HEALTH AND HEALTH

RELATED INDICATORS
2014 EFY (2021/2022GC)

ፍትሃዊ እና ጥራት ያለው የጤና አገልግሎት ለሁሉም!

Equitable and Quality Health Service for All!

OCTOBER, 2022
HEALTH AND HEALTH
RELATED INDICATORS
2014 EFY(2021/2022GC)

ፍትሃዊ እና ጥራት ያለው የጤና አገልግሎት ለሁሉም!

Equitable and Quality Health Service for All!

OCTOBER, 2022
 HEALTH AND HEALTH RELATED INDICATORS

Contents
Lists of Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .IV
Lists of Tables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V
Forward. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VIII
Acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .IX
Explanatory Note . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI
1. HSTP Indicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2. Demographic and vital statistics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3. Maternal health, child health, PMTCT and nutrition. . . . . . . . . . . . . . . . . . . . . . . 4
3.1 Reproductive and Maternal Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
3.2 Child Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
3.3 Prevention of Mother to Child HIV Transmission (PMTCT) . . . . . . . . . . . . . . . . . . .15
3.4 Nutrition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
4. Disease Prevention and Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
4.1 Cause of Morbidity, Admission and Mortality . . . . . . . . . . . . . . . . . . . . . . . . . . .19
4.1.1 Top ten cause of morbidity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
4.1.2 Top ten causes of admission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
4.1.3 Top ten causes of mortality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
4.2 Communicable Disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
4.2.1 Malaria. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
4.2.2 TUBERCULOSIS AND LEPROSY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
4.2.3 HIV/ AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
4.3 Non Communicable Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
6. Hygiene and Environmental Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
7. Health Service Utilization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
8. Blood Bank Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
9. Infrastructure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
This section includes:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
10. Human Resource . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46
11. Resource Mobilization and Utilization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
11.1 Health Insurance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
11.2 Finance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
12. GLOSSARY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Lists of Figures
Figure 1: Trend of CAR from (2007 - 2014) EFY (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Figure 2:Trends of ANC4, SBA and ePNC nationally (%), (2007-2014)EFY. . . . . . . . . . . . . . . . . . . . . . . . . 8
Figure 3: Trends of Caesarean Section Rate nationally (%),((HSTP Baseline-2014EFY). . . . . . . . . . . . . . . . .9
Figure 4: Trends of Still birth rate per 1000 from total births attended nationally (%),
(HSTP Baseline-2014 EFY). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Figure 5: Trends of Pent 3, MCV1 and Fully Vaccinated coverage nationally(%),(2007-2014)EFY . . . . . . . . . . 13
Figure 6: Trend of TB case detection, Treatment Success and Cure Rate (2009-2014 EFY). . . . . . . . . . . . . . 27
Figure 7: Trends of total blood collected 2005 - 2014 EFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Figure 8: GP+ Specialist to population ratio by region, 2014 EFY (2021/22 GC). . . . . . . . . . . . . . . . . . . . . 47
Figure 9: Summary of National Health Workforce by categories in 2014EFY (2021/22). . . . . . . . . . . . . . . . 47
Figure 10: Number of Woredas that have started CBHI scheme and service provision with CBHI, trend from
2008 EFY to 2014 EF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

IV 2014 EFY(2021/2022GC)
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Lists of Tables
Table 1-1: HSTP II indicators to measure universal health coverage. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Table 2-1: Population by region (2008 – 2014 EFY). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Table 2-2:Conversion factor for population by different age group by region, 2014 EFY . . . . . . . . . . . . . . . .3
Table 3-1:Contraceptive acceptance rate performances by regions, (2012-2014) EFY. . . . . . . . . . . . . . . . . 5
Table 3-2: Immediate postpartum contraceptive acceptance rate performances by regions,(2012- 2014) EFY. .6
Table 3-3: Pregnant women tested for syphilis performances by regions, 2014 EFY. . . . . . . . . . . . . . . . . . 6
Table 3-4: ANC4, Skilled Birth Attendant and early postnatal services performances by region, (2012-2014) EFY.7
Table 3-5: Caesarean Section Rate by regions, 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Table 3-6 :Still birth rate per 1000 from total births attended by regions, (2012-2014) EFY. . . . . . . . . . . . . . 9
Table 3-7: Number of women receiving comprehensive abortion care services by regions, 2014 EFY. . . . . . 10
Table 3-8: Number and proportion of maternal deaths notified through MPDSR system in 2014 EFY by region.10
Table 3-9: Proportion of health posts providing ICMNCI service, 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . 11
Table 3-10: Proportion of health centers providing IMNCI service, 2014 EFY. . . . . . . . . . . . . . . . . . . . . . 12
Table 3-11: Pent3, MCV1 and Fully Vaccinated coverage by regions , 2014 EFY. . . . . . . . . . . . . . . . . . . . . 12
Table 3-12: Protection at birth (PAB) against neonatal tetanus by regions, 2014 EFY. . . . . . . . . . . . . . . . . 14
Table 3-13: Pent-MCV 1 dropout rate trends by regions, (2012-2014) EFY. . . . . . . . . . . . . . . . . . . . . . . . 14
Table 3-14: Percentage of pregnant, Laboring and lactating women who were tested for HIV and who know
their results in 2014EFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Table 3-15: Percentage of HIV positive pregnant & lactating women who received ART by region, 2014 EFY. . 16
Table 3-16: Proportion of children under 2 years of age GMP, EFY 2014. . . . . . . . . . . . . . . . . . . . . . . . . 17
Table 3-17: Proportion of Children aged 6-59 months who received 2nd dose of vitamin A supplementation
by Region (EFY, 2014). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Table 3-18: Proportion of Children aged 24-59 months who received 2nd dose of de-wormed by Region
(EFY, 2014). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Table 4-1: Top 10 cause of morbidity for all case. 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Table 4-2: Top 10 cause of morbidity for female, 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Table 4-3: Top 10 cause of morbidity for children less than 5 years of age, 2014 EFY . . . . . . . . . . . . . . . . . 20
Table 4-4: Top 10 cause of admission for all case, 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Table 4-5: Top 10 cause of admission for female, 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Table 4-6: Top 10 cause of admission for children less than 5 years of age, 2014 EFY . . . . . . . . . . . . . . . . 22
Table 4-7: Top 10 cause of mortality for all case, 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

2014 EFY(2021/2022GC) V
 HEALTH AND HEALTH RELATED INDICATORS

Table 4-8: Top 10 cause of mortality for female, 2014 EFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Table 4-9: Top 10 cause of mortality for children less than 5 years of age, 2014 EFY. . . . . . . . . . . . . . . . . 23
Table 4-10: Malaria cases and malaria incidence per 1,000 populations at risk by region, 2014 EFY. . . . . . . 24
Table 4-11: Malaria death and case fatality rate per 100,000 malaria cases by region, 2014 EFY . . . . . . . . . . 25
Table 4-12: IRS spray by Region, 2014. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Table 4-13: Treatment Coverage all forms of TB+ by Region , EFY 2014. . . . . . . . . . . . . . . . . . . . . . . . . 26
Table 4-14: TB treatment success and Cure Rate by region , EFY 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Table 4-15: Number of Leprosy cases detected, 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Table 4-16: Grade II disability rate among new cases of leprosy by region, 2014 EFY . . . . . . . . . . . . . . . . . 28
Table 4-17: Number of people tested for HIV and number of new positives identified, by region 2014 EFY. . . 29
Table 4-18: Number and percentage of PLHIV currently on ART disaggregated by age, 2014 EFY. . . . . . . . . 29
Table 4-19: The performance of the 2nd 95 using 84.7% (first 95 result) of PLHIVs as denominator, 2014 EFY. 30
Table 4-20: Number of Women between ages 30 to 49 screened with VIA for cervical cancer, 2014 EFY. . . . . 31
Table 4-21: Table Number of cataract surgeries performed, 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . . . . 31
Table 4-22: Number of individuals screened for hypertension and enrollment to care performance, 2014 EFY.32
Table 4-23: Number of individuals screened for diabetes and enrollment to care 2014 EFY. . . . . . . . . . . . 32
Table 5-1: Regional distribution of suspected Cholera cases, deaths and CFR in Ethiopia, 2014 EFY . . . . . . . 33
Table 5-2: Total number of children vaccinated in response to polio outbreaks, 2014 EFY. . . . . . . . . . . . . 34
Table 5-3: Regional Distribution of Confirmed measles and Deaths, 2014, Ethiopia. . . . . . . . . . . . . . . . . 34
Table 5-4: Regional Distribution of SAM cases, SC Admission and Deaths in Ethiopia 2014 EFY
(September to August). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Table 5-5: Regional Distribution of Suspected Meningitis cases and Deaths in Ethiopia 2014. . . . . . . . . . . 35
Table 5-6: Regional Distribution of Suspected Anthrax cases and Deaths in Ethiopia 2014 . . . . . . . . . . . . . 35
Table 6-1: Proportion of households with access to any type of latrine by region, 2014 EFY. . . . . . . . . . . . 36
Table 6-2: Proportion of kebeles declared Open Defecation Free (ODF) by region, 2014 EFY . . . . . . . . . . . . 37
Table 7-1: Health service utilization indicators performance 2013 - 2014 EFY. . . . . . . . . . . . . . . . . . . . . 38
Table 7-2: Outpatient (OPD) attendance per capita performance 2013 - 2014 EFY. . . . . . . . . . . . . . . . . . 38
Table 7-3: Hospital Bed occupancy rate: (BOR in %) 2013 - 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Table 7-4: Average length of stay (ALOS) by region 2013 - 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Table 7-5: Admission rate by region 2013 - 2014 EFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Table 7-6: Referral rate by region 2013 - 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Table 8-1: Voluntary and Replacement Blood Donors by Region 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . 41
Table 8-2: Blood donated and laboratory result prevalence 2014 EFY . . . . . . . . . . . . . . . . . . . . . . . . . . 42

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Table 9-1: Number of functional and under construction Specialized Hospitals by Region, 2014 EFY. . . . . . 43
Table 9-2: Number of functional and under construction General Hospitals by Region, 2014 EFY . . . . . . . . 44
Table 9-3: Number of functional and under construction Primary Hospitals by Region, 2014 EFY . . . . . . . . 44
Table 9-4: Number of functional and under construction health Centers by region 2014 EFY. . . . . . . . . . . 45
Table 9-5: Number of functional and under construction Health Posts by Region 2014 EFY. . . . . . . . . . . . 45
Table 10-1: Health Workforce Distribution by Region, 2014 EFY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Table 10-2: Selected Health Professionals to Population Ratio by Region, 2014 EFY.. . . . . . . . . . . . . . . . 48
Table 11-1: Number of Woredas and households that started CBHI services by region, 2014 EFY. . . . . . . . . 49
Table 11-2: Amount of fund committed and disbursed by development partners, 2014 EFY . . . . . . . . . . . . 50
Table 11-3: Share of Total health budget (%) from total government budget in 2014 EFY . . . . . . . . . . . . . . 51

2014 EFY(2021/2022GC) VII

 HEALTH AND HEALTH RELATED INDICATORS

Forward
The Ministry of Health currently implementing HSTP II plan that realize the health of the
community with special emphasis on attainability and equitability of health services
through different Health Sector Initiatives, Health Extension Package, Community
Health Insurance, and five transformation agendas such as quality and equity health
services, Information Revolution, Motivated, Competent and Compassionate (MCC)
Health Workforce, Health Financing as well as Transformation in Leadership were among
the major focus areas.

To check as Health programs meet their targets, it is crucial to always monitor the
progresses of performances in line with the target set. Hence this health and health
related indicators report is produced to equip decision makers and experts which
enhance evidence decision making at all level.

The health and health related indicators report for fiscal year 2014 provides the
progress of the last two years of HSTP II plan as well as the overall health sector annual
performance against the set targets. Data used in this publication mainly depends on
routine and administrative data generated through HMIS using DHIS2 software.

