1
Private Health Sector Project –Ethiopia
Malaria Diagnosis and Treatment at
Private Health Facilities
Year One Quarter Four Report
July – September 2016
DISCLAIMER
The author’s views expressed in this publication do not necessarily reflect the views of the United States
Agency for International Development (USAID) or the United States Government
i
USAID ETHIOPIA - PRESIDENT’S MALARIA INITIATIVE
(PMI)
Private Health Sector Project - Ethiopia
Malaria Diagnosis and Treatment at Private Health Facilities
Year One Quarter Four Report (July – September 2016)
Program: Private Health Sector Project -
Ethiopia
Prime Partner and Sub-partners: Abt Associates Inc.
Cooperative Agreement Number: GPO –A-00-09-00007-00
Project Start / Completion Date: October 2015 – September 2020
Work or Reporting Period: July – September 2016
Submission Date: 21 October 2016
ii
Acronyms
ACT Artemisinin-based Combination Therapy
AIDS Acquired Immune Deficiency Syndrome
EMLA Ethiopian Medical Laboratory Association
EPHFEA Ethiopian private Health facilities Employee Associations
FMOH Federal Ministry of Health
HC Health Center
HIV Human Immune Deficiency Virus
IPLS Integrated Pharmaceutical Logistic System
IRS Indoor Residual Spraying
ITN Insecticide –treated net
LLINS Long lasting insecticidal net
LMIS Logistic Management Information System
MC Medium Clinic
MOU Memorandum of Understanding
NGO Non -Governmental Organization
PF Plasmodium falciparum
PV Plasmodium vivax
PHSP Private Health Sector Program
PMI President’s Malaria Initiative
PPM Public private Mix
PPP Public Private Partnership
RDT Rapid Diagnostic Testing
RHB Regional Health Bureau
SNNP Southern Nations, Nationalities, and Peoples
TAC Technical Advisory Committee
TOT Training of Trainers
WHO World Health Organization
USAID United State Agency for International Development
iii
Contents
Acronyms ...................................................................................................................................... ii
1 Introduction ................................................................................................................................. 1
1.1 General Overview .......................................................................................................................... 1
1.2 Strategies ....................................................................................................................................... 1
1.3 The general objectives of this program component are to: .......................................................... 1
2. Key Accomplishments (July – September 2016) ........................................................................ 2
2.1 Working with private health facilities ............................................................................................ 2
2.2 Review meeting and supportive supervision ................................................................................. 2
2.3 Partnership with RHB and stakeholders ........................................................................................ 2
2.4 Formative assessment ................................................................................................................... 2
2.5 Training .......................................................................................................................................... 3
2.6 Participation and Discussion with FMOH /RHBs ............................................................................ 4
2.7 Service Delivery .............................................................................................................................. 4
2.8) Gender Mainstreaming ............................................................................................................... 5
3) Summary of Facility Level Report for Quarter Four ................................................................. 7
4) Planned Activities for Next Quarter ........................................................................................ 7
5. Summary Monitoring and Evaluation Matrix (Private Health Sector Project Ethiopia) ........... 8
6. List of Private Health Sector Project -Ethiopia - Supported Facilities for Malaria Diagnosis and
Treatment Services during this Reporting Quarter (July – September 2016) .......................... 10
7 Photo Gallery ............................................................................................................................ 17
iv
List of Tables
Table 1: Number of malaria case management training participants by region, July- September
2016. ................................................................................................................................................... 3
Table 2: Malaria diagnosis and treatment at 145 private health facilities: July – September2016 ..... 5 Table 3: Malaria cases treated, admitted, referred and died in at 145 PPP supported facilities (July
-September 2016) ............................................................................................................................... 5
Table 4: Malaria cases by age and sex in Private Health Sector Program supported facilities (July –
September 2016) ................................................................................................................................ 6
List of Figures
Figure 1: Radar plot of Pretest and Posttest results of malaria case management training, Adama,
September 16 -19, 2016. .................................................................................................................... 3
Figure 2: Trends in Malaria Diagnosis, treatment at Private Health Sector Project -Ethiopia
assisted private facilities; October 2014 September 2016 ................................................................. 7
1
1 Introduction
1.1 General Overview
The Private Health Sector Program (PHSP) was a USAID funded project which supported between a
minimum of 44 and a maximum of 117 private health facilities during its four year implementation period.
The project was implemented in seven regional states of Ethiopia i.e. Afar, Amhara, Oromia, Southern
Nations, Nationalities and People, Tigray, Harari Regions and Dire Dawa City Administration, through
which over 868,193 malaria-suspected cases were properly screened, and over 228,049 malaria cases
were diagnosed, treated and reported to the town health offices ( April 2012- Sep 2015) .
