FRONTESPIZIO - Cooperazione Italiana allo Sviluppo

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22 Augusto Cosulich, Vincenzo RacalbutoUS$(2004 constant $)35302520Step 5Scale-up strategy andHealth outcomesStep 5: Further decrease of:∞ child mortality,∞ maternal mortality,∞ HIV MTCT,Provision of HAART ,multi-drug resistant TBand severe malariatreatmentStep 4: Further decrease of:∞ child mortality,∞ maternal mortality,∞ HIV MTCTMDGs reachedReduced maternalmortality by 75%Step 415Step 310Step 2Step 15Current HealthExpenditures02005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015Step 3: Further decreaseof:∞ child mortality,∞ maternal mortality,∞ malaria, morbidity &mortality, TBStep 2:∞ decrease in childmortality, reduction inMTCT,∞ reduction of deathsdue to pregnancy by40%,∞ reduce malariamortality/ morbidity,∞ reduce childmalnutritionStep 1:∞ decrease in childmortality due to HIV,malaria, diarrheadiseases,∞ reduced HIVtransmission,∞ reduced malariamorbidity andmortality eReduced malariamortality by 50%,Increase TB DOTScoverageReduced infant andchild mortality bytwo thirdsReversed trend inHIV incidence andstabilized trend inHIV prevalenceFigure 4.1 Costs of Scaling-up Health Services in Ethiopia to reach the Health MDGsComponents and Targets of HSDP-IIIHSDP has been divided into seven components in order to facilitate theplanning and budgeting process. These are:1. Health Service Delivery and Quality of Care: - This subcomponent focuseson strengthening the preventive, curative and promotive aspects ofhealth care mainly through the implementation of HSEP. Maternal andchild health services, HIV/AIDS, Malaria, Tuberculosis and personal andenvironmental hygiene will also be given due attention.Accordingly, DPT3 coverage is expected to increase from 70% to 80%,contraceptive prevalence from 25% to 60% and the proportion of deliveriesattended by skilled health workers from 9% to 32% during the pro-
3. The ethiopian health sector and the italian contribution to HSDP 23gramme period. In addition by the end of the programme period, VCTservices will be provided in 100% of Hospitals & Health Centers andPMTCT service at 100% of the Hospitals and 70% of the HealthCenters. It is also planned to increase the number of People Living withHIV/AIDS (PLWHA) on Antiretroviral Therapy (ART) from 13,000 to263,000; the proportion of households utilizing 2 bed nets from 2% to100%; and tuberculosis treatment success rate for smear positives from76% to 85%.2. Health Facility Construction, Expansion, Equipping and Access: -The component aims at increasing access and improving the quality ofhealth services through the rehabilitation of existing health facilities andconstruction of new ones and provision of the necessary inputs such asmedical equipment and furniture.Thus, the potential health services coverage will be increased from 72% to100 % during the programme period through construction of new healthfacilities and upgrading of the existing ones. 80% of the health facilitieswill also be equipped and furnished as per the standard; and 30% of theHealth Centers will be upgraded to enable them to provide EmergencyObstetric Care Service.3. Human Resource Development: - The HRD component aims at trainingand deploying of relevant and qualified health workers of different categoriesfor the whole sector and improving the management of human resourcewithin the public sector in order to enhance the efficiency of thehealth workers, retaining them with in the sector and maintain a high levelof professional ethics.Hence, all health facilities will be staffed according to their respective standardsand Regional Health Bureaux (RHBs) and District Health Offices(DHO) as per the demand of the organizational structure. Through theseintervention, the ratio of HEWs to population is expected to reach1:2,500; and the ratio of midwives to women of reproductive age groupwill increase from 1:13,388 to 1:6,759. Health Human ResourceDevelopment Strategy will be developed and implemented in order to addressboth the production and retention of staff in the sector.4. Pharmaceutical Service: A well functioning pharmaceutical service is thecorner stone for any worthwhile health service. Thus, this intervention
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FRONTESPIZIO - Cooperazione Italiana allo Sviluppo

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