DOCSLIB.ORG

(Ncdi) Commission of Ethiopia

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
(Ncdi) Commission of Ethiopia ADDRESSING THE IMPACT OF NONCOMMUNICABLE DISEASES AND INJURIES IN ETHIOPIA: FINDINGS AND RECOMMENDATIONS FROM THE NONCOMMUNICABLE DISEASES AND INJURIES (NCDI) COMMISSION OF ETHIOPIA A Collaboration with the Global Lancet Commission on Reframing NCDIs for the Poorest Billion Full Report Addis Ababa November 2018 Ethiopia NCDI Commission Report, November 2018 Page 0 Ethiopia NCDI Commission Report, November 2018 Page 1 TABLE OF CONTENTS FOREWORD ............................................................................................................................. 5 ETHIOPIA NONCOMMUNICABLE DISEASES AND INJURIES (NCDI) COMMISSION .................................................................................................................................................... 7 ACKNOWLEDGEMENTS ..................................................................................................... 11 ACRONYMS ........................................................................................................................... 13 EXECUTIVE SUMMARY ..................................................................................................... 15 SECTION 1: BACKGROUND AND POLICY CONTEXT................................................... 19 BACKGROUND ................................................................................................................ 19 POLICY CONTEXT ......................................................................................................... 21 SECTION 2: EPIDEMIOLOGY OF NON-COMMUNICABLE DISEASES AND INJURIES AND THEIR RISK FACTORS IN ETHIOPIA ...................................................................... 26 INTRODUCTION ............................................................................................................. 26 MATERIALS AND METHODS ...................................................................................... 26 RESULTS ........................................................................................................................... 27 1. BURDEN OF NON-COMMUNICABLE DISEASES AND INJURIES (NCDI) IN ETHIOPIA ....................................................................................................................... 28 2. PREVALENCE OF RISK FACTORS FOR NCDIs ................................................... 32 3. PREVALENCE OF MAJOR NCDIs IN ETHIOPIA .................................................. 38 DISCUSSION AND CONCLUSIONS ........................................................................... 51 SECTION 3: EXISTING SERVICES FOR NONCOMMUNICABLE DISEASES AND INJURIES ................................................................................................................................ 57 SECTION 4: ESSENTIAL INTERVENTIONS FOR NON-COMMUNICABLE DISEASES AND INJURIES....................................................................................................................... 63 NUTS AND BOLTS OF THE NATIONAL PRIORITY SETTING PROCESS IN THE COMMISSION ......................................................................................................... 63 PRIORITY SETTING FRAMEWORK .......................................................................... 64 THE PRIORITY SETTING PROCESS .......................................................................... 65 RESULTS OF THE PRIORITY SETTING PROCESS (STEP 1-3) ............................ 69 ESTIMATED IMPACT OF NCDI INTERVENTIONS ON LIFE EXPECTANCY AND DEATHS AVERTED ............................................................................................... 77 SECTION 5: INTEGRATION OF NCDI SERVICES INTO THE EXISTING HEALTH CARE SYSTEM ...................................................................................................................... 80 INTRODUCTION ............................................................................................................. 80 HEALTH SYSTEM STRENGTHENING IS KEY FOR ENSURING UHC FOR NCDS AND INJURIES IN ETHIOPIA ........................................................................... 80 SECTION 6: FISCAL SPACE, RESOURCE GENERATION AND MOBILIZATION, FINANCING............................................................................................................................ 