Mr. Noad Wendrad (BSC, MHA)

Director, Policy Planning Monitoring & Evaluation Directorate FMOH
Email: [email protected]

VIII 2014 EFY(2021/2022GC)

 HEALTH AND HEALTH RELATED INDICATORS

ACRONYMS
AFP Acute Flaccid Paralysis
AFI Acute Febrile Illness
ALOS Average Length of Stay
AIDS Acquired Immunodeficiency Syndrome
ANC Antenatal Care
ART Anti-Retroviral Therapy
BEmONC Basic Emergency Obstetric and Newborn care
CAR Contraceptive Acceptance Rate
CBHI Community Base Health insurance
EFY Ethiopian Fiscal Year
MB Mycobacterium
MOH Ministry of Health
GP General Practitioner
HC Health Center
HCT HIV Counseling and Testing
HEP Health Extension Program
HEW Health Extension Worker
HH Household
HIV Human Immunodeficiency Virus
HMIS Health Management Information System
HP Health Post
HSTP Health Sector transformation plan
ICCM Integrated Community Case Management
IRS Indoor Residual Spray
LLNS Long-Lasting Insecticidal Nets
MCH Maternal and Child Health
MoH Ministry of Health
NNT Neonatal Tetanus
OGA Other Governmental Agencies
OPD Out Patient Department
PAB Protected at Birth

2014 EFY(2021/2022GC) IX
 HEALTH AND HEALTH RELATED INDICATORS

PB Paucibacillary
PF Plasmodium Falciparum
PHCU Primary Health Care Unit
PMTCT Prevent Mothers to Child Transmission
PNC Postnatal Care Coverage
POP Population
PPMED Policy Planning Monitoring and EvaluationDirectorate
PV Plasmodium Vivax
SAM Severe Acute Malnutrition
SNNP Southern Nation and Nationalities Peoples Region
TB Tuberculosis
VCT Voluntary Counseling and Testing
VNRBD Voluntary, Non-remunerated Blood Donation

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Explanatory Note
Ethiopian calendar fiscal year is stated for this publication.

Copyright © Policy Plan Monitoring and Evaluation Directorate, MOH October 2022.

Phone: 252-11-5530514, 251-11-533160

Website: http//www/.moh.gov.et

Email; [email protected]

If you have any question or suggestion please contact us with our email

: [email protected]

: [email protected]

: [email protected]

: [email protected]

: [email protected]

2014 EFY(2021/2022GC) XI
 HEALTH AND HEALTH RELATED INDICATORS

1. HSTP Indicators
Table 1-1: HSTP II indicators to measure universal health coverage

Core Indicators to measure Universal Base-line ( 2012

2013 EFY 2014 EFY
Health Coverage (UHC index) Performance)
I Health Service Coverage
Contraceptive Acceptance Rate CAR 69% 73% 68%
Deliveries attended by skilled health per-
sonnel
63% 66% 68%
Proportion of women having at least 4
visits of Antenatal Care
69% 70% 69%
Pentavalent 3 Immunization coverage 100% 100% 100%
Measles Immunization Coverage 95% 97% 96%
TB case detection rate for all forms of TB 71% 79% 87%
Proportion Women age 30 - 49 years
screened for cervical cancers
0.5% 1.4% 1.4%
ART Coverage (Currently on ART) 474,124 441,464 461,194
ART coverage for Adult (Age 15+)(From
total estimated PLHIV)
81% 80% 84%
ART coverage for Children age 0 -14 age(-
From total estimated PLHIV)
44% 36% 35%
Malaria Incidence per 1000 population at
risk
28 23.4 29.4
Proportion of households with access to
47% 46% 75.3%
any type of latrine
Outpatient attendance per capita 1.02 1.09 1.44
II Financial Protection Coverage
Proportion of woredas established com-
munity based health insurance
74% 85% 84.5%

Note: Tigray region data not available for use; So that the Tigray region health and health-
related data not included from this report.

2014 EFY(2021/2022GC) 1
 HEALTH AND HEALTH RELATED INDICATORS

2. Demographic and vital statistics

Demographic information includes: age, race, ethnicity, gender, marital status, income,
education, and employment. It allows you to better understand certain background
characteristics of a population.

Table 2-1: Population by region (2008 – 2014 EFY)

Region 2008 2009 2010 2011 2012 2013 2014

Tigray 5,151,998 5,247,005 5,247,003 5,418,976 5,510,569 5,640,507 5,739,449
Afar 1,769,002 1,812,002 1,856,098 1,901,648 1,958,491 1,989,674 2,033,172
Amhara 20,769,985 21,134,988 21,486,069 21,843,606 22,191,890 22,545,409 22,877,366
Oromia 34,575,008 35,467,001 36,713,473 37,325,162 38,170,038 39,074,864 39,980,837
Somali 5,598,002 5,748,998 5,899,317 6,050,921 6,202,766 6,354,726 6,506,240
Beneshangul
1,033,999 1,066,001 1,077,841 1,109,565 1,141,275 1,173,123 1,205,032
Gumuz
SNNP 18,719,008 19,170,007 19,626,077 20,086,552 20,551,606 16,552,020 17,026,833
Sidama - - - - - 4,469,020 4,569,339
SWE - - - - - -
Gambella 422,002 435,999 453,442 468,016 483,098 498,670 514,722
Harari 240,000 246,000 250,904 257,309 263,656 270,031 276,424
Dire Dawa 453,000 466,000 478,595 492,631 506,639 521,000 535,685
Addis Ababa 3,352,000 3,433,999 3,515,679 3,601,694 3,686,068 3,770,554 3,854,863
National 92,206,005 94,228,000 96,604,497 98,556,080 100,666,096 102,859,598 105,119,962

SWE: The population of SWE is included with SNNP, as the population didn’t estimated separately
during the beginning of the year. 352757/24598071

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Table 2-2:Conversion factor for population by different age group by region, 2014 EFY

Addis Benishangul
Estimates National Afar Amhara Dire Dawa Gambella Harari Oromia SNNP Somali Tigray
Ababa Gumuz

Under 1 year 3.16% 2.24% 2.69% 3.11% 3.07% 3.03% 2.77% 2.89% 3.22% 3.19% 2.94% 3.22%
Under 5 year 14.59% 7.16% 11.40% 13.54% 16.18% 12.22% 14.25% 13.57% 16.43% 15.61% 10.36% 14.59%
Female 15 -49
23.40% 34.64% 22.83% 23.58% 24.05% 27.60% 26.10% 26.10% 22.13% 23.30% 22.85% 23.48%
years

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3. Maternal health, child health, PMTCT and nutrition

3.1 Reproductive and Maternal Health
This sub topic focuses on basic reproductive and maternal health service indicators, i.e.
Contraceptive acceptance rate, Antenatal care, delivery, postnatal care, cesarean section,
Comprehensive abortion care and still birth.

Contraceptive acceptance rate (CAR): Proportion of women of reproductive age (15- 49

years) who are not pregnant and accepting a modern contraceptive method (new and
repeat acceptors). Each acceptor is counting only once either as New or Repeat acceptor
during receiving contraceptive services in the calendar year.

Immediate postpartum contraceptive acceptance rate (IPPCAR): The proportion of

women of reproductive age (15-49 years) who are accepting a modern contraceptive
method immediately (0- 48 hrs.) after delivery

Antenatal care (ANC) coverage - four visits: Proportion of pregnant women who
received antenatal care four or more times during the current pregnancy.

Proportion of pregnant women tested for syphilis: Proportion of pregnant women

attending antenatal care tested for syphilis.

Skilled Delivery Attendance: Proportion of births attended by skilled health personnel

at a health facility. Note: the birth should be attended by the skilled health personnel at
a health facility and service provided for a retained placenta should not be count as a
delivery service report.

Early Postnatal care (PNC) coverage: Proportion of women who received post-natal
care at least once during the early post-partum period (within 7 days after delivery)

Caesarean Section Rate: Percentage of births delivered by caesarean section among

all births in a given time period.

Still birth rate: Proportion of stillbirths from total births attended

Number of women receiving comprehensive abortion care services: Number of

women receiving comprehensive abortion care. It includes women who received safe
abortion and emergency post abortion care services.

2014 EFY(2021/2022GC) 4
 HEALTH AND HEALTH RELATED INDICATORS

Table 3-1:Contraceptive acceptance rate performances by regions, (2012-2014) EFY

Coverage
Regions 2012 2013 2014 EFY Target (%)
2014 EFY(#) 2014 EFY(%)
EFY(%) EFY(%)
Afar 16 22 71997 18 35
Amhara 83 83 3003326 65 83
Oromia 78 86 6535680 88 87
Somali 16 11 151699 12 20
Ben.Gumuz 49 42 83430 33 46
SNNP 95 74 2070587 76 74
Sidama 90 785985 87 91
South West Ethiopia 432643 66 92
Gambela 17 25 24161 20 32
Harari 54 65 31849 50 68
Dire Dawa 35 39 55368 42 46
Addis Ababa 27 36 351062 28 45
National Level 69 73 13597787 68 71

Figure 1: Trend of CAR from (2007 - 2014) EFY (%)

74

73 73
72

71 71 71
70 70 70
69 69
68 68 68
67

66

65
2007 EFY 2008 EFY 2009 EFY 2010 EFY 2011 EFY 2012 EFY 2013 EFY 2014 EFY

2014 EFY(2021/2022GC) 5
 HEALTH AND HEALTH RELATED INDICATORS

Table 3-2: Immediate postpartum contraceptive acceptance rate performances by regions,(2012-

2014) EFY

Performances
Regions
2012 EFY(%) 2013 EFY(%) 2014 EFY(%)
Afar 2.1% 3.3% 9%
Amhara 0.4% 0.2% 2%
Oromia 0.6% 0.4% 10%
Somali 2.5% 0.7% 5%
Ben.Gumuz 1.8% 1.3% 10%
SNNP 0.4% 0.2% 9%
Sidama 0.3% 21%
South West Ethiopia 14%
Gambela 3.9% 3.4% 4%
Harari 0.04% 0.01% 9%
Dire Dawa 0.04% 0.4% 14%
Addis Ababa 0.00% 0.00% 10%
National Level 0.6% 0.4% 9%

Table 3-3: Pregnant women tested for syphilis performances by regions, 2014 EFY

Performance
Regions Target for 2014EFY(%)
2014 EFY(#) 2014 EFY(%)
Afar 21465 37 76
Amhara 461892 60 94
Oromia 1091831 79 85
Somali 90820 44 63
Ben.Gumuz 15027 37 79
SNNP 357492 76 97
Sidama 102694 65 99
South West Ethiopia 47534 41 100
Gambela 5679 37 87
Harari 8965 105 87
Dire Dawa 18034 105 99
Addis Ababa 172230 192 100
National Level 2393663 72 89

6 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Table 3-4: ANC4, Skilled Birth Attendant and early postnatal services performances by region, (2012-
2014) EFY

Year

Region Indicator 2012 EFY 2013 EFY 2014 EFY 2014 EFY 2014 EFY
(%) (Perf.) (%) (Perf.) (#) (Perf.) (%) (Perf.) Target (%)

ANC4 48 46 19,965 34 58
Afar SBA 29 28 13447 23 46
ePNC 48 41 18,734 32 60
ANC4 60 61 428,343 56 69
Amhara SBA 54 55 390118 51 62
ePNC 71 71 496354 64 82
ANC4 65 66 896,292 65 71
Oromia SBA 61 68 1010558 73 72
ePNC 85 92 1330673 96 95
ANC4 71 69 143,583 70 73
Somali SBA 37 42 92983 45 45
ePNC 58 45 94099 46 58
ANC4 53 42 13,630 33 57
BG SBA 43 42 14853 36 46
ePNC 65 47 14943 36 58
ANC4 80 81 404,859 85 82
SNNP SBA 73 75 382584 80 76
ePNC 95 93 468380 99 95
ANC4 91 147,635 93 92
Sidama SBA 74 123710 78 76
ePNC 99 161076 100 99
ANC4 71,531 62 92
SWE SBA 61996 54 92
ePNC 86848 76 99
ANC4 25 25 3,726 24 45
Gambela SBA 41 44 6674 43 48
ePNC 44 44 6854 44 56
ANC4 50 68 4,939 58 74
Harari SBA 100 >100 11707 >100 100
ePNC 91 >100 11131 >100 100

