Ethiopia’s urban primary health care reform: Practices, lessons, and the way forward

摘要: Abstract Background: At present there is remarkable expansion of urbanization in Ethiopia. By 2050, 38% the population Ethiopia expected to reside urban settings. The majority this future believed live slums. In response daunting health challenge, Ministry Health launched extension program 2009. outcome initiative, however, still uncertain - Urban Extension Professionals seem have failed meet desired end. To improve situation, experiences were drawn from middle-income countries and piloted Addis Ababa 2014. This a report study conducted assess implementation pilot initiatives. assessment implementation, attempts also made identify lessons challenges encountered. Methods: Qualitative data collected purposively selected individuals involved design, use initiative. Checklists developed on basis objective used for collection. Findings: findings indicated that initiative had team professionals people who skills needed work as implement activities. improved linkages collaboration between system community. Through team, identification most neglected sections was ensured section has accessed services. For example, disabled, sick, elderly, persons with chronic problems, girls women identified social sectors either no or very little access care. created strong sense itself community level structures. been recognized an important role improving service delivery However, team’s recognition local set up structures facilitators services needs improvement. Furthermore, shortage transportation distant places catchment areas lack timely provision supplies drugs address some basic problems at household levels major problems. Conclusions: Ensuring proper care requires multifaceted multi-sectoral responses. Defining strategies enhancing engagement different achieving objectives point be noted. Ways provide continuous teams need sought. An equally noted ensure further successes empowering enabling focus more health-related [Ethiop. J. Dev. 2018; 32(1):52-58] Keywords:- Urban, professionals, PHC,