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Healthcare System Development in Tanzania and Ethiopia 

  • January 2016
  • 88 pages
  • Frost & Sullivan
Report ID: 3603138

Summary

Table of Contents

Key Findings

The Tanzanian healthcare system is a mixture of the public and private sectors; the latter includes private-for-profit, non-governmental organizations (NGO) and faith-based organizations. - Women constitute % of the population; % of all Tanzanians are under the age of 14. The life expectancy of women is higher than that of men in Tanzania.

- The major health challenge in Tanzania is HIV/AIDS, followed by TB and Respiratory Infections. Malnutrition is an underlying contributory factor to about % of all Infant deaths below five years in Tanzania.

- 19% of the total population in Tanzania has some kind of health insurance coverage. Tanzania has a number of medical insurance and health financing systems in place, but most of them are inefficiently managed. A few of these systems actually benefit those that need healthcare the most.

- Other than donor spending, households’ out-of-pocket spending (OOP) also contributes significantly to the Total Health Expenditure of Tanzania. Out-of-pocket spending excluding insurance has more than doubled from an estimated $ in 2009 to an estimated $ in 2011.

- There is a strong increase in the number of mHealth projects across Tanzania, most of them being a Public Private Partnership (PPP). One of the successful mHealth initiatives is the integrated disease surveillance reporting.

Ethiopia is the most populous country in East Africa with a predominant youth population. About % of diseases are preventable conditions which are related to personal hygiene, infectious diseases, environmental factors and malnutrition.

- Ethiopian economy has risen to % in the fiscal year of 2012–2013. It is the 12th fastest growing economy in the world, with a GDP of % for the last 10 years.

- The major health challenges include high maternity and child mortality due to neonatal diseases and pneumonia, followed by other communicable diseases like diarrhoeal diseases, tuberculosis and malaria. Malnutrition contributes to about % of all Infant deaths below five years in Ethiopia.

- The government of Ethiopia has not built a new hospital for the last years in its capital city of Addis Ababa. With its few, out-dated and under-supplied state-run hospitals, the condition of public healthcare is poor.

- The Oromia region has the highest number of hospitals in Ethiopia, followed by Addis Ababa. Health posts constitute about % of the total health facilities in Ethiopia;

.- Ethiopian healthcare system in heavily staffed with nurses, followed by public health officers. Ethiopia has a better ratio of specialists than other East African countries.

- One of the main challenges faced by Ethiopians is the inability to access either private medical insurance, which generally requires formal employment, or national insurance schemes. Private medical insurance is still in its infancy in Ethiopia.
- The private sector is more conscious of the need for product quality than public hospitals which operate on tight budget constraints.

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