Disease Control Priorities – Ethiopia

Project Overview

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

  1. To develop health economic evaluation and priority setting capacity in Ethiopia.
  2. To provide input, through research and evidence, that supports the revision of Ethiopia’s essential health services package.
  3. To support health priority setting in Ethiopia, including cost-effectiveness assessments of health sector interventions, packages, and delivery platforms.

Key Activities

The DCP-E project trains Ethiopian researchers and policymakers in health economics, decision sciences, and priority setting.  Training enables participants to generate an evidence base that will inform the development, design, and implementation of essential health services, as well as recommendations for revisions to Ethiopia’s current essential health services package.

Some participants train as Master- or PhD-level students, while others receive in-service professional development and short-course training. The data generated by DCP-E research provides a foundation for evidence-based decision-making and priority setting in Ethiopia.

Download the Essential Health Services Package of Ethiopia.

Policy Briefs

  1. Moving towards universal health coverage in Ethiopia: A guide for revision of the essential health services package
  2. Reducing premature mortality in Ethiopia: Identifying where extra effort is needed
  3. Catastrophic out-of-pocket expenditure related to seeking health services for cardiovascular disease in Ethiopia
  4. Estimating cancer incidence to improve cancer control programs and coverage in Ethiopia
  5. The Potentially large health and financial risk protection benefits of universal public finance
  6. Economic burden of malaria for rural households in Ethiopia
  7. Prevention and treatment of cardiovascular disease in Ethiopia: A cost-effectiveness analysis
  8. Household out-of-pocket expenditures on childhood pneumonia and diarrhea
  9. A cost-effectiveness analysis of maternal and neonatal health interventions in Ethiopia
  10. Health gains and financial protection provided by scaling up neuropsychiatric services in Ethiopia: A cost effectiveness analysis
  11. Measuring progress towards universal health coverage: National and subnational analysis in Ethiopia
  12. Supporting decision makers to save lives: Cost-effectiveness analyses for priority setting in Ethiopia
  13. Public financing of malaria interventions in Ethiopia: Health gains and financial risk protection
  14. Spatial distributions and characteristics of HIV clusters in Ethiopia