From October 2015-September 2016, the Private Health Sector Project has supported 149 private health
facilities for malaria care services in five regional states of Ethiopia (5 Afar, 35 Amhara, 39 Oromiya, 25
SNNPR and 45 Tigray).From July- September 2016, cases were reported from 131 facilities. Thirteen
facilities reported zero case, and 5 facilities were closed.
1.2 Strategies
• Policy dialogue with RHBs to engage private facilities in Public Private Mix (PPM) -based
malaria case management, and policy dialogue and advocacy to establish a PPM implementation
guideline for malaria prevention and control through the private sector.
• Public Private Mix for malaria care service site expansion.
• Building the capacity of health providers through Team Training (case managers, lab
professionals and supply chain mangers), Joint Supportive Supervision and Mentoring.
• Rapid assessment to map geographic distribution of migrant and mobile workforce.
• Technical Assistance to malaria program officers in Afar, Gambella and Beneshangul- Gumuz.
• Working through partnership with all stakeholders for improving access to effective and
efficient malaria care services.
1.3 The general objectives of this program component are to:
• Increase access and uptake of malaria services from the private health facilities.
• Enhance capacity of local partners to ensure the sustainability of PPM partnerships.
• Enhance pharmaceutical supply chain management and rational drug use at private health
facilities including work places.
2
• Enhance program learning and innovative ventures.
• Generate evidence on malaria service needs of migrant and mobile workforce for decision
making and programming.
2. Key Accomplishments (July – September 2016)
2.1 Working with private health facilities
In the reporting period, malaria cases (diagnosis and treatment) were reported from 131 facilities, and
46 new facilities were assessed in four regions.
2.2 Review meeting and supportive supervision
From August 1 through 28 2016, joint supportive supervision was conducted in four regional
states (Tigray, Amhara, Oromia and SNNP).
The Private Health Sector Project facilitated program review meetings from September 27 -28
2016 in Tigray and SNNP Regions.
The project, in collaboration with the Ethiopian Sugar Corporation, prepared a three-day malaria
program review. The participants were delegates of all nine sugar development projects. Each
project presented its achievements, challenges and lesson learned.
Follow up conducted on unusual malaria case in Beles, Kessme Metehara and Kuraz SDPs (
Sugar Development project .
2.3 Partnership with RHB and stakeholders
Facility readiness assessment was conducted in three regions (Afar, Beneshangul Gumuz and
Gambella). Out of the 30 private health facilities assessed, 27 were willing and committed to
working in partnership with the public sector (See Photos 3, 4 & 5).
A list of project-supported workplace malaria facilities was shared with ICAP. This helps both
projects to avoid duplication of efforts.
2.4 Formative assessment The formative assessment on the situation of migrant or mobile workers and malaria-related health
needs was conducted in seven regional states (Afar, Amhara, Benishangul Gumuz, Gambella, Oromia,
SNNP and Tigray). The formative assessment documented the existence of an estimated 1 million
seasonal migrant workers in all seven regional states. The situation of malaria among migrant workers
was more complex and difficult to address through routine malaria prevention and control strategies.
More detailed findings will be presented in the final report from the assessment, which will be ready
in Q1 of year II.
3
2.5 Training
The Private Health Sector Project, in collaboration with Oromia Regional State Health Bureau,
facilitated a malaria case management training at World Training Center (WTC), Adama (Photos 1,&
2). The total participants were 27 of which 15 (55.6 percent) were nurses, 10 (37.0 percent) were
health officers, 1 (3.8 percent was a lab professional and 1 (3.8percent) was a medical doctor. Out of
27 malaria case management trainees, 18 were from newly assessed and enrolled malaria facilities. The
remaining 9 participants were recruited to replace attrition of trained healthcare providers in partner
facilities. Trainee performance improvement was measured using standard pre- and post-test scores.
The average performance improvement was 19.0 percentage points (59.0 percent scored in a pre-
test and 78.0percent in a post-test) (figure 1).
Figure 1: Radar plot of pretest and posttest results of malaria case management training, Adama, September
16 -19, 2016.
Table 1: Number of malaria case management training participants by region, July - September 2016.
A half-
day
briefing on the Logistics Management Information System (LMIS) using Standard Operating Procedures of
Integrated Pharmaceutical Logistics System (IPLS) for 27 health care workers was delivered ( which is the
part of the previous training ) . The trainees were given the opportunity to practice on stock management
0%
20%
40%
60%
80%
100%1
23
45
6
7
8
9
1011
1213141516
1718
19
20
21
22
23
2425
2627
Pretest
Posttest
No Region
Malaria Case management (YI QIV)
# of facilities in
the region
# of trainees new
facilities
# of replacement
trainees Total
1 Afar 5 10 0 10
2 Amhara 35 0 0 0
3 Benshangul Gumuz 0 0 0 0
4 Gambella 0 0 0 0
5 Oromia 39 4 6 10
6 SNNP 25 5 0 5
7 Tigray 45 1 1 7
Total 149 20 7 27
4
tools (Bin Cards, Stock Cards, Goods Receiving and Issue Memos, Inventory forms, Drug Reporting and
Requesting Forms).
