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Building Resilient Health System for stronger Response to Emergencies’
2012EFY (2019/2020G.C)
HEALTH SECTOR TRANSFORMATION PLAN IHEALTH AND HEALTH RELATED INDICATORS
HEALTHIER CITIZENS FOR PROSPEROUS NATION!የዜጎች ጤና ለሃገር ብልጽግና!
HEALTH SECTOR TRANSFORMATION PLAN IHEALTH AND HEALTH RELATED INDICATORS
2012EFY (2019/2020G.C)
Building Resilient Health System for stronger Response to Emergencies’
HEALTHIER CITIZENS FOR PROSPEROUS NATION!የዜጎች ጤና ለሃገር ብልጽግና!
HEALTH SECTOR TRANSFORMATION PLAN IIV
HEALTH AND HEALTH RELATED INDICATORS
List of tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VList of figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .VIIAcronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VIIIExplanatory Note . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IXForward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XHSTP I core indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Demographic and vital statistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Reproductive, Maternal and child Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Reproductive and Maternal Health Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Antenatal care, Skilled Delivery and Early Post Natal Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Institutional maternal mortality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Cesarean Section Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Prevention of mother to child HIV transmission (PMTCT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Women age 30 - 49 years screened for cervical cancers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Child Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Nutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Disease prevention and control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14Top 10 causes of morbidity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Top 10 causes of Admission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Top 10 causes of mortality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Communicable Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Malaria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Tuberculosis and Leprosy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Non-Communicable Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
HIV/AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Improve Health emergency risk management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Integrated Disease Surveillance Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Regulatory system Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Hygiene and environmental health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Health service utilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35Blood bank service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Infrastructure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39Human resource . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41Resource Mobilization and Utilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44Health Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Finance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
Contents
HEALTH SECTOR TRANSFORMATION PLAN IV
HEALTH AND HEALTH RELATED INDICATORS
Table 1: HSTP I core indicators to measure universal health coverage . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Table 2: Population by region (2008 – 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Table 3: Conversion factor for population by di� erent age group by region (2008 – 2012 EFY) . . . . . . . . . . . . 12
Table 4: Number of Kebele by region (2008 - 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Table 5: Reproductive and Maternal Health Indicators by Region (2008 – 2012 EFY) . . . . . . . . . . . . . . . . . . . 14
Table 6: Number of women receives comprehensive abortion services by region (2008 – 2012 EFY) . . . . . . . . . 16
Table 7: Maternal death Notification, 2012 EFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Table 8: Still birth rate (per 1000) by region (2010 – 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Table 9: Proportion pregnant mothers who are tested and on ART 2008-2012 EFY . . . . . . . . . . . . . . . . . . . . 18
Table 10: Number of Women 30 to 49 ages screened with VIA for cervical cancer, 2012 EFY . . . . . . . . . . . . . . 19
Table 11: Proportion of HCs with BEmONC services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Table 12: Penta-3, Measles 1 and fully immunization coverage by region (2008 – 2012 EFY) . . . . . . . . . . . . . . 21
Table 13: Proportion of infants protected at birth against neonatal tetanus (2008 – 2012 EFY) . . . . . . . . . . . . 22
Table 14: Health Centers provide IMNCI by region (2008 – 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Table 15: Health posts providing ICCM by region (2008 -2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Table 16: Children aged 2-5 years de-wormed by region (2008 - 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . 24
Table 17: Top 10 Cause of Morbidity all age (2008 - 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Table 18: Top Ten causes of Morbidity for Female (2008 - 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Table 19: Top Ten causes of Morbidity for Under five (2008 - 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Table 20: Top ten admission for general population (2008-2012) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Table 21: Top ten cause of admission for females (2008-2012) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Table 22: Top ten cause of admission for under 5 years children (2008-2012) . . . . . . . . . . . . . . . . . . . . . . . 27
Table 23: Top 10 Cause of Mortality all age (2008 - 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Table 24: Top ten causes of Mortality for Female (2008 - 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Table 25: Top ten causes of Mortality for under 5 (2008 - 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Table 26: Malaria Indicator status (2008 -2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Table 27: Malaria incidence per 1,000 population at risk (2008-2012) EFY . . . . . . . . . . . . . . . . . . . . . . . . . 30
Table 28: Number of Malaria Deaths (2008-2012) EFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Table 29: Malaria incidence per 1,000 population at risk and malaria case fatality rate per 100,000 malaria
cases by region, 2012 EFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Table 30: LLINS Distribution by Region . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Table 31: IRS spray by Region . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Table 32: TB Case detection rate among all forms of TB, Smear +Ve Success and Cure rate by region
(2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
List of tables
HEALTH SECTOR TRANSFORMATION PLAN IVI
HEALTH AND HEALTH RELATED INDICATORS
Table 33: Case detection rate among all forms of TB by region (2008 – 2012 EFY) . . . . . . . . . . . . . . . . . . . . 34
Table 34: TB treatment success rate among all form of TB cases by region (2008 - 2012EFY) . . . . . . . . . . . . . 34
Table 35: TB treatment cure rate among smear +ve TB cases by region (2008 - 2012EFY) . . . . . . . . . . . . . . . 34
Table 36: Grade II disability rate among new cases of Leprosy by Region (2010 -2012 EFY) . . . . . . . . . . . . . . . 35
Table 37: Number of New Leprosy Cased detected by Region: EFY 2009-2012 . . . . . . . . . . . . . . . . . . . . . . 36
Table 38: Number of cataract surgeries performed (2007-2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Table 39: Progress in HIV treatment and care service in HSTP I period: EFY 2008-2012 . . . . . . . . . . . . . . . . . 37
Table 40: HIV testing and yield in HCT service area by region (2009- 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . 38
Table 41: HIV testing and yield in HCT service area by region (EFY 2012) . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Table 42: Trends of people Currently on ART (2008-2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Table 43: Regional suspected measles cases and deaths by region (2008-2012) . . . . . . . . . . . . . . . . . . . . . 41
Table 44: Number of anthrax cases and deaths (2008 - 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Table 45: Regional Distribution of SAM cases, SC Admission and Death Rate in Ethiopia 2011 - 2012 . . . . . . . . 42
Table 46: Regulatory indicators performance 2007 2012EFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Table 47: Proportion of households with access to any type of latrine by region (2008-2012 EFY) . . . . . . . . . . 44
Table 48: Proportion of kebeles declared “open defecation free” by region (2008-2012 EFY) . . . . . . . . . . . . . 44
Table 49: Health service utilization indicators (2008 – 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Table 50: Outpatient (OPD) attendance per capita . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Table 51: Admission rate: (per 1,000 population) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Table 52: Bed occupancy rate: (BOR in %) 2008-2012 EFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Table 53: Average length of stay (ALOS) by region (2008 – 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Table 54: Voluntary and Replacement Blood Donors by Region (2008-2012 EFY) . . . . . . . . . . . . . . . . . . . . . 47
Table 55: Number of functional and under construction public hospitals by region (2008 – 2012 EFY) . . . . . . . 49
Table 56: Number of functional and under construction health Centers by region . . . . . . . . . . . . . . . . . . . . 50
Table 57: Number of functional and under construction Health Posts by Region (2009 – 2012 EFY) . . . . . . . . . 50
Table 58: Health Professionals to Population Ratio by Region 2012 EFY . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Table 59: Health Extension workers distribution by Regions, 2012 EFY. . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Table 60: Students enrolled in Health Science Colleges & Public Universities, 2012EFY . . . . . . . . . . . . . . . . 53
Table 61: Deployment status of selected health professionals per year (2007 EFY to 2012 EFY) . . . . . . . . . . . 53
Table 62: Health insurance indicators 2008-2012 EFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Table 63: Total health budget allocated from the total budget by region (2008 – 2012 EFY) . . . . . . . . . . . . . . 55
Table 64: National trend of Grants Commitment and Disbursement EFY 2008-2012 EFY . . . . . . . . . . . . . . . . 56
HEALTH SECTOR TRANSFORMATION PLAN IVII
HEALTH AND HEALTH RELATED INDICATORS
Figure 1: Trend of CAR from (2007 - 2012) EFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Figure 2: Trend in ANC coverage, Skilled Delivery attendant Percentage, PNC Coverage (2008–2012 EFY) . . . . . 6
Figure 3: Trend on women receives comprehensive abortion service (2008 -2012 EFY) . . . . . . . . . . . . . . . . . 6
Figure 4: Trend on maternal death notification (2008-2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Figure 5: National Cesarean Section rate (2011 – 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Figure 6: National still birth trend (2010 – 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Figure 7: Trends of HIV positive pregnant who received ARV to prevent MTCT of HIV (2008-2012 EFY) . . . . . . . . 9
Figure 8: National Trends on Vaccine coverage (2008 – 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Figure 9: Vitamin A 6 – 59-month children supplement national trend (2008 – 2012 EFY). . . . . . . . . . . . . . . . 14
Figure 10: Trend of TB case detection, Treatment Success and Cure Rate (2008-2012 EFY) . . . . . . . . . . . . . . . 25
Figure 11: DR TB patients detected and put on second line drugs (2008-2012 EFY): HSTP-I plan versus
performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Figure 12: National Trend on Grade II disability rate among new cases of Leprosy (2010 -2012 EFY) . . . . . . . . . 26
Figure 13: Trends of people tested for HIV and received their test result: EFY 2008-2012 . . . . . . . . . . . . . . . . 29
Figure 14: Trends of people Currently on ART (2008-2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Figure 15: Proportion of health facilities reporting complete and timely weekly disease report (PHEM)
(2008 -2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Figure 16: National Suspected measles cases (2008 – 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Figure 17: National measles Death (2008 – 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Figure 18: Tread of Meningitis CFR rate per 100,000 population (2008-2012EFY) . . . . . . . . . . . . . . . . . . . . . 33
Figure 19: OPD Attendance per Capita National Trend (2008-2012 EFY) . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Figure 20: National Trend on Average Length of Stay (ALOS), (2008 – 2012 EFY) . . . . . . . . . . . . . . . . . . . . . . 37
Figure 21: National Trend on Voluntary and Replacement Blood Donors (2003 – 2012 EFY) . . . . . . . . . . . . . . 38
Figure 22: National Trend in Number of Units of Blood Collected (2003– 2012 EFY) . . . . . . . . . . . . . . . . . . . 38
Figure 23: National trend of health professionals in public sector 2008- 2012 EFY . . . . . . . . . . . . . . . . . . . . 42
Figure 24: Summary of National Health Workforce, 2012EFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Figure 25: Number of Woredas that have started CBHI scheme and service provision with CBHI, trend from
2008 EFY to 2012 EFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Figure 26: Proportion of woredas with established CBHI schemes national trend (2008 - 2012 EFY) . . . . . . . . . 44
Figure 27: Trend on the national health budget Share from total budget (2008 – 2012 EFY) . . . . . . . . . . . . . . 45
List of figures
HEALTH SECTOR TRANSFORMATION PLAN IVIII
HEALTH AND HEALTH RELATED INDICATORS
Acronyms
AFP Acute Flaccid ParalysisAFI Acute Febrile IllnessALOS Average Length of StayAIDS Acquired Immunodeficiency SyndromeANC Antenatal CareART Anti-Retroviral TherapyBEmONC Basic Emergency Obstetric and Newborn careCAR Contraceptive Acceptance RateCBHI Community Base Health insuranceEFY Ethiopian Fiscal YearMB MycobacteriumMOH Ministry of HealthGP General PractitionerHC Health CenterHCT HIV Counseling and TestingHEP Health Extension ProgramHEW Health Extension WorkerHH HouseholdHIV Human Immunodeficiency VirusHMIS Health Management Information SystemHP Health PostHSTP Health Sector transformation planICCM Integrated Community Case ManagementIRS Indoor Residual SprayLLNS Long-Lasting Insecticidal NetsMCH Maternal and Child HealthNNT Neonatal TetanusOGA Other Governmental AgenciesOPD Out Patient DepartmentPAB Protected at BirthPB PaucibacillaryPF Plasmodium FalciparumPHCU Primary Health Care UnitPMTCT Prevent Mothers to Child Transmission PNC Postnatal Care CoveragePOP Population PPD Policy Planning DirectoratePV Plasmodium VivaxSAM Severe Acute MalnutritionSNNPR Southern Nation and Nationalities Peoples Region TB TuberculosisVCT Voluntary Counseling and TestingVNRBD Voluntary, Non-remunerated Blood Donation
HEALTH SECTOR TRANSFORMATION PLAN IIX
HEALTH AND HEALTH RELATED INDICATORS
Explanatory Note
Ethiopian calendar fiscal year is stated for this publication.
