JSI in Ethiopia

Photo of health worker in Afar region

credit: Bill & Melinda Gates Foundation

JSI has been active in Ethiopia since 1994, when we began efforts to improve and increase access to family planning services through the USAID-funded Family Planning and Logistics Management (FPLM) Project. Since then, JSI has fully supported the Federal Ministry of Health and Regional Health Bureaus in their quest to improve the health of all people across Ethiopia.

JSI was instrumental in assisting the government design its community health approach through the Health Extension Program (HEP) and train a large community health promoter cadre of over 252,000 volunteers (called the Health Development Army).

The Essential Services for Health in Ethiopia (ESHE) Projects, implemented from 1999-2008, introduced community health promoter initiative in a few sites of the Southern Nations, Nationalities and People’s Region (SNNPR) and the second phase of ESHE scaled up the approach to 115 districts in Ethiopia’s three largest regions. The current Integrated Family Health Project (IFHP) is the third USAID project phase that is expanding to reach to 280 districts in 4 regions. Also supporting Ethiopia’s community-based approach to improving health, the Last 10 Kilometers Project focuses on community health teams composed of health extension workers and the Health Development Army in an additional 115 districts, together reaching a total beneficiary population of 45 million people.

The community-based health extension approach used in Ethiopia was adapted from similar approaches first implemented by JSI in Madagascar through the Basic Support for Institutionalizing Child Survival (BASICS) I (1993-1998) and the Jereo Salama Isika Project (1998-2003). Since then, JSI has continued to support the Federal Ministry of Health through both rural and urban programs, extending its efforts to analyze, develop, and manage systems addressing a wide range of health issues including child survival, HIV prevention, immunization, obstetric, maternal, and neonatal care, and more.

JSI has also been instrumental in the development of Ethiopia’s health supply chain through the USAID | DELIVER PROJECT, which has worked with the Federal Ministry of Health, the Pharmaceuticals Fund and Supply Agency (PFSA), and Regional Health Bureaus (RHBs) since 2003. JSI has provided nationwide support to improve the availability of essential medicines, diagnostics, contraceptives, vaccines, and consumable supplies in public health facilities and improved supply of all public health commodities through the Integrated Pharmaceutical Logistics System (IPLS). Ethiopia is at the forefront of innovation for immunization supply chain management; JSI is assisting PFSA and the FMOH to integrate vaccines, injection devices and related immunization commodities into the IPLS information and distribution systems. JSI has also been PFSA’s primary partner in developing and deploying a locally developed health commodity management information system (HCMIS) within PFSA’s network of distribution points across the country, and at over 500 large health facilities.

In 2015, JSI supported Ethiopia to transition management of its vaccine supply chain from the Federal Ministry of Health to the Pharmaceutical Fund and Supply Agency, creating a new model for how vaccine moves through the system. The new model is monitored by an upgraded health commodities information system, which allows logisticians and program managers to view real-time date on stock levels at every point of the supply chain. Read more about the data-driven transition of Ethiopia’s vaccine supply chain.