2.6 Participation and Discussion with FMOH /RHBs
During Year I Quarter IV, the project continued its technical support as a member of the National
Malaria Technical Advisory Committee (TAC) and malaria control support team (MCST).
The Private Health Sector Project was represented in the regular Technical Advisory Committee
(TAC) meeting at FMOH on August 18, 2016.
In the era of malaria elimination, the importance of scaling up of Public Private Mix (PPM)
malaria care services and the development of PPM Implementation Guidelines was advocated
and discussed with FMOH state minster. Upon request of FMOH, the project shared the PPM
DOTS Implementation Guidelines (2012), and the state minster directed the project to develop a
malaria PPM implementation guideline.
During the reporting period, our office provided financial and technical support for the finalization of
malaria case management training manuals. A four-day workshop on this topic was held in Addis
Ababa, at Cyan City Hotel, from September 19 - 22, 2016
2.7 Service Delivery
From July – September 2016, the Private Health Sector Project - Ethiopia collected data from 131 private
facilities which provide malaria case diagnosis and treatment. Details are depicted in tables 2 and 3 below:
5
Table 2: Malaria diagnosis and treatment at private health facilities: July – September 2016
Region
All
malaria
suspecte
d cases
Total
cases
Microscopy RDT
.
Presu
med
Dx TBF Pos percent PF PV Mixed TRDT Pos percent PF PV Mixed
Afar 3631 885 3452 885 26 582 270 33 179 0 0 0 0 0 0
Amhara 21161 4072 20,179 3776 19
1,86
8
1,596
312 982 296 30
94
135
67 0
Oromia 19605 2021 19006 1890 10
886
897
107 595 127 21
33
92
2 4
SNNP 19177 3317 17197 2176 13
833
1,215
128 1738 899 52
473
415
11 242
Tigray 16071 6377 12156 3849 32
2,96
2
781
106 3915 2528 65
1,264
834
430 0
Total 79,645 16,672 71990 12576 17
7,13
1
4,759
686 7409 3850 52
1,864
1,476
510 246
NB : pos =positive , Dx =diagnosis ,: *CQ = Chloroquine, **AM= Artemether, Artsun= Artesunate, PF ( plasmodium falciparum ),PV ,plasmodium vivax
Table 3: Malaria cases treated, admitted, referred and malaria-related deaths in private health facilities (July -September 2016)
Region Total Cases treated Treated Number of Malaria cases
AL CQ* Quinine AM** Artsun Admitted Referred Deaths
Afar 885 615 270 0 0 0 0 0 0
Amhara 4068
2,223
1,724 53 69 8 52 5 0
Oromia 2016 1,038
942 15 21 50 1 0
SNNP 3314
1,508
1,654 19 110 16 35 15 0
Tigray 6353
4,667
1,615 3 63 5 0 0 0
Total 16636
10,051
6,205 57 257 50 137 21 0
6
2.8) Gender Mainstreaming
During this quarter, the Private Health Sector Project facilitated malaria case management training with
27 case managers, out of which 10 (37.05 percent) were females while the rest 17(63.0percent) were
males. The sex ratio (F:M) of participation was 1:2. Moreover, from all malaria cases, 11,566 (69.3percent)
of malaria patients were males while the rest 5106 (29.7percent) were females. The following (table 4)
depicts the distribution of service beneficiaries by age and sex.
Table 4: Malaria cases by age and sex in Private Health Sector Program supported facilities (July –
September 2016)
Region
Total
Cases
Age in Years and Sex Disaggregation
< 5 5 - 14 >=15
PW*
Total
Male Female Male Female Male Female Male Female
Afar 885 107 72 75 56 424 151 0 606 279
Amhara 4072 188 159
251
258
2,176
1,040 605 2615 1457
Oromia 2021
121
104
247
179
924
446
1
1,292
729
SNNPR** 3317
208
160
260
145
1,531
1,013
14
1,999
1,318
Tigrai 6377
157
132
324
212
4,573
979
6
5,054
1,323
All
Regions 16,672
781
627
1,157
850
9,628
3,629
626
11,566
5,106
PW= Pregnant Women ** SNNP= Southern Nation Nationalities and Peoples Region
7
3) Summary of facility-level report
During the reporting period, reports were collected from 131 private health facilities (5 from
Afar, 31 from Amhara, 35 from Oromia, 19 from SNNP and 41 from Tigray Regions).
In quarter IV, facility readiness assessments were conducted and an additional 45 facilities were
identified in three regions (14 in Afar, 12 in Gambella, and 19 in Beneshangul Gumuz).
Almost all (99 percent or 16426/16672) malaria suspected cases were investigated for
parasitological confirmation.
The positivity rate for blood films (BFs) was 17 percent (12576/71990) while the positivity rate
for RDTs was 52 percent (3850/7409 ).