Copyright © Policy Planning Directorate, MOH October 2020.
Phone: 252-11-5530514, 251-11-533160
Website: http//www/.moh.gov.et
Email; [email protected]
If you have any question or suggestion please contact us with our email
• [email protected]• [email protected]• [email protected]• [email protected]• [email protected]• [email protected]• [email protected]• [email protected]
HEALTH SECTOR TRANSFORMATION PLAN IX
HEALTH AND HEALTH RELATED INDICATORS
Forward
The Ministry through the HSTP envisions all of its citizens enjoying equitable and a� ordable access to all types of health services. The attainment of this vision entails robust monitoring and evalua-tion (M&E) systems that reveal the status of utilization of health services and desirable healthy prac-tices using key equity lenses.
The Health and Health Related Indicators Report for fiscal year 2012 provides progress of the annual health sector work plan as well as the overall health sector performance against the set targets agreed upon with key stakeholders in the era of HSTP 1(last five years).
Data used in this publication mainly depends on routine and administrative data generated through HMIS using DHIS2 so� ware. Current and previous years coverage indicators that needed population data have been adjusted based on Central Statistical Agency Population Projection re-sult of 2019/20G.C. This version comprises of data on health and health related indicators. It in-cludes HSTP core indicators, Demographic indicators, maternal and child health indicators, health work force etc.
The Federal Ministry of Health would like to take this opportunity to be grateful to all regions, agen-cies, stakeholders and to all members of M&E case team who provide assistance on publication of this bulletin.
Mrs. Biruk Abate (BSC, MPH)
Director, Policy Planning Monitoring & Evaluation Directorate FMOH October 2012 E.C
Email: [email protected]
HEALTH SECTOR TRANSFORMATION PLAN I1
HEALTH AND HEALTH RELATED INDICATORS
HSTP I core indicators
Table 1: HSTP I core indicators to measure universal health coverage
Core Indicators to measure Universal Health Cover-age (UHC index)
HSTP Base-line
2008 2009 2010 2011 2012HSTP Target
I Health Service Coverage
Contraceptive Acceptance Rate CAR 70% 71% 71% 70% 68% 69% 84%
Deliveries attended by skilled health personnel 60% 73% 71% 66% 62% 63% 90%
Proportion of women having at least 4 visits of Antena-
tal Care68% 76% 77% 72% 70% 69% 95%
Pentavalent 3 Immunization coverage 94% 98% 98% 96% 97% 100% 98%
Measles Immunization Coverage 90% 94% 94% 90% 91% 95% 95%
TB case detection rate for all forms of TB 61% 61% 64% 65% 69% 71% 87%
Proportion Women age 30 - 49 years screened for
cervical cancers0.60% 0.5 0.6 0.6 0.5 20%
ART Coverage (Currently on ART)
Adult (Age 15+) 55% 62% 79% 76% 81% 90%
Children age 0 -14 age 14% 33% 36% 35% 44% 85%
Number of malaria deaths per 100,000 population at
risk4 0.8 0.6 0.2 0.32 0.39 0.6
Proportion of households with access to any type of
latrine 43 56 46 76 44 47
Outpatient attendance per capita 0.48 0.63 0.8 0.6 0.9 1.02 2
II Financial Protection Coverage
Proportion of woredas established community-based
health insurance15 21 33 39 59 74 80
Demographic and vital statistics
Demographic information includes: age, race, ethnicity, gender, marital status, income, education, and employment. It allows you to better understand certain background characteristics of a population.
HEALTH SECTOR TRANSFORMATION PLAN I2
HEALTH AND HEALTH RELATED INDICATORS
Table 2: Population by region (2008 – 2012 EFY)
Region 2008 2009 2010 2011 2012
Tigray 5,151,998 5,247,005 5,247,003 5,418,976 5,510,569
Afar 1,769,002 1,812,002 1,856,098 1,901,648 1,958,491
Amhara 20,769,985 21,134,988 21,486,069 21,843,606 22,191,890
Oromiya 34,575,008 35,467,001 36,713,473 37,325,162 38,170,038
Somali 5,598,002 5,748,998 5,899,317 6,050,921 6,202,766
Beneshangul Gumuz 1,033,999 1,066,001 1,077,841 1,109,565 1,141,275
SNNP 18,719,008 19,170,007 19,626,077 20,086,552 20,551,606
Gambella 422,002 435,999 453,442 468,016 483,098
Harari 240,000 246,000 250,904 257,309 263,656
Dire Dawa 453,000 466,000 478,595 492,631 506,639
Addis Ababa 3,352,000 3,433,999 3,515,679 3,601,694 3,686,068
National 92,206,005 94,228,000 96,604,497 98,556,080 100,666,096
Table 3: Conversion factor for population by di� erent age group by region (2008 – 2012 EFY)
conv
ersi
on
fact
or
Tigr
ay
Afar
Amha
ra
Oro
miy
a
Som
ali
B. G
umuz
SNN
PR
Gam
bella
Har
ari
Dire
Daw
a
Addi
s Ab
aba
Nat
iona
l
Under 1 year 3.2% 2.7% 3.1% 3.2% 2.9% 3.1% 3.2% 2.8% 2.9% 3.0% 2.2% 3.2%
Under 5 year 14.6% 10.1% 13.5% 16.4% 10.1% 16.2% 15.6% 13.5% 12.9% 12.1% 7.2% 14.6%
Female 15 -49 year 23.5% 22.8% 23.6% 22.1% 22.9% 24.1% 23.3% 26.1% 26.1% 27.6% 34.6% 23.4%
Table 4: Number of Kebele by region (2008 - 2012 EFY)
Region 2008 2009 2010 2011 2012
Tigray 753 753 819 814 813
Afar 358 358 379 404 349
Amhara 3131 3131 3503 3748 3,863
Oromia 6521 6521 6861 7129 6,603
Somali 1030 1030 1471 1444 1,214
Benishangul Gumuz 441 441 485 489 475
SNNPR 3602 3602 4144 4213 4,249
Gambella 235 235 260 264 265
Harari 17 17 36 36 36
Dire Dawa 38 38 46 94 47
Addis Ababa …… …… 1215 2277 869
National 16126 16126 19219 20,912 18,783
HEALTH SECTOR TRANSFORMATION PLAN I3
HEALTH AND HEALTH RELATED INDICATORS
Reproductive, Maternal and child Health
Early Postnatal care (PNC) coverage: Propor-tion of women who received post-natal care at least once during early post-partum period (with-in 7 days a� er delivery). For mothers who deliv-ered in a health facility, the first post-partum visit is held within the first 24 hours a� er stay at facil-ity. Those mothers who are discharged before 24 hours stay at facility are not recorded as first PNC.
Stillbirth Rate: Proportion of stillbirths from to-tal births attended. It is birth of a baby born with no signs of life at or a� er 28 weeks of gestation. Still birth includes intra uterine fetal death (IUFD).
Caesarean Section (C/S) Rate: Percentage of birth delivered by caesarean section among all births in a given time period. C/S rate is expect-ed to be between 5% and 15% if it is out of the expected range further investigation should be done.
Number of women receiving comprehensive abortion care services: It includes women who received safe abortion and emergency post abor-tion care services.
Reproductive and Maternal Health indicator in-cludes; family planning, antenatal care, delivery, postnatal care and other maternal health related indicators.
Contraceptive acceptance rate (CAR): Pro-portion of women of reproductive age (15-49 years) who are not pregnant and are accepting a modern contraceptive method (new and repeat acceptors). Each acceptor is counted only once, during the first visit when s/he receives contra-ceptive services in the specified Ethiopian fiscal year.
Antenatal care (ANC) coverage four visits: Proportion of pregnant women who received antenatal care four or more times during the cur-rent pregnancy. Women who have received four or more ANC visits will be counted only once as having four or more ANC visits.
