Private Health Sector Project Ethiopia Malaria Diagnosis ...

1

Private Health Sector Project –Ethiopia

Malaria Diagnosis and Treatment at

Private Health Facilities

Year One Quarter Four Report

July – September 2016

DISCLAIMER

The author’s views expressed in this publication do not necessarily reflect the views of the United States

Agency for International Development (USAID) or the United States Government

i

USAID ETHIOPIA - PRESIDENT’S MALARIA INITIATIVE

(PMI)

Private Health Sector Project - Ethiopia

Malaria Diagnosis and Treatment at Private Health Facilities

Year One Quarter Four Report (July – September 2016)

Program: Private Health Sector Project -

Ethiopia

Prime Partner and Sub-partners: Abt Associates Inc.

Cooperative Agreement Number: GPO –A-00-09-00007-00

Project Start / Completion Date: October 2015 – September 2020

Work or Reporting Period: July – September 2016

Submission Date: 21 October 2016

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Acronyms

ACT Artemisinin-based Combination Therapy

AIDS Acquired Immune Deficiency Syndrome

EMLA Ethiopian Medical Laboratory Association

EPHFEA Ethiopian private Health facilities Employee Associations

FMOH Federal Ministry of Health

HC Health Center

HIV Human Immune Deficiency Virus

IPLS Integrated Pharmaceutical Logistic System

IRS Indoor Residual Spraying

ITN Insecticide –treated net

LLINS Long lasting insecticidal net

LMIS Logistic Management Information System

MC Medium Clinic

MOU Memorandum of Understanding

NGO Non -Governmental Organization

PF Plasmodium falciparum

PV Plasmodium vivax

PHSP Private Health Sector Program

PMI President’s Malaria Initiative

PPM Public private Mix

PPP Public Private Partnership

RDT Rapid Diagnostic Testing

RHB Regional Health Bureau

SNNP Southern Nations, Nationalities, and Peoples

TAC Technical Advisory Committee

TOT Training of Trainers

WHO World Health Organization

USAID United State Agency for International Development

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Contents

Acronyms ...................................................................................................................................... ii

1 Introduction ................................................................................................................................. 1

1.1 General Overview .......................................................................................................................... 1

1.2 Strategies ....................................................................................................................................... 1

1.3 The general objectives of this program component are to: .......................................................... 1

2. Key Accomplishments (July – September 2016) ........................................................................ 2

2.1 Working with private health facilities ............................................................................................ 2

2.2 Review meeting and supportive supervision ................................................................................. 2

2.3 Partnership with RHB and stakeholders ........................................................................................ 2

2.4 Formative assessment ................................................................................................................... 2

2.5 Training .......................................................................................................................................... 3

2.6 Participation and Discussion with FMOH /RHBs ............................................................................ 4

2.7 Service Delivery .............................................................................................................................. 4

2.8) Gender Mainstreaming ............................................................................................................... 5

3) Summary of Facility Level Report for Quarter Four ................................................................. 7

4) Planned Activities for Next Quarter ........................................................................................ 7

5. Summary Monitoring and Evaluation Matrix (Private Health Sector Project Ethiopia) ........... 8

6. List of Private Health Sector Project -Ethiopia - Supported Facilities for Malaria Diagnosis and

Treatment Services during this Reporting Quarter (July – September 2016) .......................... 10

7 Photo Gallery ............................................................................................................................ 17

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List of Tables

Table 1: Number of malaria case management training participants by region, July- September

2016. ................................................................................................................................................... 3

Table 2: Malaria diagnosis and treatment at 145 private health facilities: July – September2016 ..... 5 Table 3: Malaria cases treated, admitted, referred and died in at 145 PPP supported facilities (July

-September 2016) ............................................................................................................................... 5

Table 4: Malaria cases by age and sex in Private Health Sector Program supported facilities (July –

September 2016) ................................................................................................................................ 6

List of Figures

Figure 1: Radar plot of Pretest and Posttest results of malaria case management training, Adama,

September 16 -19, 2016. .................................................................................................................... 3

Figure 2: Trends in Malaria Diagnosis, treatment at Private Health Sector Project -Ethiopia

assisted private facilities; October 2014 September 2016 ................................................................. 7

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1 Introduction

1.1 General Overview

The Private Health Sector Program (PHSP) was a USAID funded project which supported between a

minimum of 44 and a maximum of 117 private health facilities during its four year implementation period.

The project was implemented in seven regional states of Ethiopia i.e. Afar, Amhara, Oromia, Southern

Nations, Nationalities and People, Tigray, Harari Regions and Dire Dawa City Administration, through

which over 868,193 malaria-suspected cases were properly screened, and over 228,049 malaria cases

were diagnosed, treated and reported to the town health offices ( April 2012- Sep 2015) .

