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Vision

A Healthy Family in Every Household of Tigray

Mission

Health Promotion Disease Prevention Care, Cure and Support Patients A Democratic Health System

Values

1. Accountability 2. Breakthrough Change 3. Caring in Cure 4. Disease Prevention 5. Efficiency 6. Effectiveness 7. Equity & Fairness 8. Gender Sensitive 9. Health Promotion 10. Humanity 11. Participatory 12. Professionalism 13. Transparency

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TABLE OF CONTENTS

M&E Report by IRISH AID and the THB Health for All Operational research on malaria Evaluation Report On Emergency Obstetrics Training by Columbia University Operational Research On Heart Disease E3 Partner Pathfinder International Millennium Village Project, Koraro SHARE:Sheffield Health Action Resource for Ethiopia UNICEF IISMAS MAC-E II HCT Performance by Place (districts) Tigray 1999 EFY HSDP III Report Budget Utilization, 1999 EFY Projected Population Maternal Health Immunization Child Health Malaria control Human Resource: Zonal Hospitals District Hospitals Health Centers Nucleus Health Center Clinic Health post Health Professionals by sex and wereda Health facility infrastructure Health service utilization MDG indicators Regional morbidity and mortality Wereda's morbidity and mortality

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ACRONYMS and Observations ACT AMDD AMFM ART BoFED CVT CYP E3 EOC HCT HEP HEW HTP IEC IISMAS MDM MSF PBS RBM RHB SHARE SW TBA TFU THB ToR UNICEF VCT WHO WoFED Artemisinin-based Combination Therapies Averting Maternal Death and Disability Program Affordable Medicines Facility for malaria Anti-retroviral Therapy Bureau of Finance and Economic development Voluntary Counseling and Testing Couple Years Protection Evangelical Equipped and Established Emergency obstetric care HIV/AIDS Counseling and Testing Health Extension Programme Health Extension Workers Harmful Tradition Practice Information, Communication and Education International Institute of Social Medical, Anthropological Sciences Médecins du Monde Medicines Sans Frontier. Protection of basic services Roll Back Malaria Regional Health Bureau Sheffield Health Action Resource for Ethiopia South West Traditional Birth Attendant Therapeutic Feeding Unit Tigray Health Bureau Terms of Reference United Nations Children Fund Voluntary Counseling and Testing world health organization Woreda Finance and Economic Development

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ORGANIZATIONAL STRUCTURE, TIGRAY HEALTH BUREAU

HEAD OF TIGRAY HEALTH BUREAU

Planning and Projects Department Audit and Inspection Service

Department of PR, HR and CSR

Women's Affairs Unit

Finance Service DEPUTY HEAD

Department of Health Extension Nutrition Division Department of Disease Prevention STD and HIV/AIDS Division TB / Leprosy Division Dept. of Malaria & other vector borne diseases Forecast and Early Warning Department of Health Services Logistics Department

District Health Service Promotion, Control, Traditional Medicine & Drug Shops

Drugs and Medical Equipment

Environmental Hygiene Division Family Health Division IEC

Vector Biology Control

Property and Purchase

Surveillance and Disease Control

Community Based Malaria Control

Hospital Health Service

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PREFACE

The Year 1999 EFY was very an eventful one as far as the Tigray Health Bureau is concerned. Our plan was to fully implement good governance through the bill proclaimed by the Tigray State Council (the Regional Parliament). Act number 103/1998 EFY. This appeared in English in the 1998 profile. However, we could not go straight to implementation for reasons of details. A regulation (Number 42/1999EFY) and some of the guidelines had to be prepared first before going fully operational. This was done in the year 1999 and as we go to press, eleven hospitals and 23 Health Centers have established governing boards. What is more, almost all health centers and hospitals have started to collect and retain revenue. We faced some resistance to assuming the job of Chief Executive Officers (CEOs) for Hospitals. The incentive package and salary increment was not welcome by the lower and middle level health professionals. Our expectation was that any increment was better than none. But understandably, the cost of living has by far surpassed the increment and further efforts to improve the living conditions of civil servants will surely be considered by both government and the public depending on the economic performance of Ethiopia which in turn is in good shape. Surely, there is more room for optimism than despair these days. The profile of 1999 EFY has been deliberately made to highlight more on partner involvement and support. It is not a report on who gave how much; but a bird's eye view on who did what written mainly by partners themselves. We are very grateful to all who responded quickly to our call for contribution. Unfortunately, not all partners involved were reached by the call for contribution. We are very grateful to them as well. The publication is being done during the Ethiopian Millennium 2000 and we felt this is the most opportune time to contribute this years' profile to partners. We have listed all partners that we felt were involved directly in the health sector in Tigray. The aim of publishing our profile is to make some data and information available to all involved or willing to be involved in the heath sector of i

Tigray. It will also serve as an institutional memory. Although some of the data is raw and incomplete; we continue to get it published aware that we always need to improve data quality. We have retained the hospital and district level information and avoided regional comparisons for this year alone. In the 2000 EFY profile we promise to compare regions because the census data will be made available by then. The implementation of the new HMIS record system may also usher an improved data of 2007 quality and better health information. A word on our slogan: Institutional Transformation by the year 2000 EFY. It is assumed that good governance could partly be achieved through the implementation of the bill 103/1998 EFY; regulation 42/1999 EFY and the guidelines on waiver and exemption, revenue retention and the governing boards who have already appointed CEOs for both hospitals and Health centers. Some very good steps have already been achieved in disease prevention particularly in the field of HIV/AIDS, where a quarter of a million people got tested in Tigray alone (country wide it was 1.9 million and Tigray's share was 13%); an apparent huge reduction of malaria morbidity and mortality (empirically not verified as yet), good management of Acute Watery Diarrhea. A lot of work is underway in the management of ante natal care, delivery care and neonatal care through the Health Extension Workers. Both basic and comprehensive obstetric care are expected to be delivered in more than 50 sites in Tigray. Of these about 30 sites will give Basic Obstetric care only. Service delivery standards are being introduced in all major health facilities and this may contribute greatly to the reduction of maternal and neonatal mortality. Good governance plus standard service delivery, one hopes will lead to breakthrough change. This is the goal we set for the THB. Let us realize it together as always. The THB wishes our partners a Happy Ethiopian Millennium Gebre Ab Barnabas MD, PhD Head, Tigray Health Bureau

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EXECUTIVE SUMMARY

Although the second five year plan (2006-2010) was ready by 1998 EFY (2006); it was in 1999 EFY (2007) that the THB plan was approved by the Regional government together with plans of other sector bureaus. The thrust of the 5 year plan revolves around setting up an effective health system that is household (family) and community based. The vision, therefore states: A health family in every household of Tigray. The strategies are many but the core strategies are to: promote health

through health education; prevent diseases and take care of the sick and the frail. The construction of health facilities, the training of health workforce,

the mobilizations of financial resources including funds, drugs and equipment are regarded as secondary but enabling functions of the health system. Governance, particularly the leadership and management of the health services is considered as one of the foundations stones of the health system. Accordingly, a health bill promulgated in 1998 EFY was detailed by a regulation in 1999 EFY with three guidelines related to the establishment of governing boards; waiver and exemption schemes and an incentive system for very busy health workers. The system is still unfolding. The FMOH was heavily engaged in developing heath information system (HMIS); standards for hospitals and health centers, designs to improve financial management; improve epidemic disease control, improve the supply of drugs through improved logistics. The Tigray Health Bureau participated in most of these processes and on its own developed the Standards for the Health Posts which was accepted and appreciated by the Federal Ministry of Health. In 2000 EFY we need to do the same for Health Centers and Hospitals. We were given the opportunity to support the Afar Health Bureau to train 165 Health extension Workers for 6 months in Abala. We used the Curricula developed by the Federal Ministry of Health (FMOH). We also used the simplified and standardized manual of HEWs developed by the THB. We learnt a lot of lessons from the exercise. First and foremost, we found the students to be very mature and committed. Of the 165 candidates; all but one completed the course. Secondly, against the odds of staying away from their loved ones; they managed to help one another when faced with iii