Skilled delivery attendance: Proportion of births attended by skilled health personnel at a health facility. Skilled personnel is defined as a health professional (Such as midwife, nurse, health o� icer or doctor who has been trained in the skills needed to manage normal)
HEALTH SECTOR TRANSFORMATION PLAN I4
HEALTH AND HEALTH RELATED INDICATORS
Reproductive and Maternal Health Indicators
Table 5: Reproductive and Maternal Health Indicators by Region (2008 – 2012 EFY)
Indicator Year Tigray Afar Amhara Oromiya Somali B. Gumuz SNNPR Gambella HarariDire
Dawa
Addis
AbabaNational
CAR
HSTP
Baseline60 33 97 74 6 50 73 21 52 38 33 70
2008 58 48 93 80 9 51 68 27 54 43 38 71
2009 61 40 93 76 13 51 75 26 57 48 36 71
2010 63 35 93 70 11 53 79 21 67 46 32 70
2011 58 29 85 73 9 46 76 25 66 40 30 68
2012 59 24 83 78 16 49 95 17 54 35 27 69
HSTP
Target81 95 98 91 25 76 93 44 80 70 55 85
ANC 4
HSTP
Baseline56 41 70 65 35 40 88 14 77 34 100 68
2008 64 66 75 78 40 48 83 14 62 45 100 76
2009 70 61 76 74 61 55 87 13 56 46 100 77
2010 73 61 74 66 58 56 83 17 70 50 100 72
2011 66 56 62 68 57 53 81 23 65 46 100 70
2012 66 48 60 65 71 53 80 25 50 44 100 69
HSTP
Target96 74 100 93 75 85 96 51 86 88 100 95
Skilled
Delivery
HSTP
Baseline63 23 48 72 19 35 64 26 100 60 100 61
2008 68 34 70 81 25 45 73 29 100 68 100 73
2009 66 37 68 74 32 53 78 31 100 71 100 71
2010 73 40 65 62 35 49 76 37 100 74 100 66
2011 69 32 53 61 31 44 73 40 100 68 100 62
2012 72 29 54 61 37 43 73 41 100 59 100 63
HSTP
Target98 57 96 91 58 82 94 48 100 88 100 70
Early PNC
HSTP
Baseline75 35 74 100 32 66 96 13 100 80 100 90
2008 69 41 82 100 35 72 75 33 100 62 100 89
2009 65 48 77 94 49 87 78 33 93 58 100 82
2010 72 49 74 79 51 78 85 34 80 73 100 77
2011 77 46 67 81 45 67 90 39 100 65 100 78
2012 85 48 71 85 58 65 95 44 91 61 100 83
HSTP
Target100 66 100 100 65 88 97 70 100 94 100 96
HEALTH SECTOR TRANSFORMATION PLAN I5
HEALTH AND HEALTH RELATED INDICATORS
Family planning
70% 71% 71% 70% 68% 69%
85%
0%10%20%30%40%50%60%70%80%90%
HSTP Baseline 2008 2009 2010 2011 2012 HSTP Target
Figure 1: Trend of CAR from (2007 - 2012) EFY
Antenatal care, Skilled Delivery and Early Post Natal Care
90% 89%
82%77% 78%
83%
PNC, 96%
68%
76% 77%72% 70% 69%
ANC 4, 95%
61%
73% 71%66%
62% 63%
Skilled Delivery, 70%
40%
60%
80%
100%
H S T P B A S E L I N E
2 0 0 8 2 0 0 9 2 0 1 0 2 0 1 1 2 0 1 2 H S T P T A R G E T
Figure 2: Trend in ANC coverage, Skilled Delivery attendant Percentage, PNC Coverage (2008–2012 EFY)
HEALTH SECTOR TRANSFORMATION PLAN I6
HEALTH AND HEALTH RELATED INDICATORS
Table 6: Number of women receives comprehensive abortion services by region (2008 – 2012 EFY)
Region HSTP Baseline 2008 2009 2010 2011 2012 HSTP Target
Tigray 19,246 19,603 22,286 23,896 23,521 24,344 21,133
Afar 1,062 1,146 2,055 1,670 2,410 2,130 1,379
Amhara 44,952 43,316 44,932 47,022 41,740 44,920 50,865
Oromiya 86,461 82,416 88,692 91,493 99,969 97,270 53,187
Somali 695 2,290 2,037 2,060 1,809 2,110 476
Benishangul Gumuz 1,125 1,177 1,614 1,867 1,895 1,892 3,461
SNNPR 36,471 34,372 36,911 44,336 41,891 46,635 64,861
Gambella 451 333 397 631 566 957 566
Harari 4,353 2,944 2,716 3,137 2,683 2,903 815
Dire Dawa 5,223 5,803 5,943 5,633 4,110 1,561 1,205
Addis Ababa 21,494 33,628 37,623 39,039 43,780 43,453 12,170
National 221,533 227,028 245,208 260,784 264,374 268,175 210,117
-
50,000
100,000
150,000
200,000
250,000
300,000
HSTP baseline 2008 2009 2010 2011 2012 HSTP target
Number of women receives comprehesive abortion services
Figure 3: Trend on women receives comprehensive abortion service (2008 -2012 EFY)
HEALTH SECTOR TRANSFORMATION PLAN I7
HEALTH AND HEALTH RELATED INDICATORS
Institutional maternal mortality
Table 7: Maternal death Notification, 2012 EFY
Region2012 Estimated no. of maternal deaths*
(Prorated from 401 per 100,000)
Number of notified maternal deaths
Percent of notified maternal deaths
2012 2012
Tigray 760 49 6%
Afar 225 16 7%
Amhara 2,999 280 9%
Oromiya 5,311 401 8%
Somali 786 39 5%
Benishangul Gumuz 156 32 21%
SNNPR 2,851 96 3%
Gambella 58 9 15%
Harari 33 36 110%
Dire Dawa 65 17 26%
Addis Ababa 344 50 15%
National 13,590 1025 8%
335 590 972 1,010 1,162 1,025
13,590
HSTP Baseline 2008 2009 2010 2011 2012 HSTP Target
Figure 4: Trend on maternal death notification (2008-2012 EFY)
Cesarean Section Delivery
2.2%
3.9% 4.0%
8.0%
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
7.0%
8.0%
9.0%
H S T P B A S E L I N E 2 0 1 1 2 0 1 2 H S T P T A R G E T
Figure 5: National Cesarean Section rate (2011 – 2012 EFY)
HEALTH SECTOR TRANSFORMATION PLAN I8
HEALTH AND HEALTH RELATED INDICATORS
Table 8: Still birth rate (per 1000) by region (2010 – 2012 EFY)
Region 2010 2011 2012
Tigray 19 17
Afar 14.7 26 18
Amhara 17.3 17 17
Oromiya 15.2 14 14
Somali 27.6 38 23
Benishangul Gumuz 15.8 21 17
SNNPR 8.4 8 8
Gambella 16.9 30 26
Harari 57 49
Dire Dawa 32.7 27 24
Addis Ababa 14.6 16 19
National 14 15 14
18
14 15 14
10
HSTP Baseline 2010 2011 2012 HSTP Target
Figure 6: National still birth trend (2010 – 2012 EFY)
Prevention of mother to child HIV transmission (PMTCT)
Table 9: Proportion pregnant mothers who are tested and on ART 2008-2012 EFY
Indicator PMTCT Tasting PMTCT ART
TimeHSTP
Baseline2008 2009 2010 2011 2012
HSTP Target
HSTP Baseline
2008 2009 2010 2011 2012HSTP Target
Tigray 100 85 95 100 97 100 99 92 79 94 82 100 100 100
Afar 53 74 90 82 56 56 90 39 61 62 29 100 100 100
Amhara 93 85 88 89 80 78 95 70 73 82 67 84 83 95
Oromiya 100 100 96 94 88 90 95 49 48 47 38 60 98 95
Somali 20 43 49 48 18 23 90 10 7 3 16 16 22 95
B.Gumuz 80 51 66 79 81 75 92 76 52 79 60 54 52 95
SNNPR 100 92 91 90 88 81 95 43 44 30 39 51 75 95
Gambella 63 71 73 72 61 71 90 67 73 74 59 84 82 95
Harari 100 100 100 100 100 100 100 100 100 77 60 46 92 95
Dire Dawa 100 100 100 100 100 97 100 91 67 89 42 51 87 95
Addis Ababa 100 100 100 100 100 100 100 100 100 100 100 100 90 100
National 93 95 92 92 84 84 95 59 62 62 60 81 93 96
HEALTH SECTOR TRANSFORMATION PLAN I9
HEALTH AND HEALTH RELATED INDICATORS
59% 62% 62% 60%
81%
93% 95%
30%
40%
50%
60%
70%
80%
90%
100%
HSTP Baseline 2008 2009 2010 2011 2012 HSTP Target
Figure 7: Trends of HIV positive pregnant who received ARV to prevent MTCT of HIV (2008-2012 EFY)
Women age 30 - 49 years screened for cervical cancers
Table 10: Number of Women 30 to 49 ages screened with VIA for cervical cancer, 2012 EFY
Region
Total Number of screening
done
Outcome of screening
Normal cervix
Precancerous lesion
Suspicious Can-cerous lesion
Cryotherapy LEEP Total
Tigray 2458 2061 159 238 77 2 79
Afar 612 589 17 6 3 0 3
Amhara 12506 10793 1210 503 589 288 877
Oromiya 10621 9744 636 241 380 47 427
Somali 1201 1115 37 49 25 13 38
Benishangul Gumuz 112 92 12 8 2 9 11
SNNPR 19838 18204 1428 206 616 33 649
Gambella 234 217 12 5 2 0 2
Harari 555 481 42 32 38 1 39
Dire Dawa 162 148 12 2 4 0 4
Addis Ababa 10943 9962 820 161 145 1 146
National 59242 53406 4385 1451 1881 394 2275
HEALTH SECTOR TRANSFORMATION PLAN I10
HEALTH AND HEALTH RELATED INDICATORS
Table 11: Proportion of HCs with BEmONC services
Region 2012 HSTP target
Tigray 86% 100%
Afar 38% 95%
Amhara 77% 100%
Oromiya 63% 100%
Somali 16% 90%
Benishangul Gumuz 69% 100%
SNNPR 57% 99%
Gambella 45% 100%
Harari 100% 100%
Dire Dawa 100% 100%
Addis Ababa 83% 100%
National 64% 100%
Child Health
Indicators of child health include:
IMNCI Implementation: Proportion of facilities that implement IMNCI.
Pentavalent third dose (DPT3-HepB3-Hib3) immunization coverage: proportion of surviving
Infants who receive a third dose of pentavalent vaccine before their first birth day.
Measles immunization coverage: proportion of surviving infants who receive a dose of measles vac-cine before their first birthday.
Full immunization coverage: proportion of surviving infants who receive all doses of infant antigens before their first birthday.
Protection at birth (PAB) against neonatal tetanus: proportion of infants who were pro- tested from neonatal tetanus (NNT) at birth by the immunization of their mothers with Tetanus Toxoid (TT) before the birth.