2014 EFY(2021/2022GC) 7
 HEALTH AND HEALTH RELATED INDICATORS

ANC4 44 48 10,205 59 55
Dire
SBA 59 69 13498 78 71
Dawa
ePNC 61 73 14867 86 80
ANC4 100 >100 143,643 >100 100
AA SBA 100 >100 152627 >100 100
ePNC 100 >100 154566 >100 100
ANC4 69 70 2,288,351 69 74
National SBA 63 66 2274755 68 69
ePNC 83 85 2858525 88 89

90 89 86
82 83 85 88
77 78
76 77 69
68 72 70 69 70
73 71
66 66 68
61 62 63

2007 EFY 2008 EFY 2009 EFY 2010 EFY 2011 EFY 2012 EFY 2013 EFY 2014 EFY

ANC4 (%) SBA(%) ePNC(%)

Figure 2:Trends of ANC4, SBA and ePNC nationally (%), (2007-2014)EFY

Table 3-5: Caesarean Section Rate by regions, 2014 EFY

Performance
Regions
2014 EFY(#) 2014 EFY(%)
Afar 947 1.6
Amhara 32277 4.2
Oromia 47643 3.4
Somali 2467 1.2
Ben.Gumuz 1561 3.8
SNNP 19306 4.1
Sidama 7017 4.4
South West Ethiopia 3015 2.6
Gambela 411 2.7
Harari 2468 28.9
Dire Dawa 2563 14.9
Addis Ababa 46866 52.2
National Level 166541 5.0

8 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Figure 3: Trends of Caesarean Section Rate nationally (%),((HSTP Baseline-2014EFY)

4.6 5.0
3.9 4.0

2.2

HSTP I Baseline 2011 EFY 2012 EFY 2013 EFY 2014 EFY

Table 3-6 :Still birth rate per 1000 from total births attended by regions, (2012-2014) EFY

Still Birth rate per 1000 live births

Regions 2012 EFY(Per 2013 EFY(Per
2014 EFY(#) 2014 EFY(per 1000)
1000) 1000)
Afar 18 20 309 19.3
Amhara 17 17 6394 16.1
Oromia 14 11 10621 10.4
Somali 23 16 2366 15.3
Ben.Gumuz 17 18 308 16.5
SNNP 8 8 2698 6.9
Sidama 7 6 770 6.0
South West Ethiopia 689 10.6
Gambela 26 22 153 22.0
Harari 49 52 532 44.5
Dire Dawa 24 29 374 26.7
Addis Ababa 19 14 1953 12.6
National Level 14 12 27167 11.4

Figure 4: Trends of Still birth rate per 1000 from total births attended nationally (%), (HSTP
Baseline-2014 EFY)

18
15
14 14
12 11.4

HSTP Baseline 2010 EFY 2011 EFY 2012 EFY 2013 EFY 2014 EFY

2014 EFY(2021/2022GC) 9
 HEALTH AND HEALTH RELATED INDICATORS

Table 3-7: Number of women receiving comprehensive abortion care services by regions, 2014 EFY

Total number of Comprehensive abortion care

Regions
expected pregnancy Frequency %
Afar 58,352 2312 4.0
Amhara 770,986 41624 5.4
Oromia 1,387,335 114698 8.3
Somali 205,597 2991 1.5
Ben.Gumuz 41,092 1618 3.9
SNNP 475,495 24843 5.2
Sidama 158,099 10216 6.5
South West Ethiopia 114,582 3754 3.3
Gambela 15,442 603 3.9
Harari 8,542 2577 30.2
Dire Dawa 17,249 3530 20.5
Addis Ababa 89,818 38916 43.3
National Level 3,337,720 247682 7.4

Table 3-8: Number and proportion of maternal deaths notified through MPDSR system in 2014 EFY
by region

Expected no. of Number of Percentage of

Baseline
Region maternal deaths maternal deaths notified maternal
(2013 EFY)
(2014 EFY)* notified in 2014 EFY deaths 2014 EFY
Afar 15% 234 31 13%
Amhara 9% 3,092 212 7%
Oromia 8% 5,563 504 9%
Somali 6% 824 374 45%
Benshangul G. 13% 165 17 10%
SNNP 5% 1,907 172 9%
Sidama 1% 634 25 4%
South West Ethiopia NA 459 29 6%
Gambela 4% 62 6 10%
Harari 69% 34 25 73%
Dire Dawa 16% 69 19 27%
Addis Ababa 17% 360 69 19%
National 7% 13,404 1,483 11%

*MMR of 401 per 100,000 live births (World Health Statistics, 2021) used to proportionate to the regions

10 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

3.2 Child Health

This area focuses on basic child health service indicators, i.e. ICMNCI and IMNCI
Implementation facilities, Pentavalent third dose (DPT3-HepB3-Hib3), Measles, and fully
immunization and Protection at birth (PAB) against neonatal tetanus.

ICMNCI and IMNCI Implementation: Proportion of health posts and health centers
that implement Integrated community-based management of newborn and childhood
illnesses (ICMNCI) and Integrated management of newborn and childhood illness
(IMNCI) respectively.

Pentavalent third dose (DPT3-HepB3-Hib3) immunization coverage: Proportion of

surviving infants who receive a third dose of pentavalent vaccine before their first birth
day.

Measles immunization coverage: proportion of surviving infants who receive a dose of

measles vaccine before their first birthday.

Full immunization coverage: proportion of surviving infants who receive all doses of
infant antigens before their first birthday.

Protection at birth (PAB) against neonatal tetanus: proportion of infants who were
pro- tested from neonatal tetanus (NNT) at birth by the immunization of their mothers
with tetanus toxoid (TT) before the birth.

Table 3-9: Proportion of health posts providing ICMNCI service, 2014 EFY

Proportion of health posts providing ICMNCI

S. N Region
service
2 Afar 100%
3 Amhara 90%
4 Oromia 96%
5 Somali 65%
6 Benishangul Gumuz 67%
7 SNNP 100%
8 Sidama 100%
10 South Western Ethiopia 99%
9 Gambella 100%
11 Harari 96%
12 Dire Dawa 100%
13 Addis Ababa NA
National 93%

2014 EFY(2021/2022GC) 11
 HEALTH AND HEALTH RELATED INDICATORS

Table 3-10: Proportion of health centers providing IMNCI service, 2014 EFY

S. N Region Proportion of health centers providing IMNCI service

2 Afar 100%
3 Amhara 98%
4 Oromia 98%
5 Somali 68%
6 Benishangul Gumuz 76%
7 SNNP 100%
8 Sidama 100%
10 South Western Ethiopia 98%
9 Gambella 100%
11 Harari 100%
12 Dire Dawa 94%
13 Addis Ababa 100%
National 96%

Table 3-11: Pent3, MCV1 and Fully Vaccinated coverage by regions , 2014 EFY

2013 EFY 2014 EFY Coverage

Region Indicator Coverage 2014 EFY Target(%)
Frequency %
Pent 3 78 31700 58 94
Afar MCV1 71 28412 52 75
Fully Vac. 58 24965 46 75
Pent 3 93 615691 86 100
Amhara MCV1 88 610771 86 97
Fully Vac. 87 594335 83 97
Pent 3 100 1393140 >100 100
Oromia MCV1 100 1309826 >100 100
Fully Vac. 100 1278528 99 100
Pent 3 96 187235 98 100
Somali MCV1 85 170987 90 88
Fully Vac. 71 139946 73 88
Pent 3 77 23180 63 98
BG MCV1 71 23009 62 94
Fully Vac. 69 21839 59 94
Pent 3 100 456114 >100 99
SNNP MCV1 94 439032 100 98
Fully Vac. 91 425250 97 98

12 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Pent 3 100 157630 >100 100

Sidama MCV1 100 150646 >100 100
Fully Vac. 99 148208 >100 100
Pent 3 94657 90 98
SWE MCV1 87886 83 97
Fully Vac. 84834 80 97
Pent 3 88 13024 91 99
Gambela MCV1 79 10819 76 84
Fully Vac. 62 7178 50 84
Pent 3 100 8749 >100 100
Harari MCV1 100 8155 >100 100
Fully Vac. 100 7914 99 100
Pent 3 80 13480 83 99
Dire Dawa MCV1 72 12171 75 93
Fully Vac. 68 11844 73 93
Pent 3 100 141863 >100 100
AA MCV1 100 132074 >100 100
Fully Vac. 100 127465 >100 100
Pent 3 100 3136463 100 100
National MCV1 97 2983788 96 98
Fully Vac. 93 2872306 93 98

Figure 5: Trends of Pent 3, MCV1 and Fully Vaccinated coverage nationally(%),(2007-2014)EFY

105

100 100 100 100

98 98 97 97
95 96 96
94 94 94 95
93 93
90 91 91 91
90 90 90
87 88
85 86

80

75
2007 EFY 2008 EFY 2009 EFY 2010 EFY 2011 EFY 2012 EFY 2013 EFY 2014 EFY

Pent3 MCV1 Fully Vaccinated

2014 EFY(2021/2022GC) 13
 HEALTH AND HEALTH RELATED INDICATORS

Table 3-12: Protection at birth (PAB) against neonatal tetanus by regions, 2014 EFY

Performance,2014 EFY
Regions
2014 EFY(#) 2014 EFY(%)
Afar 25910 47
Amhara 617499 87
Oromia 1400518 >100
Somali 137482 72
Ben.Gumuz 24549 66
SNNP 472599 >100
Sidama 157592 >100
South West Ethiopia 95621 91
Gambela 8396 59
Harari 9329 >100
Dire Dawa 13767 85
Addis Ababa 144645 >100
National Level 3107907 100

Table 3-13: Pent-MCV 1 dropout rate trends by regions, (2012-2014) EFY

Regions 2012 EFY(%) 2013 EFY(%) 2014 EFY(%)

Afar 17 20 21
Amhara 8 8 6
Oromia 13 11 11
Somali 23 21 20
Ben.Gumuz 15 12 10
SNNP 9 11 8
Sidama 8 7 6
South West 13
Gambela 26 23 26
Harreri 15 10 19
Dire Dawa 15 34 22
Addis Ababa 7 4 11
National Level 12 11 10

14 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

3.3 Prevention of Mother to Child HIV Transmission (PMTCT)

This area focuses on Percentage of pregnant, laboring and lactating women who were
tested for HIV and who know their results and Percentage of HIV-positive pregnant women
who received ART to reduce the risk of mother-to child-transmission during pregnancy,
labor & delivery (L&D) and postpartum

Percentage of Pregnant, laboring and lactating women who were tested for HIV
and who know their results: Percentage of women who were tested and know their
HIV status during pregnancy, labor or delivery and post-partum period. This indicator is
used to track progress towards ensuring that all pregnant and lactating women attending
ANC, labor and delivery and PNC know their HIV status and are initiated on ART.

Percentage of HIV-positive pregnant women who received ART to reduce the risk
of mother-to child-transmission during pregnancy, labor & delivery (L&D) and
postpartum: Percentage of HIV-positive pregnant women who received ART to reduce
the risk of mother-to child-transmission (MTCT) during pregnancy, L&D and postnatal. It
includes number of HIV positive pregnant, laboring and lactating women who received
ART at ANC+L&D+PNC for the first time and HIV positive pregnant, laboring and lactating
women who get pregnant while on ART and linked to ANC.

