A5036397365- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Health Systems, Economic Evaluations, Quality of Life
- Vaccine Coverage and Hesitancy
- Child Nutrition and Water Access
- Global Health Care Issues
- Global Public Health Policies and Epidemiology
- COVID-19 epidemiological studies
- Healthcare Policy and Management
- Acute Lymphoblastic Leukemia research
- Pharmaceutical Economics and Policy
- Childhood Cancer Survivors' Quality of Life
- Trauma and Emergency Care Studies
- Hepatitis Viruses Studies and Epidemiology
- Traffic and Road Safety
- Global Cancer Incidence and Screening
- Viral gastroenteritis research and epidemiology
- Hepatitis B Virus Studies
- Tuberculosis Research and Epidemiology
- Healthcare cost, quality, practices
- Virology and Viral Diseases
- Elder Abuse and Neglect
- COVID-19 Pandemic Impacts
- Global Health and Epidemiology
- Cervical Cancer and HPV Research
Addis Ababa University
2019-2025
University of Bergen
2015-2024
Harvard University
2022-2023
Ethics and Public Policy Center
2021
Harvard Global Health Institute
2020
Dana-Farber Cancer Institute
2018
Purpose Noncommunicable diseases, prominently cancer, have become the second leading cause of death in adult population Ethiopia. A population-based cancer registry has been used Addis Ababa (the capital city) since 2011. Availability up-to-date estimates on incidence is important guiding national control program Methods We obtained primary data 8,539 patients from and supplemented by 1,648 cases collected six Ethiopian regions. estimated number commonest forms diagnosed among males females...
BackgroundThe way in which a government chooses to finance health intervention can affect the uptake of interventions and consequently extent gains. In addition gains, some policies such as public insure against catastrophic expenditures. We aimed evaluate financial risk protection benefits selected that could be publicly financed by Ethiopia.MethodsWe used extended cost-effectiveness analysis assess gains (deaths averted) afforded (cases poverty bundle nine (among many other) Government...
Health systems aim to narrow inequality in access health care across socioeconomic groups and area of residency. However, low-income countries, studies are lacking that systematically monitor evaluate programs with regard their effect on specific inequalities. We aimed measure changes maternal child (MCH) interventions the Primary Care (PHC) facilities expansion Ethiopia. The Demographic Survey datasets from Ethiopia (2005 2011) were used. calculated utilization MCH morbidity. Concentration...
Introduction Aiming for universal health coverage (UHC) as a country-level goal requires that progress is measured and tracked over time. However, few national subnational studies monitor UHC in low-income countries there none Ethiopia. This study aimed to estimate the 2015 service status Methods The index was constructed from geometric means of component indicators: first, within each four major categories then across all components obtain final summary index. Also, we estimated level...
To make progress toward universal health coverage, countries should define the type and mix of services that respond to their populations' needs. Ethiopia revised its essential package (EHSP) in 2019. This paper describes process, methodology key features new EHSP. A total 35 consultative workshops were convened with experts public scope revision, develop a list interventions, agree on prioritization criteria, gather evidence compare interventions. Seven criteria employed: disease burden,...
Out-of-pocket (OOP) medical payments can lead to catastrophic health expenditure and impoverishment. We quantified household OOP for treatment of childhood pneumonia diarrhoea its impact on poverty different socioeconomic groups in Ethiopia.This study employs a mix retrospective prospective primary data collection direct non-medical costs (2013 US$). Data from 345 341 cases (0-59 months age) were collected retrospectively through exit interviews 35 purposively sampled facilities Ethiopia....
Abstract Background Treatment abandonment is one of major reasons for childhood cancer treatment failure and low survival rate in low- middle-income countries. Ethiopia plans to reduce by 60% (2019–2023), but baseline data information about the contextual risk factors that influence are scarce. Methods This cross-sectional study was conducted from September 5 22, 2021, on three pediatric oncology centers Ethiopia. Data incidence were obtained healthcare professionals. We unable obtain...
Despite large investments in the public health care system, disparities outcomes persist between lower- and upper-income individuals, as well rural vs urban dwellers Ethiopia. Evidence from Ethiopia other low- middle-income countries suggests that challenges access may contribute to poverty these settings.We employed a two-step floating catchment area estimate variations spatial staffing levels at facilities. We estimated average travel time population centers of administrative areas...