4) Planned Activities for Next Quarter
Facilitate launching of Public Private Mix (PPM) for malaria care service in three regions
(Beneshangul Gumuz, Gambella, and Afar).
Conduct malaria case management training for newly enrolled facilities and consider replacement
trainees to make-up for attrition in Gambella and Beneshangul Gumuz Regions.
Assess and identify additional malaria care facilities in SNNP, Afar, Beneshangul Gumuz Regions.
Conduct malaria case management training for new facilities and emerging regions .
Support the initiation of malaria care services in newly identified and prepared facilities.
Provide technical support to private health facilities associations and .
Figure 2: Trends in Malaria Diagnosis and Treatment at –project-assisted private facilities; October 2015- September
2016
96867470
9495
16672
96667483
9153
16636
99.8%99.2%
99.6%
98.5%
90.0%
92.0%
94.0%
96.0%
98.0%
100.0%
102.0%
0
2000
4000
6000
8000
10000
12000
14000
16000
18000
Y1Q1 Y1Q2 Y1Q3 Y1Q4
pe
rce
nt
of
mal
aria
cas
es
Nu
mb
er
of
Mal
aria
Cas
es
Diagnosed Malaria Treated Malaria % Confirmed Malaria
8
5. Summary of Monitoring and Evaluation Matrix (Private Health Sector Project Ethiopia)
No Indicator Indicator /output Planned
October 2015-
September
2016
Achieved
October2015-
September
2016
1 Dialogue to engage /initiate Malaria in PHFs with in three regions
(Beneshangul- Gumuz , Gambella, Afar)
Number of meetings
/preliminary discussions
3 3
2 Participate in the national celebration of World Malaria Day 2016 Number of event/ proceeding 1 1
3 Adopt and print BCC materials for Migrant workers with one of the PMI
Partners working on Social and Behavioral Change Communication (SBCC)
Number of posters 0 0
4 Conduct a facility readiness assessment and select 73 additional eligible
private health facilities (PHFs)for Malaria services
Number of assessment 73 130
5 Prepare a launching ceremony and facilitate signing MoUs between RHBs
and 73 PHFs in newly emerging regions
Number of Singed MOU
Number of region
73 79
6 Initiate Malaria services in 68 additional new facilities ( for -profit ) Number of facilities initiate
malaria services
68 94
7 Initiate Workplace Malaria care services in 5 sites Number of facilities initiate
Malaria services
5 3
8 Facilitate the Identification of over 98percent of Malaria cases based on
parasitology diagnosis in selected private health facilities
Proportion of parasitological
identified cases
>95percent 98.5percent
9 Provide standard malaria treatment for 100percent of Malaria patients in
the selected private facilities
Proportion of appropriate
treatment
>98percent 99.7percent
10 Participate in Malaria outbreak /epidemic identification, and response Number of rumor identified
and reported to higher level
1 1
11 Provide three rounds of four days training on Malaria diagnosis and
treatment to 85 health care workers (doctors, health officers, nurses)
recruited from private clinics (assumption 1 HWs per facility )
Number of participants
pre/post test scores
55 84
12 Provide three rounds five days training on Malaria diagnosis techniques to
85 lab personnel recruited from private health facilities
Number of participants
attended,
pre/post test scores
30 102
13 Print and distribute 85 sets of job aids and treatment guidelines to 85
private health facilities
Number of sets (job aids
/guidelines/SOPs distributed)
85 112
14 Provide three session IPLS training for 85 health workers Number of participants
55 112
9
No Indicator Indicator /output Planned
October 2015-
September
2016
Achieved
October2015-
September
2016
15 Link all Selected PPM for malaria care facilities to Public Supply Chain
system to access Artemether Lumefantinerine (AL)
Number of PHF access with
AL
61 61
16 Facilitate the provision of rapid diagnostic test (RDT) supply from RHBs to
50 Lower/primary clinics
Number of Facilities
receiving RDT
15 15
17 Conduct formative assessment to address the Malaria prevention and