Table 3-14: Percentage of pregnant, Laboring and lactating women who were tested for HIV and
who know their results in 2014EFY

Baseline (%) Pregnant women test- Coverage Target for

Regions (2013EFY) ed for PMTCT(#) (%) 2014 2014
EFY(%)
Afar 55 29296 50 88
Amhara 84 600391 78 89
Oromia 99 1455243 >100 100
Somali 33 74374 36 88
Ben.Gumuz 69 21448 52 88
SNNP 86 435093 92 89
Sidama >100 166594 >100 100
South West Ethiopia 76664 67 93
Gambela 70 12446 81 87
Harari >100 19055 >100 100
Dire Dawa >100 21018 >100 100
Addis Ababa >100 172304 >100 100
National 90 3083926 92 94

2014 EFY(2021/2022GC) 15
 HEALTH AND HEALTH RELATED INDICATORS

Table 3-15: Percentage of HIV positive pregnant & lactating women who received ART by region,
2014 EFY

Expected HIV +ve

On ARV in
Region Baseline pregnant and lactating Performance Target
2014 EFY
women (2014 EFY)

Afar 58% 492 183 37% 88%

Amhara 80% 5242 4479 85% 90%
Oromia 75% 4611 4028 87% 90%
Somali 89% 191 144 75% 90%
B/Gumuz 71% 154 286 100% 90%
SNNP and SWE 77% 1548 1515 98% 99%
Sidama 29% 780 285 37% 90%
Gambela 93% 482 732 100% 93%
Harari 83% 91 93 100% 90%
Dire Dawa 100% 194 138 71% 100%
Addis Ababa 99% 1900 2059 100% 100%
National 79% 15685 13942 89% 92%

Note: SNNP and South Western Ethiopia are analyzed together since there is no estimation
of PLHIVs separately for SWE. This is because the region was not established by the time HIV
estimation was conducted in 2020/21.

3.4 Nutrition
This sub topic focuses on Proportion of children under 2 years of age who participated
in Growth Monitoring and Promotion, Proportion of children aged 6-59 months who
received vitamin A supplementation and Proportion of children 24-59 months dewormed

Proportion of children under 2 years of age who participated in Growth Monitoring

and Promotion: Proportion of children under two years who participated in Growth
Monitoring and Promotion monthly based. The primarily objective of GMP is to determine
inadequate growth early enough and undertake actions to prevent further faltering
before the child reaches a status of under-nutrition; hence it is primarily a preventive
and promotive activity.

Proportion of children aged 6-59 months who received vitamin A supplementation:

Proportion of children aged 6–59 months who received two doses of vitamin A
supplement. Supplementation with vitamin A is a critically important intervention for
child survival owing to the strong evidence that exists for its impact on reducing child
mortality by 23 %.

16 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Proportion of children 24-59 months dewormed: Proportion of children aged 24-59

months who received deworming drugs twice per year month. Supplementation with
Albendazole (de-worming) is a critically important intervention for prevention of anemia
in children and it has an impact on reducing child mortality

Table 3-16: Proportion of children under 2 years of age GMP, EFY 2014

Baseline Number of children Target for 2014

Regions (%) under 2 years of age Coverage (%) 2014 EFY(%)
(2013EFY) who participated GMP
Afar 4 3,364 4 30
Amhara 53 547,627 47 63
Oromia 57 1,451,836 64 64
Somali 4 6,321 4 20
Ben.Gumuz 29 16,751 24 38
SNNP 54 434,511 62 63
Sidama 56 155,145 66 68
South West Ethiopia 70,935 41 88
Gambela 3 884 3 20
Harari 49 8,183 59 56
Dire Dawa 15 3,725 17 23
Addis Ababa 28 40,794 39 38
National 51 2,740,074 55 59

Table 3-17: Proportion of Children aged 6-59 months who received 2nd dose of vitamin A supple-
mentation by Region (EFY, 2014)

Baseline (%) Number of children Coverage Target for 2014

Regions (2013EFY) aged 6-59 month who (%) EFY(%)
received 2nd dose Vit A
Afar 30 29,325 14 85
Amhara 77 2,671,245 91 90
Oromia 97 5,779,621 96 100
Somali 95 122,037 19 67
Ben.Gumuz 27 93,479 49 99
SNNP 81 1908613 100 91
Sidama 84 615,584 97 92
South West Ethiopia 242,600 53 90
Gambela 34 22,051 30 100
Harari 100 31,018 87 100
Dire Dawa 100 50,424 78 100
Addis Ababa 88 240,979 98 100
National Level 86 11,806,976 88 92

2014 EFY(2021/2022GC) 17
 HEALTH AND HEALTH RELATED INDICATORS

Table 3-18: Proportion of Children aged 24-59 months who received 2nd dose of de-wormed by
Region (EFY, 2014)

Baseline (%) Number of children aged 24-59 Coverage Target for

Regions (2013EFY) month who received 2nd dose de- (%) 2014 EFY(%)
wormed
Afar 25 19,913 13 81
Amhara 81 1,739,007 89 91
Oromia 93 4,226,669 99 99
Somali 15 101100 19 64
Ben.Gumuz 23 57,573 46 99
SNNP 84 1,473,829 >100 93
Sidama 89 450,426 95 94
South West 175,896 51 92
Gambela 35 12,221 25 100
Harari 98 23,364 99 100
Dire Dawa 100 34,189 79 100
Addis Ababa 55 106,295 62 85
National Level 82 8,420,482 88 92

18 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

4. Disease Prevention and Control

4.1 Cause of Morbidity, Admission and Mortality
Top ten causes of admission

• 10 leading cause of morbidity for all case

• 10 leading cause of morbidity for female
• 10 leading cause of morbidity for children under 5 years of age

Top ten causes of admission

• 10 leading cause of admission for all case

• 10 leading cause of admission for female
• 10 leading cause of admission for children under 5 years of age

Top ten causes of mortality

• 10 leading cause of mortality for all case

• 10 leading cause of mortality for female
• 10 leading cause of mortality for children under 5 years of age

4.1.1 Top ten cause of morbidity

Table 4-1: Top 10 cause of morbidity for all case. 2014 EFY

Rank Diagnosis Number of cases % from all cases

1 Pneumonia 4,408,722 10
2 Acute upper respiratory infections 3,398,913 7.7
3 Dyspepsia 2,634,666 6
4 Functional intestinal disorders 2,388,611 5.4
5 Disorders of urinary system 2,151,847 4.9
6 Typhoid and paratyphoid 2,142,575 4.9
7 Malaria 1,612,218 3.7
8 Helminthiases 1,441,905 3.3
9 Acute tonsillitis 1,226,756 2.8
10 Fever of unknown origin 1,201,095 2.7
Sum of top Ten 22,607,308 51.3
Sum of all cases 44,056,976

2014 EFY(2021/2022GC) 19
 HEALTH AND HEALTH RELATED INDICATORS

Table 4-2: Top 10 cause of morbidity for female, 2014 EFY

Rank Diagnosis Number of cases % from all cases

1 Pneumonia 2,080,869 9.4

2 Acute upper respiratory infections 1,664,259 7.5
3 Dyspepsia 1,534,697 6.9
4 Disorders of urinary system 1,267,513 5.7
5 Functional intestinal disorders 1,134,878 5.1
6 Typhoid and paratyphoid 1,099,096 5.0
7 Malaria 693,489 3.1
8 Helminthiases 686,250 3.1
9 Acute tonsillitis 615,008 2.8
10 Fever of unknown origin 582,689 2.6
Sum of top Ten 11,358,748 51.2
Sum of all cases for female 22,178,510

Table 4-3: Top 10 cause of morbidity for children less than 5 years of age, 2014 EFY

Rank Diagnosis Number of cases % from all cases

1 Pneumonia 1,989,659 22.7
2 Functional intestinal disorders 1,558,649 17.8
3 Acute upper respiratory infections 912,574 10.4
4 Malnutrition 467,462 5.3
5 Acute tonsillitis 452,740 5.2
6 Shigellosis 294,884 3.4
7 Malaria 257,618 2.9
8 Helminthiases 189,086 2.2
9 Fever of unknown origin 181,086 2.1
10 Conjunctivitis 165,392 1.9
Sum of top Ten 6,469,150 74.0
Sum of all cases for under five children 8,747,352

20 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

4.1.2 Top ten causes of admission

Table 4-4: Top 10 cause of admission for all case, 2014 EFY

% from all
Rank Diagnosis Number of cases
cases
1 Pneumonia 209,162 9.8
2 Delivery by caesarean section 122,006 5.7
3 Outcome of delivery 107,170 5.0
4 Malaria 53,882 2.5
5 Bacterial sepsis of newborn 51,890 2.4
6 Malnutrition 50,774 2.4
7 Heart failure 48,566 2.3
8 Malignant neoplasm 46,362 2.2
9 Sepsis 44,670 2.1
10 Acute appendicitis 36,214 1.7
Sum of top Ten 770,696 36.1
Sum of all cases of admission 2,132,962

Table 4-5: Top 10 cause of admission for female, 2014 EFY

% from all
Rank Diagnosis Number of cases
cases
1 Delivery by caesarean section 61,003 10.4
2 Outcome of delivery 51,792 8.8
3 Pneumonia 45,635 7.7
4 Malignant neoplasm 14,603 2.5
5 Malaria 12,725 2.2
6 Heart failure 12,659 2.1
7 Complications of labor and delivery 11,732 2.0
8 Malnutrition 11,477 1.9
9 Pre-eclampsia 11,311 1.9
10 Bacterial sepsis of newborn 10,642 1.8
Sum of top Ten 243,579 41.3
Sum of all cases of admission for female 589,140

2014 EFY(2021/2022GC) 21
 HEALTH AND HEALTH RELATED INDICATORS

Table 4-6: Top 10 cause of admission for children less than 5 years of age, 2014 EFY

% from all
Rank Diagnosis Number of cases
cases
1 Pneumonia 58,959 21.9
2 Bacterial sepsis of newborn 25,945 9.6
3 Malnutrition 23,115 8.6
4 Sepsis 17,179 6.4
5 Disorders related to short gestation and low birth weight 15,943 5.9
6 Birth asphyxia 8,998 3.3
7 Respiratory distress of newborn 7,002 2.6
8 Malaria 6,628 2.5
9 Meningitis due to other and unspecified causes 4,758 1.8
10 Neonatal aspiration syndromes 4,213 1.6
Sum of top Ten 172,740 64.2
Sum of all cases admission for under five children 268,927

4.1.3 Top ten causes of mortality

Table 4-7: Top 10 cause of mortality for all case, 2014 EFY

Number of % from all

Rank Diagnosis
death death
1 Disorders related to short gestation and low birth weight 3696 7.4
2 Birth asphyxia 3632 7.2
3 Pneumonia 3542 7.1
4 Shock 2702 5.4
5 Heart failure 2086 4.2
6 Bacterial sepsis of newborn 2022 4.0
7 Respiratory distress of newborn 1806 3.6
8 Sepsis 1386 2.8
9 Cerebral infarction 1328 2.6
10 Malnutrition 1306 2.6
Sum of top Ten 23506 46.8
Sum of all cases of death 50188

22 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Table 4-8: Top 10 cause of mortality for female, 2014 EFY

Number of % from all case

Rank Diagnosis
death of female death
1 Disorders related to short gestation and low birth weight 752 7.0
2 Pneumonia 735 6.8
3 Birth asphyxia 676 6.3
4 Shock 644 6.0
5 Heart failure 533 4.9
6 Bacterial sepsis of newborn 389 3.6
7 Respiratory distress of newborn 379 3.5
8 Malnutrition 300 2.8
9 Sepsis 298 2.8
10 Human immunodeficiency virus [HIV] disease 292 2.7
Sum of top Ten 4998 46.3
Sum of all cases of death for female 10799

Table 4-9: Top 10 cause of mortality for children less than 5 years of age, 2014 EFY

Number of % from all under

Rank Diagnosis
death five death
1 Disorders related to short gestation and low birth weight 1848 16.9
2 Birth asphyxia 1816 16.6
3 Bacterial sepsis of newborn 1011 9.2
4 Respiratory distress of newborn 903 8.3
5 Malnutrition 606 5.5
6 Pneumonia 596 5.5
7 Hemorrhagic and hematological disorders of newborn 508 4.6
8 Sepsis 500 4.6
9 Newborn affected by complication of labour and delivery 362 3.3
10 Shock 218 2.0
Sum of top Ten 8368 76.5
Sum of all cases of death for under five 10933

2014 EFY(2021/2022GC) 23
 HEALTH AND HEALTH RELATED INDICATORS

4.2 Communicable Disease

4.2.1 Malaria

Malaria indicators include:

Morbidity attributed to malaria:

• Total Malaria cases

• Malaria incidence per 1,000 at risk population

Integrated residual spraying of houses: proportion of households in malarias areas

that were sprayed in the last 12 months.