HEALTH AND HEALTH RELATED INDICATORS
HEALTH SECTOR TRANSFORMATION PLAN I11
Table 12: Penta-3, Measles 1 and fully immunization coverage by region (2008 – 2012 EFY)
Antigen Year
Region
Tigray Afar Amhara Oromiya Somali B. Gumuz SNNPR Gambella Harari Dire Dawa Addis Ababa National
Penta 3
HSTP Baseline 89% 90% 92% 100% 49% 78% 100% 74% 100% 73% 100% 94%
2008 89% 100% 92% 100% 76% 99% 99% 77% 100% 79% 100% 98%
2009 87% 92% 93% 100% 80% 100% 100% 85% 100% 78% 100% 98%
2010 91% 82% 93% 97% 77% 97% 96% 85% 100% 86% 100% 96%
2011 89% 74% 88% 100% 80% 89% 96% 87% 100% 78% 100% 97%
2012 92% 76% 92% 100% 100% 92% 98% 86% 100% 77% 100% 100%
HSTP Target 100% 98% 100% 100% 95% 100% 100% 100% 100% 100% 100% 98%
Measles
HSTP Baseline 83% 86% 90% 98% 36% 71% 100% 64% 100% 69% 100% 90%
2008 86% 94% 90% 99% 71% 93% 97% 61% 92% 78% 100% 94%
2009 85% 88% 90% 96% 75% 96% 97% 76% 94% 76% 100% 94%
2010 85% 76% 89% 89% 71% 93% 93% 74% 100% 79% 100% 90%
2011 85% 67% 84% 96% 69% 84% 93% 78% 100% 71% 100% 91%
2012 87% 82% 88% 99% 92% 85% 94% 70% 98% 73% 100% 95%
HSTP Target 100% 92% 96% 98% 79% 95% 100% 100% 100% 95% 100% 95%
Fully Immunized
HSTP Baseline 83% 77% 88% 92% 34% 67% 98% 48% 100% 66% 100% 86%
2008 83% 84% 89% 95% 62% 91% 94% 55% 88% 77% 100% 91%
2009 85% 81% 90% 92% 70% 94% 96% 70% 89% 75% 100% 91%
2010 85% 72% 89% 86% 67% 92% 91% 69% 100% 78% 100% 87%
2011 84% 68% 83% 91% 61% 85% 90% 64% 92% 69% 100% 88%
2012 85% 60% 86% 94% 74% 81% 91% 60% 90% 70% 100% 90%
HSTP Target 95% 88% 95% 96% 79% 95% 96% 90% 97% 89% 100% 95%
HEALTH SECTOR TRANSFORMATION PLAN I12
HEALTH AND HEALTH RELATED INDICATORS
94%
98% 98%96% 97%
100%98%
90%
94% 94%
90% 91%
95% 95%
86%
91% 91%
87% 88%90%
95%
75%
80%
85%
90%
95%
100%
HSTP Baseline 2008 EFY 2009 EFY 2010 EFY 2011 EFY 2012 EFY HSTP Target
Penta 3 Measles Fully Vaccinated
Figure 8: National Trends on Vaccine coverage (2008 – 2012 EFY)
Table 13: Proportion of infants protected at birth against neonatal tetanus (2008 – 2012 EFY)
Region HSTP BaselinePerformance
HSTP Target 2008 EFY 2009 EFY 2010 EFY 2011 EFY 2012 EFY
Tigray 87% 87% 85% 90% 84% 93% 100%
Afar 87% 77% 88% 78% 59% 63% 85%
Amhara 85% 88% 89% 88% 81% 93%
Oromiya 94% 98% 98% 92% 95% 100% 97%
Somali 29% 63% 67% 63% 56% 77% 74%
Benishangul Gumuz 55% 81% 92% 85% 77% 91% 91%
SNNPR 100% 95% 95% 90% 89% 100% 99%
Gambella 57% 66% 73% 63% 68% 68% 91%
Harari 100% 100% 99% 100% 100% 100% 100%
Dire Dawa 73% 81% 80% 83% 78% 72% 94%
Addis Ababa 100% 100% 100% 100% 100% 100% 100%
National 89% 93% 93% 90% 88% 99%
HEALTH SECTOR TRANSFORMATION PLAN I13
HEALTH AND HEALTH RELATED INDICATORS
Table 14: Health Centers provide IMNCI by region (2008 – 2012 EFY)
RegionIMNCI
HSTP Baseline 2008 2009 2010 2011 2012
Tigray 202 241 240 205 205 205
Afar 73 27 90 87 91 750
Amhara 725 821 893 750 790 1225
Oromiya 1033 1047 1391 1225 1326 698
Somali 146 56 199 130 130 87
B. Gumuz 32 17 41 37 37 130
SNNPR 684 715 740 698 698 37
Gambella 28 29 30 20 20 20
Harari 8 10 12 94 8 20
Dire Dawa 16 17 17 15 15 94
Addis Ababa 65 94 104 8 94 8
National 3012 3074 3757 3269 3414 3274
Table 15: Health posts providing ICCM by region (2008 -2012 EFY)
Region ICCM
HSTP I Baseline 2008 2009 2010 2011 2012
Tigray 588 599 712 690 690 690
Afar 39 57 294 392 392 3335
Amhara 2673 3334 3342 3335 3335 6330
Oromiya 2382 6523 6523 6330 6330 3793
Somali 96 179 1005 1005 1050 392
Benishangul Gumuz 258 184 392 405 478 1050
SNNPR 703 3756 3874 3793 3840 478
Gambella 0 117 118 133 133 133
Harari 4 31 30 0 30 34
Dire Dawa 18 32 33 34 34 0
Addis Ababa 0 0 0 0 0 30
National 6761 14812 16323 16117 16312 16265
Nutrition
Vitamin A: Proportion of children aged 6–59 months who received two doses of vitamin A supplement
Deworming: Proportion of children aged 24-59 months who received deworming drugs twice per year month
HEALTH SECTOR TRANSFORMATION PLAN I14
HEALTH AND HEALTH RELATED INDICATORS
Table 16: Children aged 2-5 years de-wormed by region (2008 - 2012 EFY)
RegionTime
HSTP Baseline 2008 2009 2011 2012 HSTP Target
Tigray 99% 64% 50% 78% 78% 100%
Afar 97% 21% 15% 14% 20% 86%
Amhara 89% 51% 55% 75% 78% 100%
Oromiya 97% 62% 39% 79% 87% 97%
Somali 92% 8% 22% 10% 16% 69%
Benishangul Gumuz 95% 20% 34% 15% 66% 100%
SNNPR 91% 100% 44% 50% 65% 98%
Gambella 95% 8% 5% 48% 13% 100%
Harari …. 95% 77% 84% 93% 100%
Dire Dawa 50% 5% 35% 59% 59% 99%
Addis Ababa …. 53% 21% 70% 58% 100%
National 94% 63% 45% 66% 74% 97%
84100
58 5975 79
95
HSTP Baseline 2008 2009 2010 2011 2012 HSTP Target
Figure 9: Vitamin A 6 – 59-month children supplement national trend (2008 – 2012 EFY)
Disease prevention and control
Top ten cause of morbidity
• 10 leading cause of morbidity for all case• 10 leading cause of morbidity for female• 10 leading cause of morbidity for children under 5 years of age
Top ten causes of admission
• 10 leading cause of admission for all case• 10 leading cause of admission for female• 10 leading cause of admission for children under 5 years of age
Top ten causes of mortality
• 10 leading cause of mortality for all case• 10 leading cause of mortality for female• 10 leading cause of mortality for children under 5 years of age
HEALTH SECTOR TRANSFORMATION PLAN I15
HEALTH AND HEALTH RELATED INDICATORS
Top 10 causes of morbidity
Table 17: Top 10 Cause of Morbidity all age (2008 - 2012 EFY)
Rank 2008 2009 2011 2012
1Acute upper respiratory infec-
tions
Acute upper respiratory infec-
tionsPneumonia Pneumonia
2 Acute Febrile Illness (AFI) Acute Febrile Illness (AFI)Acute upper respiratory
infections
Acute Respiratory Infec-
tion
3 Pneumonia Pneumonia Typhoid Dyspepsia
4 Diarrhea (non-bloody) Diarrhea (non-bloody) DyspepsiaFunctional Intestinal
Disorder
5 Dyspepsia DyspepsiaFunctional intestinal disor-
dersTyphoid and paratyphoid
6 Trauma (injury, fracture etc.) Trauma (injury, fracture etc.) HelminthiasesDisorder of urinary
system
7 Urinary tract infection Urinary tract infection Disorders of urinary system Malaria
8 HelminthiasisInfections of the skin and sub-
cutaneous tissueMalaria Helmethiasis
9Infections of the skin and sub-
cutaneous tissueHelminthiasis Acute tonsillitis Fever of Unknown origin
10Diseases of the musculoskeletal
system and connective tissue
Diseases of the musculoskeletal
system and connective tissueAmoebiasis Acute Tonsillitis
Table 18: Top Ten causes of Morbidity for Female (2008 - 2012 EFY)
Rank 2008 2009 2011 2012
1 Acute upper respiratory infections Acute upper respiratory infections Pneumonia Pneumonia
2 Acute Febrile Illness (AFI) Acute Febrile Illness (AFI)Acute upper respiratory
infections
Acute Respiratory
Infection
3 Pneumonia Pneumonia Dyspepsia Dyspepsia
4 Dyspepsia Diarrhea (non-bloody) TyphoidDisorder of urinary
system
5 Diarrhea (non-bloody) Dyspepsia HelminthiasesFunctional Intestinal
Disorder
6 Urinary tract infection Urinary tract infection Disorders of urinary systemTyphoid and paraty-
phoid
7 HelminthiasisInfections of the skin and subcu-
taneous tissue
Functional intestinal disor-
dersHelmethiasis
8Infections of the skin and subcuta-
neous tissue
Diseases of the musculoskeletal
system and connective tissueAcute tonsillitis Malaria
9Diseases of the musculoskeletal
system and connective tissueHelminthiasis Malaria
Fever of Unknown
origion
10 Trauma (injury, fracture etc.) Typhoid fever Amoebiasis Acute Tonsilitis
HEALTH SECTOR TRANSFORMATION PLAN I16
HEALTH AND HEALTH RELATED INDICATORS
Table 19: Top Ten causes of Morbidity for Under five (2008 - 2012 EFY)
RankTOP ten under 5 Morbidity (2008 - 2012 EFY)
2008 2009 2011 2012
1 Diarrhea (non-bloody) Diarrhea (non-bloody) Pneumonia Pneumonia
2 Pneumonia PneumoniaFunctional intestinal
disordersFunctional Intestinal Disorder
3Acute upper respiratory
infections
Acute upper respiratory
infections
Acute upper respiratory
infections
Acute upper respiratory infec-
tion
4 Acute Febrile Illness (AFI) Acute Febrile Illness (AFI)Bacterial intestinal
infectionsAcute Tonsilitis
5Infections of the skin and
subcutaneous tissue
Infections of the skin and
subcutaneous tissueAcute tonsillitis Shigelosis
6 Helminthiasis Diarrhea with dehydration Helminthiases Malnutrition
7 Diarrhea with dehydration Helminthiasis Typhoid Malaria
8Malaria (confirmed with P.
falciparum)
Malaria (confirmed with P.
falciparum)Malaria Fever of unknown origion
9Other or unspecified
diseases of the eye and
adnexa
Other or unspecified diseases
of the eye and adnexaMalnutrition Helmenthiasis
10Diarrhea with blood
(dysentery)
Other or unspecified infectious
and parasitic diseasesAmoebiasis Amoebisis
Top 10 causes of Admission
Table 20: Top ten admission for general population (2008-2012)
Rank 2008 2009 2012
1 Single spontaneous delivery Single spontaneous delivery Pneumonia
2 Pneumonia Pneumonia Delivery by C/S
3 Trauma (injury, fracture etc.) Trauma (injury, fracture etc.) Malaria
4 Other delivery Other delivery Bacterial sepsis of new born
5 Neonatal sepsis Neonatal sepsis Sepsis
6Other abortion (spontaneous, with compli-
cation etc.)
