Global health advocacy and communication

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1. Title: The Health Policy of the Transitional Government of Ethiopia,EPRDF,1993 .

2. Contents of the review paper 1. PREAMBLE 2. The Main Contents of the Policy 3. Strengths and Limitations of the Policy 3.1. Strengths of the Policy 3.2. Limitation of Policy Implementations Lessons Learned From the Policy conclusion

3. 1. PREAMBLE Ethipoia , an ancient country with A rich diversity of peoples and cultures has however, remained backward in socio -economic and political development, and in technological advances. Infant and maternal mortality, morbidity and mortality from communicable diseases, malnutrition and average life expectancy place Ethiopia among the least privileged nations in the world.

4. The Heath Policy of the Transitional Government is the result of a critical examination of; The nature, magnitude and root causes of the prevailing health problems of the country and Awareness of newly emerging health problems. The policy proposes realistic goals and the means for attaining them based on the fundamental principles that health, constituting physical, mental and social well-being, is a prerequisite for the enjoyment of life and for optimal productivity.

5. 2. The Main Contents of the Policy Democratization and decentralization of the health service system. Development of the preventive and promotive components of health care and an equitable and acceptable standard of health serv ice system that will reach all segments of the population within the limits of recourses. Promoting and strengthening of inter- sectoral activities.

6. Mobilizing and maximally utilizing internal and external resource 3. Strengths and Limitations of the Policy 3.1. Strengths of the Policy The primary issues we appreciate are that the content of the policy is pro-poor and the commitment of the government in implementing the policy is fruitful. Especially rural community were affected by plague.

7. Especially the health extension program is; Effective in promoting and changing rural community health care and attaining family planning services. There are more than 42 thousands of health extension workers in Ethiopia The health extension workers are highly devoted and contributed in providing the extension. Due to the commitment of the government, Ethiopia achieved the MDG of child mortality and maternal health before the deadline of the plan community represented council and evaluate monthly by kebele council meeting .

8. Health Education for; Community leaders, Religious and cultural leaders, Professional associations, Schools and other social organizations. Community Maintaining breast-feeding and advocating homemade preparation, production and availability of weaning foods at affordable prices / women development association /is vital team especially in rural areas.

9. 3.2. Limitation of Policy Implementations Inter- sectoral activities, practically low cooperation/not strong. E.g. agriculture sector in nutrition, stunting is high according to ministry of health stunting rate across regional states is high (Afar 41.1%,Amhara 46.4%,Tigray 39.3%,Oromia 36.5%,EDHS 2016). Mobilizing and maximally utilizing internal and external resources is less practical in mobilizing internal resources (dependent to external resources) dependent to international funding organization

10. Accessibility of health care for all segments of the population; Is less accessible to remote areas in health post and health centers (especially highlands, remot arid areas, scattered rural settlements ). It is common an outbreak of acute watery direaha (AWD) in various corners of the country. Low practical attention to traditional medicine in identifying and providing training for traditional medical practitioners , inventory of medical plants and skills , and less researched

11. Community-based health insurance / CBHI/ program is not as such the community expected./ The service is not full and low community awareness./ Regulating private health care and professional deployment by appropriate licensing. The communities are highly financially abused by the private health institutions especially the poor. Some professionals also are not well equipped and licensed .

12. 4.Lessons Learned From the Policy As social workers , we learn from the policy because; It starts from critical examination of the nature, magnitude and root causes of the prevailing health problems/ pro-poor policy. It is acceptable that the policy focuses democratization and decentralization of the health service system. The preventive and curative components of health care strategies brought real changes throughout the country. Especially for rural community saves money, time and challenge of infrastructures.

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