Malaria case fatality rate [among all case]: Deaths from malaria per 100,000 malaria
cases

Table 4-10: Malaria cases and malaria incidence per 1,000 populations at risk by region, 2014 EFY

Malaria case Malaria case among Incidence per 1000

Region Total Cases
under 5 Years > 5 Years old population at risk
Afar 15,596 67,251 82,847 41.5
Amhara 66,556 502,160 568,716 61.5
Oromia 28,554 151,923 180,477 8.0
Somali 19,582 76,106 95,688 14.7
Ben.Gumuz 18,092 89,801 107,893 93.6
SNNP 59,713 243,324 303,037 30.4
Sidama 8,814 41,741 50,555 22.9
South Western Ethiopia 21,010 120,706 141,716 71.2
Gambella 19,317 56,930 76,247 150.1
Harari 69 667 736 3.6
Dire Dawa 91 1,675 1,766 3.5
Addis Ababa 224 2,316 2,540
National 257,618 1,354,600 1,612,218 29.4

24 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Table 4-11: Malaria death and case fatality rate per 100,000 malaria cases by region, 2014 EFY

Malaria death Malaria death Malaria death

Region Total Cases
under 5 Years among > 5 Years old per 100,000
Afar 0 0 0 -
Amhara 5 22 27 0.29
Oromia 8 70 78 0.35
Somali 3 12 15 0.23
Ben.Gumuz 1 4 5 0.43
SNNP 6 13 19 0.19
Sidama 2 3 5 0.23
South Western Ethiopia 0 3 3 0.15
Gambella 2 22 24 4.72
Harari 0 0 0 0
Dire Dawa 0 1 1 0.2
Addis Ababa 0 3 3 -
National 27 153 180 0.33

Table 4-12: IRS spray by Region, 2014

Number of unit structures for IRS spray

Region
Plan Performance Converge (%)

Oromia 190,687 289,089 100

Somali 93,251 93,665 100
SNNP 243,789 243,789 100
Amhara 250,530 222,762 89
Benshangul 296,561 166,967 56
Gambella 124,345 117,558 95
Total 1,395,969 1,133,830 81

4.2.2 TUBERCULOSIS AND LEPROSY

Indicators of Tuberculosis (TB) and Leprosy include

Treatment Coverage for all forms of TB: number of new pulmonary and extra pulmonary
(all forms) TB cases detected, among the TB cases estimated to occur countrywide

TB treatment success rate: percentage of a cohort of new smear positive TB cases

registered in a specified period that successfully completed treatment. Successful
completion entails clinical success with or without bacteriological evidence of cure.

2014 EFY(2021/2022GC) 25
 HEALTH AND HEALTH RELATED INDICATORS

Cure rate for bacteriologically confirmed TB cases: percentage of a cohort of new

smear-positive TB cases registered in a specified period that was cured as demonstrated
by bacteriologic evidence (a negative sputum smear result recorded during the last
month of treatment and on at least on one previous occasion during treatment).

New Cases of Leprosy: number of new cases of leprosy, both MB and PB, never treated
before and registered during the specified period of time.

Proportion of disability grade among new leprosy case: proportion of new cases of
leprosy with disability grade II at the time of diagnosis

Table 4-13: Treatment Coverage all forms of TB+ by Region , EFY 2014

Number of new TB
Estimated # of new Case Detection Rate (%)
Region cases detected (all
TB cases (all forms) [Treatment Coverage]
forms)
Afar 2,684 1898 71%
Amhara 30,198 18561 61%
Oromia 52,775 49449 94%
Somali 8,588 5979 70%
Ben.Gumuz 1,591 704 44%
SNNP 18,104 13880 77%
Sidama 6,032 8483 >100%
South Western Ethiopia 4,371 3425 78%
Gambella 679 1074 >100%
Harari 365 785 >100%
Dire Dawa 707 1367 >100%
Addis Ababa 5,088 8033 >100%
National 131,182 113638 87%

26 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Table 4-14: TB treatment success and Cure Rate by region , EFY 2014

Total number # of new sputum

# of new
of new smear +ve TB
Treatment sputum smear
bacteriologically cases who
Region success +ve TB cases Cure Rate
confirmed were cured &
rate (%) who were
PTB treatment completed their
cured
outcome (PTB+) treatment
Afar 375 333 89% 224 60%
Amhara 4344 4158 96% 3672 85%
Oromia 18064 17552 97% 16182 90%
Somali 1807 1610 89% 864 48%
Ben.Gumuz 216 200 93% 151 70%
SNNP 6521 6195 95% 5490 84%
Sidama 4616 4487 97% 3979 86%
South Western 1649 1545 94% 1225 74%
Gambella 508 443 87% 324 64%
Harari 297 295 99% 294 99%
Dire Dawa 466 431 92% 401 86%
Addis Ababa 1996 1830 92% 1689 85%
National 40859 39079 96% 34495 84%

Figure 6: Trend of TB case detection, Treatment Success and Cure Rate (2009-2014 EFY)

94 92 95 95 95 96

81 84 82 87
80
85 84
76
69 71
64 65

2009 2010 2011 2012 2013 2014

TB detection Rate TB Treatment Rate TB Cure Rate

2014 EFY(2021/2022GC) 27
 HEALTH AND HEALTH RELATED INDICATORS

Table 4-15: Number of Leprosy cases detected, 2014 EFY

No of New leprosy cases Number of case per 10,000

Region
detected population
Afar 27 0.13
Amhara 683 0.3
Oromia 1,852 0.46
Somali 36 0.06
Benshangul G. 49 0.41
SNNP 68 0.05
Sidama 54 0.12
South Western Ethiopia 25 0.08
Gambella 54 1.05
Harari 25 0.9
Dire Dawa 14 0.26
Addis Ababa 79 0.2
Total (not including Tigray) 2,966 0.3

Table 4-16: Grade II disability rate among new cases of leprosy by region, 2014 EFY

Number of new Leprosy No. with grade II Grade II disability

Region
Cases disability rate
Afar 27 2 7.4%
Amhara 683 67 9.8%
Oromia 1852 168 9.1%
Somali 36 7 19.4%
Ben.Gumuz 49 8 16.3%
SNNP 68 5 7.4%
Sidama 54 6 11.1%
South Western Ethiopia 25 8 32.0%
Gambella 54 7 13.0%
Harari 25 0.0%
Dire Dawa 14 1 7.1%
Addis Ababa 79 16 20.3%
National 2966 295 9.9%

28 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

4.2.3 HIV/ AIDS

Table 4-17: Number of people tested for HIV and number of new positives identified, by region 2014 EFY

Total number of individuals Number of HIV

Region Yield (%)
tested for HIV positives identified
Afar 81,247 508 0.6%
Amhara 1,345,247 8,164 0.6%
Oromia 3,540,248 11,550 0.3%
Somali 188,255 1,486 0.8%
B/Gumuz 53,297 203 0.4%
SNNP 801,894 2,869 0.4%
Sidama 367,819 932 0.3%
South Western Ethiopia 173,688 1,099 0.6%
Gambela 36,369 910 2.5%
Harari 45,836 284 0.6%
Dire Dawa 67,986 519 0.8%
Addis Ababa 555,145 8,369 1.5%
National 7,257,031 36,893 0.5%

Table 4-18: Number and percentage of PLHIV currently on ART disaggregated by age, 2014 EFY

Currently on ART in 2014 EFY

Estimated PLHIV in 2014 EFY ART coverage (From total
(Performance, disaggregated
(Disaggregated by Age) estimated PLHIV)
by age)
Region
Children Adults Children Adults Children Adults
Total Total Total
(<15) (>=15) (<15) (>=15) (<15) (>=15)
Afar 1,267 10,516 11,783 104 4701 4,805 8% 45% 41%
Amhara 11,980 179,500 191,480 3833 142999 146,832 32% 80% 77%
Oromia 12,559 138,646 151,205 4729 117796 122,525 38% 85% 81%
Somali 766 4,819 5,585 71 2261 2,332 9% 47% 42%
B/Gumuz 323 5,735 6,058 120 3715 3,835 37% 65% 63%
SNNP &
3,653 43,547 47,200 1375 35996 37,371 38% 83% 79%
SWE*
Sidama 1,921 18,612 20,533 320 10252 10,572 17% 55% 51%
Gambela 1,123 12,376 13,499 330 9859 10,189 29% 80% 75%
Harari 209 5,008 5,217 88 4207 4,295 42% 84% 82%
Dire Dawa 450 10,583 11,033 117 6308 6,425 26% 60% 58%
Addis Ababa 2,957 102,274 105,231 1603 102626 104,229 54% 100% 99%
OGFs 226 7,558 7,784
National 37,208 531,616 568,824 12,916 448,278 461,194 35% 84% 81%
*Note: The estimated number of PLHIVs for SNNP includes SW Ethiopia. By the time HIV estimation

29 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Table 4-19: The performance of the 2nd 95 using 84.7% (first 95 result) of PLHIVs as denominator, 2014 EFY

Denominator - Calculated 84.7%

Estimated PLHIV in 2014 EFY Numerator: No. of PLHIVs currently 2nd 95 performance using 1st 95
of the total PLHIVs
(Disaggregated by Age) on ART in 2014 EFY result as denominator
Region [i.e. the 1st 95 result]
Children Adults Children Adults Children Adults Children Adults
Total Total Total Total
(<15) (>=15) (<15) (>=15) (<15) (>=15) (<15) (>=15)
Afar 1,267 10,516 11,783 104 4701 4,805 1,073 8907 9,980 10% 53% 48%
Amhara 11,980 179,500 191,480 3833 142999 146,832 10,147 152037 162,184 38% 94% 91%
Oromia 12,559 138,646 151,205 4729 117796 122,525 10,637 117433 128,071 44% 100% 96%
Somali 766 4,819 5,585 71 2261 2,332 649 4082 4,730 11% 55% 49%
Benishangul
323 5,735 6,058 120 3715 3,835 274 4858 5,131 44% 76% 75%
Gumuz
*SNNP and
3,653 43,547 47,200 1375 35996 37,371 3,094 36884 39,978 44% 98% 93%
SWE
Sidama 1,921 18,612 20,533 320 10252 10,572 1,627 15764 17,391 20% 65% 61%
Gambella 1,123 12,376 13,499 330 9859 10,189 951 10482 11,434 35% 94% 89%
Harari 209 5,008 5,217 88 4207 4,295 177 4242 4,419 50% 99% 97%
Dire Dawa 450 10,583 11,033 117 6308 6,425 381 8964 9,345 31% 70% 69%
Addis Ababa 2,957 102,274 105,231 1603 102626 104,229 2,505 86626 89,131 64% 118% 117%
OGAs 0 226 7,558 - 0 -
National 37,208 531,616 568,824 12,916 448,278 461,194 31,515 450279 481,794 41% 99.6% 96%

*Note: The estimated number of PLHIVs for SNNP includes SW Ethiopia. By the time HIV estimation

2014 EFY(2021/2022GC) 30
 HEALTH AND HEALTH RELATED INDICATORS

4.3 Non Communicable Services

Table 4-20: Number of Women between ages 30 to 49 screened with VIA for cervical cancer, 2014 EFY

Number of women aged 30-

Number of women aged 30 - 49 screened with VIA
49 year with cervical lesion
for cervical cancer
received treatment
Region
Suspicious
Precancerous
Normal cervix Cancerous Crayotherapy LEEP
lesion
lesion
Afar 2,840 111 50 75 34
Amhara 50,894 3,473 1,058 2,168 179
Oromia 129,942 4,911 1,420 3,437 326
Somali 2,201 209 26 46 54
Ben.Gumuz 1,182 70 13 63 4
SNNP 57,235 2,162 309 1,797 39
Sidama 30,033 2,290 204 1,346 112
South Western
1,768 270 46 240 23
Ethiopia
Gambella 945 23 9 8 2
Harari 2,526 44 77 36 5
Dire Dawa 2,495 136 32 79 4
Addis Ababa 50,798 2,436 519 1,566 120
National 332,859 16,135 3,763 10,861 902

Table 4-21: Table Number of cataract surgeries performed, 2014 EFY

Region Number of cataract surgeries performed

Afar 0
Amhara 17,872
Oromia 20,651
Somali 542
Beneshangul Gumuz 0
SNNP 11,063
Sidama 1,432
South Western Ethiopia 179
Gambella 0
Harari 77
Dire Dawa 90
Addis Abeba 6,412
National 58,318