untoward conditions. They were also candid and pressed very much for hands on skills rather than theoretical training. One of the best achievements of the year 1999 EFY was our campaign on HIV/AIDS. A quarter of a million people were tested of whom over 14,000 were found to be positive. In the previous five 5 years only 96,000 people were tested. This is less than half of what was achieved in one year. The breakthrough was due to a change in tactics. Campaigns proved to be more user friendly than static and routine testing. An elaborate system of counseling was not necessary either. The yield was less than expected and so was the participation of females. Nationally, 1.4 million people got tested and Tigray's share was 13%, double that of its population base. The best practice was compiled by THB and published for use by both partners and practitioners. We would like to thank I-TECH for covering the cost of publication. In the last two years, the THB together with our partners UNFPA, and Medicines du Monde were able to train over 24 emergency surgeons and emergency obstetricians. These were trained as teams where operation room nurses and anesthetist were also trained. Most of them are now working in remote areas. In fact, one is compelled to mention the success story of the Kahsay Abera Hospital team in Humera where more than 60 Caesarian sections were done in only nine months. These courses were closely monitored by both UNFPA and the THB. Earlier on, another team of external evaluators made an ongoing assessment. Concerns on selection of students and surgical bias at the cost of emergency obstetrics by trainers was raised but was not effectively addressed in subsequent training. Incidentally, we faced a sad story of Kahsay Abera Hospital which got burnt down by accident. Our partners were on our side. They immediately responded positively to renovate and equip the hospital. We take this opportunity to thank them all. Again, UNFPA and the THB employed an experienced team of obstetricians to assess the final training. Their final report remains as invaluable mine of information for planning obstetric care in the region as well a reference for future trainers. We have reproduced the executive summary of the said report in this profile. iv

In 1999 EFY we hosted hundreds of partners from the US; from Italy particularly those who came for the Second Conference on " Dermatological Care for All" in Addis and Mekelle. The association for Community Dermatology International (CDI) was reiterated and the seat unanimously supported to be in Rome with Professor Aldo Morrone. The THB is very grateful for giving us the opportunity to host for the second time such an international conference of great importance to the community. We also thank the Italians doctors from Lazio group of Surgeons and the eminent professors from St Andrea Hospital and St Camillo Hospital in Rome who came and contributed to the improvement of health services in Tigray. CDC revisited the investigation done on the unknown chronic liver disease in Kelakil. It was genuinely a surprising gesture of good will from the team of epidemiologists and other scientists who made a thorough investigation of the disease. Although their definitive diagnosis awaits to be disclosed; they have given us a clue to suggest that it might be an infective etiology after all. We admire and feel humbled by the determination of the team and forward our gratitude for a job well executed. Finally, we held our Annual Review Meeting from October 1-7, 2007. The agendas were annual reports of the Bureau and respective district health offices; hospitals and training institutes. After a brief presentation, all major problems and challenges faced during the year were discussed to reach consensus. The discussion was then followed by presenting the 2000 Plan of Action together with some sensitization work on HEP standards and guidelines. The best HEW was called upon and given a token prize. She told us a story on how she convinced the chief of the village and how she turned him and his family to a Health Extension Worker. The job was then divided between her and the village administrator. Accordingly, she held the view that all credit should not be given only to her but shared between him and her. She convinced the District Health Workers to recognize the village leader and apportion the prize to him as well. He was awarded the prize of an office watch to be hanged on the wall. Hiriti Belay humbled us all.

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SECTION -1

Partners

Performance

M&E Report by IRISH AID and the THB

HEP Impact overview at the household level: The story of a 32-year-old Alamz Belay, a beneficiary of the health extension household package, is proof of the effectiveness of the overall HEP intervention strategy.

Almaz lives in Gumese Agameiti tabia in Saesie Tsaeda Emba Wereda of Eastern Tigray with her husband and six children. The family livelihood is mainly based on Agriculture. Her family is among the first batch of the health extension household package beneficiaries, one of the model households in the Woreda. She expressed the relevance of the Health Extension Programme in the following manner. "The health extension programme has great meaning for me and my family. We gained lots of knowledge on how to keep the house and our backyard clean and safe for the kids. As a result we separated the cattle from the living room; we constructed a fuel efficient stove and smoke outlets in the kitchen which saves me from smoke related respiratory and eye problems. We also constructed a latrine in the backyard. Before we

W/ro Almaz with her improved stove

joined the health package, my children were frequently affected by diarrhea and eye diseases. Like many of our neighbors we knew little about the importance of boiling water to avoid water borne diseases like amoebiasis and giardiasis. Now that we have a dry latrine and our children are drinking clean water, we are able to keep our children healthy ''

With regard to family planning, Almaz has had this to say: ``I didn't know how to use the family planning; I had considered it taboo and was scared to openly talk about it with my Husband. Since I joined the health package in 2005, my husband and I openly discuss reproductive health issues, and have started to use the modern family planning method. Its impact on my life and the child is great, the program helped me to plan and delay my next pregnancy. I'm now able to have more time to work and also to give enough food for my youngest child, he is now 3 years old and very happy and healthy.

...no longer in open air

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On top of this, the family planning also helped me to fully participate in the safety net and income generating activities''. She also mentioned that now-a-days it is not common to see many pregnant women in the village. Almaz is fully aware of the advantages of vaccination. She has lost a child due to measles. Among her kids, she said the youngest children who received full vaccinations do not get sick as frequently as the older ones. As she has gained considerable benefit from the household health package Almaz shares her first hand experience of the program in all social gatherings that she attends in the village.

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IRISH AID AND TIGRAY REGIONAL GOVERNMENT JOINT SENTINEL WEREDA MONITORING REPORT

I. Background

As part of its Tigray Regional Development Programme, Irish Aid has designed a close monitoring system of four sentinel woredas (Ofla, Tsaeda Emba, Nadier Adiet and Laelay Adiabo) to access how national reforms are working at grassroots level and provide opportunities for lesson learning. In the third quarter (September 17-21, 2007) Irish Aid, jointly with the Regional Bureau of Finance and Economic Development (BoFED) and the Health Bureau, conducted a monitoring visit to the eight Tabias of these woredas. The visit focused on health sector, particularly the Health Extension Programme (HEP). The HEP is an innovative mechanism Government of Ethiopia has introduced to increase access to health services. The HEP helps form the necessary linkages between the community and primary health care services which include a package of basic preventive, promotive and curative services. A terms of reference and checklist was made available for the monitoring exercise and was shared prior to the visit. Hence the main objective of this mission was: To understand the progress made by the HEP in bringing basic health services to household levels, particularly its impact on child and maternal health in the woredas and to identify issues arising out of the implementation for dialogue at regional level. Specific objectives were: (i) To assess the extent to which the HEP improved health service delivery in the Sentinel Weredas of Tigray ­ to look at the trends in health service delivery in the past three years in the Sentinel Weredas. (ii) To assess and identify issues around supportive systems (essential supplies, logistics, trainings, referral system and supportive supervisions) in implementing the HEP.

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(iii)

(iv)

To identify community and local administration perceptions on progress and challenges in the implementation of the HEP, particularly concerning the needs of women and children. To understand the planning, budgeting and decision making process in the health sector at woreda level and assess the additionality of the PBS component one in relation to the health service delivery.

Methodology The Team visited all 4 sentinel woredas and 8 Tabias (2 per woreda). They visited 2-3 health posts and a health centers in each woreda, held focus group discussions with the community (including women only groups), conducted random household visits, met with woreda health officials, representatives of woreda Women's Affairs Office and WoFED. The Team was also provided an opportunity to have a thorough discussion with the Health Extension Workers (HEWs). At the end of the mission, the Team briefed the Regional Health Bureau on the general findings of the monitoring visit and discussed some of the issues.

II.

Summary of Key Findings

The visiting team observed that in general the HEP has brought significant changes in the coverage of; family planning, vaccination (reached almost 100%), antenatal care, latrine use, and increased community awareness in the areas of hygiene and environmental sanitation, HIV/AIDS (knowledge of transmission and increased demand for Voluntary Counseling and Testing (VCT), and harmful traditional practices (for example the practice of delaying breast feeding for three days, uvulectomy, female genital mutilation and early marriage). The support system to the health extension workers, (for example supplies such as vaccines, anti-malaria drugs, contraceptives and medical equipment) and regular supportive supervision are also in place. However, in most woredas there are shortages of Information, Education and Communication (IEC) materials which are a n important component of the promotive aspect of the HEWs work. Client satisfaction surveys are done every six months (at least in one wereda) which enables community inputs. Overall communities are satisfied 4

with the presence of health posts and HEWs in their locality and the services being provided. However, there is still demand by communities for more services, especially curative services at the health posts. This requires the woreda health office, cabinet members and the Kebele administration to further sensitize the community about the HEP and the role of HEWs and also to strengthen the referral system. Although the HEP has made progress in a short period of time, there are still huge gaps to be addressed, for example; significant skill gaps in attended delivery services and growth monitoring, the discontinuation of support to the Traditional Birth Attendants (TBAs), shortage of delivery kits and couches, inadequate IEC materials, weak linkages between the demand created for VCT and the actual service being provided, lack of utilization of information generated from supervision meetings for decision making. The fact that all the HEWs are female plays a large role in addressing key maternal and child health issues. It encourages women to seek health services as HEWs are also in a better position to understand maternal issues. However, the HEWs have not had basic trainings on gender concepts and rights. As a result the family planning promotion focuses only on women. Creative approaches need to be developed in order to include men/husbands in the health promotion and education which would result in a greater impact. In general, this sentienal woreda monitoring visit has provided the Team an appreciation of the efforts being made to bring in the primary health care service delivery closer to the community and the challenges. In addition, deploying a multidimensional team to look at the HEP brought up cross cutting issues (like gender, governance and community participation) that are essential to realize the programme but usually overlooked.