control need of migrant workers
Number of assessment
Number of report
1 1
18 Print and distribute HMIS tools (Comprehensive Lab Register, Morbidity,
Report forms) to 117 facilities
Number of facilities using
these forms
117 149
19 Collect and facilitate submission of Malaria weekly reports to PHEM at
Woreda Health Offices /weekly report /
Number of facilities using
these forms and # submitted
117 131
20 Collect and facilitate submission of HMIS (Malaria) monthly reports to
Woreda Health Offices
Number of facilities using
these forms and # submitted
117 131
21 Provide lab mentoring for existing 44 Malaria sites twice a year (EMLA) Number of labs mentored 44 44
22 Strengthen linkage of 44 existing malaria sites in regional EQA scheme for
Malaria microscopy quarterly
100percent of 44 sites
received EQA & 90percent of
them passed minimum score
44 01
1 EQAs can not conducted for malaria slides , shortage of manpower at the RHB and regional lab
10
6. List of Private Health Sector Project - Ethiopia Supported Facilities for Malaria
Diagnosis and Treatment Services during this Reporting Quarter (July –
September 2016)
ID Name of Facility Facility Level Ownership Region Zone Town
1 Adinas Higher Clinic Higher Clinic Private Amhara Bahir Dar Bahir Dar
2 Ayehu Farm Clinic Work Place Private Amhara Awi Ankesha
3 Bekele Higher Clinic Medium Clinic Private Amhara West Gojam Bure
4 Belese Sugar Dev Medium Clinic Government Amhara Awi Fendika
5 Birr Farm Clinic Work Place Private Amhara West Gojam Jabi Tena
6 Dilnesa Medium Clinic Medium Clinic Private Amhara West Gojam Finoteselam
7 Dr Bekele Higher Clinic
woreta
Higher Clinic Private Amhara South Gondar Woreta
8 Dr Birhanu Higher Clinic Higher Clinic Private Amhara West Gojam Durbete
9 Dr Gashaw Medium Clinic Medium Clinic Private Amhara Awi Fendika
10 Dr Melaku Medium Clinic Medium Clinic Private Amhara West Goajam Finoteselam
11 Dr. Abera Medium Clinic Medium Clinic Private Amhara North Wollo Woldia
12 Dr. Mulugata MC Medium Clinic Private Amhara Awi Chagni
13 Gambi Hospital Hospital Private Amhara Bahir Dar Bahir Dar
14 Hayat Medium Clinic Medium Clinic Private Amhara Awi Chagni
15 St. George Hospital Hospital Private Amhara West Gojam Bure
16 Urso Line Sisters Catholic Health Center NGO Amhara North Wollo Kobo
17 Yifat Primary Hospital Hospital Private Amhara North Shoa Shoa Robit
18 Gashaw MC Medium clinic Private Amhara North Shoa Shoa Robit
19 Biruk MC Medium Clinic Private Amhara North Shoa Shoa Robit
20 Agmasse MC Medium clinic Private Amhara Bahir Dar Bahir Dar
21 Dr. Aemero MC Medium clinic Private Amhara West Gojjam Dembecha
22 Tesfu MC Medium Clinic Private Amhara West Gojjam Shindie
23 Lalibela Medium clinic Medium Clinic Private Amhara West Gojjam Shindie
24 Kef- ale MC Medium Clinic Private Amhara West Gojjam Shindie
25 Demisse MC Medium Clinic Private Amhara West Gojjam Merawi
26 Bernesh Medium clinic Medium Clinic Private Amhara West Gojjam Finote Selam
27 Belse Sugar Developmeny
HC II
Work Place Government Amhara Awi Fendika
28 Al-Buraq Medium Clinic Medium clinic Private Amhara Awi Chagni
29 Binalfew Medium Clinic Medium Clinic Private Amhara Awi Fendika
30 Dagmawi Deresegn Medium Clinic
Medium clinic Private Amhara North Gondar Chuhait
31 Birr Farm Primary Clinic 2
Work Place Private Amhara West Gojjam Jabih tehina
11
ID Name of Facility Facility Level Ownership Region Zone Town
32 Arjo Dedessa Sugar Dev
Clinic
Work Place Government Oromia East Wolega Arjo Dedessa
33 Fincha Sugar Factory Work Place Government Oromia Horo Gudru Fincha
34 Metehara Sugar factory –
Hospital
Work Place Government Oromia East Shoa Metehara
35 Wonji Sugar Factory
Hospital
Hospital Government Oromia East Shoa Wonji
36 Abyssinia HC Higher clinic Private Oromia East Shoa Modjo
37 Sama Senbet Hospital Hospital Private Oromia East Shoa Modjo
38 Addis Hiwot HC Higher Clinic Private Oromia I/Abbabora Bedelle
39 Agape MC Medium clinic Private Oromia West Shoa Ambo