92 FISCAL SPACE AND BUDGET EXPANSION............................................................. 92 Ethiopia NCDI Commission Report, November 2018 Page 2 BUDGETARY ROOM FOR EXPANDING TOTAL HEALTH EXPENDITURE .... 92 BUDGETARY ROOM FOR EXPANDING HEALTH EXPENDITURE FOR NCDIS SERVICES ......................................................................................................................... 95 RESOURCE GENERATION AND MOBILIZATION ................................................. 97 SECTION 7: KEY FINDINGS AND RECOMMENDATIONS ............................................ 99 KEY FINDINGS: ............................................................................................................... 99 RECOMMENDATIONS: ............................................................................................... 102 REFERENCES ...................................................................................................................... 105 LIST OF TABLES TABLE 1: NCDI RELATED MORTALITY BY AREA OF RESIDENCE ...............................................................................................29 TABLE 2: PREVALENCE OF RISK FACTORS FOR NCDS IN ETHIOPIA BY GENDER, AREA OF RESIDENCE AND WEALTH STATUS.................33 TABLE 3: PREVALENCE OF NCDS IN ETHIOPIA. ..................................................................................................................41 TABLE 4 : AGE-STANDARDIZED INCIDENCE RATES (ASIR) PER 100,000 POPULATION AND ESTIMATED NUMBER OF CASES IN 2015 FOR THE MOST COMMON CANCER TYPES IN ETHIOPIA IN ADULTS (15+) .............................................................................43 TABLE 5: ESTIMATED NUMBER OF CHILDHOOD CANCER CASES NATIONALLY IN 2015 IN ETHIOPIA. ..............................................43 TABLE 6 : PREVALENCE OF ASTHMA AND ASTHMA SYMPTOMS IN ETHIOPIA ............................................................................47 TABLE 7 : DISTRIBUTION OF TYPES OF INJURIES IN ETHIOPIA: HOSPITAL-BASED DATA ................................................................48 TABLE 8 : ACCESS AND READINESS OF HEALTH FACILITIES FOR NCDIS SERVICES IN ETHIOPIA ......................................................59 TABLE 9: INCREMENTAL COST OF SCALING UP CANCER INTERVENTIONS AND THEIR COST EFFECTIVENESS, LISTED BY DELIVERY PLATFORM, 2019-2023.....................................................................................................................................70 TABLE 10: INCREMENTAL COST OF SCALING UP INTERVENTIONS FOR DIABETES, CARDIOVASCULAR AND CHRONIC RESPIRATORY DISEASES AND THEIR COST EFFECTIVENESS LISTED BY DELIVERY PLATFORM, 2019-2023. ..............................................................71 TABLE 11: INCREMENTAL COST OF SCALING UP INTERVENTIONS FOR MENTAL, NEUROLOGICAL, AND SUBSTANCE USE DISORDERS AND THEIR COST EFFECTIVENESS LISTED BY DELIVERY PLATFORM, 2019-2023. ....................................................................72 TABLE 12: INCREMENTAL COST OF SCALING UP ESSENTIAL SURGICAL INTERVENTIONS AND THEIR COST EFFECTIVENESS LISTED BY DELIVERY PLATFORM, 2019-2023. ......................................................................................................................73 TABLE 13: MULTI-SECTORAL AND POLICY INTERVENTIONS FOR THE PREVENTION OF NONCOMMUNICABLE DISEASES AND INJURIES ..73 TABLE 14: INCREMENTAL COSTS BY MAJOR CATEGORY, 2019-2023. COSTS ARE REPORTED IN $1,000 USD. .............................76 TABLE 15: ESTIMATED IMPACT OF NCDI SERVICES ON LIFE EXPECTANCY AND DEATHS AVERTED .................................................78 TABLE 16: NCDI SERVICES THAT COULD BE DELIVERED AT COMMUNITY LEVEL BY HEALTH EXTENSION WORKERS. ...........................88 TABLE 17: NCDI SERVICES THAT COULD BE DELIVERED AT HEALTH CENTERS ...........................................................................88 TABLE 18: NCDI SERVICES THAT COULD BE DELIVERED AT PRIMARY HOSPITALS .......................................................................90 TABLE 19: NCDI SERVICES THAT COULD BE DELIVERED AT REFERRAL AND SPECIALIZED HOSPITALS...............................................91 TABLE 20:ASSUMPTIONS FOR HEALTH EXPENDITURE PROJECTIONS .......................................................................................94 TABLE 21: POSSIBLE BUDGET EXPANSION FOR NCDIS (US$ PER CAPITA) FOR THE FIRST FIVE YEARS (2019-23) AND UP TO 2030. ..97 LIST OF FIGURES FIGURE 1: PARTIAL VIEW OF THE FIRST MEETING OF THE NATIONAL NCDI COMMISSION OF ETHIOPIA, AUGUST 9, 2016. .............. 