From October 2015-September 2016, the Private Health Sector Project has supported 149 private health

facilities for malaria care services in five regional states of Ethiopia (5 Afar, 35 Amhara, 39 Oromiya, 25

SNNPR and 45 Tigray).From July- September 2016, cases were reported from 131 facilities. Thirteen

facilities reported zero case, and 5 facilities were closed.

1.2 Strategies

• Policy dialogue with RHBs to engage private facilities in Public Private Mix (PPM) -based

malaria case management, and policy dialogue and advocacy to establish a PPM implementation

guideline for malaria prevention and control through the private sector.

• Public Private Mix for malaria care service site expansion.

• Building the capacity of health providers through Team Training (case managers, lab

professionals and supply chain mangers), Joint Supportive Supervision and Mentoring.

• Rapid assessment to map geographic distribution of migrant and mobile workforce.

• Technical Assistance to malaria program officers in Afar, Gambella and Beneshangul- Gumuz.

• Working through partnership with all stakeholders for improving access to effective and

efficient malaria care services.

1.3 The general objectives of this program component are to:

• Increase access and uptake of malaria services from the private health facilities.

• Enhance capacity of local partners to ensure the sustainability of PPM partnerships.

• Enhance pharmaceutical supply chain management and rational drug use at private health

facilities including work places.

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• Enhance program learning and innovative ventures.

• Generate evidence on malaria service needs of migrant and mobile workforce for decision

making and programming.

2. Key Accomplishments (July – September 2016)

2.1 Working with private health facilities

In the reporting period, malaria cases (diagnosis and treatment) were reported from 131 facilities, and

46 new facilities were assessed in four regions.

2.2 Review meeting and supportive supervision

From August 1 through 28 2016, joint supportive supervision was conducted in four regional

states (Tigray, Amhara, Oromia and SNNP).

The Private Health Sector Project facilitated program review meetings from September 27 -28

2016 in Tigray and SNNP Regions.

The project, in collaboration with the Ethiopian Sugar Corporation, prepared a three-day malaria

program review. The participants were delegates of all nine sugar development projects. Each

project presented its achievements, challenges and lesson learned.

Follow up conducted on unusual malaria case in Beles, Kessme Metehara and Kuraz SDPs (

Sugar Development project .

2.3 Partnership with RHB and stakeholders

Facility readiness assessment was conducted in three regions (Afar, Beneshangul Gumuz and

Gambella). Out of the 30 private health facilities assessed, 27 were willing and committed to

working in partnership with the public sector (See Photos 3, 4 & 5).

A list of project-supported workplace malaria facilities was shared with ICAP. This helps both

projects to avoid duplication of efforts.

2.4 Formative assessment The formative assessment on the situation of migrant or mobile workers and malaria-related health

needs was conducted in seven regional states (Afar, Amhara, Benishangul Gumuz, Gambella, Oromia,

SNNP and Tigray). The formative assessment documented the existence of an estimated 1 million

seasonal migrant workers in all seven regional states. The situation of malaria among migrant workers

was more complex and difficult to address through routine malaria prevention and control strategies.

More detailed findings will be presented in the final report from the assessment, which will be ready

in Q1 of year II.

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2.5 Training

The Private Health Sector Project, in collaboration with Oromia Regional State Health Bureau,

facilitated a malaria case management training at World Training Center (WTC), Adama (Photos 1,&

2). The total participants were 27 of which 15 (55.6 percent) were nurses, 10 (37.0 percent) were

health officers, 1 (3.8 percent was a lab professional and 1 (3.8percent) was a medical doctor. Out of

27 malaria case management trainees, 18 were from newly assessed and enrolled malaria facilities. The

remaining 9 participants were recruited to replace attrition of trained healthcare providers in partner

facilities. Trainee performance improvement was measured using standard pre- and post-test scores.

The average performance improvement was 19.0 percentage points (59.0 percent scored in a pre-

test and 78.0percent in a post-test) (figure 1).

Figure 1: Radar plot of pretest and posttest results of malaria case management training, Adama, September

16 -19, 2016.

Table 1: Number of malaria case management training participants by region, July - September 2016.

A half-

day

briefing on the Logistics Management Information System (LMIS) using Standard Operating Procedures of

Integrated Pharmaceutical Logistics System (IPLS) for 27 health care workers was delivered ( which is the

part of the previous training ) . The trainees were given the opportunity to practice on stock management

0%

20%

40%

60%

80%

100%1

23

45

6

7

8

9

1011

1213141516

1718

19

20

21

22

23

2425

2627

Pretest

Posttest

No Region

Malaria Case management (YI QIV)

# of facilities in

the region

# of trainees new

facilities

# of replacement

trainees Total

1 Afar 5 10 0 10

2 Amhara 35 0 0 0

3 Benshangul Gumuz 0 0 0 0

4 Gambella 0 0 0 0

5 Oromia 39 4 6 10

6 SNNP 25 5 0 5

7 Tigray 45 1 1 7

Total 149 20 7 27

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tools (Bin Cards, Stock Cards, Goods Receiving and Issue Memos, Inventory forms, Drug Reporting and

Requesting Forms).