40 Amob HC Higher Clinic Private Oromia West Shoa Ambo
41 Bako MY HC Health Center NGO Oromia West Shoa Backo
42 Dembel HC Higher clinic Private Oromia West shoa Ambo
43 Ethio- Africa HC Higher Clinic Private Oromia Jimma Jiimma
44 Hora Medium clinic Medium Clinic Private Oromia Finifine Z Sebeta
45 Jarra HC Higher clinic Private Oromia West Wolega Nejo
46 Jimma HC Higher Clinic Private Oromia Jimma Jimma
47 Kera HoraHC Higher Clinic Private Oromia East Shoa Bishoftu
48 Miskir Higher Clinic Higher Clinic Private Oromia East shoa Adama
49 Tropical MC Medium Clinic Private Oromia East Sjoa Metehara
50 Universal Higher Clinic Higher Clinic Private Oromia Shashemene Shashemene
51 Feya General Hospital Hospital Private Oromia Shashemene Shashemene
52 Gizaw HC Higher Clinic Private Oromia Shashemene Shashemene
53 Shashemene Catholic Health Center NGO Oromia Shashemene Shashemene
54 Universal Higher Clinic Higher Clinic Private Oromia Jimma Jimma
54 Dr. Amanuel MC Medium Clinic Private Oromia East shoa Bishoftu
56 Rift Vally G. Hospital Hospital Private Oromia East shoa Adama
57 AT (Hibret )HC Higher clinic Private Oromia East Shoa Adama
58 Lukas HC Higher clinic Private Oromia East Shoa Adama
59 Tedal Medium C Medium clinic Private Oromia East shoa Bishoftu
60 Africa Service committee Medium Clinic NGO Oromia East shoa Batu/Zeway
61 Addisu Poly clinic Higher Clinic Private Oromia East Shoa Batu/Zeway
62 Meki Catholic Pediatric Medium Clinic NGO Oromia East shoa Meki
63 Missionary of charity Medium Clinic NGO Oromia Jimma Jimma
64 Rhobot Higher Clinic Higher Clinic Private Oromia Finifine Zuria Burayou
65 Holeta M C Medium Clinic Private Oromia Finfine Zuria Holeta
66 Boji MC Medium Clinic Private Oromia West Wellega Bila
12
ID Name of Facility Facility Level Ownership Region Zone Town
67 Abaya Medium Clinic M clinic Private SNNP Gamo Gofa Arbaminch
68 Abraham Medium Clinic M Clinic Private SNNP Gamo Gofa Arbamich
69 Alkeso Medium Clinic Medium Clinic NGO SNNP Silte Alkesso
70 Amanuel Medium clinic Medium Clinic Private SNNP Guragie Wolkite
71 Amibara Farm Clinic Work place Private SNNP Gamo Gofa Arbamich
72 Beteseb Medium Clinic
Alaba
Medium Clinic Private SNNP Halaba Klito
73 Beteseb Medium Clinic
Wolkite
Higher Clinic Private SNNP Guragie Wolkite
75 Soddo Christian Hospital Higher Clinic NGO SNNP Welayita Soddo
76 St. Gebriel Medium Clinic Medium Clinic Private SNNP Hawassa Hawassa
77 Abrham MC Medium Clinic Private SNNP Gedio Dilla
78 Unity MC Medium Clinic Private SNNP Gedio Dilla
79 Yohannes Medium Clinic Medium Clinic Private SNNP Hawassa Hawassa
80 Selam MC Medium Clinic Private SNNP Gamo Gofa Arbamich
81 Beteseb MC Medium Clinic Private SNNP Gamo Gofa Arbamich
82 Halaba MC Medium Clinic Private SNNP Alaba S.
Werda
Kulito
83 Bitsuham MC Medium Clinic Private SNNP Hadiya Hossana
84 Fikir MC Medium Clinic Private SNNP Hadiya Hossana
85 Kuraz Sugar Development
Project I
Medium Clinic Workplace SNNP South Omo Hanna/Main
town
86 Kuraz Sugar Development
Project III
Medium Clinic Workplace SNNP South Omo Bench Maji
87 Kidist Mariam Medium
Clinic Humera
Medium Clinic Private Tigray Western Kafta Humera
88 Maykadira Medium Clinic Medium Clinic Private Tigray Western Kafta Humera
89 Selam Higher Clinic
Humera
Higher Clinic Private Tigray Western Setit Humera
90 Selam Medium Clinic Medium Clinic Private Tigray Western Kafta Humera
91 Dr. Tsegaye Yibrah SP
Clinic Shire Medium Clinic
Int Med Sp Clinic Private Tigray Western Shire
92 St. Agostina Medium Clinic Medium Clinic NGO Tigray Western Shire
93 Midere Genet Internal
Medicine Specialty Clinic
Internal Med Sp
Clinic
Private Tigray Western Shire
94 Wolyaikt Sugar
Development Clinic
Medium Clinic Workplace Tigray Western MayGaba
95 Dr. Yibrah SSC Specialty C Private Tigray Western Shire
96 Mulu Medium C Medium clinic Private Tigray Western May Gaba
97 Eleni MC Medium clinic Private Tigray Western Sheraro
98 Hiberet MC Medium clinic Private Tigray Western Shetraro