Other or unspecified obstetric
conditionsHeart Failure
7 Severe acute malnutritionOther abortion (spontaneous, with
complication etc.)Malnutrition
8 Other or unspecified obstetric conditions Diarrhea with dehydrationDisorder relatated to short gesta-
tion and low birth weight
9 Anemia Severe acute malnutrition Acute appendicitis
10 Diabetes mellitus Diarrhea (non-bloody) Malignant neoplasm
HEALTH SECTOR TRANSFORMATION PLAN I17
HEALTH AND HEALTH RELATED INDICATORS
Table 21: Top ten cause of admission for females (2008-2012)
Rank 2008 2009 2012
1 Single spontaneous delivery Single spontaneous delivery Delivery by C/S
2 Other delivery Other delivery Pneumonia
3 Pneumonia Pneumonia Complication of labor and delivery
4Other abortion (spontaneous, with
complication etc.)Other or unspecified obstetric conditions Heart Failure
5Other or unspecified obstetric condi-
tions
Other abortion (spontaneous, with compli-
cation etc.)Malaria
6 Trauma (injury, fracture etc.) Trauma (injury, fracture etc.) Sepsis
7 Anemia Anemias Malnutrition
8 DyspepsiaOther causes of abnormal pregnancy,
childbirth and puerperiumMalignant neoplasm
9 Neonatal sepsis Neonatal sepsis Dyspepsia
10Medical abortion without complica-
tion (safe abortion) Dyspepsia Pre-eclamsia
Table 22: Top ten cause of admission for under 5 years children (2008-2012)
Rank 2008 2009 2012
1 Pneumonia Pneumonia Pneumonia
2 Neonatal sepsis Neonatal sepsis Bacterial sepsis of newborn
3 Severe acute malnutrition Severe acute malnutrition Malnutrition
4Other or unspecified perinatal
diseasesOther or unspecified perinatal diseases Sepsis
5 Diarrhea with dehydration PrematurityDisorders related to short gestation
and low birth weight
6 Prematurity Diarrhea with dehydration Birth asphyxia
7 Low birth weight newborn Birth asphyxia Measles
8 Diarrhea (non-bloody) Diarrhea (non-bloody) Malaria
9 Birth asphyxia Low birth weight newborn Respiratory distress of newborn
10 MeningitisInfections of the skin and subcutaneous
tissue
Meningitis due to other and unspeci-
fied causes
HEALTH SECTOR TRANSFORMATION PLAN I18
HEALTH AND HEALTH RELATED INDICATORS
Top 10 causes of mortality
Table 23: Top 10 Cause of Mortality all age (2008 - 2012 EFY)
Rank 2008 2009 2011 2012
1 Pneumonia Prematurity SepsisDisorders related to short ges-
tation and low birth weight
2 Prematurity Birth asphyxia Pneumonia Pneumonia
3 Neonatal sepsis Neonatal sepsis Prematurity Birth Asphyxia
4 Birth asphyxia Pneumonia Birth asphyxia Heart Failure
5Other or unspecified diseases
of the circulatory system
Other or unspecified diseas-
es of the circulatory systemTyphoid Shock
6 Tuberculosis all formsCerebrovascular accident
(strokeHeart failure Sepsis
7Cerebrovascular accident
(stroke)Tuberculosis all forms
Human immunodeficien-
cy virus [HIV] diseaseBacterial sepsis of newborn
8 Trauma (injury, fracture etc.)Other or unspecified perina-
tal diseasesShock Malnutrition
9 AIDS Trauma (injury, fracture etc.) Malnutrition Cerebral infarction
10 Meningitis AIDS Malignant neoplasmHuman immunodeficiency
virus [HIV] disease
Table 24: Top ten causes of Mortality for Female (2008 - 2012 EFY)
Rank 2008 2009 2011 2012
1 Pneumonia Prematurity Pneumonia Heart Failure
2Other or unspecified diseas-
es of the circulatory systemPneumonia Sepsis
Disorders related to short ges-
tation and low birth weight
3 Prematurity Single spontaneous delivery Prematurity Pneumonia
4 Tuberculosis all forms Birth asphyxia Heart failure Birth Asphyxia
5 MeningitisOther or unspecified diseas-
es of the circulatory systemBirth asphyxia Shock
6 Single spontaneous delivery Neonatal sepsisHuman immunodeficiency
virus [HIV] diseaseSepsis
7 AIDSCerebrovascular accident
(stroke)Shock Malnutrition
8 Neonatal sepsis Tuberculosis all forms TyphoidHuman immunodeficiency
virus [HIV] disease
9 Birth asphyxia AIDS Malignant neoplasm Bacterial sepsis of newborn
10Cerebrovascular accident
(stroke)
Other or unspecified perina-
tal diseasesMalnutrition Cerebral infarction
HEALTH SECTOR TRANSFORMATION PLAN I19
HEALTH AND HEALTH RELATED INDICATORS
Table 25: Top ten causes of Mortality for under 5 (2008 - 2012 EFY)
Rank 2008 2009 2011 2012
1 Prematurity Prematurity Birth asphyxiaDisorders related to short ges-
tation and low birth weight
2 Neonatal sepsis Birth asphyxia Sepsis Birth Asphyxia
3 Birth asphyxia Neonatal sepsis Prematurity Pneumonia
4Other or unspecified perina-
tal diseases
Other or unspecified perina-
tal diseasesPneumonia Bacterial sepsis of newborn
5 Pneumonia Severe acute malnutrition Malnutrition Malnutrition
6 Severe acute malnutrition PneumoniaComplications of labor
and deliverySepsis
7 Low birth weight newborn Low birth weight newborn TyphoidRespiratory distress of new-
born
8Congenital malformations,
deformations and chromo-
somal abnormalities
Congenital malformations,
deformations and chromo-
somal abnormalities
MeningitisNewborn a� ected by compli-
cation of labour and delivery
9 Diarrhea with dehydration Meningitis ShockHemorrhagic and hematolog-
ical disorders of newborn
10 Meningitis Diarrhea with dehydration Heart failureNeonatal aspiration syn-
dromes
Communicable Disease
Malaria
Malaria indicators include:
Morbidity attributed to malaria:
• Total Malaria cases
• Malaria incidence per 1,000 at risk population
• Malaria Case fatality rate per 100,000 malaria case
Integrated residual spraying of houses: proportion of households in malarias areas that were sprayed in the last 12 months.
LLNS distribution: Number of LLNS distributed to malarias areas in the last 12 months.
Malaria case fatality rate [among all case]: Deaths from malaria per 100,000 malaria cases
HEALTH SECTOR TRANSFORMATION PLAN I20
HEALTH AND HEALTH RELATED INDICATORS
Table 26: Malaria Indicator status (2008 -2012 EFY)
Indicators HSTP Baseline 2008 2009 2010 2011 2012 HSTP Target
Confirmed malaria case 2,174,707 2,033,310 1,580,777 1,065,850 904,495 1,398,750 …...
Total malaria case 5,280,000 2,320,135 1,747,251 1,206,891 993,999 1,509,182 --
Number of woredas start-ing malaria elimination
0 239 239 239 239 50
Malaria incidence per 1000 at risk population
- 32 28 18 15 28 -
Malaria death per 100,000 malaria case
304 22 21 13 21 14
Proportion of pregnant women who slept under LLN the previous night
64 …. …. …. …. 62 90
Proportion of children un-der years who slept under LLN the previous night
65 …. …. …. …. 52 90
Proportion of children un-der five years who sought treatment within 24 hrs. from onset of fever
33 ….. …. …. …. 64 100
Table 27: Malaria incidence per 1,000 population at risk (2008-2012) EFY
Region 2008 2009 2010 2011 2012
Tigray 68 76 46 44 78
Afar 44 70 35 54 63
Amhara 37 24 17 13 55
Oromia 9 7 5 4 8
Somali 23 31 8 12 9
Benishangul Gumuz 307 237 229 104 159
SNNPR 29 21 17 13 22
Gambella 188 245 196 120 118
Harari 54 58 36 6 8
Dire Dawa 10 6 3 1 4
Addis Ababa NA NA NA NA NA
National 32 28 18 15 28
HEALTH SECTOR TRANSFORMATION PLAN I21
HEALTH AND HEALTH RELATED INDICATORS
Table 28: Number of Malaria Deaths (2008-2012) EFY
Region 2008 2009 2010 2011 2012
Tigray 56 68 0 40 19
Afar 15 4 98 24 1
Amhara 31 22 3 26 48
Oromiya 48 58 11 33 74
Somali 170 22 0 15 18
Benishangul Gumuz 10 10 7 10 8
SNNPR 137 108 19 41 25
Gambella 23 53 16 22 17
Harari 2 2 0 1 1
Dire Dawa 2 4 1 0 0
Addis Ababa 16 5 3 1 1
National 510 356 158 213 212
Table 29: Malaria incidence per 1,000 population at risk and malaria case fatality rate per 100,000 ma-laria cases by region, 2012 EFY
RegionPopulation at risk of malaria
Total Malaria cases
Confirmed Malaria cases Malaria Incidence per
1000 at risk population
Total death
Malaria death/ 100,000 malaria
casePF PV Mixed Total
Tigray 2,784,168 216,232 111638 31692 1028 144358 78 19 9
Afar 1,913,501 120,517 77840 10485 1128 89453 63 1 1
Amhara 8,279,794 451,756 165708 41059 1853 208620 55 48 11
Oromiya 20,226,301 153,775 49470 15561 1682 66713 8 74 48
Somali 6,195,327 55,521 61047 3029 75 64151 9 18 32
B. Gumuz 1,093,572 173,429 98317 5477 2631 106425 159 8 5
SNNPR 12,351,515 273,098 98057 46815 2397 147269 22 25 9
Gambella 479,329 56,493 33722 10896 2018 46636 118 17 30
Harari 228,986 1,721 1094 165 4 1263 8 1 58
Dire Dawa 502,434 2,000 233 139 3 375 4 0 0
Addis Ababa 4,640 1574 1364 342 3280 1 22
National 54,054,926 1,509,182 698700 166682 13161 878543 28 212 14
HEALTH SECTOR TRANSFORMATION PLAN I22
HEALTH AND HEALTH RELATED INDICATORS
Table 30: LLINS Distribution by Region
Region HSTP baseline 2008 2009 2010 2011 2012
Tigray 1,454,045 1782092 1,787,092 1,921,294 324,572 2,056,737
Afar 563,266 923678 938,678 522,838 542,271 549,567
Amhara 3,719,850 7166090 7,201,090 3,442,136 4,442,788 247697
Oromiya 4,618,144 10395743 10,566,252 4,449,396 6,598,909 144,920
Somali 3,723,519 2782731 2,853,175 - 2,774,466
B. Gumuz 2,782,700 458924 468,024 590,500 - 698,072
SNNPR 106,379 3294674 3,581,674 No Data 1,992,810 2560512
Gambella 265,171 194602 194,602 185,300 - 259975
Harari - 91200 91,200 No Data 126,616
Dire Dawa - 98400 108,400 No Data 197,700
Addis Ababa - - No Data
National 17,233,074 27,188,134 27,790,187 11,111,464 17,000,132 6517480
Table 31: IRS spray by Region
Region
HSTP baseline 2008 2009 2010 2011 2012
# of HHs # of HHs# of HHs sprayed
# of Unit Structures Sprayed
# of Unit Structures Sprayed
# of unit struc-ture sprayed
Tigray 387,720 322,205 404,260 534,961 354,495 283,224
Afar 27,150 9,289 2,393,578 24,450 41,137 46,868
Amhara 1,374,133 932,435 1,232,771 1,582,932 674,718 333,406
Oromiya 1,660,851 1,571,301 891,024 2,251,956 980,322 900,505
Somali 238,182 113,636 165,731 47,166 - 109,805
Benishangul Gumuz
268,388 158,518 59,304 316,704 261,904 242,839
SNNPR 906,871 511,577 891,024 1,334,637 662,994 402,642
Gambella 70,211 51,156 32,356 164,989 95,564 107,173
Harari 22,870 27,983 21,400 36,693 38,593
Dire Dawa 24,057 15,077 22,770 27,984 -
Addis Ababa - -
National 4,980,433 3,713,177 6,114,218 6,322,471 3,109,727 2,426,462
HEALTH SECTOR TRANSFORMATION PLAN I23
HEALTH AND HEALTH RELATED INDICATORS
Tuberculosis and Leprosy
Indicators of TB and Leprosy include:
Tuberculosis (TB) case detection rate for all forms of TB: number of new pulmonary and extra pulmonary (all forms) TB cases detected, among the TB cases estimated to occur countrywide.