2.6 Participation and Discussion with FMOH /RHBs

During Year I Quarter IV, the project continued its technical support as a member of the National

Malaria Technical Advisory Committee (TAC) and malaria control support team (MCST).

The Private Health Sector Project was represented in the regular Technical Advisory Committee

(TAC) meeting at FMOH on August 18, 2016.

In the era of malaria elimination, the importance of scaling up of Public Private Mix (PPM)

malaria care services and the development of PPM Implementation Guidelines was advocated

and discussed with FMOH state minster. Upon request of FMOH, the project shared the PPM

DOTS Implementation Guidelines (2012), and the state minster directed the project to develop a

malaria PPM implementation guideline.

During the reporting period, our office provided financial and technical support for the finalization of

malaria case management training manuals. A four-day workshop on this topic was held in Addis

Ababa, at Cyan City Hotel, from September 19 - 22, 2016

2.7 Service Delivery

From July – September 2016, the Private Health Sector Project - Ethiopia collected data from 131 private

facilities which provide malaria case diagnosis and treatment. Details are depicted in tables 2 and 3 below:

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Table 2: Malaria diagnosis and treatment at private health facilities: July – September 2016

Region

All

malaria

suspecte

d cases

Total

cases

Microscopy RDT

.

Presu

med

Dx TBF Pos percent PF PV Mixed TRDT Pos percent PF PV Mixed

Afar 3631 885 3452 885 26 582 270 33 179 0 0 0 0 0 0

Amhara 21161 4072 20,179 3776 19

1,86

8

1,596

312 982 296 30

94

135

67 0

Oromia 19605 2021 19006 1890 10

886

897

107 595 127 21

33

92

2 4

SNNP 19177 3317 17197 2176 13

833

1,215

128 1738 899 52

473

415

11 242

Tigray 16071 6377 12156 3849 32

2,96

2

781

106 3915 2528 65

1,264

834

430 0

Total 79,645 16,672 71990 12576 17

7,13

1

4,759

686 7409 3850 52

1,864

1,476

510 246

NB : pos =positive , Dx =diagnosis ,: *CQ = Chloroquine, **AM= Artemether, Artsun= Artesunate, PF ( plasmodium falciparum ),PV ,plasmodium vivax

Table 3: Malaria cases treated, admitted, referred and malaria-related deaths in private health facilities (July -September 2016)

Region Total Cases treated Treated Number of Malaria cases

AL CQ* Quinine AM** Artsun Admitted Referred Deaths

Afar 885 615 270 0 0 0 0 0 0

Amhara 4068

2,223

1,724 53 69 8 52 5 0

Oromia 2016 1,038

942 15 21 50 1 0

SNNP 3314

1,508

1,654 19 110 16 35 15 0

Tigray 6353

4,667

1,615 3 63 5 0 0 0

Total 16636

10,051

6,205 57 257 50 137 21 0

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2.8) Gender Mainstreaming

During this quarter, the Private Health Sector Project facilitated malaria case management training with

27 case managers, out of which 10 (37.05 percent) were females while the rest 17(63.0percent) were

males. The sex ratio (F:M) of participation was 1:2. Moreover, from all malaria cases, 11,566 (69.3percent)

of malaria patients were males while the rest 5106 (29.7percent) were females. The following (table 4)

depicts the distribution of service beneficiaries by age and sex.

Table 4: Malaria cases by age and sex in Private Health Sector Program supported facilities (July –

September 2016)

Region

Total

Cases

Age in Years and Sex Disaggregation

< 5 5 - 14 >=15

PW*

Total

Male Female Male Female Male Female Male Female

Afar 885 107 72 75 56 424 151 0 606 279

Amhara 4072 188 159

251

258

2,176

1,040 605 2615 1457

Oromia 2021

121

104

247

179

924

446

1

1,292

729

SNNPR** 3317

208

160

260

145

1,531

1,013

14

1,999

1,318

Tigrai 6377

157

132

324

212

4,573

979

6

5,054

1,323

All

Regions 16,672

781

627

1,157

850

9,628

3,629

626

11,566

5,106

PW= Pregnant Women ** SNNP= Southern Nation Nationalities and Peoples Region

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3) Summary of facility-level report

During the reporting period, reports were collected from 131 private health facilities (5 from

Afar, 31 from Amhara, 35 from Oromia, 19 from SNNP and 41 from Tigray Regions).

