000			04083cam a22005055i 4500
001			210815
003			US-djbf
005			20210811113727.0
006			m d
007			cr cn|||||||||
008			160512s2016 dcu o i00 0 eng
020			_a9781464808166 _c29.99 USD
020			_z9781464808159
035			_a(The World Bank)210815
040			_aDJBF _beng _cDJBF _erda
100	1		_aWang, Huihui. _924325
245	1	0	_aEthiopia Health Extension Program : _bAn Institutionalized Community Approach for Universal Health Coverage / _cHuihui Wang.
264		1	_aWashington, D.C. : _bThe World Bank, _c2016.
300			_a1 online resource (118 pages)
336			_atext _btxt _2rdacontent
337			_acomputer _bc _2rdamedia
338			_aonline resource _bcr _2rdacarrier
347			_adata file _2rda
490	1		_aWorld Bank Studies.
520	3		_aAs a low-income country, Ethiopia has made impressive progress in improving health outcomes. This report examines how Ethiopia's Health Extension Program (HEP) has contributed to the country's move toward Univeral Health Coverage (UHC), and to shed light on how other countries may learn from Ethiopia's experiences of HEP when designing their own path to UHC. HEP is one of the government's UHC strategies introduced in a context of limited resources and low coverage of essential health services. The key aspects of the program include the capacity building and mobilization of more than 30, 000 Health Extension Workers (HEWs) targeting more than 12 million model families, and the mobilization of "health development army" to support the community-based health system. Using the HEP-UHC conceptual model and data from Demographic and Health Surveys, the study examines how the HEP has contributed to the country's move toward UHC. During the period that the HEP has been implemented, the country has experienced significant improvements in many dimensions: in terms of socioeconomic, psychological, behavioral, and biological dimensions of the beneficiaries; and in terms of the coverage of health care services. The study finds an accelerated rate of improvements among the rural, less-educated, and the poor population, which is leading to an overall reduction in equity gaps and improvements in the equity indicators including the concentration indices - that suggest a more equitable distribution of resources and health outcomes. The HEP in Ethiopia has demonstrated that an institutionalized community approach is effective in helping a country make progress toward UHC. The elements of success in the HEP include the emphasis on community mobilization which identifies community priorities, engages and empowers community members, and supports their ability to solve local problems. The other aspect of HEP is the emphasis on institutionalization of the activities, which addresses the sustainability of community programs through high level of political commitment, and effective coordination of national policies and leveraging of support from partners. These findings may offer useful lessons for other low income countries facing similar challenges in developing and implementing a sustainable UHC strategy.
588			_aDescription based on print version record.
650		4	_aCommunity Health Worker _924326
650		4	_aEthiopia Health _924327
650		4	_aHealth Extension Workers _924328
650		4	_aHealth Policy _924329
650		4	_aHealth worker training _924330
650		4	_aHuman Resources for Health _924331
650		4	_aPrimary Health Care _924332
650		4	_aRecruitment and retention _924333
650		4	_aRural Health _924334
650		4	_aUniversal Health Coverage _924335
700	1		_aChekagn, Chala Tesfaye. _924336
700	1		_aN.V. Ramana, Gandham. _924337
700	1		_aTesfaye, Roman. _924338
700	1		_aWang, Huihui. _924325
776	0	8	_aPrint Version: _z9781464808159
830		0	_aWorld Bank e-Library. _924339
830		0	_aWorld Bank Studies. _924340
856	4	0	_uhttp://elibrary.worldbank.org/doi/book/10.1596/978-1-4648-0815-9
999			_c4931 _d4931