99 Temesgen MC Medium clinic Private Tigray Western Sheraro
13
ID Name of Facility Facility Level Ownership Region Zone Town
100 Dr. Tsegaye IMSC Medium clinic Private Tigray Western Humera
101 Dr. Solomon SpC Medium clinic Private Tigray Western Humera
102 Wolkayit MC Medium clinic Private Tigray Western Humera
103 Dr. Negassi MC Medium clinic Private Tigray Western Humera
104 Dr. Tedros MC Medium clinic Private Tigray Western Humera
105 Abune Aregawi MC Medium clinic Private Tigray Western Maykadra
106 Angesome MC Medium clinic Private Tigray Western Sheraro
107 KaftaHumera MC Medium clinic Private Tigray Western May karda
108 Dagnew MC Medium clinic Private Tigray Western Dansha
109 Luel MC Medium clinic Private Tigray Western Dansha
110 Dr. Yibeyin MC Medium clinic Private Tigray Western Dansha
111 Mehoni MC Medium clinic Private Tigray Southern Mehoni
112 Deberesina MC Medium clinic Private Tigray Southern Mehoni
113 Arsema MC Medium clinic Private Tigray Southern Mehoni
114 Raya MC Medium Clinic Private Tigray Southern Mehoni
115 Beza MC Medium Clinic Private Tigray Southern Alamata
116 Dr Kumneger Sur SP C Surgical Sp Clinic Private Tigray Southern Alamata
117 Dr Meaza Int Med Sp C Internal Med Sp C Private Tigray Southern Alamata
118 St Mary Catholic HC Health Center NGO Tigray Central EdagaHamus
119 Hossana MC Medium Clinic Private Tigray Central Wukro
120 Kahsa MC Medium Clinic Private Tigray Central Wukro
121 Zenebu & Lemlem MC Medium Clinic Private Tigray Central Wukro
122 Hiwot MC Higher Clinic Private Tigray Southern Alamata
123 Almicom Farm Primary clinic Work place Tigray Western Kafta Humera
124 Hiwot Mechanized Farm
clinic 1
Primary 1
Work place
MARET
Tigray Western Kafta Humera
125 Hiwot Mechanized Farm
clinic 2
Primary
Work place
MARET
Tigray Western Kafta Humera
126 Hiwot Mechanized Farm
clinic 3
Primary
workplace
MARET
Tigray Western Kafta Humera
127 Tendaho Sugar *
Development-Dubti
Medium Clinic Workplace Afar 1 Assayita
128 Tendaho Sugar *
Development- Detbahiri
Medium Clinic Workplace Afar 1 Assayita
129 Tendaho Sugar *
Development-Asayita
Medium Clinic Workplace Afar 1 Assayita
130 Kessem Sugar**
Development Proj –
Kebena
Medium Clinic Workplace Afar 3 Kebena
131 Kessem Sugar**
Development Proj Saburie
Medium Clinic Workplace Afar 3 Saburie
14
ID Name of Facility Facility Level Ownership Region Zone Town
Private Health Sector Project Supported Facilities with Closed, inaccessible or Zero Report
Sept 2016 ID Name of Facility Facility Level Ownership Region Zone Town
1
Eneyew Medium Clinic
Medium Cliinic Private
Amhara North Gondar Aykel
2
Ethiopia Medium Clinic
Medium Cliinic Private
Amhara North Gondar Metema
3 Hailesselasie Medium Clinic
Medium Cliinic Private
Amhara West Gojam Merawi 4 Hayat Medium Clinic
Gendawuha
Medium Cliinic Private
Amhara North Gondar Gendawuha
5
Beteseb Medium Clinic
Medium Cliinic Private
Oromia Bishoftu Town Bishoftu
6
Dr Chali Higher Clinic
Highjer Cliinic Private
Oromia West Wollega Gimbi
7 Shashemene Poly Int. med. Sp clinic
Int Med Sp Clinic Private
Oromia Shashemene Town Shashemene
8 Yonas Medium Clinic
Medium Cliinic Private Oromia Guji Shakiso
9 Addis Medium Clinic
Medium Cliinic Private SNNP Gedeo Dilla
10 Dr Adane Medium Clinic
Medium Cliinic Private SNNP Welayita W.Sodo
11 Dr Mulat Medium Clinic
Medium Cliinic Private SNNP Hawassa Hawassa
12 Hikma Medium Clinic
Medium Cliinic Private SNNP Gedeo Dilla
13 Murida Medium Clinic
Medium Cliinic Private SNNP Silte Werabe
14 Nur Medium Clinic
Medium Cliinic Private SNNP Silte Werabe
15 Daniel Medium Clinic
Medium Cliinic Private Tigray Western Dansha
16 Kedron Medium Clinic
Medium Cliinic Private Tigray Southern Alamata 17 Kidist Mariam Medium
Clinic Maykadra
Medium Cliinic Private Tigray Western Maykadra
18 Mebrahitom Medium Clinic
Medium Cliinic Private Tigray Western Dansha
15
Private Health Sector Project Newly Assessed and selected facilities by region October 2016.