In quarter IV, facility readiness assessments were conducted and an additional 45 facilities were

identified in three regions (14 in Afar, 12 in Gambella, and 19 in Beneshangul Gumuz).

Almost all (99 percent or 16426/16672) malaria suspected cases were investigated for

parasitological confirmation.

The positivity rate for blood films (BFs) was 17 percent (12576/71990) while the positivity rate

for RDTs was 52 percent (3850/7409 ).

4) Planned Activities for Next Quarter

Facilitate launching of Public Private Mix (PPM) for malaria care service in three regions

(Beneshangul Gumuz, Gambella, and Afar).

Conduct malaria case management training for newly enrolled facilities and consider replacement

trainees to make-up for attrition in Gambella and Beneshangul Gumuz Regions.

Assess and identify additional malaria care facilities in SNNP, Afar, Beneshangul Gumuz Regions.

Conduct malaria case management training for new facilities and emerging regions .

Support the initiation of malaria care services in newly identified and prepared facilities.

Provide technical support to private health facilities associations and .

Figure 2: Trends in Malaria Diagnosis and Treatment at –project-assisted private facilities; October 2015- September

2016

96867470

9495

16672

96667483

9153

16636

99.8%99.2%

99.6%

98.5%

90.0%

92.0%

94.0%

96.0%

98.0%

100.0%

102.0%

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

Y1Q1 Y1Q2 Y1Q3 Y1Q4

pe

rce

nt

of

mal

aria

cas

es

Nu

mb

er

of

Mal

aria

Cas

es

Diagnosed Malaria Treated Malaria % Confirmed Malaria

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5. Summary of Monitoring and Evaluation Matrix (Private Health Sector Project Ethiopia)

No Indicator Indicator /output Planned

October 2015-

September

2016

Achieved

October2015-

September

2016

1 Dialogue to engage /initiate Malaria in PHFs with in three regions

(Beneshangul- Gumuz , Gambella, Afar)

Number of meetings

/preliminary discussions

3 3

2 Participate in the national celebration of World Malaria Day 2016 Number of event/ proceeding 1 1

3 Adopt and print BCC materials for Migrant workers with one of the PMI

Partners working on Social and Behavioral Change Communication (SBCC)

Number of posters 0 0

4 Conduct a facility readiness assessment and select 73 additional eligible

private health facilities (PHFs)for Malaria services

Number of assessment 73 130

5 Prepare a launching ceremony and facilitate signing MoUs between RHBs

and 73 PHFs in newly emerging regions

Number of Singed MOU

Number of region

73 79

6 Initiate Malaria services in 68 additional new facilities ( for -profit ) Number of facilities initiate

malaria services

68 94

7 Initiate Workplace Malaria care services in 5 sites Number of facilities initiate

Malaria services

5 3

8 Facilitate the Identification of over 98percent of Malaria cases based on

parasitology diagnosis in selected private health facilities

Proportion of parasitological

identified cases

>95percent 98.5percent

9 Provide standard malaria treatment for 100percent of Malaria patients in

the selected private facilities

Proportion of appropriate

treatment

>98percent 99.7percent

10 Participate in Malaria outbreak /epidemic identification, and response Number of rumor identified

and reported to higher level

1 1

11 Provide three rounds of four days training on Malaria diagnosis and

treatment to 85 health care workers (doctors, health officers, nurses)

recruited from private clinics (assumption 1 HWs per facility )

Number of participants

pre/post test scores

55 84

12 Provide three rounds five days training on Malaria diagnosis techniques to

85 lab personnel recruited from private health facilities

Number of participants

attended,

pre/post test scores

30 102

13 Print and distribute 85 sets of job aids and treatment guidelines to 85

private health facilities

Number of sets (job aids

/guidelines/SOPs distributed)

85 112

14 Provide three session IPLS training for 85 health workers Number of participants

55 112

9

No Indicator Indicator /output Planned

October 2015-

September

2016

Achieved

October2015-

September

2016

15 Link all Selected PPM for malaria care facilities to Public Supply Chain

system to access Artemether Lumefantinerine (AL)

Number of PHF access with

AL

61 61

16 Facilitate the provision of rapid diagnostic test (RDT) supply from RHBs to

50 Lower/primary clinics

Number of Facilities

receiving RDT

15 15

17 Conduct formative assessment to address the Malaria prevention and

control need of migrant workers

Number of assessment

Number of report

1 1

18 Print and distribute HMIS tools (Comprehensive Lab Register, Morbidity,

Report forms) to 117 facilities

Number of facilities using

these forms

117 149

19 Collect and facilitate submission of Malaria weekly reports to PHEM at

Woreda Health Offices /weekly report /


these forms and # submitted

117 131

20 Collect and facilitate submission of HMIS (Malaria) monthly reports to

Woreda Health Offices


these forms and # submitted

117 131

21 Provide lab mentoring for existing 44 Malaria sites twice a year (EMLA) Number of labs mentored 44 44

22 Strengthen linkage of 44 existing malaria sites in regional EQA scheme for

Malaria microscopy quarterly

100percent of 44 sites

received EQA & 90percent of

them passed minimum score

44 01

1 EQAs can not conducted for malaria slides , shortage of manpower at the RHB and regional lab

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6. List of Private Health Sector Project - Ethiopia Supported Facilities for Malaria