2014 EFY(2021/2022GC) 31
 HEALTH AND HEALTH RELATED INDICATORS

Table 4-22: Number of individuals screened for hypertension and enrollment to care performance,
2014 EFY

Total number of individu-

Total number of individ- Total number
als with raised blood pres-
uals screened for hyper- of new hypertensive
Region sure among screened for
tension in the reporting patients enrolled to
hypertension in the reporting
period care
period
Afar 15,332 2,036 666
Amhara 2,883,235 100,326 44,449
Oromiya 2,306,790 240,676 100,316
Somali 24,120 6,728 2,522
Ben.Gumuz 38,937 2,163 964
SNNP 1,002,135 77,806 21,519
Sidama 425,709 53,774 10,613
South West-
121,435 9,165 2,318
ern
Gambella 2,675 118 380
Harari 98,580 9,249 1,876
Dire Dawa 135,499 9,248 2,051
Addis Ababa 942,047 63,515 23,547
National 7,996,494 574,804 211,221

Table 4-23: Number of individuals screened for diabetes and enrollment to care 2014 EFY

Total number of individuals

Total number of Total number
with raised blood
individuals screened for of new diabetic
Region sugar among screened for
diabetes in the patients enrolled to
diabetes in the reporting
reporting period care
period
Afar 4,702 989 566
Amhara 755,942 21,502 10,951
Oromiya 536,093 72,408 26,730
Somali 9,316 3,543 1,692
Ben.Gumuz 9,175 785 362
SNNP 222,289 30,460 9,738
Sidama 85,656 14,399 4,551
South Western 19,590 2,135 745
Gambella 1,437 38 124
Harari 9,414 1,195 848
Dire Dawa 21,898 2,163 1,374
Addis Ababa 220,362 22,395 12,648
National 1,895,874 172,012 70,329

32 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

5. Improve Health emergency risk management

Indicators of communicable diseases, including diseases targeted for eradication or
elimination:

• Number of reported cases of meningitis: number of cases of meningitis, as per

the meningitis clinical case definition.
• Number of reported cases of Poliomyelitis: number of reported cases of
laboratory confirmed polio cases.
• Number of reported cases of Acute Flaccid Paralysis (AFP): number of cases of
Acute Flaccid Paralysis (AFP) (Non Polio).
• Number of reported cases of Measles: Confirmed measles cases, including those
confirmed clinically, epidemiologically, or by laboratory investigation.
• Number of reported cases of dranculiasis: number of reported suspected cases
of dranculiasis according to the national surveillance system.
• Number of reported cases of Yellow fever: number of confirmed yellow fever
cases, including those confirmed clinically, epidemiologically, or by laboratory in
according to the national surveillance system.

Table 5-1: Regional distribution of suspected Cholera cases, deaths and CFR in Ethiopia, 2014 EFY

No. of affected
Region No. of Cases No. of deaths CFR (%)
Woredas
Tigray NA NA NA NA
Amhara 0 0 0 0
Afar 0 0 0 0
Oromia 3 567 4 0.71
Somali 1 107 3 2.8
Sidama 0 0 0 0
BG 0 0 0 0
SNNP 0 0 0 0
SWE 0 0 0 0
Gambella 0 0 0 0
Harari 0 0 0 0
DD 0 0 0 0
Addis Ababa 0 0 0 0
National 4 674 7 1.04

2014 EFY(2021/2022GC) 33
 HEALTH AND HEALTH RELATED INDICATORS

Table 5-2: Total number of children vaccinated in response to polio outbreaks, 2014 EFY

Response Round Target # Vaccinated Cov. (%)

nOPV2 vaccination R1 16,814,051 17,064,639 101%
campaign R2 16,713,112 17,803,795 107%

Table 5-3: Regional Distribution of Confirmed measles and Deaths, 2014, Ethiopia

Region Confirmed measles cases Measles Death

Tigray NA NA
Afar 0 0
Amhara 1111 5
Oromia 1489 12
Somali 2407 50
Benishangul-Gumuz 0 0
SNNP 1898 7
Sidama 0 0
SWE 155 0
Gambella 0 0
Harari 0 0
Dire Dawa 0 0
Addis Ababa 0 0
National 7060 74

Table 5-4: Regional Distribution of SAM cases, SC Admission and Deaths in Ethiopia 2014 EFY (Sep-
tember to August)

Total SAM Outpatient SAM Inpatient SAM Inpatient SAM

Region
cases cases Cases Death
Afar 11129 9811 1268 61
Amhara 31645 29236 2409 39
Oromia 103440 89271 14169 94
Somali 70259 65763 4506 32
Benishangul-Gumuz 1055 876 179 12
SNNP 33806 27348 6458 245
Sidama 8975 8004 971 11
SWE 7264 7175 381 5
Gambella 988 884 104 6
Harari 1177 787 390 22
Dire Dawa 1303 882 421 17
Addis Ababa 3580 3037 543 14
National 274621 243074 31799 558

34 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Table 5-5: Regional Distribution of Suspected Meningitis cases and Deaths in Ethiopia 2014

Number of suspected meningitis

Region Death
cases
Tigray NA NA
Afar 248 14
Amhara 704 5
Oromia 2651 17

Somali 782 8

Benishangul-Gumuz 124 7
SNNP 773 4
Sidama 169 1
SWE 154 12
Gambella 103 1
Harari 299 16
Dire Dawa 68 3
Addis Ababa 97 0
National 6172 88

Table 5-6: Regional Distribution of Suspected Anthrax cases and Deaths in Ethiopia 2014

Region Suspected Anthrax cases Deaths

Tigray NA NA
Afar 0 0
Amhara 427 0
Oromia 95 0
Somali 0 0
Benishangul-Gumuz 0 0
SNNP 73 0
Sidama 0 0
SWE 38 0
Gambella 0 0
Harari 0 0
Dire Dawa 0 0
Addis Ababa 0 0
National 633 0

2014 EFY(2021/2022GC) 35
 HEALTH AND HEALTH RELATED INDICATORS

6. Hygiene and Environmental Health

This section includes two Indicators; Proportion of households with access to latrine, by
type and Kebele declared ‘Open Defecation Free’

Proportion of households with access to latrine, by type: Proportion of households

that have access to any type (improved and un-improved) of latrine facility.

Proportion of kebeles declared Open Defecation Free (ODF): Proportion of kebeles

declared ODF registered as new and existing among total number of kebeles

Table 6-1: Proportion of households with access to any type of latrine by region, 2014 EFY

Number of Improved toilet coverage All type of toilet

Region
households (%) coverage (%)
Afar 356,697 9 28
Amhara 5,348,837 35.4 62.8
Oromia 8,624,700 65 90
Somali 983,287 12 31
BG 260,694 19 87
SNNP 2,187,011 55 95
Sidama 932,518 58 93
South west Ethiopia 675,778 39.6 93
Gambela 101,741 18 31.1
Harari 70,878 59 87
DD 111,858 56.2 76.7
Addis Ababa 940,210 63.5
Total 20,594,209 50.7 75.3

36 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Table 6-2: Proportion of kebeles declared Open Defecation Free (ODF) by region, 2014 EFY

# of ODF kebele as of 2014

Region # of Kebeles % (Cumulative)
(Cumulative)
Afar 404 4 1.0
Amhara 3,480 661 19.0
Oromia 7,021 2949 42.0
Somali 1,214 109 9.0
Benishangul Gumuz 537 315 58.7
SNNP 2,734 1750 64.0
Sidama 636 159 25.0
South West Ethiopia 868 381 43.9
Gambella 265 34 12.8
Harari 36 26 72.2
Dire Dawa 47 8 17.0
Addis Ababa 889 0 0.0
National 18,131 6396 35.3

2014 EFY(2021/2022GC) 37
 HEALTH AND HEALTH RELATED INDICATORS

7. Health Service Utilization

Health system indicators include:
Outpatient (OPD) attendance per capita: average number of outpatient visits
(including new and repeat visits) per person per year.
Bed occupancy rate: average percentage of occupied beds during the period under
review (Usually one year).
Average length of stay (in days): of patients in an inpatient facility during a given
period of time.Admission rate: number inpatient admissions per 10000 populations.

Table 7-1: Health service utilization indicators performance 2013 - 2014 EFY

Health service utilization 2013 Performance 2014 Performance

Outpatient (OPD) attendance per capita 1.09 1.44
Admission rate: (per 1,000 population) 13.4 11.64
Bed occupancy rate: (in %) 43.4% 59.3%
Average length of stay (in days): 3.98 4.4
Admission Rate 11.3 11.64
Referral Rate 0.9% 0.7%
Emergency Mortality 0.45% 0.36%
ICU mortality rate 26% 26%

Table 7-2: Outpatient (OPD) attendance per capita performance 2013 - 2014 EFY

Region 2013 Performance 2014 Performance

Afar 0.35 0.32
Amhara 1.49 1.4
Oromia 0.93 1.18
Somali 0.25 0.29
Benishangul Gumuz 1.41 0.72
SNNP 1.17 1.38
Sidama 0.95 1.14
South west 0.79 0.91
Gambella 0.4 0.53
Harari 1.42 1.83
Dire Dawa 1.22 1.53
Addis Ababa 1.79 2.54
National 1.09 1.44

38 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Table 7-3: Hospital Bed occupancy rate: (BOR in %) 2013 - 2014 EFY

Region 2013 performance 2013 performance

Afar 28.2% 38.0%
Amhara 65.3% 81.0%
Oromia 53.1% 53.9%
Somali 31.6% 25.3%
Benishangul Gumuz 31.2% 37.5%
SNNP 49.8% 52.8%
Sidama 51.7% 53.5%
South west 29.9% 44.2%
Gambella 31.8% 41.0%
Harari 66.0% 74.6%
Dire Dawa 32.4% 50.9%
Addis Ababa 60.7% 63.8%
National 49.9% 59.3%

Table 7-4: Average length of stay (ALOS) by region 2013 - 2014 EFY

Regions 2013 Performance 2014 Performance

Afar 5.21 4.61

Amhara 4.41 5.43
Oromia 3.87 3.86
Somali 3.34 2.85
Benishangul Gumuz 2.86 2.78
SNNP 3.65 3.81
Sidama 3.97 3.92
South west 3.77 3.50
Gambella 3.70 2.92
Harari 2.73 3.76
Dire Dawa 3.08 3.09
Addis Ababa 3.97 5.34
National 3.98 4.40

2014 EFY(2021/2022GC) 39
 HEALTH AND HEALTH RELATED INDICATORS

Table 7-5: Admission rate by region 2013 - 2014 EFY

Region 2013 Performance 2014 Performance

Afar 4.9 5.6
Amhara 12.7 13.2
Oromia 9.0 10.2
Somali 4.3 5.0
Benishangul Gumuz 11.0 12.3
SNNP 9.9 11.6
Sidama 9.4 10.4
South west 16.3 7.8
Gambella 16.3 17.8
Harari 71.1 79.4
Dire Dawa 28.7 28.9
Addis Ababa 37.2 45.2
National 11.3 11.64

Table 7-6: Referral rate by region 2013 - 2014 EFY

Region 2013 Performance 2014 Performance

Afar 0.7% 1.0%
Amhara 1.3% 1.3%
Oromia 0.6% 0.6%
Somali 0.9% 1.0%
Benishangul Gumuz 0.2% 0.4%
SNNP 0.5% 0.5%
Sidama 0.3% 0.4%
South west 0.6% 0.6%
Gambella 1.3% 0.8%
Harari 0.9% 1.0%
Dire Dawa 1.0% 0.7%
Addis Ababa 2.2% 2.0%
National 0.9% 0.7%

40 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

8. Blood Bank Service

Table 8-1: Voluntary and Replacement Blood Donors by Region 2014 EFY

2014 EFY

Region Collected units

Plan from voluntary blood Coverage
donors

Afar 6,000 5,657 94%

Amhara 81,144 80,162 99%
Oromia 69,200 69,348 100%
Somali 24,000 24,555 102%
Benishangul Gumuz 7,400 3,913 53%
SNNP 27,500 23,462 85%
Sidama 16,200 9,508 59%
South West Ethiopia 3,000 3,360 112%
Gambella 3,000 635 21%
Harari 6,050 5,943 98%
Dire Dawa 6,600 6,144 93%
Addis Ababa 125,000 105,086 84%
National 375,094 337,773 90%