8 FIGURE 2: MEMBERS OF THE NATIONAL NCDI COMMISSION OF ETHIOPIA, AUGUST 9, 2016 ..................................................10 FIGURE 3: FLOW DIAGRAM OF STUDIES REVIEWED, SCREENED AND INCLUDED. .....................................................28 FIGURE 4: CAUSES OF DEATH IN ETHIOPIA 2016, ALL AGES AND BOTH SEXES(N=677,269) (SOURCE: IHME) .............................29 FIGURE 5:DISTRIBUTION OF MORTALITY AND INJURIES IN ETHIOPIA 2016, ALL AGES AND BOTH SEXES (SOURCE: IHME) ...............30 FIGURE 6: MORTALITY DISTRIBUTION BY CAUSE AND AGE IN ETHIOPIA, 2016 (SOURCE: IHME): ...............................................30 FIGURE 7: DISEASE BURDEN (DEATHS AND DISABILITY COMBINED = DALYS) FOR ALL MAJOR
Load more

Recommended publications
  • Development and Humanitarian Issues
    Press Review 10 October 2017 - 17 February 2018 Deutsch-Äthiopischer Verein Press Review - Nachrichten und Meinungen aus und zu Äthiopien 10. Oktober 2017 - 17. Februar 2018 Development and Humanitarian Issues ............................................................................................. 1 Politics, Justice, Human Rights ......................................................................................................... 9 Economics ..................................................................................................................................... 103 Environment, Agriculture and Natural Resources .......................................................................... 112 Media, Culture, Religion, Education, Social and Health ................................................................ 116 Sport .............................................................................................................................................. 121 Horn of Africa and Foreign Affairs ................................................................................................. 121 Development and Humanitarian Issues 8.2.2018 UNDP and OCHA Chiefs renew call for new way of working . ReliefWeb, UNDP Report of 31.1.2018 Breaking down the silos between humanitarian and development actors to address recurrent crises The Administrator of the United Nations Development Programme (UNDP) Achim Steiner and the United Nations Under-Secretary- General for Humanitarian Affairs and Emergency Relief Coordinator, Mark
    [Show full text]
  • Ethiopian Embassy London
    The Monthly Publication from the Ethiopian Embassy in London Ethiopian Spring 2019 News Inside this issue CONNECT WITH US Building a Bridge for Peace and Unity with the Ethiopian community in the UK ………...2 Ambassador Fesseha assumes duties in the United Kingdom………..………..………..…………8 Scottish photographer’s Ethiopia photos shortlisted for top Photography Award ……...10 The world unites in mourning victims of Ethiopian Airlines Flight ET302………..………..12 UN refugee agency praises Ethiopia’s innovative approach to refugees ………..………..…..15 Ethiopia Receives Universal Health Coverage Ministerial Championship Award……….17 Northern Powerhouse mission explores business opportunities in Ethiopia ………..……18 Ethiopia records biggest growth in World Travel and Tourism………..………..………..……..21 Ethiopians shine at Birmingham Indoor Athletics………..………..………..………..………..……..23 @EthioEmbassyUK Ethiopians celebrate historic return of Emperor Tewodros’ Hair Culture Minister urges Museums to return all Maqdala artefacts to Ethiopia Page 5 Ethiopian News Building a Bridge for Peace and Unity with the Ethiopian community in the UK In his first significant public engagement since members of the diaspora had experienced in the arriving in the United Kingdom to take up his new past, caused knowingly or unknowingly, by post, Ambassador Fesseha Shawel addressed over a individual or institutional practices within the thousand members of the Ethiopian community in Embassy. London on 16th March at an open diaspora forum at the Embassy. Held under the theme, “Building a He applauded the community in London for being Bridge for Peace and Unity”, the Forum honoured some of the most enthusiastic supporters of the the Prime Minister’s call for Ethiopians across the reform process to date, hoped they would continue world to come together and reject division, in to play as significant a role going forward and favour of unity.