Diagnosis and Treatment Services during this Reporting Quarter (July –

September 2016)

ID Name of Facility Facility Level Ownership Region Zone Town

1 Adinas Higher Clinic Higher Clinic Private Amhara Bahir Dar Bahir Dar

2 Ayehu Farm Clinic Work Place Private Amhara Awi Ankesha

3 Bekele Higher Clinic Medium Clinic Private Amhara West Gojam Bure

4 Belese Sugar Dev Medium Clinic Government Amhara Awi Fendika

5 Birr Farm Clinic Work Place Private Amhara West Gojam Jabi Tena

6 Dilnesa Medium Clinic Medium Clinic Private Amhara West Gojam Finoteselam

7 Dr Bekele Higher Clinic

woreta

Higher Clinic Private Amhara South Gondar Woreta

8 Dr Birhanu Higher Clinic Higher Clinic Private Amhara West Gojam Durbete

9 Dr Gashaw Medium Clinic Medium Clinic Private Amhara Awi Fendika

10 Dr Melaku Medium Clinic Medium Clinic Private Amhara West Goajam Finoteselam

11 Dr. Abera Medium Clinic Medium Clinic Private Amhara North Wollo Woldia

12 Dr. Mulugata MC Medium Clinic Private Amhara Awi Chagni

13 Gambi Hospital Hospital Private Amhara Bahir Dar Bahir Dar

14 Hayat Medium Clinic Medium Clinic Private Amhara Awi Chagni

15 St. George Hospital Hospital Private Amhara West Gojam Bure

16 Urso Line Sisters Catholic Health Center NGO Amhara North Wollo Kobo

17 Yifat Primary Hospital Hospital Private Amhara North Shoa Shoa Robit

18 Gashaw MC Medium clinic Private Amhara North Shoa Shoa Robit

19 Biruk MC Medium Clinic Private Amhara North Shoa Shoa Robit

20 Agmasse MC Medium clinic Private Amhara Bahir Dar Bahir Dar

21 Dr. Aemero MC Medium clinic Private Amhara West Gojjam Dembecha

22 Tesfu MC Medium Clinic Private Amhara West Gojjam Shindie

23 Lalibela Medium clinic Medium Clinic Private Amhara West Gojjam Shindie

24 Kef- ale MC Medium Clinic Private Amhara West Gojjam Shindie

25 Demisse MC Medium Clinic Private Amhara West Gojjam Merawi

26 Bernesh Medium clinic Medium Clinic Private Amhara West Gojjam Finote Selam

27 Belse Sugar Developmeny

HC II

Work Place Government Amhara Awi Fendika

28 Al-Buraq Medium Clinic Medium clinic Private Amhara Awi Chagni

29 Binalfew Medium Clinic Medium Clinic Private Amhara Awi Fendika

30 Dagmawi Deresegn Medium Clinic

Medium clinic Private Amhara North Gondar Chuhait

31 Birr Farm Primary Clinic 2

Work Place Private Amhara West Gojjam Jabih tehina

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32 Arjo Dedessa Sugar Dev

Clinic

Work Place Government Oromia East Wolega Arjo Dedessa

33 Fincha Sugar Factory Work Place Government Oromia Horo Gudru Fincha

34 Metehara Sugar factory –

Hospital

Work Place Government Oromia East Shoa Metehara

35 Wonji Sugar Factory

Hospital

Hospital Government Oromia East Shoa Wonji

36 Abyssinia HC Higher clinic Private Oromia East Shoa Modjo

37 Sama Senbet Hospital Hospital Private Oromia East Shoa Modjo

38 Addis Hiwot HC Higher Clinic Private Oromia I/Abbabora Bedelle

39 Agape MC Medium clinic Private Oromia West Shoa Ambo

40 Amob HC Higher Clinic Private Oromia West Shoa Ambo

41 Bako MY HC Health Center NGO Oromia West Shoa Backo

42 Dembel HC Higher clinic Private Oromia West shoa Ambo

43 Ethio- Africa HC Higher Clinic Private Oromia Jimma Jiimma

44 Hora Medium clinic Medium Clinic Private Oromia Finifine Z Sebeta

45 Jarra HC Higher clinic Private Oromia West Wolega Nejo

46 Jimma HC Higher Clinic Private Oromia Jimma Jimma

47 Kera HoraHC Higher Clinic Private Oromia East Shoa Bishoftu

48 Miskir Higher Clinic Higher Clinic Private Oromia East shoa Adama

49 Tropical MC Medium Clinic Private Oromia East Sjoa Metehara