Figure 7: Trends of total blood collected 2005 - 2014 EFY

400,000
337,774
350,000
288,966
300,000 281,760

250,000 223,432

186,497
200,000 173,923
142,124
150,000 123,600

87,685
100,000
44,334
50,000

-
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

2014 EFY(2021/2022GC) 41
 HEALTH AND HEALTH RELATED INDICATORS

Table 8-2: Blood donated and laboratory result prevalence 2014 EFY

Number of donations that Total TTIs HIV Hepatitis Hepatitis Syphilis

Blood Bank
were screened for TTIs positive positive B positive C positive positive
NBBS 104925 3682 0.01% 0.05% 0.02% 0.04%
Bahir dar 29447 1513 0.03% 0.13% 0.03% 0.08%
Gonder 14054 387 0.00% 0.04% 0.00% 0.02%
Dessie 6635 171 0.01% 0.04% 0.00% 0.02%
D/Markos 9982 531 0.03% 0.15% 0.03% 0.07%
D/Birhan 7690 537 0.07% 0.20% 0.04% 0.17%
D/Tabor 7889 215 0.01% 0.05% 0.00% 0.01%
Woldiya 875 62 0.09% 0.19% 0.04% 0.18%
Sekota 582 11 0.01% 0.03% 0.00% 0.00%
Metema 2020 99 0.04% 0.12% 0.02% 0.05%
Adama 22363 969 0.03% 0.08% 0.03% 0.04%
Jima 13763 503 0.02% 0.07% 0.00% 0.05%
Nekemte 3460 152 0.02% 0.10% 0.01% 0.06%
Woliso 6403 210 0.01% 0.06% 0.01% 0.03%
Bale Goba 5896 129 0.00% 0.03% 0.00% 0.01%
Chiro 3686 625 0.36% 1.31% 0.14% 1.09%
Metu 4453 429 0.22% 0.40% 0.11% 0.20%
Shashemene 1355 35 0.01% 0.05% 0.00% 0.01%
Bule Hora 2267 53 0.00% 0.03% 0.00% 0.02%
Hossana 10330 715 0.06% 0.29% 0.03% 0.10%
Arba Minch 5164 297 0.06% 0.18% 0.03% 0.05%
W/Sodo 3068 133 0.02% 0.12% 0.00% 0.04%
Dila 1300 31 0.01% 0.02% 0.01% 0.02%
Jinka 2389 207 0.16% 0.47% 0.03% 0.10%
Hawassa 17397 784 0.02% 0.11% 0.02% 0.05%
Asossa 3825 174 0.07% 0.08% 0.02% 0.04%
Gilgel 88 6 0.00% 0.08% 0.23% 0.16%
Semera 2298 259 0.12% 0.91% 0.09% 0.15%
Awash 1367 112 0.05% 0.42% 0.01% 0.19%
Jigjiga 25383 537 0.00% 0.03% 0.00% 0.01%
Gode 1346 74 0.05% 0.25% 0.00% 0.00%
Gambela 567 123 0.61% 1.30% 0.91% 1.87%
Harer 5943 411 0.06% 0.21% 0.03% 0.18%
Dire Dawa 6144 340 0.03% 0.14% 0.04% 0.09%
Total 337,773 14608 0.02% 0.09% 0.02% 0.05%

42 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

9. Infrastructure
This section includes:

Number of health Facilities: the total number of health facilities (Hospitals, HCs, and HPs)
disaggregated by facility type.

Primary health care coverage: Proportion of population living within 2 hours walking
distance. It is a proxy indicator of equity in service access, estimated that a HP covers
5,000 persons and Access one PHCU is for 25000 populations.

Specialized Hospital 3.5 - 5.0 Million population

General Hospital 1-1.5 Million population
Primary Hospital 60,000 - 100,000 population
Urban health centers: 1 per 40,000 population
Rural Health center 15,000 - 25,000 population
Health post 3,000 - 5,000 population

Table 9-1: Number of functional and under construction Specialized Hospitals by Region, 2014 EFY

Regions Functional Under construction Total

Tigray NA NA NA
Afar 0 0 0
Amhara 8 0 8
Oromia 4 0 4
Somali 1 0 1
B/Gumz 6 1 7
SNNP 3 0 3
SWE 0 0 0
Sidama 1 0 1
Gambella 0 0 0
Harari 1 0 1
Dire Dewa 0 1 1
Addis Ababa 7 0 7
National 31 2 33

2014 EFY(2021/2022GC) 43
 HEALTH AND HEALTH RELATED INDICATORS

Table 9-2: Number of functional and under construction General Hospitals by Region, 2014 EFY

Regions Functional Under construction Total

Tigray NA NA NA
Afar 1 0 1
Amhara 15 3 18
Oromia 36 0 36
Somali 3 0 3
B/Gumz 2 0 2
SNNP 9 1 10
SWEP 4 0 4
Sidama 5 0 5
Gambella 1 0 1
Harari 1 0 1
Dire Dewa 2 0 2
Addis Ababa 6 3 9
National 85 7 92

Table 9-3: Number of functional and under construction Primary Hospitals by Region, 2014 EFY

Regions Functional Under construction Total

Tigray NA NA NA
Afar 6 0 6
Amhara 67 15 82
Oromia 76 15 91
Somali 11 3 14
B/Gumz 4 1 5
SNNP 34 10 44
SWEP 9 3 12
Sidama 16 1 17
Gambella 4 0 4
Harari 0 0 0
Dire Dewa 0 0 0
Addis Ababa 0 0 0
National 227 48 275

44 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Table 9-4: Number of functional and under construction health Centers by region 2014 EFY

Regions Functional Under construction Total

Tigray NA NA NA
Afar 102 4 106
Amhara 885 0 885
Oromia 1,414 13 1427
Somali 224 21 245
B/Gumz 60 6 66
SNNP 501 3 504
Southwest E 112 16 128
Sidama 135 11 146
Gambella 28 4 32
Harari 9 0 9
Dire Dewa 15 0 15
Addis Ababa 102 8 110
Total 3587 86 3673

Table 9-5: Number of functional and under construction Health Posts by Region 2014 EFY

Regions Functional Under construction Total

Tigray NA NA NA
Afar 344 4 348
Amhara 3565 32 3597
Oromia 7126 27 7153
Somali 1709 1 1710
B/Gumz 424 2 426
SNNP 2707 6 2713
Southwest E 809 3 812
Sidama 553 2 555
Gambela 152 0 152
Harari 32 0 32
Dire Dewa 36 0 36
Addis Ababa 0 0 0
National 17457 77 17534

45 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

10. Human Resource

Indicators of human resource are:
 Health staff to population ratio by category (Doctor, Health officer, Nurse, Midwife, Health Extension Worker, etc...)

Table 10-1: Health Workforce Distribution by Region, 2014 EFY

Health
Population Health Medical Other Health Administrative
S.No Region GP+ Nurses Midwives Pharmacists Ansthensia Extension Radiology Total
(2014EC) Officer Lab Professional Staff
Worker

1 Afar 2,033,172 174 1358 330 367 330 306 6 822 48 688 4745 9,174

2 Amhara 22,877,366 2680 13505 5756 3675 4228 3430 370 8478 401 5,097 24687 72,307

3 Oromia 39,980,837 2799 18345 5244 3799 4060 3256 303 16467 419 6,298 32923 93,913

4 Somali 6,506,240 684 4553 2270 1319 2396 743 36 2738 32 632 3204 18,607

5 B/Gumz 1,205,032 90 1618 633 219 350 252 14 1028 8 324 2731 7,267

6 SNNP 13,715,224 2124 11941 3802 3293 2317 2826 303 6477 140 7,154 22109 62,486

7 Sidama 4,569,339 599 4765 839 813 659 753 50 1997 72 1,002 6416 17,965

8 S/W/Ethiopia 3,311,609 102 1656 542 450 280 322 17 1574 6 539 2519 8,007

9 Gambella 514,722 62 1115 60 133 41 162 4 698 3 154 204 2,636

10 Harari 276,424 99 397 128 63 124 91 17 124 27 120 780 1,970

11 Dire Dawa 535,685 399 788 167 69 195 167 46 245 42 199 1315 3,632

12 Addis Ababa 3,854,863 2551 8427 2051 2035 1161 1151 265 471 187 1,887 12255 32,441
MoH &
13 754 1778 171 217 950 456 89 85 48 7965 12,513
Agencies

National 99,380,513 13,117 70,246 21,993 16,452 17,091 13,915 1,520 41,119 1,470 24,142 121,853 342,918

2014 EFY(2021/2022GC) 46
 HEALTH AND HEALTH RELATED INDICATORS

Figure 8: GP+ Specialist to population ratio by region, 2014 EFY (2021/22 GC)

35,000
32,467
30,000

25,000

20,000
13,389 14,284
15,000
11,685
8,536 8,302 7,628 8,016 9,512 7,829
10,000

5,000 2,792
1,166 1,343
-
-
Addis Ben.Gum Dire National
Afar Amhara Gambela Harreri Oromia Sidama SNNPR Somali SW Tigray
Ababa uz Dawa Level
1GP: Popn 1,166 11,685 8,536 13,389 1,343 8,302 2,792 14,284 7,628 8,016 9,512 32,467 - 7,829

Figure 9: Summary of National Health Workforce by categories in 2014EFY (2021/22)

140,000
120,000
100,000
80,000
60,000
40,000
20,000
-
Health Other
Health Administrati
GP+ Nurses Midwiv es Pharmacis ts Medical Lab Ansthensia Extension Radiology Health
Officer v e Staff
Worker Professional
Number 13,117 70,246 21,993 17,091 13,915 16,452 1,520 41,101 1,469 24,142 121,853
Percent 4% 20% 6% 5% 4% 5% 0.4% 12% 0.4% 7% 36%

47 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Table 10-2: Selected Health Professionals to Population Ratio by Region, 2014 EFY.

Population GP+ Nurses Midwives Health Officer Pharmacists Medical Lab

S.No Region
(2014EC) Num. 1GP+:Pop Number 1Nurse:Pop Num. 1Mid:Pop Num. 1HO:Pop Num. 1Pharm:Pop Num. 1Med.L:Pop

1 Afar 2,033,172 174 11,685 1358 1,497 330 6,161 367 5,540 330 6,161 306 6,644

2 Amhara 22,877,366 2680 8,536 13505 1,694 5756 3,975 3675 6,225 4228 5,411 3430 6,670

3 Oromia 39,980,837 2799 14,284 18345 2,179 5244 7,624 3799 10,524 4060 9,847 3256 12,279

4 Somle 6,506,240 684 9,512 4553 1,429 2270 2,866 1319 4,933 2396 2,715 743 8,757

5 B/Gumz 1,205,032 90 13,389 1618 745 633 1,904 219 5,502 350 3,443 252 4,782

6 SNNP 13,715,224 2124 6,457 11941 1,149 3802 3,607 3293 4,165 2317 5,919 2826 4,853

7 Sidama 4,569,339 599 7,628 4765 959 839 5,446 813 5,620 659 6,934 753 6,068

8 S/W/Ethiopia 3,311,609 102 32,467 1656 2,000 542 6,110 450 7,359 280 11,827 322 10,285

9 Gambella 514,722 62 8,302 1115 462 60 8,579 133 3,870 41 12,554 162 3,177

10 Harari 276,424 99 2,792 397 696 128 2,160 63 4,388 124 2,229 91 3,038

11 Dire Dawa 535,685 399 1,343 788 680 167 3,208 69 7,764 195 2,747 167 3,208

12 Addis Ababa 3,854,863 3305 1,166 10205 378 2222 1,735 2252 1,712 2111 1,826 1607 2,399

National 99,380,513 13,117 7,576 70,246 1,415 21,993 4,519 16,452 6,041 17,091 5,815 13,915 7,142

