Ethiopia is a low-income country that is facing the double burden of communicable and non-communicable diseases. Old killers such as HIV/AIDS, diarrhoeal diseases and malnutrition have high rates of prevalence, whereas non-communicable diseases (NCDs), such as acute respiratory infections, mental disorders and cardiovascular diseases are on the rise.
Our work in Ethiopia began in the early 1990s as a result of requests from the Deans of the Jimma and Gondar Medical Schools to our founder Professor Sir Eldryd Parry for development of the skills of their young specialist and trainee doctors. Strong partnerships were then formed between these Medical Schools, UK health institutions and THET.
We soon realised that the rural patients, many of whom were very poor, were facing long journeys to hospitals and health centres in difficult conditions and at high cost needed care near their homes. So a programme of decentralised care at health centres around Jimma and Gondar, with training of local nurses and health officers, began; to date it has transformed the care of Non-Communicable Diseases (NCDs) for rural people.
The partnerships formed in Ethiopia over twenty years ago have continued to be hugely influential in the development of the Health Partnership model.
Jimma and Gondar are now centres of excellence for decentralised care and the service continues to provide and expand its training for Health Extension Workers.
The THET Ethiopia NCD Alliance was created in 2016 in recognition of the diverse group of organisations and institutions that work together to achieve the same vision. To find out more about our work please visit: www.thena-ethiopia.org
For further information about THET and THENA’s work in Ethiopia, please contact our Country Coordinator, Linnet Griffith-Jones.
NCDs account for
of deaths in Ethiopia.
AIM: To increase access to services through training and capacity building.
NCDs are neglected in Ethiopia and are a significant concern, particularly in the rural areas. Hypertension, diabetes and chronic respiratory diseases are three of the four most prevalent NCDs in the country, and they are a growing epidemic among the rural population. The resulting morbidity and mortality burden is high, with the conditions covered by this programme being responsible for 24% of all deaths: cardiovascular diseases account for 9% of mortality, chronic respiratory diseases account for 3%, diabetes accounts for 1% and other NCDs account for 11% (this includes epilepsy).
Our solution is to deliver a comprehensive, phased training and capacity building package to 60 selected sites that will allow services for hypertension, diabetes, epilepsy and chronic respiratory diseases to be offered closer to communities across Ethiopia.
To do this we are:
You can read more about how patients are benefiting from our NCD project in this blog from Novartis.
The country needs
Ethiopia needs over 10, 000 orthopaedic surgeons but presently they have less than 500, serving a massive population of over 100 million people. This need is further exacerbated by the huge cost road traffic injuries put on surgical teams around the country. In total, every year, almost 5000 Ethiopians die from road traffic accidents.
THET has funded several partnerships working to change this including:
Dagen has spent a month and a half in the hospital, being treated by Nardos, following a road traffic accident. Thanks to her orthopaedic surgical training, they have been able to avoid amputation and are working to drain the pus from both of his broken legs, with much success as Dagen tells us he is feeling much better already.
University of Oxford and the College of Surgeons of East, Central and Southern Africa (COSECSA) Partnership.