50 Universal Higher Clinic Higher Clinic Private Oromia Shashemene Shashemene

51 Feya General Hospital Hospital Private Oromia Shashemene Shashemene

52 Gizaw HC Higher Clinic Private Oromia Shashemene Shashemene

53 Shashemene Catholic Health Center NGO Oromia Shashemene Shashemene

54 Universal Higher Clinic Higher Clinic Private Oromia Jimma Jimma

54 Dr. Amanuel MC Medium Clinic Private Oromia East shoa Bishoftu

56 Rift Vally G. Hospital Hospital Private Oromia East shoa Adama

57 AT (Hibret )HC Higher clinic Private Oromia East Shoa Adama

58 Lukas HC Higher clinic Private Oromia East Shoa Adama

59 Tedal Medium C Medium clinic Private Oromia East shoa Bishoftu

60 Africa Service committee Medium Clinic NGO Oromia East shoa Batu/Zeway

61 Addisu Poly clinic Higher Clinic Private Oromia East Shoa Batu/Zeway

62 Meki Catholic Pediatric Medium Clinic NGO Oromia East shoa Meki

63 Missionary of charity Medium Clinic NGO Oromia Jimma Jimma

64 Rhobot Higher Clinic Higher Clinic Private Oromia Finifine Zuria Burayou

65 Holeta M C Medium Clinic Private Oromia Finfine Zuria Holeta

66 Boji MC Medium Clinic Private Oromia West Wellega Bila

12


67 Abaya Medium Clinic M clinic Private SNNP Gamo Gofa Arbaminch

68 Abraham Medium Clinic M Clinic Private SNNP Gamo Gofa Arbamich

69 Alkeso Medium Clinic Medium Clinic NGO SNNP Silte Alkesso

70 Amanuel Medium clinic Medium Clinic Private SNNP Guragie Wolkite

71 Amibara Farm Clinic Work place Private SNNP Gamo Gofa Arbamich

72 Beteseb Medium Clinic

Alaba

Medium Clinic Private SNNP Halaba Klito

73 Beteseb Medium Clinic

Wolkite

Higher Clinic Private SNNP Guragie Wolkite

75 Soddo Christian Hospital Higher Clinic NGO SNNP Welayita Soddo

76 St. Gebriel Medium Clinic Medium Clinic Private SNNP Hawassa Hawassa

77 Abrham MC Medium Clinic Private SNNP Gedio Dilla

78 Unity MC Medium Clinic Private SNNP Gedio Dilla

79 Yohannes Medium Clinic Medium Clinic Private SNNP Hawassa Hawassa

80 Selam MC Medium Clinic Private SNNP Gamo Gofa Arbamich

81 Beteseb MC Medium Clinic Private SNNP Gamo Gofa Arbamich

82 Halaba MC Medium Clinic Private SNNP Alaba S.

Werda

Kulito

83 Bitsuham MC Medium Clinic Private SNNP Hadiya Hossana

84 Fikir MC Medium Clinic Private SNNP Hadiya Hossana

85 Kuraz Sugar Development

Project I

Medium Clinic Workplace SNNP South Omo Hanna/Main

town

86 Kuraz Sugar Development

Project III

Medium Clinic Workplace SNNP South Omo Bench Maji

87 Kidist Mariam Medium

Clinic Humera

Medium Clinic Private Tigray Western Kafta Humera

88 Maykadira Medium Clinic Medium Clinic Private Tigray Western Kafta Humera

89 Selam Higher Clinic

Humera

Higher Clinic Private Tigray Western Setit Humera

90 Selam Medium Clinic Medium Clinic Private Tigray Western Kafta Humera

91 Dr. Tsegaye Yibrah SP

Clinic Shire Medium Clinic

Int Med Sp Clinic Private Tigray Western Shire

92 St. Agostina Medium Clinic Medium Clinic NGO Tigray Western Shire

93 Midere Genet Internal

Medicine Specialty Clinic

Internal Med Sp

Clinic

Private Tigray Western Shire

94 Wolyaikt Sugar

Development Clinic

Medium Clinic Workplace Tigray Western MayGaba

95 Dr. Yibrah SSC Specialty C Private Tigray Western Shire

96 Mulu Medium C Medium clinic Private Tigray Western May Gaba

97 Eleni MC Medium clinic Private Tigray Western Sheraro

98 Hiberet MC Medium clinic Private Tigray Western Shetraro

99 Temesgen MC Medium clinic Private Tigray Western Sheraro

13


100 Dr. Tsegaye IMSC Medium clinic Private Tigray Western Humera