III. Key Issues for High Level Discussion/Follow up 1. The need for a gradual transition of delivery service provision from TBAs to the HEWs. The role of the TBAs in providing clean delivery services to communities at the moment should be recognized until such time that HEWs can develop the necessary skills and gain confidence. 2. The supportive supervision roles and report flow should be clearly defined by the RHB. Such supervision should include discussion with the 5

community to address their issues and also develop a sense of ownership within the communities of the HEP. 3. Gender training should be integrated into the refresher training of the HEWs. 4. Fragmentation of planning and budgeting due to the vertical programmes ­ what can be done to improve the planning may need further thought. 5. The need for an increased financial allocation to the health sector to ensure that resources for the HEP are adequate. The HEP creates a high demand for health service delivery which requires for an increased proportion of spending to health at woreda and regional level.

IV. Detailed Findings and Recommendations 1. Service Delivery Positive findings: · Family planning: demand and access to modern family planning methods has increased. · Maternal and Child Health: vaccination coverage is nearly 100%. Antenatal Care (ANC) access as well as awareness and demand have increased; vaccines supplies were adequate and cold boxes were present. Some deliveries are being carried out by the HEWs. · HIV/AIDS: increased community demand for VCT and knowledge of how HIV is transmitted. · Sanitation and environmental hygiene: model houses improvement. Some households have achieved graduation. have shown

· Awareness on Harmful traditional practices (HTPs) is increasing within the community (eg. practice of delaying breast feeding for three days after birth has reduced, awareness on the disadvantages of FGM has increased, early marriage and uvulectomy practices have decreased). · Health posts and HEW are present and functioning and community members avail of their services. The HEWs have arranged their work schedule in such a way that the Health Post provides the necessary 6

services for the community throughout the week without reducing the emphasis on health promotion at household or community level. The HEWs have posted their weekly schedule in the health posts.

Challenges and recommendations · Environmental sanitation: The community faces difficulties in constructing latrines due to lack of resources and availability of construction materials (cost is between 300-500 EB); in some cases, the terrain is difficult and rocky for construction. In one wereda, there is an NGO who provides inputs for construction materials. Moreover, there is still a resistance to latrine usage despite the numerous awareness raising activities and the increased number of latrines constructed by the community. An outbreak of Acute Watery Diarrhoea was prevalent in the surrounding woredas. Hence there is still a need for behavioral change which would require more effort on awareness raising activities in conjunction with mobilizing the community to construct latrines. A further assessment of why households are not replicating and/or using latrines needs to be carried out in order to inform design and motivation modalities. · Skills and training: The lack of ANC and delivery skills for HEWs which resulted in poor coverage in delivery services: for example delivery kits were either not available or were incomplete in some of the Health Posts. · The TBAs are still preferred by the community for delivery services and the HEWs mostly work alongside with them. However, the support that the GoE provides to the TBAs is discontinued. In light of the continued acceptance of the TBAs and the important role they still play in delivery, there were recommendations for a systematic transition as opposed to the current abrupt discontinuation. This in turn would also allow the HEWs to develop the necessary practical skills and confidence to fully take over the role of delivery services. · Growth monitoring practice, interpretation and advice on feeding and care needs to improve to address the high levels of malnutrition in the woredas.

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· Refresher training for the HEWs is more focused on theories as opposed to practical attachments. Training needs to be integrated, practical and more bottom up (for example a more needs based focus, and the inclusion of coaching and follow up). Along with the training, the Region needs to encourage experience sharing amongst HEWs in different Tabias or health posts. There does not seem to be adequate mechanisms in place for regular experience sharing and lesson learning among the HEWs. · Family planning advice and services are given only to women and hence creative ways need to be developed in order to include men/husbands. There is a need for more promotion of long term family planning methods and also for linkages with the service provision, i.e Health Centers. · Linkage between services: Weak linkages in the demand created for VCT and the actual service being provided. Reasons for this include shortage of trained staff at the Health Center level to provide the VCT. In addition, there is weak linkages with PMTCT and ANC services. · Infrastructure: Poor infrastructure at health post level (for example no water, no electricity). · Accommodation and limitations for HEWs: As some of the HEWs have young children they are often restricted in their ability to move around freely. Furthermore problems concerning accommodation are observed in some cases (for example some rent, others reside within the health posts). The woredas can resolve the housing problem by mobilizing the community, for example they could replicate what they do for other community workers like the Development Agents and Teachers or through the safety net public works activities. · The HEWs have to walk long distances to cover the households within their catchments. Given the difficult terrain, suggestions were made to increase HEWs per kebele in order to increase the coverage. There is also the issue of replacement of HEWs in case of attrition and the system that needs to be in place to deal with that. The process of recruitment of HEWs may also need to be analyzed. · Discontinuation of DDT spraying (although there is still a demand for it from the community)

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2. Medical Equipment and Supplies Improvements observed: contraceptives, vaccines, anti-malaria drugs, furniture and cold chain equipment are available. Challenges: · Shortage of delivery kits, delivery couches, bed sheets, blankets, sterilization materials and lamps which have implications for the low take up of delivery services provided at health post level. There is also shortage of Insecticide Treated Nets (ITNs) and ORS. · In some health posts, there were no latrines · Transportation constraints persist for referrals · Inadequate IEC materials coupled with low utilization of local language in preparing IEC materials, for example there was no HIV related IEC materials available. 3. Reporting, Supervision and Monitoring Positive findings: · Regular supervision of health posts and HEWs by various levels of health sector takes place (bi-weekly, monthly and quarterly) · Clear reporting formats and integrated supervision checklist are available. · Supervision includes household visits and verbal feedback is also being provided · Disease surveillance systems are in place · There is an evaluation of HEWs' performance and subsequent recognition or award system in place.

Challenges and Recommendations · Feedback by supervisors needs to be recorded in writing in order to enable follow up and accountability

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· A need to utilise grassroots supervision meetings and visits to inform decision-making at higher levels · Shortage of printed reporting formats (and in some cases, for example Ofla woreda, the burden of reporting was highlighted with a request to report quarterly instead of monthly) · Inconsistencies were noted in the report flow with some HEWs sending reports directly to Woreda Health Office while others would send to the health centers. The roles at each level (Woreda Health Office and Health Center) in supportive supervision as well as the flow of reports needs to be clarified by the Regional Health Bureau. · Supervision should address inconsistencies observed between different health posts within a woreda. 4. Planning and Budgeting. Positive findings: · Budget calendars are being followed · Health has been accorded third priority and overall budget has increased since EFY 1997 · Wereda health plans include NGO activities in some weredas. · Capital budget for health is increased in some weredas but not in all. · A new improved planning system was introduced for EFY 2000 health sector plan which attempted to gather baseline information from health posts in order to match up with annual targets. The woredas participated in a Regional workshop whereby they discussed and negotiated the annual targets for the first time.

