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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/

Government

 

Ser

No

Government

num.

1

Physicians /All type/

219

2

Health Officers

2

3

Pharmacists

2

4

Nurses /All type/

658

5

Health Assistants

315

6

Paramedicals

218

 

4.2-Private and NGO

 

Ser

No

Private and NGO

Quantity

1

Physicians /All type/

377

2

Health Officers

21

3

Pharmacists

14

4

Nurses /All type/

778

5

Health Assistants

388

6

Paramedicals

374

 

5. Top 10 Leading Causes of Morbidity

Rank

ICD

Number of Patients

Diagnosis

1

087

56970

Acute upper respiratory infections

2

090

27835

Bronco- pneumonia

3

42.6

175979

Other helminthes

4

101

12665

Gastritis and duodenitis

5

121

9240

Infection of skin and subcutaneous tissue

6

074

9032

Inflammatory diseases of the eye

7

094

7280

Hypertrophy of tonsils and adenoids

8

116.3

6235

Other toxemia

9

123

6213

Muscular rheumatism and rheumatism unspecified

10

092

5194

Acute bronchitis

6. VISION, MISSION AND MANDATE

6.1 Vision

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

6.2 Mission

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.

6.3 Values

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

7.1 Goal

To improve the health status of the residents of Addis Ababa by providing quality and comprehensive health service

7.2 Objectives

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)

Focus Areas/Objectives

Regional Target EFY 2000

Gaps/

Planed

1

Health facility expansion & strengthening

 

 

1.1.

Construction of new health centers(#)

43

19

1.2.

Upgrading of clinics to health centers(#)

6

0

1.3

Construction of new health posts(#)

215

174

2

Training and deployment of health workers

 

 

2.1.

Deployment of health officers(#)

51

39

Focus Areas/Objectives

Regional Target EFY 2000

Gaps/

Planed

2.2.

Recruitment of health officers for training(#)

58

58

2.3.

Deployment of health extension workers(#)

0

0

2.4.

Health extension workers recruited for training(#)

356

356

2.5.

Voluntary community health workers recruited for training(#)

730

585

3

Maternal health

 

 

3.1.

Increase family planning service coverage(%)

62%

19.3%

Focus Areas/Objectives

Regional Target EFY 2000

Gaps/

Planed

3.2.

Increase coverage of long term contraceptives(%)

4%

2.4%

3.3.

Increase antenatal care service coverage(%)

88.8%

6.3%

3.4.

Increase percentage of deliveries attended by skilled personnel(%)

39.7%

11.6%

3.5.

Increase basic emergency obstetric care (BEOC) service coverage(#)

86.1%

54.5%

3.6.

Increase the number of HCs providing BEOC(#)

27

18

Focus Areas/Objectives

Regional Target EFY 2000

Gaps/

Planed

3.7.

Increase TT vaccination coverage(%)

80%

18%

4

Child health

 

 

4.1.

Increase DPT3 coverage(#)

84.7%

19.1%

4.2.

Increase coverage of under-5 children who received 2 doses of VAS(#)

90.5%

30.6%

4.3.

Increase coverage of under-5 children de-wormed annually(%)

96%

31.1%

4.4.

Increase provision of therapeutic feeding in health centers(100)

100.0%

0.0%

Focus Areas/Objectives

Regional Target EFY 2000

Gaps/

Planed

4.5.

Increase the number of health centers providing IMCI(#)

100.0%

0.0%

5

HIV/AIDS

 

 

5.1.

Increase the number of people using VCT services(#)

169348

-22672

5.2.

Increase the number of HCs providing VCT services(#)

32

4

5.3.

Increase the number of mothers using PMTCT services(#)

59317

23907

Focus Areas/Objectives

Regional Target EFY 2000

Gaps/

Planed

5.4.

Increase the number of HCs providing PMTCT services(#)

31

6

5.5.

Increase the number of PLWHA ever started on ART(#)

4559

1310

5.6.

Increase the number of HCs providing ART services(#)

29

9

5.7.

Increase the number of kebeles that prepare HIV/AIDS plan(#)

98

14

6

Malaria

 

 

6.1.

Increase access to high quality malaria diagnosis and treatment(%)

100%

0%

Focus Areas/Objectives

Regional Target EFY 2000

Gaps/

Planed

6.2.

Increase ITNs coverage (at least 2 per household)%

50%

50%

6.3.

Replace ITNs that are used for 4 years

0%

0%

6.4.

Increase IRS coverage in targeted villages(%)

0%

0%

7

Tuberculosis

 

 

7.1.

Increase TB case detection rate

81%

0

7.2.

Increase treatment success rate

92%

12%

8

Hygiene & environmental health

 

 

8.1.

Increase the number of households with latrine

60%

3%

9

Social mobilization

 

 

9.1.

Increase the number of model households organized for health extension work

24

24

Focus Areas/Objectives

Regional Target EFY 2000

Gaps/

Planed

10

IDSR

 

 

10.1

Increase AFP case detection rate

2

1.4

10.2

Woreda with EPRP

100.00%

0.00%

10.3

Proportion of suspected outbreaks of epidemic prone diseases notified to the woreda within two days of surpassing the epidemic threshold

100.00%

0.00%

10.4

Proportion of confirmed outbreaks with recommended response

100.00%

0.00%

 

Address:

Addis Ababa City Administration Health Bureau

Tel. +251- 115-513911

FAX: +251-115-515674 
P.O.BOX 34567

E-mail:  This e-mail address is being protected from spambots. You need JavaScript enabled to view it

 

 
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