101 Dr. Solomon SpC Medium clinic Private Tigray Western Humera

102 Wolkayit MC Medium clinic Private Tigray Western Humera

103 Dr. Negassi MC Medium clinic Private Tigray Western Humera

104 Dr. Tedros MC Medium clinic Private Tigray Western Humera

105 Abune Aregawi MC Medium clinic Private Tigray Western Maykadra

106 Angesome MC Medium clinic Private Tigray Western Sheraro

107 KaftaHumera MC Medium clinic Private Tigray Western May karda

108 Dagnew MC Medium clinic Private Tigray Western Dansha

109 Luel MC Medium clinic Private Tigray Western Dansha

110 Dr. Yibeyin MC Medium clinic Private Tigray Western Dansha

111 Mehoni MC Medium clinic Private Tigray Southern Mehoni

112 Deberesina MC Medium clinic Private Tigray Southern Mehoni

113 Arsema MC Medium clinic Private Tigray Southern Mehoni

114 Raya MC Medium Clinic Private Tigray Southern Mehoni

115 Beza MC Medium Clinic Private Tigray Southern Alamata

116 Dr Kumneger Sur SP C Surgical Sp Clinic Private Tigray Southern Alamata

117 Dr Meaza Int Med Sp C Internal Med Sp C Private Tigray Southern Alamata

118 St Mary Catholic HC Health Center NGO Tigray Central EdagaHamus

119 Hossana MC Medium Clinic Private Tigray Central Wukro

120 Kahsa MC Medium Clinic Private Tigray Central Wukro

121 Zenebu & Lemlem MC Medium Clinic Private Tigray Central Wukro

122 Hiwot MC Higher Clinic Private Tigray Southern Alamata

123 Almicom Farm Primary clinic Work place Tigray Western Kafta Humera

124 Hiwot Mechanized Farm

clinic 1

Primary 1

Work place

MARET

Tigray Western Kafta Humera


clinic 2

Primary

Work place

MARET



clinic 3

Primary

workplace

MARET


127 Tendaho Sugar *

Development-Dubti

Medium Clinic Workplace Afar 1 Assayita

128 Tendaho Sugar *

Development- Detbahiri


129 Tendaho Sugar *

Development-Asayita


130 Kessem Sugar**

Development Proj –

Kebena

Medium Clinic Workplace Afar 3 Kebena

131 Kessem Sugar**

Development Proj Saburie

Medium Clinic Workplace Afar 3 Saburie

14


Private Health Sector Project Supported Facilities with Closed, inaccessible or Zero Report

Sept 2016 ID Name of Facility Facility Level Ownership Region Zone Town

1

Eneyew Medium Clinic

Medium Cliinic Private

Amhara North Gondar Aykel

2

Ethiopia Medium Clinic


Amhara North Gondar Metema

3 Hailesselasie Medium Clinic


Amhara West Gojam Merawi 4 Hayat Medium Clinic

Gendawuha


Amhara North Gondar Gendawuha

5

Beteseb Medium Clinic


Oromia Bishoftu Town Bishoftu

6

Dr Chali Higher Clinic

Highjer Cliinic Private

Oromia West Wollega Gimbi

7 Shashemene Poly Int. med. Sp clinic

Int Med Sp Clinic Private

Oromia Shashemene Town Shashemene

8 Yonas Medium Clinic

Medium Cliinic Private Oromia Guji Shakiso

9 Addis Medium Clinic

Medium Cliinic Private SNNP Gedeo Dilla

10 Dr Adane Medium Clinic

Medium Cliinic Private SNNP Welayita W.Sodo

11 Dr Mulat Medium Clinic

Medium Cliinic Private SNNP Hawassa Hawassa

12 Hikma Medium Clinic

Medium Cliinic Private SNNP Gedeo Dilla

13 Murida Medium Clinic

Medium Cliinic Private SNNP Silte Werabe

14 Nur Medium Clinic

Medium Cliinic Private SNNP Silte Werabe

15 Daniel Medium Clinic

Medium Cliinic Private Tigray Western Dansha

16 Kedron Medium Clinic

Medium Cliinic Private Tigray Southern Alamata 17 Kidist Mariam Medium

Clinic Maykadra

Medium Cliinic Private Tigray Western Maykadra

18 Mebrahitom Medium Clinic

Medium Cliinic Private Tigray Western Dansha

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Private Health Sector Project Newly Assessed and selected facilities by region October 2016.