Publications

  1. Assebe, L. F., Negussie, E. K., Jbaily, A., Tolla, M. T. T., & Johansson, K. A. (2020). Financial burden of HIV and TB among patients in Ethiopia: A cross-sectional survey. BMJ Open, 10(6), e036892. https://doi.org/10.1136/bmjopen-2020-036892
  2. Assebe, L. F., Kwete, X. J., Wang, D., Liu, L., Norheim, O. F., Jbaily, A., Verguet, S., Johansson, K. A., & Tolla, M. T. (2020). Health gains and financial risk protection afforded by public financing of selected malaria interventions in Ethiopia: An extended cost-effectiveness analysis. Malaria Journal, 19(1), 41–41. PubMed. https://doi.org/10.1186/s12936-020-3103-5
  3. Blanchet, K., Alwan, A., Antoine, C., Cros, M. J., Feroz, F., Amsalu Guracha, T., Haaland, O., Hailu, A., Hangoma, P., Jamison, D., Memirie, S. T., Miljeteig, I., Jan Naeem, A., Nam, S. L., Norheim, O. F., Verguet, S., Watkins, D., & Johansson, K. A. (2020). Protecting essential health services in low-income and middle-income countries and humanitarian settings while responding to the COVID-19 pandemic. BMJ Global Health, 5(10). https://doi.org/10.1136/bmjgh-2020-003675
  4. Kiros, M., Dessie, E., Jbaily, A., Tolla, M. T., Johansson, K. A., Norheim, O. F., Memirie, S. T., & Verguet, S. (2020). The burden of household out-of-pocket health expenditures in Ethiopia: Estimates from a nationally representative survey (2015–16). Health Policy and Planning, czaa044. https://doi.org/10.1093/heapol/czaa044
  5. Memirie, S. T., Desalegn, H., Naizgi, M., Nigus, M., Taddesse, L., Tadesse, Y., Tessema, F., Zelalem, M., & Girma, T. (2020). Introduction of birth dose of hepatitis B virus vaccine to the immunization program in Ethiopia: An economic evaluation. Cost Effectiveness and Resource Allocation, 18(1), 23. https://doi.org/10.1186/s12962-020-00219-7
  6. Ying, R., Fekadu, L., Schackman, B. R., & Verguet, S. (2020). Spatial distribution and characteristics of HIV clusters in Ethiopia. Tropical Medicine & International Health, 25(3), 301–307. https://doi.org/10.1111/tmi.13356
  7. Eregata, G. T., Hailu, A., Memirie, S. T., & Norheim, O. F. (2019). Measuring progress towards universal health coverage: National and subnational analysis in Ethiopia. BMJ Global Health, 4(6), e001843. https://doi.org/10.1136/bmjgh-2019-001843
  8. Johansson, K. A., Tolla, M. T., Memirie, S. T., Miljeteig, I., Habtemariam, M. K., Woldemariam, A. T., Verguet, S., & Norheim, O. F. (2019). Country contextualisation of cost-effectiveness studies: Lessons from Ethiopia. BMJ Global Health, 4(6). https://doi.org/10.1136/bmjgh-2018-001320
  9. Memirie, S. T., Tolla, M. T., Desalegn, D., Hailemariam, M., Norheim, O. F., Verguet, S., & Johansson, K. A. (2019). A cost-effectiveness analysis of maternal and neonatal health interventions in Ethiopia. Health Policy and Planning, 34(4), 289–297. https://doi.org/10.1093/heapol/czz034
  10. Norheim, O. F. (2019). Priority Setting on the Path to UHC: Time for Stronger Institutions and Stronger Health Systems: Response to Recent Commentaries. International Journal of Health Policy and Management, 8(8), 511–513. https://doi.org/10.15171/ijhpm.2019.39
  11. Memirie, S. T., Habtemariam, M. K., Asefa, M., Deressa, B. T., Abayneh, G., Tsegaye, B., Abraha, M. W., Ababi, G., Jemal, A., Rebbeck, T. R., & Verguet, S. (2018). Estimates of Cancer Incidence in Ethiopia in 2015 Using Population-Based Registry Data. Journal of Global Oncology, 4, 1–11. https://doi.org/10.1200/JGO.17.00175
  12. Norheim, O. F. (2018). Disease Control Priorities Third Edition Is Published: A Theory of Change Is Needed for Translating Evidence to Health Policy. International Journal of Health Policy and Management, 7(9), 771–777. https://doi.org/10.15171/ijhpm.2018.60
  13. Memirie, S. T., Metaferia, Z. S., Norheim, O. F., Levin, C. E., Verguet, S., & Johansson, K. A. (2017). Household expenditures on pneumonia and diarrhoea treatment in Ethiopia: A facility-based study. BMJ Global Health, 2(1), e000166. https://doi.org/10.1136/bmjgh-2016-000166
  14. Tolla, M. T., Norheim, O. F., Verguet, S., Bekele, A., Amenu, K., Abdisa, S. G., & Johansson, K. A. (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). https://doi.org/10.1136/bmjgh-2016-000280
  15. 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. http://dx.doi.org.ezp-prod1.hul.harvard.edu/10.1186/s12913-016-1296-7
  16. 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(1), 10. https://doi.org/10.1186/s12962-016-0059-y
  17. 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(1), 164. https://doi.org/10.1186/s12916-016-0697-0
  18. Driessen, J., Olson, Z. D., Jamison, D. T., & Verguet, S. (2015). Comparing the health and social protection effects of measles vaccination strategies in Ethiopia: An extended cost-effectiveness analysis. Social Science & Medicine, 139, 115–122. https://doi.org/10.1016/j.socscimed.2015.06.018
  19. 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
  20. Pecenka, C. J., Johansson, K. A., Memirie, S. T., Jamison, D. T., & 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). https://doi.org/10.1136/bmjopen-2014-006402
  21. 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://doi.org/10.1016/S2214-109X(14)70346-8

Video Links

  1. Walta
  2. EBC
  3. ARTS TV
  4. OBN

Team Members

Lelisa Fekadu Assebe
Lelisa Fekadu Assebe
Alemayehu Hailu
Alemayehu Hailu
Kjell Arne Johansson
Kjell Arne Johansson
Mizan Kiros
Mizan Kiros
Solomon Memirie
Solomon Memirie
Ole Frithjof Norheim
Ole Frithjof Norheim
Mieraf Taddesse
Mieraf Taddesse
Getachew Teshome
Getachew Teshome
Stéphane Verguet
Stéphane Verguet
Seblewongel Yigletu
Seblewongel Yigletu