ID Name of Facility Facility Level Ownership Region Zone Town
1 Sher Ethiopia Primary
Hpspital
Hospital Private Oromia East Shoa Batu/Zeway
2 Selam Medium Clinic Medium Clinic Private Afar One Assayita
3 Semera Medium Clinic Medium Clinic Private Afar One Assayita
4 Biruk Medium Clinic Medium Clinic Private Afar One Dubti
5 Zemzem Medium Clinic Medium Clinic Private Afar One Dubti
6 Selalo Medium Clinic Medium Clinic Private Afar One Dubti
7 Merhaba Medium Clinic Medium Clinic Private Afar Three Dubti
8 Yibrah higher clinic Higher Clinic Private Afar Three Awash 7 kilo
9 Awash Marble Factory Medium Clinic Work place Afar Three Awash 7 kilo
10 Kidane Meheret MC Medium Clinic Private Afar Three Awash 7 kilo
11 Kidist Mariam MC Medium Clinic Private Afar Three Awash 7 kilo
12 Layila Mediu Clinic Medium Clinic Private Afar Three Awash 7 kilo
13 Lucy Primary Clinic Primary Clinic Private Afar Three Awash 7 kilo
14 Kidist Arsema MC Medium Clinic Private Afar Three Awash 7 kilo
15 Selam Medium Clinic Medium Clinic Private Afar Three Awash 7 kilo
16 Sober Medium Clinic Medium Clinic Private Benishagul
Gumuz
Assossa Bambasi
17 Bambasi Medium Clinic Medium Clinic Private Benishagul
Gumuz
Assossa Bambasi
18 Bamzawit Medium C Medium Clinic Private Benishagul
Gumuz
Assossa Assossa
19 Mitiku Medium Clinic Medium Clinic Private Benishagul
Gumuz
Assossa Assossa
20 Eman Medium Clinic Medium Clinic Private Benishagul
Gumuz
Assossa Assossa
21 Erkiya Medium Clinic Medium Clinic Private Benishagul
Gumuz
Assossa Assossa
22 Sola Medium Clinic Medium Clinic Private Benishagul
Gumuz
Assossa Assossa
23 Medihamialem MC Medium Clinic Private Benishagul
Gumuz
Assossa Assossa
24 Kiya Medium Clinic Medium Clinic Private Benishagul
Gumuz
Assossa Assossa
25 Muhambaw MC Medium Clinic Private Benishagul
Gumuz
Assossa Assossa
26 Assossa MC Medium Clinic Private Benishagul
Gumuz
Assossa Assossa
27 Berhanu MC Medium Clinic Private Benishagul
Gumuz
Assossa Assossa
28 Dr. Solomon MC Medium Clinic Private Benishagul
Gumuz
Assossa Assossa
29 Hiwot Medicum clinic Medium clinic Private Benishagul
Gumuz
Metekel Mandura
16
ID Name of Facility Facility Level Ownership Region Zone Town
30 Metekel Primary (Catholic) Medium clinic NGO Benishagul
Gumuz
Metekel Mandura
31 Bole Medium Clininc MC Private Benishagul
Gumuz
Metekel Gilgel Beles
32 Selam MC Private Benishagul
Gumuz
Metekel Manbok
33 Al-afia MC Private Benishagul
Gumuz
Metekel Pawe
34 St.Rufael Catholic MC NGO Benishagul
Gumuz
Metekel Pawe
35 Nati MC Medium Clinic Private Gambella Gambella Gambella
36 Bethel MC Medium Clinic Private Gambella Gambella Gambella
37 Dong Fang MC Medium Clinic Private Gambella Gambella Gambella
38 Dr. Tekeste MC Medium Clinic Private Gambella Gambella Gambella
39 Elshaday MC Medium Clinic Private Gambella Gambella Gambella
40 Sintayehu MC Medium Clinic Private Gambella Gambella Gambella
41 Bethelhem MC Medium Clinic Private Gambella Gambella Gambella
42 St. Gabriel MC Medium Clinic Private Gambella Gambella Gambella
43 Eyob MC Medium Clinic Private Gambella Gambella Gambella
44 Dr. Muluken MC Medium Clinic Private Gambella Gambella Gambella
45 Addis Hiwot MC Medium Clinic Private Gambella Gambella Gambella
46 Kidist Arsema MC Medium Clinic Private Gambella Gambella Gambella
17
7 Photo Gallery
Photo 1: Partial view of malaria case management trainees, WTC, Adama, (Photo: Argaw MD.)
Photo 2: Dr. Yonas Petros, facilitating malaria case management, WTC , Adama (Photo: Argaw MD.)
18
Photo 3: Partial view of assessed facility for malaria (Asoossa Medium Clinic) Benishagul Gumuz, (Photo: Argaw
MD.)
Photo 4: Partial view of Lab facility assessed for malaria (Kiya Medium Clinic) Benishagul Gumuz, (Photo: Argaw
MD.)
19
Photo 5: Partial view of waste management assessed facility for malaria (Berhanu Medium Clinic) Benishagul
Gumuz, (Photo: Argaw MD.)
Request of support by DD RHB