2014 EFY(2021/2022GC) 48
 HEALTH AND HEALTH RELATED INDICATORS

11. Resource Mobilization and Utilization

11.1 Health Insurance
Table 11-1: Number of Woredas and households that started CBHI services by region, 2014 EFY

Number of CBHI member households

No. of Proportion of
Woredas that Total Renewals New Total households
Region
start CBHI households in 2014 members in household that are CBHI
service EFY 2014 EFY members members

Afar 3 24,186 - 6,143 6,143 25%

Amhara 182 4,054,404 2,758,738 545,230 3,303,968 81%
Oromia 334 7,029,784 3,072,660 1,121,838 4,194,498 60%
Somali 4 39,789 - 23,834 23,834 60%
Benishangul
4 51,900 15,102 5,714 20,816 40%
Gumuz
SNNP 145 2,200,382 902,097 509,379 1,411,476 64%
Sidama 41 578,019 84,345 230,991 315,336 55%
South Western
42 547,552 127,325 90,345 217,670 40%
Ethiopia
Gambella 3 25,077 6,745 7,431 14,176 57%
Harari 9 45,538 24,499 21,039 45,538 100%
Dire Dawa 1 59,523 12,037 20,669 32,706 55%
Addis Ababa 126 298,570 179,605 49,833 229,438 77%
National 894 14,954,724 7,183,153 2,632,446 9,815,599 66%

Figure 10: Number of Woredas that have started CBHI scheme and service provision with CBHI,
trend from 2008 EFY to 2014 EF
1000 894
900 827 834
800
657
700
600
500
375 375
400 320
300
200
100
2008 2009 2010 2011 2012 2013 2014

2014 EFY(2021/2022GC) 49
 HEALTH AND HEALTH RELATED INDICATORS

11.2 Finance
Table 11-2: Amount of fund committed and disbursed by development partners, 2014 EFY

Commitment (in Disbursement in Percentage of

S.N Source of Fund
USD) in EFY 2014 USD in EFY 2014 Disbursement
1 SDG Performance Fund
FCDO 18,630,000.00 7,303,044.04 39%
EKN 11,938,800.00 - 0%
Irish Aid 6,208,176.00 - 0%
Spanish 596,940.00 736,740.00 123%
UNICEF 500,000.00 500,000.00 100%
UNFPA 50,000.00 - 0%
WHO 50,000.00 - 0%
Italion Coop SDG PF 6,707,259.98 6,707,259.98 100%
GAVI - - 0%
WB 30,500,000.00 26,564,362.50 87%
KOICA 250,000.00 250,000.00 100%
Gates Foundation 2,000,000.00 2,000,000.00 100%
Total 77,431,175.98 44,061,406.52 57%
2 Bilateral Partner
CDC-Atlanta 7,040,600.00 4,900,746.00 70%
AfrCDC -World Bank 20,026,646.00 16,759,492.82 84%
COVID-19 Emeregency Response_
77,628,621.45 62,632,780.00 81%
World Bank
EU 1,338,675.52 0 0%
Italian Coopration (for Developing
798,000.00 0 0%
Regions)
Total 106,832,542.97 84,293,018.82 79%
3 UN Organization
UNICEF 8,395,615.00 5,940,499.21 71%
UNFPA 3,616,271.37 3,614,629.25 100%
WHO 4,331,223.71 652,096.77 15%
Total 16,343,110.08 10,207,225.23 62%
4 Global Fund
GF-Malaria 22,617,845.13 22,014,811.69 97%
GF-TB 19,880,398.11 19,700,098.49 99%
GF-HSS-Regular 16,000,000.00 10,225,716.15 64%

50 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

GF-HSS-COVID 25,000,000.00 13,424,765.25 54%

GF-HAPCO 86,841,817.39 76,102,604.00 88%
Total 170,340,060.63 141,467,995.58 83%
5 GAVI
GAVI-COVID-19 (CDS) 22,782,809.71 22,782,809.71 100%
Total 22,782,809.71 22,782,809.71 100%
6 Foundation
NTD Grants (Gashero,SCI & End
7,229,102.92 5,019,718.22 69%
Fund)
BUFFET-for SRH Service 2,821,875.00 2,821,875.00 100%
BUFFET-for HRH for UHC 3,845,259.00 3,845,259.00 100%
IPF_MOF 399,400.00 211,548.00 53%
One Wash 217,391.30 191,304.35 88%
Africa Development Bank 6,875,420.00 659,718.54 10%
Africa Re Foundation 250,000.00 250,000.00 100%
Bigwine (Seqota) 2,000,000.00 1,029,812.09 51%
Total 23,638,448.22 14,029,235.20 59%
Grand Total 417,368,147.59 316,841,691.06 76%

Table 11-3: Share of Total health budget (%) from total government budget in 2014 EFY

Share of Total health budget (%) from total government budget

Region
2012 EFY 2013 EFY 2014 EFY
Tigray 10% 10.4% NA
Afar 13% 13.9% 14.4%
Amhara 15% 12.7% 15.3%
Oromia 13% 14.5% 12.4%
Somali 11% 14.4% 10.3%
Benishangul Gumuz 15% 14.3% 14.4%
SNNP 17% 14.8% 17.1%
Sidama NA 15.4% 15.3%
Gambella 14% 19.5% 13.2%
Harari 10% 16.0% 11.4%
Dire Dawa 12% 12.6% 12.3%
Addis Ababa 6% 7% 6.8%
National 12% 13.2% 13.8

2014 EFY(2021/2022GC) 51
 HEALTH AND HEALTH RELATED INDICATORS

12. GLOSSARY
Admission
Formal acceptance, by a health facility, of a patient who is to receive medical or
paramedical care while occupying a health facility bed, Healthy babies born in hospital
should not be counted if they do not require special care.

Age dependency ratio

The ratio of persons in the “dependent” ages (under 15 and older than 64 years) to those
in the “economically productive” ages (15-64 years) in a population

Average household size

The mean number of members per household

Child mortality
The probability of dying between exact ages one and the fifth birth day per 1000 children
surviving to the first birth day.

Crude birth rate

The registered number of live births for every 1000 population in a given year or period
of time, Dis- aggregated by gender.

Crude death rate

The registered number of deaths for every 1000 population in a given year or period of
time, Disaggregated by gender.

Dependency ratio
The ratio of persons in the ‘dependent’ age groups (under 15 years plus 65 years and
above) to those in the ‘economically productive’ age group (15-64 years), expressed as
a percentage.

Demography
The study of population and its characteristics, with reference to such factors as size, age
structure, density, fertility, mortality, growth and social and economic variables

52 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Drug store
It is an establishment which offers medical preparations, cosmetics nursing and sanitary
articles, di-etetic products and other articles as approved for the purpose by the
Ministry for sale to the public, but does not engage in the compounding preparation or
manufacture of any medical preparation.

General fertility rate

The number of births occurring in a given year per 1000 women in the reproductive ages
(i.e. women aged 15-49).

Health center
It is an establishment which provides both preventive and curative services. It comprises
five satellite health posts and is expected to serve for 25,000 people.

Health post
One of the satellite facility in the Primary Health Care Unit which serves for 5,000 people
(1 per Kebele).

Hospital
An establishment that provides general medical care round the clock. It is at least
equipped with basic laboratory, X-ray and basic treatment facilities.

• Primary Hospital: serves for 100,000 people

• General Hospital: serves for 1 million people
• Specialized Hospital: serves for 5 million people Household

Household
Household is a single person living alone or a group voluntarily living together, having
common housekeeping arrangements for supplying basic living needs, such as principal
meals. The group may consist of related or unrelated persons.

Infant mortality rate

The number of registered deaths among infants (below one year of age) per 1000 live
births in a given year or period of time

In-patient
A person admitted to a health care facility and who usually occupies a bed in that health
care facility.

2014 EFY(2021/2022GC) 53
 HEALTH AND HEALTH RELATED INDICATORS

Leading causes of morbidity

The most frequently occurring causes of morbidity (usually 10) among inpatients for
which the greatest number of cases have been reported during a given year

Leading causes of mortality

The most frequently occurring causes of mortality (usually 10) under which the greatest
number of deaths have been reported during a given year. Causes of mortality are all
those diseases, morbid conditions, or injuries which either resulted in or contributed
to death, and the circumstances of the accident or violence that produced any such
injuries.

Life Expectancy at Birth

The average number of years a newborn baby is expected to live if mortality patterns at
the time of its birth were to prevail throughout the child’s life.

Live birth

The complete expulsion or extraction from its mother of conception, irrespective of the
duration of pregnancy, which after such separation shows any evidence of life

Maternal mortality rate

The number of registered deaths among women, from any cause related to or aggravated
by pregnancy or its management (excluding accidental or incidental causes) during
pregnancy, childbirth or within 42 days of termination of pregnancy, irrespective of the
duration or site of the pregnancy, for every 100000 live births in a given year or period of
time.

Medium Clinic

Shall mean the next to the primary level of the healthcare in the ambulatory health service
that provides mainly curative, preventive and promotive services that includes general
medical service, routine examinations and treat acute illnesses, Basic MCH services that
include ANC, Delivery, PNC, FP, Growth Monitoring, VCT and PMTCT services. Referrals to
dentist, ophthalmologist, and provide Mental health services and Minor Surgery

Morbidity

The extent of illness, injury or disability in a population

54 2014 EFY(2021/2022GC)
 HEALTH AND HEALTH RELATED INDICATORS

Out-patient

A person, who goes to a health care facility for consultation, is not admitted to the facility
and does not occupy a hospital bed for any length of time.

Paramedical staff

Health care assistants, laboratory technicians, technologists, therapists, nutritionists,

sanitarians, among others, who are actually working in the country and are graduates of
2- to 5-year health courses in recognized health training institutions.

Pharmacy

Any store, shop or other place in which medicinal preparation are compounded or
prepared and dispensed or sold to the public

Population

All the inhabitants of a given country or area considered together. Estimates are based
on a recent census, official national data or United Nations projections. It is presented in
thousands or actual value.

Potential health service coverage

The population covered in percentage based on the existing health centers and health
posts in catchments’ area.

Primary Clinic:

Shall mean a health facility in the category of primary healthcare that provides curative,
preventive and promotive services at ambulatory basis that includes primary level
medical , emergency primary level nursing, consultation of healthy living, nursing
procedures, Maternal & child health, health pro- motion and referral of patients.

Rate of National Increase

A measure of population growth (in the absence of migration) comprising addition

of newborn infants to the population and subtraction of deaths. It is expressed as a
percentage per annum. This rate, which specifically excludes changes resulting from
migration, is equal to the difference between the crude birth rate and the crude death
rate.

2014 EFY(2021/2022GC) 55
 HEALTH AND HEALTH RELATED INDICATORS

Rural

Those working rural areas or in areas outside cities and metropolitan areas generally
regarded as underdeveloped in terms of infrastructure and specialized services

Rural drug vendor

The lowest level of medicinal retail outlet that dispenses medical preparations as
approved for this level by the Ministry, but does not engage in compounding preparation
or manufacturing of any medical preparation.

Sex ratio

The number of males in a population or specific sub-population, divided by corresponding

number of females, conventionally multiplied by 100

Surviving infants

Infants who survive to their first birth day

Specialty clinic:

A specialized health care facility where promotive, preventive, curative and rehabilitative
specialty health services are provided at ambulatory level together with diagnostic
facilities appropriate to this level of care and is assisted by specialists in various
disciplines.

Total fertility rate

The average number of children that would be born per woman of all women lived to
end of their childbearing years and born children according to a given set of age specific
fertility rates.

Urban

Those working in urban areas or in planned metropolitan communities in developed

areas designed to be self-sufficient, with their own housing, education, commerce and
recreation. The probability (expressed as a rate per 1000 live births) of a child born in
a specified year dying before reaching the age of five if subject to current age-specific
mortality rates.

Vital events: Births, deaths, marriages and divorces

56 2014 EFY(2021/2022GC)
HEALTH AND HEALTH
RELATED INDICATORS
2014 EFY(2021/2022GC)

ፍትሃዊ እና ጥራት ያለው የጤና አገልግሎት ለሁሉም!

Equitable and Quality Health Service for All!