TB treatment success rate: percentage of a cohort of new smear positive TB cases registered in a specified period that successfully completed treatment. Successful completion entails clinical success with or without bac-teriological evidence of cure.
Cure rate for bacteriologically confirmed TB cases: percentage of a cohort of new smear-positive TB cases reg-istered in a specified period that was cured as demonstrated by bacteriologic evidence (a negative sputum smear result recorded during the last month of treatment and on at least on one previous occasion during treatment).
New Cases of Leprosy: number of new cases of leprosy, both MB and PB, never treated before and registered during the specified period of time
Proportion of disability grade among new leprosy case: proportion of new cases of leprosy with disability grade II at the time of diagnosis.
Table 32: TB Case detection rate among all forms of TB, Smear +Ve Success and Cure rate by region (2012 EFY)
RegionEstimated number of
TB case (all forms)Number of new TB
cased detected Case detection
rate Treatment Success rate among
sputum smear +Ve TB casesCure rate
Tigray 8321 6699 81% 94% 78%
Afar 2957 2618 88% 87% 53%
Amhara 33510 19,590 58% 95% 87%
Oromiya 57637 41,508 72% 96% 84%
Somali 9366 5,778 62% 95% 38%
B. Gumuz 1723 785 46% 91% 79%
SNNPR 31033 21,143 68% 95% 78%
Gambella 729 1,048 100% 88% 76%
Harari 398 476 100% 99% 95%
Dire Dawa 765 1,166 100% 89% 78%
Addis Ababa 5566 7,027 100% 91% 87%
National 152005 107,846 71% 95% 80%
HEALTH SECTOR TRANSFORMATION PLAN I24
HEALTH AND HEALTH RELATED INDICATORS
Table 33: Case detection rate among all forms of TB by region (2008 – 2012 EFY)
Region 2008 2009 2010 2011 2012
Tigray 66% 67% 69% 75% 81%
Afar 100% 88% 76% 68% 88%
Amhara 52% 56% 57% 57% 58%
Oromiya 62% 64% 62% 70% 72%
Somali 44% 48% 69% 56% 62%
B. Gumuz 46% 56% 44% 43% 46%
SNNPR 57% 61% 62% 65% 68%
Gambella 100% 100% 100% 100% 100%
Harari 97% 100% 100% 100% 100%
Dire Dawa 100% 100% 100% 100% 100%
Addis Ababa 100% 100% 100% 100% 100%
National 61% 64% 65% 69% 71%
Table 34: TB treatment success rate among all form of TB cases by region (2008 - 2012EFY)
Region HSTP Baseline 2008 2009 2010 2011 2012 HSTP Target
Tigray 90% 89% 91% 88% 94% 94% 28%
Afar 74% 69% 74% 74% 89% 87% 93%
Amhara 91% 93% 95% 94% 95% 95%
Oromiya 93% 95% 96% 95% 95% 96% 71%
Somali 95% 73% 82% 73% 95% 95% 99%
B. Gumuz 83% 88% 92% 89% 93% 91% 97%
SNNPR 97% 94% 94% 94% 95% 95% 82%
Gambella 67% 70% 78% 70% 88% 89% 83%
Harari 90% 95% 97% 95% 97% 99% 100%
Dire Dawa 89.4% 87% 91% 85% 90% 89% 99%
Addis Ababa 79.1% 86% 90% 86% 92% 91% 95%
National 92.1% 92% 94% 92% 94% 95% 95%
Table 35: TB treatment cure rate among smear +ve TB cases by region (2008 - 2012EFY)
Region HSTP Baseline 2008 2009 2010 2011 2012 HSTP Target
Tigray 64% 72% 81% 71% 82% 78% 100%
Afar 36% 38% 54% 43% 68% 53% 90%
Amhara 87% 89% 91% 89% 87% 87% 91%
Oromiya 85% 90% 91% 90% 86% 84% 87%
Somali 73% 48% 53% 49% 35% 38% 99%
B. Gumuz 66% 73% 83% 74% 84% 79% 95%
SNNPR 74% 75% 81% 75% 84% 78% 75%
Gambella 55% 53% 53% 53% 75% 77% 29%
Harari 84% 92% 96% 92% 86% 95% 100%
Dire Dawa 76.0% 85% 90% 81% 89% 78% 98%
Addis Ababa 66.6% 80% 85% 80% 88% 87% 95%
National 77.9% 81% 85% 81% 84% 80% 88%
HEALTH SECTOR TRANSFORMATION PLAN I25
HEALTH AND HEALTH RELATED INDICATORS
92 92 94 94 95 95Success rate, 95
77 81 85 83 84 80Cure rate, 88
61 6164 60 69 71
TB Case detection, 87
HSTP Baseline 2008 2009 2010 2011 2012 HSTP Target
Figure 10: Trend of TB case detection, Treatment Success and Cure Rate (2008-2012 EFY)
15001800
26253000
3375
733706 741 642 720
0
500
1000
1500
2000
2500
3000
3500
4000
2008 EFY 2009 EFY 2010 EFY 2011 EFY 2012 EFY
HSTP I Target Performance
Figure 11: DR TB patients detected and put on second line drugs (2008-2012 EFY): HSTP-I plan versus performance
Table 36: Grade II disability rate among new cases of Leprosy by Region (2010 -2012 EFY)
Region Year
2010 2011 2012
Tigray 4% 4% 15%
Afar 4% 19% 24%
Amhara 12% 8% 12%
Oromia 9% 10% 15%
Somali 0% 0% 12%
Benshangul G. 13% 32% 13%
SNNP 14% 22% 13%
Gambela 30% 27% 14%
Harari 0% 0% 0%
Dire Dawa 12% 6% 28%
Addis Ababa 36% 32% 35%
National 13% 12% 15%
HEALTH SECTOR TRANSFORMATION PLAN I26
HEALTH AND HEALTH RELATED INDICATORS
3% 3% 3% HSTP I Target, 3%
18%
13% 12%
Status, 15%
0%
5%
10%
15%
20%
25%
HSTP I Baseline 2010 2011 2012
Figure 12: National Trend on Grade II disability rate among new cases of Leprosy (2010 -2012 EFY)
Table 37: Number of New Leprosy Cased detected by Region: EFY 2009-2012
Region Years
2009 2010 2011 2012
Tigray 57 86 95 54
Afar 25 94 27 18
Amhara 847 778 880 732
Oromiya 1508 1622 1759 1691
Somali 14 21 17 49
Benishangul Gumuz 87 50 47 34
SNNPR 241 190 211 190
Gambella 64 61 66 66
Harari 7 5 9 15
Dire Dawa 33 18 34 21
Addis Ababa 231 201 238 108
National 3114 3126 3383 2978
HEALTH SECTOR TRANSFORMATION PLAN I27
HEALTH AND HEALTH RELATED INDICATORS
Non-Communicable Services
Table 38: Number of cataract surgeries performed (2007-2012 EFY)
Region HSTP Baseline 2008 2009 2011 2012
Tigray 735 2,143 6,238 2,512 2,634
Afar 45 - 502 1 -
Amhara 4,541 4,387 10,619 6,779 9,792
Oromiya 1,403 1,990 8,578 11,437 8,632
Somali - 291 2 367 240
Benishangul Gumuz 5 - 1 2 -
SNNPR 4,034 1,482 4,560 6,855 5,994
Gambella 1 - 1 - -
Harari 3 2 7 130 124
Dire Dawa 164 255 570 206 137
Addis Ababa 2 2,700 1,320 6,198 4,838
National 10,933 13,250 32,398 34,487 32,391
HIV/AIDS
Table 39: Progress in HIV treatment and care service in HSTP I period: EFY 2008-2012
Indicator Baseline
in 20072008 2009 2010 2011 2012
Proportion of people living with HIV who know their HIV status
64 80 78.5 78.5 78.7
Adult (age 15+) ART coverage 55 62 79 76 81
Adult (age 0-14) ART coverage 14 33 36 35 44
Percentage of people receiving antiretro-viral therapy with viral suppression
81 71 87.6 89 91.3
HEALTH SECTOR TRANSFORMATION PLAN I28
HEALTH AND HEALTH RELATED INDICATORS
Table 40: HIV testing and yield in HCT service area by region (2009- 2012 EFY)
Region
2009 2010 2011 2012
# Tested and received results
HIV+# Tested and
received results
HIV+# Tested and
received results
HIV+# Tested and
received results
HIV+
Tigray 509,863 4,797
(0.9%)715,665 5,537 (0.8%) 621,469 4547(0.7%) 567,860 2789(0.5%)
Afar 198,763 1,251
(0.6%)163,315 1,260 (0.8%) 109,937 1083(1.0%) 218,072 817(0.4%)
Amhara 1,723,844 12,763
(0.7%)2,125,059 14,056 (0.7%) 1,763,287 12396(0.7%) 1,435,375 8635(0.6%)
Oromiya 2,693,661 13,783
(0.5%)3,267,870 20,430 (0.6) 3,337,282 12890(0.4%) 3,310,107 9631(0.3%)
Somali 163,695 271 (0.2%) 151,075 895 (0.6) 83,632 1545(1.8%) 95,315 357(0.4%)
B. Gumuz 94,304 567 (0.6%) 114,663 464 (0.4%) 88,380 396(0.4%) 85,664 241(0.3%)
SNNPR 1,621,461 5,669
(0.3%)1,820,368 14,199(0.8%) 1,526,537 4943(0.3%) 1,356,079 4837(0.4%)
Gambella 67,397 2,075
(3.1%)61,099 2,470 (4%) 42,811 2462(5.8%) 47,083 1623(3.4%)
Harari 45,984 267 (0.6%) 63,756 404 (0.6%) 40,746 264(0.6%) 29,746 244(0.8%)
Dire Dawa 108,936 853 (0.8%) 80,133 800 (1.0%) 48,559 589(1.2%) 39,626 365(0.9%)