    [Show full text]
  • COUNTRY REPORT: Popular Mobilisation in Ethiopia: an Investigation of Activity from November 2015 to May 2017
    COUNTRY REPORT: Popular Mobilisation in Ethiopia: An Investigation of Activity from November 2015 to May 2017 Introduction: Protests resumed in November 2015; they were mainly led by students from secondary schools and universities. From November 2015, Ethiopia has experienced an un- The demonstrations quickly gained momentum and the precedented wave of popular mobilisation. The govern- students were soon joined by farmers, workers and other ment responded to the protests with a heavy hand, re- citizens (EHRP, March 2016). An average of 26 protests sulting in thousands of casualties and tens of thousands of occurred per week between November 2015 - February people arrested, and charged with terrorism offenses. A 2016. The sharp drop to seven protests per week between state of emergency has been extended into July 2017. March - April 2016 was due to the onset of the sowing Further, militant activity has risen in tandem with popular season, rather than the Ethiopian government’s suspen- unrest, stemming from both the distraction that civil un- sion of the Master Plan. Large-scale demonstrations re- rest posed for the Ethiopian military, and also shared sumed in May 2016 and continued grievances. Available data collected over the summer, while fresh pro- from international and local media “The government ultimately tests also occurred in the Amhara since November 2015 points to more declared an unprecedented region from the end of July 2016 (see than 1,200 people reported killed dur- state of emergency on 8 Figure 2).3 The continuation of the ing protests. Approximately 660 fatali- protests beyond the suspension of ties are due to state violence against October 2016, imposing tight the Master Plan revealed enduring peaceful protesters, 250 fatalities restrictions that have since grievances against the Ethiopian re- from state engagement against riot- successfully curbed the gime among different ethnic groups.
    [Show full text]
  • Abstract Book 2016.Pdf
    Ethiopian Public Health Association (EPHA) th Abstract Book of the 27 EPHA Annual Conference 22-24 February 2016 Addis Ababa Attaining Universal Health Service Coverage and Sustainable Development Goals Related to Health: Opportunities and Challenges. February, 2016 Addis Ababa 1 Abs 01 Knowledge, Attitude and Practice towards Blood Donation and Associated Factors among Adults in Debre Markos Town, Northwest Ethiopia. Yenework Acham, MPH; Ahmed Esmael, MSc; Kedir Yimam, MPH* *Department of Public Health, Medicine and Health Science College, Debre Markos University, Debre Markos, Ethiopia. Background: Even if the demand for blood supply accelerating in Ethiopia, evidences indicates that severe shortage of blood supplies hitting the vast majority of population. Thus, identifying motivational factors affecting blood donation and recruitment of safe and low risk donors is necessary. Therefore, this study aimed at assessing knowledge, attitude and practice of blood donation and its associated factors. Methods: Community based cross-sectional study was conducted in Debre Markos Town from February to April 2015. Multistage sampling technique with single population proportion formula was employed to get the total sample size of 845. Interviewer administered questionnaire employed for the data collection. Binary logistic regression was fitted to assess the relationship between outcome variables and explanatory variables. Results: In this study, 436 (56.5%), 403 (52.2%) and 124 (16.1%) of respondents were found to be knowledgeable, had favorable attitude and reported the practice of blood donation. Younger age, male sex, having formal education and radio listener were independent predictors of knowledge. Being at high school and above level, having good income, listening radio and being knowledgeable were significantly associated with favorable attitude.
    [Show full text]