2012efy (2019/2020g.c)...health sector transformation plan i health and health related indicators...

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


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


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


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


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


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


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


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.



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



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)



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



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)



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)



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


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)



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



59% 62% 62% 60%

81%

93% 95%

30%

40%

50%

60%

70%

80%

90%

100%


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



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.



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%



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%



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



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


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



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



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



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



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-


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



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-


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



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


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



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


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



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



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%



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)


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)


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%



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


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%



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



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



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%)



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



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)



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)



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



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%



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 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)


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



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%



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


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

2012efy (2019/2020g.c)...health sector transformation plan i health and health related indicators...

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