Community Health Extension Program Of Ethiopia, 2003–2018: Successes And Challenges

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Community Health Extension Program Of Ethiopia, 2003–2018 Successes And Challenges

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PROJECT TOPIC AND MATERIAL ON COMMUNITY HEALTH EXTENSION PROGRAM OF ETHIOPIA, 2003–2018: SUCCESSES AND CHALLENGES

The Project File Details

  • Name: Community Health Extension Program Of Ethiopia, 2003–2018: Successes And Challenges
  • Type: PDF and MS Word (DOC)
  • Size: [70 KB]
  • Length: [56] Pages

 

 

Background

The Alma-Ata Declaration of 1978 identified primary health care (PHC) as the key approach to the attainment of the goal of “Health for All”. The PHC approach tackles the main health problems in the community through the provision of essential health services. The implementation of the PHC approach relies on health workers, including community health workers (CHWs). Community health worker embraces a variety of community health aides. They are members of a community who are chosen by community members or organizations to provide basic health and medical care to their community. As such, CHWs represent an important health resource with a potential to provide a reasonable level of health care [1].

Several countries have been implementing community health programs (CHPs), which provide basic health and medical care close to community, to increase access to and coverage of essential health services [2]. Ethiopia has been implementing a nation-wide CHP called health extension program (HEP) since 2003 [3]. Implementation of these CHPs, although they may have their own peculiarities, faces similar enablers and barriers for their effective implementation [4]. It is relevant that lessons from large-scale programs are synthesised to provide evidence of what works, what does not work and how can we improve performance. Currently, there is lack of evidence on the successes and challenges of the implementation of large-scale CHW programs which are included and implemented as an integral part of the national health system. It is therefore imperative to fill this knowledge gap toward improved and sustained implementation of large-scale and long-term CHWs program [4].

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