level spending on agricultural extension workers is associated with higher yields for major crops. Spending on agricultural extension workers increases the probability that farmers, regardless of the size of their plots, will use improved farming techniques. Education, health, and agriculture account for 97 percent of woreda spending. This is complemented by support for capacity building and citizen voice. Clearly, spending efficiency is improved through better capacity, more transparency, and greater accountability to citizens.
Author: United States
Publisher:
ISBN:
Category : Law
Languages : en
Pages : 1524
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Author:
Publisher: Government Printing Office
ISBN:
Category :
Languages : en
Pages : 1148
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Author: Colin Filer
Publisher: ANU E Press
ISBN: 1922144428
Category : Political Science
Languages : en
Pages : 333
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"The main purpose of this volume is to publish, and thus to publicise, the factual material contained in a series of consultancy reports commissioned by the Porgera Joint Venture (PJV) between 1992 and 1994 (Banks 1993, 1994a, 1994b, 1994c; Bonne1l1994). These reports dealt with the social and economic impact of the Porgera gold mine on the population of the Porgera Valley during the period which had elapsed since the Government of Papua New Guinea (PNG) signed a Mining Development Contract with the PJV in April 1989. They were commissioned as part of what became known as the Porgera Social Monitoring Programme, which was itself intended to satisfy some of the conditions which the PNG Department of Environment and Conservation (DEC) had attached to its approval of the company's Environmental Plan (NSR 1988) and Environmental Management and Monitoring Programme(PJV 1991). The substance of these reports has been revised and edited to form Chapters 2-7 of the present volume. The last two chapters have been specially commissioned from two other social scientists who have studied the social impact of the mining project, and who were asked to provide their own comments on the design, management and output of the Porgera Social Monitoring Programme."--Introduction.
Author: Abate, Gashaw T.
Publisher: Intl Food Policy Res Inst
ISBN:
Category : Political Science
Languages : en
Pages : 27
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Book Description
Remote areas are often characterized by lower welfare outcomes due to economic disadvantages and higher transaction costs for trade. But their worse situation may also be linked to worse public service delivery. Relying on large household surveys in rural Ethiopia, we explore this by assessing the association of two measures of remoteness – (1) the distance of villages and primary service centers to district capitals and (2) the distance of households to service centers (the last mile) – with public service delivery in agriculture and health sectors. In the agriculture sector, we document statistically significant and economically meaningful associations between exposure to agriculture extension and the two measures of remoteness. For health extension, only the last mile matters. These differences between the two sectors could be due to the fact that more remote villages tend to have fewer agriculture extension workers who also put in fewer hours than their peers in more connected areas. This does not apply in the health sector. These findings provide valuable inputs for policymakers aiming to improve inclusiveness in poor rural areas.
Author:
Publisher:
ISBN:
Category : Agriculture
Languages : en
Pages : 444
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Book Description
Author: United States. Congress. House
Publisher:
ISBN:
Category :
Languages : en
Pages : 2170
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Book Description