Addis Ababa
493,648 12,956
(2.6%)641,744 13,466 (2.1%) 495,646 9978(2.0%) 597,839 10,435(1.7%)
National 7,721,556 55,252
(0.72%)9,204,746 73,981 (0.8%) 8,158,286 51093(0.6%) 7,782,766 39,974(0.5%)
HEALTH SECTOR TRANSFORMATION PLAN I29
HEALTH AND HEALTH RELATED INDICATORS
Table 41: HIV testing and yield in HCT service area by region (EFY 2012)
Region
Number of people HIV tested and received the result
Number of people tested positive HCT Posi-tivity rate
VCT PITC Total VCT VCT Positivity Rate PITC PITC Positivity Rate Total
Tigray 141,974 425,886 567,860 1,159 0.82% 1,630 0.38% 2,789 0.49%
Afar 16,128 201,944 218,072 410 2.54% 407 0.20% 817 0.37%
Amhara 397,155 1,038,220 1,435,375 3,147 0.79% 5,488 0.53% 8,635 0.60%
Oromiya 373,737 2,936,370 3,310,107 2,372 0.63% 7,259 0.25% 9,631 0.29%
Somali 15,598 79,717 95,315 167 1.07% 190 0.24% 357 0.37%
B. Gumuz 18,786 66,878 85,664 85 0.45% 156 0.23% 241 0.28%
SNNPR 140,124 1,215,955 1,356,079 1,118 0.80% 3,719 0.31% 4,837 0.36%
Gambella 9,467 37,616 47,083 928 9.80% 695 1.85% 1,623 3.45%
Harari 3,690 26,056 29,746 55 1.49% 189 0.73% 244 0.82%
Dire Dawa 5,948 33,678 39,626 116 1.95% 249 0.74% 365 0.92%
Addis Ababa 131,199 466,640 597,839 3,369 2.57% 7,066 1.51% 10,435 1.75%
National 1,253,806 6,528,960 7,782,766 12,926 1.03% 27,048 0.41% 39,974 0.51%
Figure 13: Trends of people tested for HIV and received their test result: EFY 2008-2012
8,485,379
7,721,556
9,204,746
8,158,2867782766
6,500,000
7,000,000
7,500,000
8,000,000
8,500,000
9,000,000
9,500,000
2008 EFY 2009 EFY 2010 EFY 2011 EFY 2012 EFY
Table 42: Trends of people Currently on ART (2008-2012 EFY)
Region 2008 2009 2010 2011 2012
Tigray 37091 39333 41,904 43,227 43,326
Afar 4017 4671 4,919 5,089 5,204
Amhara 123210 130708 137,806 141,132 142,364
Oromia 95448 102983 106,051 112,403 111,245
Somali 2068 1806 1,712 1,866 1,863
B.Gumuz 3504 4071 6,522 4,156 4,164
SNNPR 32428 35550 42,196 39,869 41,400
Gambella 3791 5028 7,754 6,105 6,613
Harrari 3858 4205 4,575 4,620 4,674
Dire Dawa 6074 6467 90,322 6,648 6,599
Addis Ababa 82120 83566 6,041 94,763 98,897
OGAs 8,149 7,891 7,775
National 393609 426472 457,951 467,769 474,124
HEALTH SECTOR TRANSFORMATION PLAN I30
HEALTH AND HEALTH RELATED INDICATORS
375,811 393,609426,472 457,951
467,769 474,124
2007 2008 2009 2010 2011 2012
Currently on ART
Figure 14: Trends of people Currently on ART (2008-2012 EFY)
Improve Health emergency risk management
Integrated Disease Surveillance Report
Indicators of communicable diseases, including diseases targeted for eradication or elimination:
• Number of reported cases of meningitis: number of cases of meningitis, as per the menin-gitis clinical case definition.
• Number of reported cases of Poliomyelitis: number of reported cases of laboratory con-firmed polio cases.
• Number of reported cases of Acute Flaccid Paralysis (AFP): number of cases of Acute Flaccid Paralysis (AFP) (Non Polio).
• Number of reported cases of Measles: Confirmed measles cases, including those con-firmed clinically, epidemiologically, or by laboratory investigation.
• Number of reported cases of dranculiasis: number of reported suspected cases of drancu-liasis according to the national surveillance system.
• Number of reported cases of Yellow fever: number of confirmed yellow fever cases, including those confirmed clinically, epidemiologically, or by laboratory in according to the national surveillance system.
76% 79
%
95%
89% 95
%
85% 90
% 95%
95%
95%
2 0 0 8 2 0 0 9 2 0 1 0 2 0 1 1 2 0 1 2Performance HSTP Target
Figure 15: Proportion of health facilities reporting complete and timely weekly disease report (PHEM) (2008 -2012 EFY)
HEALTH SECTOR TRANSFORMATION PLAN I31
HEALTH AND HEALTH RELATED INDICATORS
Table 43: Regional suspected measles cases and deaths by region (2008-2012)
Region
2008 2009 2010 2011 2012
Suspected measles
casesDeath
Suspected measles
casesDeath
Suspected measles
casesDeath
Suspected measles
casesDeath
Suspected measles
casesDeath
Tigray 52 0 36 0 38 0 39 1 477 5
Afar 334 1 11 0 11 0 72 3 1184 11
Amhara 1014 3 674 2 552 2 319 6 6885 42
Oromiya 7568 32 667 9 282 4 806 32 19654 50
Somali 1508 21 535 1 576 1 703 7 914 1
B. Gumuz 223 0 4 0 4 0 4 2 152 0
SNNPR 1425 2 133 1 160 2 86 0 1407 6
Gambella 38 0 5 0 72 0 98 1 18 0
Harari 85 13 0 0 0 0 12 2 762 10
Dire Dawa 17 4 0 0 1 0 12 2 60 0
Addis Ababa 213 2 172 0 108 0 42 0 448 0
National 12477 78 2237 13 1804 9 2193 56 31961 125
12477
2237 1804 2193
31961
2008 2009 2010 2011 2012
Suspected measles cases
Figure 16: National Suspected measles cases (2008 – 2012 EFY)
78
13 9
56
125
0
20
40
60
80
100
120
140
2 0 0 8 2 0 0 9 2 0 1 0 2 0 1 1 2 0 1 2
MEASLES DEATH
Figure 17: National measles Death (2008 – 2012 EFY)
HEALTH SECTOR TRANSFORMATION PLAN I32
HEALTH AND HEALTH RELATED INDICATORS
Table 44: Number of anthrax cases and deaths (2008 - 2012 EFY)
Region
2008 2009 2010 2011 2012
Anthrax cases
DeathAnthrax
casesDeath
Anthrax cases
DeathAnthrax
casesDeath
Anthrax cases
Death
Tigray 103 0 123 0 116 1 89 1 197 3
Afar 0 0 0 0 0 0 0 0 0 0
Amhara 421 6 359 4 415 6 527 1 781 14
Oromiya 18 1 10 0 9 0 0 3 80 2
Somali 0 0 112 2 0 0 0 0 0 0
B. Gumuz 0 0 0 0 0 0 1 0 1 0
SNNPR 33 0 72 1 16 1 58 2 52 1
Gambella 0 0 0 0 0 0 0 0 0 2
Harari 0 0 0 0 0 0 0 0 0 0
Dire Dawa 0 0 0 0 0 0 0 0 0 0
Addis Ababa 0 0 0 0 1 0 0 0 0 0
National 575 7 676 7 557 8 675 7 1111 22
Table 45: Regional Distribution of SAM cases, SC Admission and Death Rate in Ethiopia 2011 - 2012
Region
Distribution of SAM cases, SC Admission and Death Rate in 2011
Distribution of SAM cases, SC Admission and Death Rate in 2012
Total SAM casesAdmission of
SAM casesDeaths due
to SAMTotal SAM cases
Admission of SAM cases
Deaths due to SAM
No % # % # % # % # % # %
Tigray 6,365 2.6% 760 11.9% 3 0.4% 9,277 3.3 820 2.6 6 0.1
Afar 14,074 5.8% 1712 12.2% 9 0.5% 12,036 4.3 1081 3.4 42 0.3
Amhara 26,258 10.7% 2504 9.5% 21 0.8% 30,134 10.8 3115 9.8 40 0.1
Oromiya 100,328 41.0% 14121 14.1% 106 0.8% 113,365 40.8 15263 48.0 92 0.1
Somali 52,402 21.4% 1238 2.4% 12 1.0% 72,086 25.9 2708 8.5 20 0.0
B. Gumuz 956 0.4% 246 25.7% 7 2.8% 1,744 0.6 418 1.3 8 0.5
SNNPR 37,715 15.4% 7784 20.6% 162 2.1% 33,314 12.0 6667 21.0 100 0.3
Gambella 754 0.3% 103 13.7% 3 2.9% 1,108 0.4 161 0.5 7 0.6
Harari 1,498 0.6% 905 60.4% 0.7% 1,496 0.5 723 2.3 2 0.1
Dire Dawa 1,171 0.5% 369 31.5% 0 0.0% 1,210 0.4 348 1.1 0 0.0
Addis Ababa 2,985 1.2% 359 12.0% 6 2.5% 2,287 0.8 470 1.5 9 0.4
National 244,506 100.0% 30101 12.3% 338 1.1% 278,057 100.0 31774 100.0 326 0.1
HEALTH SECTOR TRANSFORMATION PLAN I33
HEALTH AND HEALTH RELATED INDICATORS
1.7%
3.9%
1.4%0.9%
1.0%
0.0%
0.5%
1.0%
1.5%
2.0%
2.5%
3.0%
3.5%
4.0%
4.5%
2 0 0 8 E F Y 2 0 0 9 E F Y 2 0 1 0 E F Y 2 0 1 1 E F Y 2 0 1 2 E F Y
Figure 18: Tread of Meningitis CFR rate per 100,000 population (2008-2012EFY)
Regulatory system Indicators
Table 46: Regulatory indicators performance 2007 2012EFY
Regulatory IndicatorsHSTP
Baseline2008 2009 2010 2011 2012