Challenges and Recommendations: · The wereda plan does not include the budget for NGO activities, nor does it include the interventions funded by external resources 10

· Notification of budget from external sources as well as disbursement is delayed. As a result the woredas were not able to anticipate and factor in the external assistance for the vertical programmes in their annual plans. · Top down planning (targets are set from weredas and both the health posts and health centers have limited influence in setting priorities and targets) · There were variations reported in the planning and budgeting process. Woreda health offices for example L/Adiabo follow three-stage budgeting process; health office starts planning without any budget ceiling, adjust it later with pre-ceiling figure and finally readjust it with the final budget ceiling set by the Woreda council to the sector. Others such as Naeder/Adet Woreda start the planning and budgeting process after receiving the budget pre-ceiling from office of finance and economic development, reducing the process to two stages. · Annual budgets are not displayed at wereda offices for public information. · Shortage of sufficient financial resources for health sector at wereda levels. Although the actual budget has increased since EFY 1997, a higher proportion of woreda block grant needs to be allocated to health to ensure that resources for the HEP are adequate. 5. Community Participation and Perception

· All structures that promote community participation are in place (ie women groups, gender focal point, health committees, development committees) · Client satisfaction surveys are conducted every six months (at least, this was reported in one wereda) which facilitates community inputs. This information is recommended to be analysed by the Regional Health Bureau and to be replicated in other weredas. · There is a grievance committee/appeal system in place · Overall communities are satisfied with the presence of health posts and HEWs in their locality and the services that are being provided despite of the limitations.

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Challenges and Recommendations: · There is demand from communities for more services, especially curative services to be provided at the health posts. The wereda health office, cabinet members and the Kebele administration need to further sensitize the community about the promotive and preventive nature of HEP and the role of HEWs. The referral system as well as the service provided at the health center level needs to be strengthened to meet the community demand. · Supervision visits need to include discussion with the various community structures which exist at local level (ie health committees, development committees) · The work of HEWs is reported to be undermined by the inadequacies of services at the nucleus health centers (ie shortage of drugs, VCT services, minor surgery etc).

6. Gender Positive findings: · The fact that HEWs are all female plays a critical role in addressing key maternal and child health issues. The HEWs are much more familiar with the maternal issues and the mothers feel more comfortable to seek health services, mainly reproductive health and other maternal services, from female health workers. · The fact that the Women Affairs have a focal person at Tabia and Kushet level is an encouraging beginning in creating linkages and networking between the different service providers. · attempts to mainstream gender: the women have an increased awareness of harmful traditional practices, family planning and reproductive health issues; awareness of the community at large (for example, students reporting on early marriage situation from schools); and the HEWs promoting improved living conditions in the house which have impacts on 12

the health of the mother and the family in general (for example, promotion of fuel efficient stoves and smoke outlets in the kitchen etc.) · Availability of contraceptives at local level. Challenges and Recommendations: · An increased focus on women in family planning education which may create an erroneous perception that family planning is the sole responsibility of the women. For example, in many cases, despite increased awareness on the benefits, women still have to hide their use of contraceptives from their husbands. The HEWs need to employ different methods to include men in family planning education. · HEWs have not had basic training on gender concepts and rights which would help them advocate for health services and family planning issues more effectively in relation to basic human rights.

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Health for All

Ethiopia ­ A New Idea

An Exciting Development is the Support offered since 2006 by a small Group of Supporters to try and reproduce the achievements of health for All in other areas. We Started Working with Doctors at Canterbury Health

Centre and Plans to Develop a similar Project in Ethiopia. Dr Bob Simmonds visited Ethiopia this year and health For All are about to begin supporting work to reduce mother and child deaths in pregnancy and infancy. Dr Simmonds met with Berhe Gebre Wahid, a health Worker in the remote town of Edaga Arbi in the north of Ethiopia, and a new partnership was created to develop Primary care and work towards easing poverty. Midwives at Kent and Canterbury Hospital are joining in with fund raising and to support help with 14

training midwives and Primary Health Workers (all females) in the Ethiopian Villages. Of course the main aim of health for All remains the support of the health team's work in the villages around the Health Centre. Once again, without our Supporters none of this would be possible .So as always, thank you to all.

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Operational Research on Malaria

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COMBATING MALARIA: Malaria Treatment: ACT Two

Martin Enserink (courtesy)

An influx of money and a new generation of drugs called artemisininbased combination therapies (ACTs) are raising optimism that malaria's toll can be reduced On the front lines. Fanta Dargie, a community health worker in rural Ethiopia, demonstrates a rapid diagnostic test for Plasmodium falciparum.

CREDIT: M. ENSERINK/SCIENCE

KUNKURA KEBELE, ETHIOPIA--Fanta Dargie and his family live in a modest mud hut, furnished with little more than a table, a few chairs, two hammocks, and some shelves holding the basic necessities for life in Ethiopia's poor countryside. And yet, he's on the forefront of a medical revolution. Hidden in a corner on the dusty floor of Dargie's hut, in a hamlet 450 kilometers north of Addis Abeba, is a white box the size of a photocopier. After opening a minuscule padlock, Dargie shows the contents: blister packages containing the latest generation of malaria drugs. Rummaging through the box, he also pulls out dozens of simple diagnostic tests, each smaller than a cigarette lighter, as well as rubber gloves, some pens, and meticulously filledout patient forms. Every morning before Dargie goes to work, people from his and surrounding villages can come see him if they, or their children, have a fever. He will draw a drop of blood and test it for the presence of Plasmodium falciparum, the deadliest malaria parasite, a procedure that takes just minutes. If the test is positive, he can immediately give the patients free pills to take home, along with simple instructions on how to use them. Dargie, a farmer who volunteers as a "community health worker," knows all about the importance of the drugs distributed in this study. He lost two children to malaria. "I don't want that to happen to other people," he says. 18

Evaluation Report On Emergency Obstetrics Training by Columbia University

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UNFPA MDM Tigray

The challenge of maternal and perinatal mortality reduction, Millennium Development Goals 4 and 5, has received increasing attention in Ethiopia in recent years. Particular attention has gone into policy and programming to increase skilled attendance at delivery as well as access to emergency obstetric care to treat complications in pregnancy and childbirth. Training of health officers in emergency surgical and obstetric skills is one initiative that has been piloted in recent years as a means to increase the availability of emergency services at district hospitals and selected health centers in Ethiopia. The implementation of the current training project is the result of the collaboration between the Tigray Health Bureau (THB) and Médecins du MondeFrance (MDM) with financial support from UNFPA. The project was planned for three-years from September 2004 through September 2007. This project was a bold initiative by THB and MDM to address the shortage of human resources with critical skills in a short period of time, as well as to upgrade selected health centers to provide surgical services. The report presented here is the result of an external evaluation requested by UNFPA and conducted by a team from the Averting Maternal Death and Disability Program (AMDD), Columbia University, New York. The evaluation team conducted interviews and facility visits over a two week period in June 2007. Observations on the project are organized to look first at the organization and preparation of the training sites, trainers (Section 1) and the course curriculum and methodology which were the foundation of this project (Section 2) and resulted in the training outputs (Section 3). This is followed by discussion of the preparation of health facilities selected for upgrading for surgical services (Section 4). Finally, the relationship between trained teams and functioning facilities is reviewed in Section 5. Given the focus on maternal and neonatal mortality reduction stated in the original project objectives, particular attention is given to Emergency Obstetric Care throughout the discussion.

Project Achievements

The principle achievements of this project include:

1) A total of four hospitals were supported to conduct three rounds of a nine-

month training course in emergency surgery and obstetric care. This was a

20

bold initiative by MDM and THB to address the shortage of human resources with critical skills in a short period of time.

2) By the end of the project, 24 teams, consisting of a health officer,

anesthesia nurse and OR nurse, will have been trained in emergency surgery and obstetric care.

3) To date, 14 health facilities and Axum hospital have been supported to

upgrade infrastructure, equipment and supplies for surgical services. It is notable that additional resources were mobilized by MDM, UNFPA and THB to provide equipment and supplies to more facilities than originally planned in this project. Resources were mobilized from bilateral donors to support renovations in some facilities. Woreda Health Offices also contributed to infrastructure improvements in some health centers.

4) So far, four hospitals and one health center are providing emergency

surgical services as a result of this project. More than one Comprehensive EmOC facility per 500,000 population is a remarkable achievement. With appropriate support and preparation of the facilities, several more facilities could begin to provide these services before the end of the project.

5) The central and western zones have benefited from the surgical services in

Axum due to the presence of MDM staff. 2323 major surgeries, including 341 cesarean sections and 1154 minor surgeries have been performed between 2005 through the first quarter of 2007 (27 months). More than 50% of these surgeries were for emergency cases. While this is a positive contribution to the health of the population of Tigray, there is still a high level of unmet need for surgical and obstetric care in the region as a whole.

6) This project has helped to increase attention to EmOC services as a key

element of maternal and neonatal mortality reduction in Ethiopia.

