JSI in Ethiopia
John Snow, Inc. and JSI Research and Training Institute, Inc. are involved in numerous programs in Ethiopia as summarized below.
AIDSTAR-One Injection Safety
AIDSTAR-One is USAID's global HIV and AIDS project that provides technical assistance services to the Office of HIV/AIDS and USG country teams in knowledge management, technical leadership, program sustainability, strategic planning and program implementation support.
Ethiopia Health Management Information System Strengthening Project
In September 2009, JSI was awarded by the FMOH and USAID a two year project to scale up the recently designed and pilot tested health management information system (HMIS) in Ethiopia’s southern region (SNNPR) with a population of over 16 million. Initial funding of $ 1.05 M was made available via DELIVER.
An HMIS assessment in 2006 showed that Ethiopia’s facility-based health information system was fragmented and lacked standardization. The HIV/AIDS, tuberculosis and MNCH programs had separate information systems. During 2006-2008, the Federal Ministry of Health with technical assistance of JSI developed an integrated HMIS for facility-based health services with active participation and consensus-building of a broad group of stakeholders including the Regional Health Bureaus (RHBs).
The scale up is a massive effort, requiring implementation of the new HMIS in more than 200 woredas and training approximately 10,000 health workers, in this one region alone. One feature of the scale up process, expected to contribute to its sustainability, is the focus on change management. From the start, the RHB team and donors have been carefully briefed on the consensus building process and the benefits of a decentralized HMIS managed at the district level. In addition the RHB now has the capacity to train its own health managers and health workers, carry-out supportive supervision and, more importantly, analyze HMIS data to make decisions. With RHB owning the system, it is proactively mobilizing resources for successful scaling-up effort.
The Project team is led by Dr. Tariq Azim and currently has a staff of 10 people. The project is backstopped from the DC Office via the MEASURE Evaluation team.
Integrated Family Health Program (IFHP)
Working across 4 regions in Ethiopia, IFHP aims to provide an integrated package of services to improve the health of mothers, newborns and children. Through health sector partnerships, community mobilization, and BCC models, the project works to improve family planning practices, increase the availability and quality of services, products and information, and strengthen key elements of the national health system to support local health needs. IFHP also works closely with the Ethiopian Ministry of Health to strengthen the national Health Extension Program and provide supportive supervision as well as logistics support to Health Extension Workers.
Funded by USAID, IFHP represents a partnership between Pathfinder International and JSI. Subpartners include the Academy for Educational Development (AED) and the Consortium of Reproductive Health Agencies (CORHA).
Last Ten Kilometers: What It Takes to Improve Health Outcomes in Rural Ethiopia Project (L10K)
The goal of L10K Project is to strengthen the bridge between Ethiopian families, kebeles (communities) and the Health Extension Worker program (HEP) to achieve sustainable reproductive, maternal, newborn and child health (RMNCH) improvements, at scale, in order to advance Ethiopia toward meeting Millennium Development Goals (MDG) 4 and 5.
Households and communities, at large, represent potential human resources for health that are under-utilized. In Ethiopia, the bridge between households and the Health Extension Worker Program will be strengthened to achieve sustainable RMNCH improvements at scale. L10K is funded by the Gates Foundation.
Maternal & Neonatal Health in Ethiopia Partnership (MaNHEP)
MaNHEP is a Bill & Melinda Gates Foundation-funded initiative designed to demonstrate a community-oriented model to improve maternal and newborn health (MNH) care in rural Ethiopia. Working collaboratively with the Ministry of Health (MOH) and Regional Health Bureaus (RHB), this learning project will use a "lead woreda approach" to improve maternal and newborn health in two regions of the country and to demonstrate its broader scalability. In keeping with the Gates' model of change (more, better, more equitable), this community-oriented approach will strengthen provider capacity at local and regional levels, increase local demand from women and families for enhanced MNH care, and, using locally designed solutions, overcome key challenges to in-home provision of a package of evidence-based MNH care practices during the critical birth-to-48 hours window.
Emory University is prime implementing agency on this project, and JSI Research & Training Institute is a sub-partner.
Saving Newborn Lives Project
Under the Saving the Newborn Lives Project, Save the Children USA and John Snow, Inc. in collaboration with the Federal Ministry of Health (FMoH), Ethiopian Paediatrics Society, WHO and UNICEF will conduct a randomized control trial for community-based treatment of neonatal infections and pneumonia using these health extension workers with support of Community Health Promoters for the promotion of essential newborn care practices, recognition of danger signs, and prompt care seeking in households. This study aims to assess the effectiveness, feasibility, acceptability and cost of integrating community-based management of neonatal infections and pneumonia by HEWs into the current Ministry of Health's training and implementation of IMNCI as well as building the capacity of HEWs and CHPs to improve newborn care practices, home management of illness, and care seeking practices for sick neonates.
Supply Chain for Community Case Management (SC4CCM)
The Improving Supply Chains for Community Case Management of Pneumonia and Other Common Diseases of Childhood project aims to demonstrate that supply chain constraints at the community level can be overcome, and that doing so may yield significant improvements in the effectiveness, scale, and impact of CCM.
SC4CCM will identify, demonstrate, and institutionalize supply chain management (SCM) practices that improve the availability and use of selected essential health products for treating children under five in community-based programs.
The Improving Supply Chains for Community Case Management of Pneumonia and Other Common Diseases of Childhood project is a five-year initiative funded by the Bill & Melinda Gates Foundation.
Supply Chain Management System (SCMS)
SCMS is one of several international partners working with the Ethiopian government to increase access to testing and treatment. It has operated in Ethiopia since November 2006, at the request of PEPFAR/USAID. The primary mandate of SCMS was to take over supply chain management activities and support from the RPM Plus (now SPS) project and to expand logistics services to PEPFAR-supported programs and the national HIV/AIDS program in Ethiopia overall. As per USAID’s deadline of September 2008, SCMS has effectively completed the transition of activities, and adequately staffed up to meet the new challenges and realities of the national program.
SCMS project provides global procurement and distribution for essential HIV/AIDS medicines and supplies needed to provide care and treatment of people living with and affected by HIV and AIDS. Funded by the President's Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Agency for International Development, SCMS is implemented by 17 organizations, lead by the Partnership for Supply Chain Management (PSCM), a partnership established by JSI and MSH. SCMS offers one-stop shopping for HIV/AIDS supplies and supply related services for use by programs funded by PEPFAR.
USAID | DELIVER PROJECT
Working in all 11 regions and administrative states, DELIVER assists the Government of Ethiopia with three primary objectives. 1) Providing technical assistance to the design and implementation of the Pharmaceutical Logistics Master Plan, a comprehensive reengineering program for Ethiopia’s public sector health commodity system, 2) Improving implementation of the Ethiopia Contraceptive Logistics System, in collaboration with the Family Health Department of the Federal Ministry of Health, Regional Health Bureaus, Zonal and Woreda Health Offices, and MOH health facilities, and 3) Building support for Contraceptive Security in Ethiopia, in partnership with the Federal Ministry of Health and Regional Health Bureaus, including advocacy for making family planning and contraceptive availability a top priority for the Ministry of Health, support for development of contraceptive forecasts, active involvement in the Logistics and Family Planning Technical Working Group, organizing CS-related events, and training key leaders.