HSTP Target
Inspection coverage of food establishment 60% 63% 66% 67% 75% 78% 90%
Number of registered food 92 43 64 89 1615 1998 600
Consignment laboratory test coverage of food 14% 28.5% 35.7% 64.2% 82.1% 100% 80%
Post market surveillance coverage of food available in the market 10% 3.3% 20.0% 43.3% 73.3% 90% 100%
Number of food establishments that implement internal quality assurance system
0 5% 9% 12.4% 35% 35.3% 50.0%
Inspection coverage of health products manufacturers and suppli-ers
80% 87.4% 93% 94% 98.4% 98.4% 100%
Number of registered medicines 1375 285 805 657 1231 1053 1100
Consignment laboratory test coverage of health products 3.4% 7.6% 7.3% 10.3% 19.3% 21% 25%
Post market surveillance coverage of health products 3 11.3% 23% 45% 48.6% 50% 55%
Number of health products manufacturers and suppliers that im-plement internal quality assurance
40% 17% 51% 53% 71% 74% 85%
Number of licensed, ethical and competent health professionals 46% 79% 84% 84% 100%
number of registered and licensed traditional medicine practi-tioners
0 1051 619 237 1150
Inspection coverage of healthcare facilities 70% 73% 80% 83%
Number of healthcare facilities implementing the national health-care facility standards
17% 28% 53%
Inspection coverage of hygiene and communicable diseases in health related facilities
70% 76% 82% 78% 100%
Percentage of capacity to prevent and control the epidemic diseas-es
80% 100% 100% 100% 100%
percentage of tobacco smoke free public places 30% 28.9% 31% 37.9% 42.3% 42.3% 75%
the percentage of substandard medicines circulating in the market 8% 1.00% 7.8% 8.5% 4.56% 3.1% 1%
HEALTH SECTOR TRANSFORMATION PLAN I34
HEALTH AND HEALTH RELATED INDICATORS
Hygiene and environmental health
This section includes two Indicators:
• Kebele declared ‘Open Defecation Free’
• Proportion of households with access to any type of latrine
Table 47: Proportion of households with access to any type of latrine by region (2008-2012 EFY)
Region HSTP Baseline 2008 2009 2010 2011 2012HSTP Target
Tigray 24% 31% 35% 72% 10% 8% 90%
Afar 1% 4% 10% 13% 6% 7% 52%
Amhara 68% 86% 65% 100% 47% 49% 90%
Oromiya 39% 47% 37% 70% 44% 56% 90%
Somali 5% 5% 2% 63% 3% 4% 46%
B. Gumuz 4% 40% 45% 47% 25% 40% 90%
SNNPR 52% 61% 65% 100% 57% 63% 65%
Gambella 25% 5% 20% 27% 17% 15% 59%
Harari 68% 100% 68% 100% 25% 34% 84%
Dire Dawa 0% 9% 0% 39% 4% 3% 89%
Addis Ababa 4% 92% 82%
National 43% 56% 46% 76% 44% 47% 88%
Table 48: Proportion of kebeles declared “open defecation free” by region (2008-2012 EFY)
RegionHSTP
Baseline2008 2009 2010 2011 2012 HSTP Target
Tigray 31% 33% 39 0% 61% 6% 76%
Afar 7% 17% 4 51% 7% 27% 32%
Amhara 48% 64% 68 175% 37% 32% 94%
Oromiya 16% 15% 12 71% 56% 16% 74%
Somali 3% 5% 7 10% 17% 17% 20%
B. Gumuz 5% 14% 13 -62% 15% 33% 74%
SNNPR 39% 45% 43 46% 40% 38% 77%
Gambella 7% 1% 3 10% 8% 5% 30%
Harari 28% 71% 29 0% 14% 28% 10%
Dire Dawa 0% 3% 0 2% 3% 2% 44%
Addis Ababa 2% 9% 18% 6% 62%
National 26% 31% 30 68% 40% 27% 71%
HEALTH SECTOR TRANSFORMATION PLAN I35
HEALTH AND HEALTH RELATED INDICATORS
Health service utilizationHealth system indicators include:
• Outpatient (OPD) attendance per capita: average number of outpatient visits (including new and repeat visits) per person per year.
• Admission rate: number inpatient admissions per 1000 population.
• Bed occupancy rate: average percentage of occupied beds during the period under review (Usually one year).
• Average length of stay (in days): of patients in an inpatient facility during a given period of time.
Table 49: Health service utilization indicators (2008 – 2012 EFY)
Health service utilization indicators National Five-year Trends (EFY)
HSTP Baseline 2008 2009 2010 2011 2012 HSTP Target
Outpatient (OPD) attendance per capita 0.48 0.63 0.8 0.6 0.9 1.02 2
Admission rate: (per 1,000 population) 10 12 12.1 12.4 13.1 13.63
Bed occupancy rate: (in %) 0.12 0.37 0.383 0.173 0.42 0.41 0.85
Average length of stay (in days): 4.3 4 4 5 4.5 4.57 5
Emergency patients triaged within 5 minutes 80 147.4 89.10 100
Surgical site infection rate 1.8 3 1.70 0.1
Proportion of hospital and regional laboratories with SLIPTA Star-levels 1-5
60 5.5 5.8 11.2 10 64.00 100
Proportion of health center laboratories with SLIP-TA Star-levels 1-5
1 4 11 3.3 3 30.20 20
Proportion of laboratories of general and referral hospitals accredited with ISO 15189 and/or 17025
2 50 66 69 70 70.00 100
Proportion of blood collected from VNRBDs (volun-tary, non-remunerated blood donation)
62 97 98.3 98.1 98.4 99.50 100
Table 50: Outpatient (OPD) attendance per capita
Region 2008 2009 2010 2011 2012
Tigray 1.42 1.8 2.0 1.83 2.07
Afar 0.3 0.4 0.2 0.36 0.36
Amhara 0.91 1.1 1.2 1.17 1.32
Oromiya 0.41 0.5 0.3 0.62 0.77
Somali 0.24 0.2 0.2 0.21 0.25
Benishangul Gumuz 0.81 0.8 0.6 0.74 0.85
SNNPR 0.43 0.6 0.4 0.96 1.00
Gambella 0.59 0.7 0.5 0.90 0.67
Harari 1.29 1.3 1.3 1.15 1.15
Dire Dawa 1.76 1.7 0.9 1.75 1.44
Addis Ababa 1.39 1.3 0.9 1.71 1.93
National 0.63 0.8 0.6 0.90 1.02
HEALTH SECTOR TRANSFORMATION PLAN I36
HEALTH AND HEALTH RELATED INDICATORS
0.480.63
0.80
0.60
0.901.02
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
1.60
H S T P B A S E L I N E 2 0 0 8 2 0 0 9 2 0 1 0 2 0 1 1 2 0 1 2
Figure 19: OPD Attendance per Capita National Trend (2008-2012 EFY)
Table 51: Admission rate: (per 1,000 population)
Regions 2008 2009 2010 2011 2012
Tigray 21 22.7 23.6 23.6 23.8
Afar 3 4.9 7.6 6.6 7.2
Amhara 8 8.7 9.9 11.2 12.7
Oromiya 12 11.2 10.5 10.9 11.4
Somali 8 9 9.9 8.9 10.8
B. Gumuz 15 12.5 14.5 13.5 14.1
SNNPR 9 9.9 10.1 10.5 10.9
Gambella 18 24 23.6 19.4 25.4
Harari 74 72.8 73.3 78.2 76.7
Dire Dawa 308 38.3 39.3 33.9 34.8
Addis Ababa 6 42 43.0 47 41.8
National 12 12.1 12.4 13.1 13.6
Table 52: Bed occupancy rate: (BOR in %) 2008-2012 EFY
Regions 2008 2009 2010 2011 2012
Tigray 44% 44.1% 49.3% 47% 44%
Afar 13% 15.7% 8.3% 21% 22%
Amhara 38% 40.3% 25.0% 53% 48%
Oromiya 39% 40.4% 17.9% 42% 39%
Somali 18% 29.3% 8.4% 16% 16%
B Gumuz 40% 30.6% 12.0% 41% 31%
SNNPR 34% 35.2% 15.6% 38% 36%
Gambella 34% 29.3% 8.0% 25% 34%
Harari 46% 43.8% 24.9% 50% 50%
Dire Dawa 37% 36.6% 17.1% 20% 17%
Addis Ababa 36% 42.3% 19.7% 47% 48%
National 37% 38.3% 17.3% 42% 40%
HEALTH SECTOR TRANSFORMATION PLAN I37
HEALTH AND HEALTH RELATED INDICATORS
Table 53: Average length of stay (ALOS) by region (2008 – 2012 EFY)
Regions 2008 2009 2010 2011 2012
Tigray 5 5 5 5 5
Afar 3 4 3 3.4 3.5
Amhara 4 4 5 4.8 4.8
Oromiya 3 4 5 4 4
Somali 3 4 3 3 2.7
B Gumuz 3 4 4 3.9 3.1
SNNPR 4 4 4 4.3 4.3
Gambella 3 3 3 3.3 4.3
Harari 4 4 3 4.1 3.8
Dire Dawa 6 6 6 3.9 3.2
Addis Ababa 4 4 4 6.1 5.4
National 4 4 5 4.5 4.4
4.3 4 4
54.5 4.4
5
HSTP Baseline 2008 2009 2010 2011 2012 HSTP Target
Figure 20: National Trend on Average Length of Stay (ALOS), (2008 – 2012 EFY)
Blood bank service
Table 54: Voluntary and Replacement Blood Donors by Region (2008-2012 EFY)
Region
2008 2009 2010 2011 2012
Replace-ment
Volun-tary
Replacement VoluntaryReplace-
mentVoluntary
Re-place-ment
Volun-tary
Re-place-ment
Voluntary