Lessons Learned and Recommendations

The challenges that arose in this project provide important information for the completion of the current project activities as well as lessons for future training and health service improvement activities in the region and nationally: 1) This project highlights the challenges of linking training activities to functioning health facilities to provide emergency surgery and obstetric care, including supportive supervision.

21

2) Improvements in training and infrastructure require attention to the functioning of the overall health system to support and sustain these inputs. Management capacity and effective communications between regional, district and facility health managers are critical for the effective and efficient use of the financial inputs of national health budgets and donor development assistance. 3) Managing training across multiple sites requires increased coordination and attention to consistency. 4) It is important to ensure appropriate recognition of health care workers who agree to undertake training and provide additional, and needed, services to the populations they serve. The experience of this project- its successes and shortcomings- suggest areas of improvement for the current project, for future efforts to improve emergency obstetric care and surgical services in Tigray, as well as for efforts to expand training and increase the number of health facilities throughout Ethiopia. The lessons of this project are relevant to many other training initiatives from Master's level course for health officers to midwifery training. All of the recommendations are based on the concept that training and infrastructure improvements need to be conducted within the context of supporting a functioning health system. The recommendations can be summarized as follows:

Recommendation 1: Extend the current project with a focus on consolidation of project inputs for functioning emergency obstetric and surgical services

It is recommended that the project be extended for a period of one to two years in order to consolidate the training achievements into functioning health centers. There should not be any further training; rather activities should focus on supervision, site preparation and development of monitoring systems so that THB can keep track of the trained surgical teams. UNFPA should support this extension and as a key implementing partner in this project, MDM is well placed to assist with the consolidation. Urgent action is required to finalize the selection of sites of assignment for teams currently under training in the third session; to prepare those sites in terms of equipment and supplies; to familiarize facility staff with the new capacities of trained teams (e.g. on-site orientation and knowledge update); and to plan and conduct support visits by trainers to help trainees transition to providing care at worksites. If the infrastructure upgrade and facility

22

management barriers can be overcome for this last group, it may be possible to learn specifically about the strengths and weaknesses of the training for skills acquisition, as well as the needs for support and supervision, to translate training into clinical services at health centers.

As a key development partner of Tigray Health Bureau, particularly with regard to emergency obstetric care and reduction of maternal and newborn mortality and morbidity, UNFPA should pay particular attention to assisting Tigray region to develop management and monitoring capacity in future programming in the region. UNFPA should also look for opportunities to translate lessons from the field to their policy work at the federal level as well as working to assist the regional health bureau to implement national policy and protocols in maternal and reproductive health.

Recommendation 2: Reevaluate targets for emergency obstetric and surgical services in Tigray Region

Prior to any further training and facility upgrade activities, THB should reevaluate the targets for surgical services in health centers in light of concerns over caseload for health officers to safely maintain their skills. At the same time, increasing the availability Basic EmOC in health centers should be given priority within maternal and newborn health programming. With specific reference to reduction of maternal and neonatal mortality and morbidity, future training and organization of health care services needs to take into account labor wards and maternity units in providing the complete package of emergency obstetric care. The non-surgical EmOC functions, as well as the availability of blood for transfusion are equally important in providing life-saving care for pregnant women and newborns. In a region like Tigray, where there are former field surgeons, it may be appropriate to involve them in efforts to increase surgical capacity in hospitals and health centers, but training programs should be adapted to the background and experience of this cadre.

Recommendation 3: courses

Resolve issues of certification and recognition of training

The remaining issues in the recognition of this nine-month training for salary and academic purposes needs to be resolved. In addition, there is already a one-year course under development to train health officers in emergency

23

surgery at the Federal level, therefore it will be important to align the different training courses and provide opportunities for health officers who have previously participated in similar training to catch up to the updated versions of these courses and qualify for certification.

Recommendation 4: Strengthen the foundation for future training activities

Communication, coordination and standardization across training sites needs to be part of training development and programming. This can be achieved through detailed curricula, preparation of clinicians to serve as trainers and master trainers, and attention to the quality of care at training sites and their capacity to model good quality, evidence-based care.

Recommendation 5: Support decentralization through strengthening of communication and accountability between Woreda Health Offices, Regional Health Bureaus and facilities

The development of clear lines of communication and accountability between the regional health bureau, hospitals and training staff, and woreda health offices is important for the quality and consistency of training as well as of the services provided in health centers and lower level facilities that are managed by the woredas. This can be addressed through policy development and guidance from the Federal level as well as investment in the management capacity of regional and district level health managers.

24

Operational Research On Heart Disease

25

Project "Milena: A Heart for Ethiopia"

ACHLEVED RESULTS & NEXT STEPS

The first phase is now completed and below the detailed list of missions and the number of visits that took place are: Date February 2006 April 2006 August 2006 December 2006 February 2007 Cardiac Patients 22 80 491 406 202

The overall study has generated a complete database of 1200 beneficiaries. Electrocardiogram, echocardiogram results plus a cardiologic visit. Already at this sage is evident the high need for valve replacement and the strong incidence of congenital cardiac malformations. At the same from January 2007 has been launched in parallel phase two and three of the project. The results of the base study were partially altered due to the fact that a lot of young cardiac children came spontaneously. They heard this opportunity through the local radio. The prevalence of cardiac diseases was enormous: 144 patients (74 male and 70 female), were affected by Rheumatic Heart Disease (RHD) or congenital heart diseases . This gives us a rate of 12% of total visits. The most commonly rheumatic heart diseases found were: mitral stenosis, mitral insufficiency, aortic insufficiency and rarely aortic stenosis. While the detected congenital heart diseases were: Tetralogy of Fallot (5 patients); Patent Ductus Arteriosus (5 patients); complex cardiopathies (8 patients); interventricular septal defect (3 patients); interatrial defect (6 patients). Some of the patients were treated by Milena Association in phase three of the project: intervention. Six patients that needed heart surgeries were taken to Italy- with support of the Lazio Region and surgeries conducted at San Camillo Hospital: 26

E3 Partners

E3 Partners in Collaboration with Ethiopian Kale Hiwot Church Performance Report · International Team Leader Pastor Rick " · Country director Pastor Yosef Mena Their Mission Medical Personal to give services with Sharing Techniques. Type of Services given 1. Internal medicine 2. Pediatric (there are pediatric doctors) 3. Dermatology 4. Nutrition (counseling) 5. Pharmacy Service (two Pharmacist For Drug administration) 6. Eye Clinic 7. Gastro Enteritis No 1st Mission 1 2 3 4 Quiha Quiha Axum Adwa Mekelle Total Date Aug 2006 Nov 2006 Jan 2007 Aug 2007 No of Delegation 22 22 22 21 87 How many 5000 4000 75000 600 84,600 Eye glasses given 2,000 2,500 2,800 1,200 8,500

27

Rishan's life saved thanks to E3 partners.

Path finder International

28

1. Family planning Indicator 1 .1

Number of new acceptors of modern contraception achievment Annual plan Q1 Q2 Q3 Q4 318985 89111 59029 55509 108547 202850 51507 90933 76540 73620 157060 46513 27254 24949 35602 260283 43092 46007 60082 53007 32100 10315 13657 35052 13889 2662 727 1322 1056 5299 973940 241265 238202 253188 289964

Region Amhara Oromia SNNP Tigray Addis Ababa Benshangul Gumuz Total Indicator 1.2

Total % Achievment 312196 98 292600 144 134318 86 202188 78 72913 227 8404 316 1022619 105

CYPs(Couple Years Protection) achievment Region Annual plan Q1 Q2 Q3 Q4 Amhara 285520 52571 77167 59159 70937 Oromia 332306 61810 112548 91528 85240 SNNP 187815 66017 75186 76536 75406 Tigray 154608 35995 40533 34350 34326 Addis Ababa 21321 5431 6800 7179 835 Benshangul Gumuz 7012 296 664 768 880 Total 988582 222120 312898 269520 267624

Total % Achievment 259834 91 351126 106 293145 156 145204 94 20245 95 2608 37 1072162 108

3. IEC/BCC Activities Indicator 3.1 Number of individuals reached by RH/FP Educational Message achievment Region Annual plan Q1 Q2 Q3 Q4 Total % Achievment Amhara 3315767 659304 768887 857917 676330 2962438 89 Oromia 2780484 881619 665039 921145 907750 3375553 121 SNNP 1737734 564664 582535 557454 411241 2115894 122 Tigray 3679834 367371 396094 364072 774334 1901871 52 Addis Ababa 65233 20977 19152 27505 32250 99884 153 Benshangul Gumuz 48750 7090 19304 13781 10900 51075 105 Total 11627802 2501025 2451011 2741874 2812805 10506715 90