1 Sher Ethiopia Primary

Hpspital

Hospital Private Oromia East Shoa Batu/Zeway

2 Selam Medium Clinic Medium Clinic Private Afar One Assayita

3 Semera Medium Clinic Medium Clinic Private Afar One Assayita

4 Biruk Medium Clinic Medium Clinic Private Afar One Dubti

5 Zemzem Medium Clinic Medium Clinic Private Afar One Dubti

6 Selalo Medium Clinic Medium Clinic Private Afar One Dubti

7 Merhaba Medium Clinic Medium Clinic Private Afar Three Dubti

8 Yibrah higher clinic Higher Clinic Private Afar Three Awash 7 kilo

9 Awash Marble Factory Medium Clinic Work place Afar Three Awash 7 kilo

10 Kidane Meheret MC Medium Clinic Private Afar Three Awash 7 kilo

11 Kidist Mariam MC Medium Clinic Private Afar Three Awash 7 kilo

12 Layila Mediu Clinic Medium Clinic Private Afar Three Awash 7 kilo

13 Lucy Primary Clinic Primary Clinic Private Afar Three Awash 7 kilo

14 Kidist Arsema MC Medium Clinic Private Afar Three Awash 7 kilo

15 Selam Medium Clinic Medium Clinic Private Afar Three Awash 7 kilo

16 Sober Medium Clinic Medium Clinic Private Benishagul

Gumuz

Assossa Bambasi

17 Bambasi Medium Clinic Medium Clinic Private Benishagul

Gumuz

Assossa Bambasi

18 Bamzawit Medium C Medium Clinic Private Benishagul

Gumuz

Assossa Assossa

19 Mitiku Medium Clinic Medium Clinic Private Benishagul

Gumuz

Assossa Assossa

20 Eman Medium Clinic Medium Clinic Private Benishagul

Gumuz

Assossa Assossa

21 Erkiya Medium Clinic Medium Clinic Private Benishagul

Gumuz

Assossa Assossa

22 Sola Medium Clinic Medium Clinic Private Benishagul

Gumuz

Assossa Assossa

23 Medihamialem MC Medium Clinic Private Benishagul

Gumuz

Assossa Assossa

24 Kiya Medium Clinic Medium Clinic Private Benishagul

Gumuz

Assossa Assossa

25 Muhambaw MC Medium Clinic Private Benishagul

Gumuz

Assossa Assossa

26 Assossa MC Medium Clinic Private Benishagul

Gumuz

Assossa Assossa

27 Berhanu MC Medium Clinic Private Benishagul

Gumuz

Assossa Assossa

28 Dr. Solomon MC Medium Clinic Private Benishagul

Gumuz

Assossa Assossa

29 Hiwot Medicum clinic Medium clinic Private Benishagul

Gumuz

Metekel Mandura

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30 Metekel Primary (Catholic) Medium clinic NGO Benishagul

Gumuz

Metekel Mandura

31 Bole Medium Clininc MC Private Benishagul

Gumuz

Metekel Gilgel Beles

32 Selam MC Private Benishagul

Gumuz

Metekel Manbok

33 Al-afia MC Private Benishagul

Gumuz

Metekel Pawe

34 St.Rufael Catholic MC NGO Benishagul

Gumuz

Metekel Pawe

35 Nati MC Medium Clinic Private Gambella Gambella Gambella

36 Bethel MC Medium Clinic Private Gambella Gambella Gambella

37 Dong Fang MC Medium Clinic Private Gambella Gambella Gambella

38 Dr. Tekeste MC Medium Clinic Private Gambella Gambella Gambella

39 Elshaday MC Medium Clinic Private Gambella Gambella Gambella

40 Sintayehu MC Medium Clinic Private Gambella Gambella Gambella

41 Bethelhem MC Medium Clinic Private Gambella Gambella Gambella

42 St. Gabriel MC Medium Clinic Private Gambella Gambella Gambella

43 Eyob MC Medium Clinic Private Gambella Gambella Gambella

44 Dr. Muluken MC Medium Clinic Private Gambella Gambella Gambella

45 Addis Hiwot MC Medium Clinic Private Gambella Gambella Gambella

46 Kidist Arsema MC Medium Clinic Private Gambella Gambella Gambella

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7 Photo Gallery

Photo 1: Partial view of malaria case management trainees, WTC, Adama, (Photo: Argaw MD.)

Photo 2: Dr. Yonas Petros, facilitating malaria case management, WTC , Adama (Photo: Argaw MD.)

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Photo 3: Partial view of assessed facility for malaria (Asoossa Medium Clinic) Benishagul Gumuz, (Photo: Argaw

MD.)

Photo 4: Partial view of Lab facility assessed for malaria (Kiya Medium Clinic) Benishagul Gumuz, (Photo: Argaw

MD.)

19

Photo 5: Partial view of waste management assessed facility for malaria (Berhanu Medium Clinic) Benishagul

Gumuz, (Photo: Argaw MD.)

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Private Health Sector Project Ethiopia Malaria Diagnosis ...

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