Abstract
Abstract. As part of the project “More equity and quality of health services in Gambella, Gambella Region”, financed by the Italian Agency for Development Cooperation (AICS) and implemented by the Italian NGO Doctors with Africa CUAMM (Padua, Italy) a geographic database of the distribution of health facilities of Gambella Region (western Ethiopia) was created. This data collection was carried out in two missions carried out in February 2018 and November-December 2019. It allowed a mapping of the access roads and the location of health facilities using Geomatic Approaches and related technologies (Remote Survey, Field Survey, GPS, GIS). The field work has allowed the investigation in 11 Waredas (i.e. districts) with the census of 3 primary hospitals, 26 health centres and 121 HPs and related road access by car or, in case of inaccessibility of vehicles, by foot or boat.The final result of this work is the availability of a detailed cartographic picture of the geographical distribution of Health Facilities (HFs) in order to support the modern decision-making tools to be adopted for the distribution of human and instrumental resources. As an example we describe a network analysis performed by ESRI™ Network Analyst which showed the importance of this approach to remodel a more efficient referral system.
Highlights
This study was implemented into the framework of the project, “MORE QUALITY AND EQUITY OF HEALTH SERVICES IN GAMBELLA, GAMBELLA REGION, ETHIOPIA”, financed by the Italian Agency for Development Cooperation (IADC) and executed by the Italian NGO Doctors with Africa CUAMM
The specific objective were: 1- to create a geographical database of the type, location and spatial distribution of health facilities for the whole region of Gambella; 2emphasize the use of the spatial analysis within a subset of the collected data, the Woreda of Gambella, Abobo and Gambella Town, in order to shows how is possible identify under-served areas, because of their excessive distance and/or access time from the reference centre, and propose advantageous alternative options that could be implemented within this resource limited setting
3.2 The National Health System in Ethiopia The National Health System (NHS) in Ethiopia has a pyramidal shape made of three-tiers health care delivery system (Federal Democratic Republic of Ethiopia, 2010): level one is a Woreda/District health system comprised of a primary hospital, Health Centres, HCs, (1/15,000-25,000 population) and their satellite Health Posts, HPs, (1/3,000-5,000 population) connected to each other by a referral system
Summary
This study was implemented into the framework of the project, “MORE QUALITY AND EQUITY OF HEALTH SERVICES IN GAMBELLA, GAMBELLA REGION, ETHIOPIA”, financed by the Italian Agency for Development Cooperation (IADC) and executed by the Italian NGO Doctors with Africa CUAMM.The general goal of the program is to improve medical of the mother and baby in order obtain a lasting and concrete result in reducing maternal and infant mortality. The field work was carried out in two stages: in February 2018 and November - December 2019 with the target of mapping health facilities and relative access roads using the Geographical Information System technology (GIS). 3.2 The National Health System in Ethiopia The National Health System (NHS) in Ethiopia has a pyramidal shape made of three-tiers health care delivery system (Federal Democratic Republic of Ethiopia, 2010): level one is a Woreda/District health system comprised of a primary hospital (to cover 60,000-100,000 people), Health Centres, HCs, (1/15,000-25,000 population) and their satellite Health Posts, HPs, (1/3,000-5,000 population) connected to each other by a referral system. The primary hospital, HCs and HPs form a Primary Health Care Unit (PHCU). More complex curative and rehabilitative care is provided at Health Centre and Hospital levels according to their specific capability, as per national minimum standards, to manage patients according to diagnosis and therapy complexity
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