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Millennium Village Project, Koraro

30

Administrative map of Koraro

Health

Staffing: Health staff at the clinic in Koraro is as follows Health officer (1), Clinical Nurse (1); Junior Nurses (2); Laboratory technician (1) The health officer and the laboratory technician are seconded by the regional health office to work at the MVP clinic in Koraro; the project pays the salary of these two health workers. The Health Officer has surgical skills and was augmented by three months of additional hands-on training on obstetric emergency surgeries in Maichew Hospital. The laboratory technician has skills in performing cell counts, identifying Hemoparasites (Malaria and Borrelia spp), identifying intestinal parasites, performing staining and identification of AFB, gram positive/gram negative bacteria in CSF, body fluids and urethral discharges. He also has the proficiency to do HIV-Rapid testing. He has also the ability to run photometric analysis of Organ function tests. Services rendered by the clinic

Clinical services

Out Patient Service: · General Adult and Pediatric services 31

· MCH services including ANC, Family Planning, EPI, and Under-five services · Follow up and Re-fill of drugs for tuberculosis patients The outpatient department of the health center has provided a service to a total of 5780 patients. This figure shows by far greater number of people being served when compared to the service provided a year back, where only 260 new adult and under five year old patients received a service. Out of the 5780 patients, 3170 patients were new patients. The disease profile of the village (top ten diseases) is depicted in the figure below. The figure does not include the report of under five malaria cases. As there is no admission room in the health center, some of the debilitated patients (like patients with signs of sever malaria) were being followed up by the staff of the health center by visiting them at their home. This is on the top of the out reach activity of the health center, which is done in collaboration with the health extension and community health workers.

32

Malaria Although, malaria is one of the five top diseases in Koraro, there has been a significant reduction in the number of malaria cases and slide positivity rate in patients seen in Koraro clinic. In September and October (the two months of peak malaria transmission) of 2005, there were 461 clinically suspected malaria cases seen in the clinic with 60.8% of slide positivity rate for malaria parasites. During the same period of 2006, there were only 275 clinically suspected malaria cases with only 52% slide positivity rate for malaria parasites. This indicates almost a 50% reduction in the burden of malaria. The prevalence of malaria was also evaluated using malariometric survey in August 2005. The survey included a random sample of 900 subjects from the three sub-villages of Koraro obtained with proportional sampling technique based on the population of each sub-village. Blood smear analyses to measure the malaria prevalence was undertaken. Slide Positivity Rates (SPRs) -the proportion of blood smears with confirmed malaria parasitemia of 820 blood films were calculated for each sub-village and for different population characteristics. The analysis revealed an overall slide positivity rate of 2%, and all cases were due to Plasmodium falciparum. Eight (1%) of the subjects also have P. falciparum gametocytes. The mean density of parasitemia among people with asexual parasites is 6,213 parasites/µl (range of 11-40121), and for gametocytes is 187 gametocytes/µl (range of 4839). Analysis of malaria prevalence at different age groups, sub-villages, sex, wealth of households, and sex of household head was undertaken and the results are presented in the table below. To investigate clustering of malaria cases and see their association with potential breeding sites, GIS was used to map households with a positive blood smear and breeding sites (see map below). This exercise would help in identifying high risk areas for targeted interventions. The findings indicate that, most cases were clustered in few areas, and some what in close association with areas where many breeding sites are available. However, since the number of positive cases is small, it is very hard to make conclusions. The findings indicate that the malaria incidence and transmission in the area are low. The most plausible explanation for low prevalence of malaria parasitemai in the village seems to be the timing of the survey. Malaria transmission in Koraro is highly seasonal with peak transmission in 33

September and October following the rainy season from July to August. The survey was conducted in August during the low malaria transmission season so that the bednets could be distributed before the peak malaria transmission. The follow up survey should be done at similar time period for valid comparison. Confirmed slide characteristics

Characteristics Sub-village Koraro Tenskua Tala Sex Age groups Male Female 0-<1 years 1-<3 years 3-<10 years 10-<15 years >15 years PWealth rank households of oorest Medium Wealthiest Sex head of household Male Female

positivity

rate

Blood examined 337 184 299 329 491 2 167 298 104 249 64 361 395 681 139

by

sub-village

Positive slides 9 1 4 8 6 0 1 11 0 2 0 6 8 14 0

and

population

films

Slide positivity rate (%) 2.67 0.54 1.34 2.43 1.22 0 0.6 3.69 0 0.8 0 1.66 2.03 2.06 0

Distribution of households with positive blood slides and potential breeding sites

34

SHARE: Sheffield Health Action Resource for Ethiopia

35

Tigray Health Bureau Link with SHARE 1999 ­ 2000 Sheffield Health Action Resource for Ethiopia (SHARE) has had another busy year of involvement with Tigray. SHARE is a small organisation founded within the Sheffield Teaching Hospital's (STH) Trust by Dr Solomon Tesfay, a native of Mekelle and a world-renowned diabetes specialist. Sister Anne Russell, a senior nurse manager within STH, currently runs the organisation. She has been on many trips to Mekelle in the past, in order to teach, to bring resources to Tigray and also to fact find. Although she has not made a trip to Ethiopia this year, she remains very active within Sheffield, both fund-raising for SHARE and organising another large shipment of hospital beds and other equipment to be sent to Mekelle. Visits to Mekelle of SHARE Personnel 1999 ­ 2000 Although Anne Russell may not have been able to visit Tigray this year, many other personnel from SHARE have visited and worked in Mekelle and Tigray. In early 1999, Tom Button, a junior doctor and Nicola Sprigens, a health care manager both came to work for about three months each. Tom was put to work in the OPD of Mekelle hospital, which he thoroughly enjoyed despite finding the work very different from his job in the UK. He made several observations during his time, one of which was that people were suffering with difficult to manage diabetic ketoacidosis (DKA) due to a lack of easily available glucose testing kits. This observation prompted SHARE to send several hand-held glucose testing kits, which were kindly donated by a drug company. Unfortunately this is a finite resource, as the testing strips will inevitably run out quickly, but hopefully some diabetic patients in Mekelle hospital will benefit. His observations, and those of doctors who have worked here before, also found that diabetic insulin syringes are in very short supply. With this in mind, more than 1000 syringes have been brought into Mekelle hospital this year both by air and sea. These have all been entrusted to Sister Belaynesh in Mekelle hospital, who will give them out appropriately to the many diabetic patients who attend the OPD. In July 1999, three further personnel came from Sheffield; Dr Claire Ryan, a specialist in sexually transmitted infections and HIV, Dr Cariad Evans, an infectious diseases specialist, and Mr Andrew Cash the chief executive of STH. For Andrew and Cariad, this was their first trip to Ethiopia, but they were both well informed beforehand and had much to achieve. 36

As the chief executive of the UK's largest hospital trust, and a senior civil servant for health to the British government, Andrew is an extremely experienced health manager. As such he was very interested to see how the health systems in Tigray and Ethiopia in general, worked, and eager to meet his counter-parts to share ideas and to see if he could offer any assistance. In Mekelle, he met with Dr GebreAb Barnabus, the head of the health bureau, on a number of occasions, when they were able to discuss current issues. Problems discussed, included a lack of essential equipment such as auto-claves, X-Ray machines, washing machines and anaesthetic machines, and the long-term issue of their maintenance. It was envisaged that Sheffield could send biomedical engineers to Tigray to train local staff in preventative maintenance of machinery. Another perceived problem for the Tigray Health Bureau was how to improve IT connections between itself and its 46 local authorities, 12 hospitals, 2 training colleges and 53 NGOs. Dr GebreAb said that he had found the statistical experience of Tony Greenfield and Bob Dixon (two previous visitors from SHARE) very useful and would be keen to have more help from Sheffield in the areas of public health and epidemiology, to provide help with providing year on year performance comparisons and training of personnel. Andrew and Dr GebreAb have drawn up a memorandum of understanding between themselves and will continue to work together on these issues. He also met with Dr Kidanu, the Dean of the Medical School at Ayder Hospital to discuss the potential management structure of the referral hospital and other issues such as staff incentives to improve capacity and efficiency. Whilst in Tigray he made several trips to many different health institutions to get a perspective on health in the region. This included a visit to the main health centre in Adegudum, and then onto one of its satellite villages, where the excellent work of the health extension workers could be seen resulting in pit latrines, healthier food storage and other great improvements in sanitation. Following his visit he has resolved to further strengthen SHARE's links with Tigray and Ethiopia so we can look forward to a continued partnership into the future. Linking Medical Schools ­ Access to e-Learning for Mekelle As well as being an infectious diseases specialist, Dr Cariad is a researcher at the Univerity of Sheffield medical school and has a special interest in medical education within the developing world. She came to Mekelle for only five days, with the very specific goal of trying to begin a process of linkage of Mekelle medical school with Sheffield medical school. She met with Dr Kidanu and Dr GebreAb on separate occasions to discuss her vision of Sheffield University's comprehensive, 37