Essential packages of health services (EPHS) are a critical tool for achieving universal coverage, especially in low-income and lower middle-income countries. However, there is lack guidance standards monitoring evaluation (M&E) EPHS implementation. This paper the final series papers reviewing experiences using evidence from Disease Control Priorities, third edition publications reforms seven We assess current approaches to M&E, including case studies M&E Ethiopia Pakistan. propose...
The coverage of prevention and treatment strategies for ischemic heart disease stroke is very low in Ethiopia. In view Ethiopia's meager healthcare budget, it important to identify the most cost-effective interventions further scale-up. This paper's objective assess cost-effectiveness (IHD) an Ethiopian setting. Fifteen single sixteen intervention packages were assessed from a provider perspective. World Health Organization's Choosing Interventions that are Cost-Effective model...
Abstract In Ethiopia, little is known about the extent of out-of-pocket health expenditures and associated financial hardships at national regional levels. We estimated incidence both catastrophic impoverishing using data from 2015/16 Ethiopian household consumption expenditure welfare monitoring surveys. computed (CHE) 10% 25% thresholds total 40% threshold capacity to pay, (IHE) Ethiopia's poverty line (ETB 7184 per adult year). Around 2.1% (SE: 0.2, P < 0.001) households would face...
Background Pneumonia and pneumococcal disease cause a large burden in resource-constrained settings. We pursue an extended cost-effectiveness analysis (ECEA) of two fully publicly financed interventions Ethiopia: vaccination for newborns pneumonia treatment under-five children Ethiopia. Methods apply ECEA methods estimate the program impact on: (1) government costs; (2) deaths averted; (3) household expenses related to pneumonia/pneumococcal (4) prevention medical impoverishment measured by...
Out-of-pocket (OOP) medical expenses often lead to catastrophic expenditure and impoverishment in low- middle-income countries. Yet, there has been no systematic examination of which specific diseases conditions (e.g., tuberculosis, cardiovascular disease) drive impoverishment, defined as OOP direct costs pushing households into poverty. We used a cost epidemiological model propose an assessment the burden Ethiopia, i.e., number crossing poverty line due excessive expenses. utilized...
Abstract Ethiopia is one of the sub-Saharan African countries contributing to highest number maternal and neonatal deaths. Coverage health (MNH) interventions has remained very low in Ethiopia. We examined cost-effectiveness selected MNH an Ethiopian setting. analysed 13 case management preventive interventions. For all interventions, we used ingredients-based approach for cost estimation. employed a static life table model estimate impact 20% increase intervention coverage relative...
Policymakers face many decisions when considering public financing for health, including the kind of health interventions to include in a publically financed package. The consequences these choices will influence outcomes as well financial risk protection provided different segments population. purpose this study is illustrate size and distribution benefits due treatment prevention diarrhoea (ie, rotavirus vaccination).
Background The COVID-19 pandemic has caused profound health, economic, and social disruptions globally. We assessed the full costs of hospitalization for disease at Ekka Kotebe treatment center in Addis Ababa, largest hospital dedicated to patient care Ethiopia. Methods findings retrospectively collected analysed clinical cost data on patients admitted with laboratory-confirmed infections. Cost included personnel time salaries, drugs, medical supplies equipment, facility utilities, capital...
This analysis is to present the burden and trends of morbidity mortality due lower respiratory infections (LRIs), their contributing risk factors, disparity across administrative regions cities from 1990 2019.This used Global Burden Disease 2019 framework estimate outcomes LRI its factors. The study uses all available data sources Cause Death Ensemble model deaths a meta-regression disease modelling technique non-fatal with 95% uncertainty intervals (UI).The includes nine region states two...
Hepatitis B virus (HBV) infection is an important cause of morbidity and mortality with a very high burden in Africa. The risk developing chronic marked if the acquired perinatally, which largely preventable through birth dose HBV vaccine. We examined cost-effectiveness vaccine medical setting Ethiopia.
Health sector priorities and interventions to prevent manage noncommunicable diseases injuries (NCDIs) in low- lower-middle-income countries (LLMICs) have primarily adopted elements of the World Organization Global Action Plan for NCDs 2013-2020. However, there been limited efforts LLMICs prioritize among conditions health-sector NCDIs based on local epidemiology contextually relevant risk factors or that incorporate equitable distribution health outcomes. The Lancet Commission Reframing...