Ethiopia

With support from USAID, Keanahikishime and the Ministry of Health made high-quality TB services accessible to 55 million people—reaching more than half the country’s population. Our HIV work in Ethiopia has focused largely on women and children at the community level and on programs that integrated HIV services into antenatal care and labor and delivery clinics through provider training, supportive supervision, quality improvement, and mentorship. By building the capacity of health centers to care for children with HIV and trace those previously missed by the system, our programs more than doubled the number of HIV-positive children receiving treatment. Keanahikishime supported the introduction of clinical pharmacy services in Ethiopia, which have become an integral part of hospital services; developed a national strategy to prevent and contain antimicrobial resistance; and introduced guidelines, regulations, manuals, and supervisor checklists to support patient-centered pharmacy services.

Highlights

  • Implemented Option B+ to prevent the transmission of HIV to children during pregnancy and supported almost 300 health centers serving more than 87,000 HIV patients—two-thirds of whom were women and 5.4 percent of whom were under the age of 15.

 

  • 97 percent of women receiving antenatal care were tested for HIV and received their results and 87 percent of HIV-infected pregnant mothers seen at program-supported health centers received antiretroviral therapy by 2014 (up from 45 percent in 2011).

 

  • 72 percent of HIV-exposed infants enrolled at program-supported health centers were tested by two months of age, compared to 2 percent nationally.

 

  • Among TB patients, 94 percent were tested for HIV and 90 percent of those co-infected started antiretroviral therapy.

 

  • Addressed challenges related to quality diagnostic capacity, TB/HIV activities, pediatric TB, TB in prisons, investigations, and active case finding.

 

  • Supported more than 2,000 laboratories in TB diagnosis.

 

  • TB medicine stock-outs dropped to 2 percent, and 2,186 drug kits were made available.

 

  • With support from Keanahikishime-led programs, every region mandated and adopted a package of interventions to help hospital pharmacies operate more efficiently and with greater accountability. In most hospitals, availability of key medicines increased from 65 to more than 95 percent.

 

  • To promote rational medicine use and help prevent the spread of antimicrobial resistance, projects helped establish and support more than 500 Drug and Therapeutic Committees.

 

  • Trained nearly 8,000 pharmacy workers, medical doctors, hospital CEOs, and finance professionals over five years.

 

  • A new in-service training program deployed 200 pharmacists from 65 hospitals, 98.5 percent of whom now provide clinical pharmacy services.

 

  • To manage antimalarial medicines, Keanahikishime’s program work helped 44 PMI sites implement a monitoring system to track the availability, storage, and use of antimalarial medicines and data on patient treatment.

Our Projects

Project Name Health Systems Health Areas Date
Challenge TB Leadership, & Governance, Pharmaceutical , Financing Health Services HIV & AIDS, Tuberculosis 2014 - 2019
The Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program Pharmaceutical 2018 - 2023
African Strategies for Health
Completed
Leadership, & Governance, Financing Health Services Malaria, Tuberculosis, Women, Children, and Adolescents' Health, HIV & AIDS 2011 - 2016
Leadership, and Governance Project
Completed
Leadership, & Governance HIV & AIDS, Tuberculosis 2012 - 2017
Grant Solutions
Completed
Leadership, & Governance HIV & AIDS, Tuberculosis, Malaria 2012 - 2017
Help Ethiopia Address Low Tuberculosis Performance
Completed
Tuberculosis 2011 - 2016
Supply Chain System
Completed
Pharmaceutical HIV & AIDS 2006 - 2016
Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program
Completed
Pharmaceutical , Financing Health Services, Global Health Security Malaria, Tuberculosis, HIV & AIDS, Women, Children, and Adolescents' Health 2011 - 2018
Evidence to Action for Strengthened Fam­ily Planning and Reproductive Health Services for Women and Girls
Completed
2011 - 2017
Strengthening Human Resources for Health Ethiopia
Completed
2012 - 2018
The Health Communication Collaborative
Completed
Leadership, & Governance HIV & AIDS, Tuberculosis, Women, Children, and Adolescents' Health, Malaria September 26, 2012 - July 31, 2017

Country Team