on-line medical education resource being accessed by Mekelle students. This would involve improved IT resources available to students and the use of specialised internet connections to download the information. Discussions are on-going between Sheffield and Mekelle as to how these goals can be achieved. Dr Cariad is also going to try to secure resources of the most used medical textbooks to be available to Mekelle university students. Changes in Mekelle Hospital Dr Claire Ryan returned to Mekelle in July 1999 for a four month period, after previously visiting for two weeks with Sister Anne Russell in January 1997. Her clinical work in Mekelle in 1997 involved working closely with Dr Atakilti both in the OPD and on the wards. It was therefore with great sadness that she returned shortly after his death, as it was very apparent that he had left a great hole as a teacher, as a leader to the medical department and as a good friend to his many colleagues. As an HIV specialist in the UK, Dr Claire was mainly working in the ART clinic of Mekelle Hospital. Despite there being many challenges in the ART clinic, such as a very large and rapidly increasing number of HIV positive patients with only a very medical personnel to provide care, the situation regarding HIV positive individuals was very much improved compared to 1997. In 1997 there were only a few HIV positive individuals coming forwards for treatment, and the prescriptions that Dr Atakilti handed out to them were not free. Now there is a dedicated ART clinic where most investigations and all anti-HIV drugs are free for the patients, meaning that there now exists a huge incentive for people to be tested, and it is clearly working. There are nearly 4,000 people registered to the ART clinic with newly diagnosed cases attending every day. Keeping up with these numbers is difficult but will not be insurmountable, with many different organisations working to improve capacity. With regard to SHARE, Dr Claire has been working in the clinic alongside Mulu (the dedicated ART Health Officer) and has set up a weekly teaching session for all of the clinical staff working in ART. This will hopefully have a continued effect in her absence as it proving a useful setting for discussion among staff and is leading to innovations such as clear protocols for the management of conditions such as diarrhoea, anaemia and HIV drug toxicities, thereby simplifying and improving such management. Compared to the situation with HIV in the UK, it is distressing to see that so many people in Africa still die of the condition despite adequate treatment. At times this can be depressing and one feels a bit hopeless, it is therefore helpful to look to statistics for some positive feedback. One of Dr Claire's tasks during her time 38

has been to conduct an evaluation of the clinic by looking at how patients are responding to treatment, as judged by increases in CD4 count and weight. Of a random sample of nearly 200 people started on treatment in the first 3 months of 1999, the vast majority are doing very well, so we can say that the clinic is a great success. There are also a number of points raised by the evaluation that can be used to improve future practice. One obvious improvement many people within Tigray are continuing to work towards, is to test individuals at an earlier stage of HIV disease. This could bring huge benefits in terms of reducing AIDS diagnoses, improving quality of life for those with HIV and also have a positive impact on the overall costs of treatment. Dr Claire has also spent some very interesting time working on the medical ward. She has been able to learn from many fascinating cases, but has concerns, as the medical ward has clearly suffered badly from the lack of intern leadership sadly caused by Dr Atakilti's absence, and the leaving of other key personnel. It is truly hoped that the medical ward will benefit from new interns and possibly other staff in 2000. More Beds and Equipment to Tigray from Sheffield During August Sister Anne Russell's hard work came to fruition again with the arrival of 90 beds and much other equipment sent from Sheffield Teaching Hospitals to the Health Bureau in Mekelle. A previous shipment of 170 out of service beds arrived in 1998, but unfortunately, because these were unloaded at port in Djibouti and then transported by road, loose in the back of lorries, many of these beds arrived badly damaged and unusable. This time around, Sister Russell ensured that the beds stayed in their shipping containers until Mekelle, resulting in significant damage to only 4 beds, compared to up to 40% of 1998's shipment. Also arriving in these two shipping containers were 49 specialised hospital mattresses, two examination couches and five operating tables. One of these operating tables was taken straight to Wukro, which had been in dire need of a hydraulic table to be raised and lowered, for some time. A SHARE contingent who visited Wukro in 1998, noted that an extremely valuable member of staff (a Health Officer trained in emergency surgery and obstetrics) was struggling to operate, perched on top of breeze blocks. Hopefully this situation has now been remedied. Another important item of equipment that came with the shipment was a nebuliser for the treatment of asthma. Asthma is a common condition in Mekelle, particularly as the dusts come at the end of the rainy season. Dr Claire witnessed severe life threatening asthma in the OPD, which was very difficult to treat without the use of a nebuliser (although the OPD GP's swift use of the drugs she did have to hand 39

averted disaster). The nebuliser needs to be reconditioned with tubing that has been sent from the UK and modified to be compatible with an Ethiopian electricity supply, if it then works, hopefully a supply of nebulised salbutamol can be guaranteed that will help the significant number of patients with severe lifethreatening asthma who present to the OPD at Mekelle hospital. British Embassy Grant Bob Dixon has this year secured a British Embassy grant for £3009 (Birr 54,000). This has been donated to Tigray Health Bureau by the embassy on the basis that it will be used for the continued training of health officers in the period September to December 2007. Fifty Anaesthesia Books Sepalika from SHARE also sent 50 OXFORD HANDBOOK OF ANAESTHESIA second edition by Allman and Wilson. Twenty five of these will stay in the THB library while the remaining 25 wre distributed to all hospitals and HCs providing emergency obstetric care.

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UNICEF

41

A Glimpse of UNICEF's Support

HEWs trained on safe and clean delivery, Tigray Region, June 2007

TOTAL deliveri es attend ed by HEWs 106 17 16 33 29 87 68 65 21 13 455 Aver age/ HE W

Training Hospital

No of HEWs trained

Number of deliveries/HEW 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1

0 Mekelle Hospital Quiha Hospital Maichew Hospital Alamata Hospital Wukiro Hospital Adigrat Hospital Adwa Hospital Axum Hospital Abiy Adi Hospital Shire Hospital TOTAL 15 6 9 9 9 12 12 9 9 15 105 0 0 0 0 0 0 0 0 0 6 6

1 0 0 4 0 0 0 0 0 3 6 1 3

2 0 1 3 0 0 0 0 0 2 2 8

3 0 5 2 3 7 0 1 0 2 1 2 1

4 0 0 0 6 2 0 2 1 2 0 1 3

5 0 0 0 0 0 0 2 0 0 0 2

6 0 0 0 0 0 3 3 2 0 0 8

7 1 4 0 0 0 0 4 3 3 0 0 2 4

8 1 0 0 0 0 4 1 1 0 0 7

9 0 0 0 0 0 1 0 1 0 0 2

Total deliver ies in the month 120 17 25 43 0 0 0 76 0 68 349

7.1 2.8 1.8 3.7 3.2 7.3 5.7 7.2 2.3 0.9 4.3

Admission Status of Therapeutic Feeding Programme in Tigray . ( From September /2005 To May / 2007) Cured Death Defaulter Transfer NR Name of TFU Total Admission Adigrat Hosp 203 149 18 28 5 3 Ferewn H.C 127 104 4 6 13 0 Adwa Hosp 193 135 13 27 15 3 Axum Hosp 195 162 11 5 1 2 T,Maichew Hc 181 177 7 6 5 0 Shire Hosp 63 41 4 15 3 0 Adi-Adi Hosp 118 69 2 37 10 0 Samre HC 85 66 3 16 0 0 Maichew H. 166 114 6 41 2 3 Mekele H 217 155 21 41 0 0 Shire MCH 194 98 0 88 6 2 Total 1742 1270 89 310 60 13

Some of the data is not completed for Samre Health Center and Alamata Hospital TFUs.

Opening Date Agu-05 Agu-05 Mar-06 Dec-05 Dec-05 Mar-06 Mar-06 Dec-05 Mar-06 Nov-06 Mar-06

42

IISMAS

43

Dermatological Care for All -picture

Table 1. Number of outpatient visits by sex for the ten leading causes of outpatient attendance for each age group (Italian Dermatologic Hospital, Mekelle, 2005-2007).

