City Government of Addis Ababa Health Bureau
Addis Ababa City Administration Health Bureau
The Addis Ababa Health Bureau was established in 1985 E.C pursuant to the proclamation number 311/95 Addis Ababa City proclamation of municipality service No.2/1995. The Bureau is authorized to organize, coordinate and regulate public health activities in the city.
Bureau Head: Dr. Hassen Mohammud
Appointment Date: May 2008
Upon the re-organization and decentralization process of the Addis Ababa City Administration in 1995 E.C, a new structure has been put in place for the Bureau. It has 4 line and 5 supporting departments at the headquarter level. Each line department has two teams under it, which perform the day-to-day activities of their respective departments. The five hospitals and the clinical Nurses' Training School are also accountable to the Bureau. The 10 Sub-city health departments that manage the city's health centers, clinics and health posts, are directly answerable to their respective sub-city administrations.
The shortcomings or constraints that the Health Bureau used to face in the past include poor management capacity at all levels, centralized structure that required the managers to deal with routine activities rather than policy and strategic issues, concentrating on curative services rather than preventive and promotive health service, lack of transparency and accountability, ethical problems among the health professionals, poor health information. monitoring and evaluation system, input orientation rather than concentrating on output/ out comes, lack of integration and co-ordination with development partners and professional associations. These shortcomings resulted resulted in poor health service delivery and quality care, not meeting the satisfaction level of the end users.
As a way out of the above problems, a complete re-structuring and re-organization process has been undertaken and the civil service reform program with all its sub-programs is already under implementation. The CSRP was introduced to create a civil service which is competent enough to achieve the economic, social and democratic system and culture of administration and policies that have been developed and adopted through direct participation of representatives of the people.
Human Resource /Summary/
4.2-Private and NGO
5. Top 10 Leading Causes of Morbidity
6. VISION, MISSION AND MANDATE
We aspire to see one of the best cities in health service delivery system in Africa where there is no disability and death from preventable and curable disease
To provide quality and equitable, promotive, preventive and curative health services to the inhabitants of Addis Ababa and there by reducing morbidity and mortality due to communicable diseases and other health problems through active participation of the community and all partners.
1 User satisfying service will be our Bureau’s culture
·2 Cost effective and efficient resource utilization
·3 We are committed to respect the health professional medical ethics
·4 Our organizational management system is commited to transparency and accountability
·5 Provision of quality and result oriented service
·6 Partnership with stakeholders is our strategic value
·7 Motivated and committed staff
7. Goal , Objectives and Activities
To improve the health status of the residents of Addis Ababa by providing quality and comprehensive health service
1. To decrease the spread of communicable diseases through effective promotive and preventive health services as well as early detection and adequate response for epidemic.
2. To reduce the number of new HIV infection by 25%.
3. To increase case detection rate for new smear positive TB cases from 81% to 85%.
4. To increase cure rate of new smear positive TB cases from 80% to 92%.
5. To increase the primary health service coverage from the existing 68% to 85%.
6. To increase CPR from 43% to 62%.
7. To reduce infant mortality rate from 81/1000 live births to 71/1000 live births.
8. To reduce maternal mortality rate from 556 per 100,000 live births to 500 per 100,000 live births.
9. To upgrade monitoring and evaluation with improved HMIS.
10. To increase hospital bed to population ratio from 1: 725 to 1: 600.
11. To ensure problem oriented capacity building programs.
12. To enhance active engagement of the community in health related activities
8. Major Activities
Manage and coordinate governmental regional health institutions
Assist, facilitate, and promote investment in health services by the private sector.
Assist, and facilitate involvement by non-governmental organizations to render health service in the city
Follow-up and inspect private and NGO health institutions
Coordinate drug supply management and follow up the rational use of drugs in the city.
Design a strategy to improve the participation of traditional healers incorporating modern medicine
Carry out proper resource mobilization and utilization to improve quality of the health service
Provide and promote maternal, adolescent and child health programs as well as nutrition
Prevent and control communicable diseases by strengthening integrated diseases surveillance and response system
Provide refresher and on the job training to ensure the quality of health care delivery system in the city
Prepare and disseminate guidelines and standards for health service based on the national health policy and guidelines
Develop IEC/BCC strategy for health promotion and disease prevention
Coordinate and develop Health Management Information System and promote research activities
Coordinate the overall health sector response for the prevention and control of HIV/AIDS
Maintain medical equipment (Informal mandate)
9. Future Plan (2000 E.C)
Addis Ababa City Administration Health Bureau
Tel. +251- 115-513911