Decision Sciences – Ethiopia

The DCP-E Project

The Disease Control Priorities-Ethiopia (DCP-E) project, sponsored by the Bill & Melinda Gates Foundation and implemented by the Harvard T.H. Chan School of Public Health and the University of Bergen, brings evidence and methods of priority setting and health economics closer to policy decision-making in Ethiopia.

Key Objectives

To achieve this purpose, three objectives are important:

  1. To develop health economic evaluation and priority setting capacity in Ethiopia.
  2. To provide input, through research and evidence, to the revision of the essential health services package for Ethiopia.
  3. To establish a process to support health priority setting in Ethiopia, including assessing the cost-effectiveness of selected health sector interventions, packages, and delivery platforms.

Key Activities

The project trains Ethiopian researchers and policymakers in health economics, decision sciences and priority setting. The training will enable them to generate an evidence base for designing, developing and implementing essential health services for the Federal Ministry of Health, and to help revise Ethiopia’s current essential health services package.

Some train as Master students, some as PhD students, while others receive in-service, profession development, and short-course training. The data generated by the student research provides the basis for evidence-based decision-making and priority setting.

Publications

  • Assebe, L. F., Belete, W. N., Alemayehu, S., Asfaw, E., Godana, K. T., Alemayehu, Y. K., Teklu, A. M., & Yigezu, A. (2021). Economic evaluation of Health Extension Program packages in Ethiopia. PLOS ONE, 16(2), e0246207. https://doi.org/10.1371/journal.pone.0246207
  • Eregata, G. T., Hailu, A., Stenberg, K., Johansson, K. A., Norheim, O. F., & Bertram, M. Y. (2021). Generalised cost-effectiveness analysis of 159 health interventions for the Ethiopian essential health service package. Cost Effectiveness and Resource Allocation, 19(1), 2.https://doi.org/10.1186/s12962-020-00255-3
  • Eregata, G. T., Hailu, A., Geletu, Z. A., Memirie, S. T., Johansson, K. A., Stenberg, K., Bertram, M. Y., Aman, A., & Norheim, O. F. (2020). Revision of the Ethiopian Essential Health Service Package: An Explication of the Process and Methods Used. Health Systems & Reform, 6(1), e1829313. https://doi.org/10.1080/23288604.2020.1829313
  • Bigelow, B., Desalegn, D., Salomon, J., & Verguet, S. (2019). Modeling hospital operations: Insight from using data from paper registries in the obstetrics ward at a hospital in Addis Ababa, Ethiopia. BMJ Global Health 4(3):e001281. https://gh.bmj.com/content/4/3/e001281
  • Memirie, S, Tolla, M., Desalegn, D., Hailemariam, M., Norheim, O., Verguet, S., & Johansson, K. (2019). A cost-effectiveness analysis of maternal and neonatal health interventions in Ethiopia. Health Policy and Planning, 34(4), 289-297. https://academic.oup.com/heapol/article/34/4/289/5491503
  • Memirie, S.T., Metaferia, Z.S., Norheim O.F., Levin C.E., Verguet S., Johansson K.A. (2017). Household expenditures on pneumonia and diarrhea treatment in Ethiopia: a facility-based study. BMJ Global Health 1:e000166. https://gh.bmj.com/content/2/1/e000166
  • Tolla, M., Norheim, O., Verguet, S., Bekele, A., Amenu, K., Abdisa, S., & Johansson, K. (2017). Out-of-pocket expenditures for prevention and treatment of cardiovascular disease in general and specialised cardiac hospitals in Addis Ababa, Ethiopia: A cross-sectional cohort study. BMJ Global Health 2(2):e000280. https://gh.bmj.com/content/2/2/e000280
  • Memirie, S.T., Verguet, S., Norheim, O.F., Levin, C., Johansson, K.A. (2016). Inequalities in utilization of maternal and child health services in Ethiopia: the role of primary health care. BMC Health Services Research 16:51. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1296-7
  • Tolla, M.T., Norheim, O.F., Memirie, S.T., Abdisa, S.G., Ababulgu, A., Jerene, D., Bertram, M., Strand, K., Verguet, S., Johansson K.A. (2016). Prevention and treatment of cardiovascular disease in Ethiopia: a cost-effectiveness analysis. Cost Effectiveness and Resource Allocation 14:10. https://resource-allocation.biomedcentral.com/articles/10.1186/s12962-016-0059-y
  • Verguet, S., Memirie, S.T., Norheim, O.F. (2016). Assessing the burden of medical impoverishment by cause: a systematic breakdown by disease in Ethiopia. BMC Medicine 14:164. https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-016-0697-0
  • Johansson, K.A., Memirie, S.T., Pecenka, C., Jamison, D.T., Verguet, S. (2015). “Health Gains and Financial Protection from Pneumococcal Vaccination and Pneumonia Treatment in Ethiopia: Results from an Extended Cost-Effectiveness Analysis.”PLoS ONE 10 (12):e0142691. https://doi.org/10.1371/journal.pone.0142691
  • Pecenka, C., Johansson, K., Memirie, S., Jamison, D., Verguet, S. (2015). Health gains and financial risk protection: An extended cost-effectiveness analysis of treatment and prevention of diarrhoea in Ethiopia. BMJ Open 5(4):006402. https://bmjopen.bmj.com/content/bmjopen/5/4/e006402.full.pdf
  • Verguet, S., Olson, Z.D., Babigumira, J.B., Desalegn, D., Johansson, K.A., Kruk, M.E., Levin, C.E., Nugent, R.A., Pecenka, C., Shrime, M.G., Memirie, S.T., Watkins, D.A., Jamison, D.T. (2015). Health gains and financial risk protection afforded by public financing of selected interventions in Ethiopia: An extended cost-effectiveness analysis. The Lancet Global Health, 3(5), E288-E296. https://www.sciencedirect.com/science/article/pii/S2214109X14703468?via%3Dihub
  • Verguet, S., Murphy, S., Anderson, B., Johansson, K., Glass, R., & Rheingans, R. (2013). Public finance of rotavirus vaccination in India and Ethiopia: An extended cost-effectiveness analysis. Vaccine, 31(42), 4902-4910. https://doi.org/10.1016/j.vaccine.2013.07.014
  • Essential Health Services Package of Ethiopia. Federal Democratic Republic of Ethiopia, Ministry of Health. Essential Health Services Package of Ethiopia. Addis Ababa: Federal Democratic Republic of Ethiopia, Ministry of Health; 2019. https://cdn1.sph.harvard.edu/wp-content/uploads/sites/1834/2020/09/Essential_Health_Service_Package_Ethiopia_2019_0.pdf