Cause Males

No. of outpatient % visits

Females

No. of outpatient visits

Totala

No. of outpatient % visits

M:F ratio

%

< 5 years Mycosis Eczema Scabies Pyoderma Entomodermatosis Prurigo Viral skin infections Pigmentary anomalies Benign skin neoplasm Lichen Other diseases Total 5-14 years Mycosis Eczema Scabies Pigmentary anomalies Pyoderma Viral skin infections Psoriasis Prurigo Leishmaniasis Acne Other diseases Total 15-44 years Eczema Pigmentary anomalies Mycosis 531 368 296 188 84 66 54 22 20 12 142 1,783 29.8% 20.6% 16.6% 10.5% 4.7% 3.7% 3.0% 1.2% 1.1% 0.7% 8.0% 100.0% 267 319 200 164 63 81 44 27 22 13 134 1,334 20.0% 23.9% 15.0% 12.3% 4.7% 6.1% 3.3% 2.0% 1.6% 1.0% 10.0% 100.0% 798 687 496 352 147 147 98 49 42 25 276 3,117 25.6% 22.0% 15.9% 11.3% 4.7% 4.7% 3.1% 1.6% 1.3% 0.8% 8.9% 100.0% 2.0 1.2 1.5 1.1 1.3 0.8 1.2 0.8 0.9 0.9 1.1 1.3

693 417 331 131 126 78 22 40 44 17 298 2,197

31.5% 19.0% 15.1% 6.0% 5.7% 3.6% 1.0% 1.8% 2.0% 0.8% 13.6% 100.0%

503 548 155 187 173 58 78 32 27 47 389 2,197

22.9% 24.9% 7.1% 8.5% 7.9% 2.6% 3.6% 1.5% 1.2% 2.1% 17.7% 100.0%

1,196 965 486 318 299 136 100 72 71 64 687 4,394

27.2% 22.0% 11.1% 7.2% 6.8% 3.1% 2.3% 1.6% 1.6% 1.5% 15.6% 100.0%

1.4 0.8 2.1 0.7 0.7 1.3 0.3 1.3 1.6 0.4 0.8 1.0

2,014 909 1,266

23.7% 10.7% 14.9%

2,053 1,516 1,153

23.8% 17.6% 13.4%

4,067 2,425 2,419

23.8% 14.2% 14.1%

1.0 0.6 1.1

44

Acne Scabies Prurigo Pyoderma Lichen Viral skin infections Hair diseases Other diseases Total 45 years Eczema Prurigo Pigmentary anomalies Mycosis Scabies Pyoderma Psoriasis Lichen Leprosy Tuberculosis Other diseases Total

797 430 396 311 285 228 201 1,658 8,495

9.4% 5.1% 4.7% 3.7% 3.4% 2.7% 2.4% 19.5% 100.0%

945 382 376 235 186 189 145 1,448 8,628

11.0% 4.4% 4.4% 2.7% 2.2% 2.2% 1.7% 16.8% 100.0%

1,742 812 772 546 471 417 346 3,106 17,123

10.2% 4.7% 4.5% 3.2% 2.8% 2.4% 2.0% 18.1% 100.0%

0.8 1.1 1.1 1.3 1.5 1.2 1.4 1.1 1.0

383 188 144 153 155 72 77 39 61 28 503

21.2% 10.4% 8.0% 8.5% 8.6% 4.0% 4.3% 2.2% 3.4% 1.6% 27.9%

252 145 124 91 51 51 24 54 18 41 333

21.3% 12.2% 10.5% 7.7% 4.3% 4.3% 2.0% 4.6% 1.5% 3.5% 28.1%

635 333 268 244 206 123 101 93 79 69 836

21.3% 11.1% 9.0% 8.2% 6.9% 4.1% 3.4% 3.1% 2.6% 2.3% 28.0%

1.5 1.3 1.2 1.7 3.0 1.4 3.2 0.7 3.4 0.7 1.5 1.5

1,803 100.0%

1,184 100.0%

2,987 100.0%

Grand Total

14,278

13,343

27,621

45

Table 2. Number of admissions by sex for the ten leading causes of admission for each age group (Italian Dermatologic Hospital, Mekelle, 20052007).

Cause Males No. of admissions < 5 years 101 5-14 years 159 15-44 years 293 45 years 113 100.0% 43 354 100.0% 156 1,020 100.0% 2.6 100.0% 156 100.0% 449 100.0% 1.9 100.0% 87 100.0% 246 100.0% 1.8 100.0% 68 100.0% 169 100.0% 1.5 Females No. of admissions Totala No. of admissions M:F ratio %

%

%

Grand Total 666 a Includes admissions for which sex is not known

46

ANNEXA MAC-E II HCT Performance by Place (districts) Tigray 1999 EFY

Wereda S.N *1 2 3 4 *5 6 7 *8 *9 *10 11 12 13 *14 15 16 *17 18 *19 20 *21 22 Mekelle City 2-Awlalo H.wajirat G.Afeshum Maichew Town Ahferom Samre Adigirat Town Shire Town S/Humera Adwa Rural R.Azebo Alamata Rural Adwa Town Gulo-Mekeda L.Maichew Axum Town T.Maichew Alamata Town Alaje Wukro Town N.Adiet Total Screened M F 13450 16050 6711 6892 4716 4972 3543 4285 3805 3799 4548 3401 3038 2865 2581 2275 2807 2944 2777 2833 2493 2305 2475 8880 6411 4809 3977 3776 3027 3206 2749 1951 2710 2437 2507 2718 2993 2427 2227 2207 1638 1965 2132 1923 Total 29500 15591 13303 9525 8949 7319 7312 7011 6548 6499 6111 5475 5372 5299 5268 5234 5171 4984 4471 4458 4437 4398 Total +ves M F 1507 1873 58 100 34 621 105 36 295 331 658 24 151 104 183 35 14 295 30 469 57 346 7 132 133 47 569 152 49 431 361 431 25 126 107 251 34 25 268 36 394 69 519 10 Total 3380 190 233 81 1190 257 85 726 692 1089 49 277 211 434 69 39 563 66 863 126 865 17

47

23 24 25 26 27 28 29 *30 31 32 33 34 35 36 37 38 39 *40 41 42 43 *44 45 46

K/Humera S/Tsa/Emba Enderta Hawzien K/Tembien L/Adiabo T/Koraro Korem Ofla Welkait W.Leke E/Mohoni Tsegede M/Leke D/Tembien Tselemti T/Adiabo Abi-Adi A/Wenberta Erob Medebay-Zana Sheraro T/Abergele A/Tsimbla Grand Total

3300 2068 2590 2110 2602 2510 1212 1540 1590 1904 1325 1444 1697 1602 1347 1621 1608 1355 1039 1085 895 931 808 361 128059

1076 2131 1561 1809 1288 1145 2063 1493 1362 805 1346 1198 877 970 1067 774 600 776 1007 702 802 424 391

4376 4199 4151 3919 3890 3655 3275 3033 2952 2709 2671 2642 2574 2572 2414 2395 2208 2131 2046 1787 1697 1355 1199

241 135 85 37 25 45 3 92 39 17 25 14 107 35 28 28 70 53 39 17 12 49 18

116 154 80 43 9 63 9 95 69 33 39 12 68 41 43 25 48 67 66 20 36 39 24 21 7262

357 289 165 80 34 108 12 187 108 50 64 26 175 76 71 53 118 120 105 37 48 88 42 39 13954

324 685 18 108711 236770 6692

48

HCT in Tigray overtime (1994-1999 EFY)

49

HSDP III Report

50

Training and Deployment of HEWs by Region, Ethiopia, 1999 EFY.

Distribution of HIV Prevalence by Region, Ethiopia, 1999 EFY

Note that Tigray has a prevalence of HIV/AIDS more than the national average

51

Percentage Distribution of ITNs by Region, Ethiopia, 1999 EFY

Distribution of TB Case Detection Rate by Region, Ethiopia, 1999 EFY

52

Number of AWD Cases and Deaths Reported by Region, Ethiopia 1999 EFY

53

Budget Utilization, 1999 EFY

S.N Source Balance 1 UNFPA 0 2 UNICEF 347,031 3 Italian coopporation 4,499,872 Global Fund 4 HIV/AIDS 2,132,113 1,179,590 952,523 5 Global Fund MOH 4,461,945 1,929,450 2,532,495 6 DPPC 10,850,630 9,436,926 1,413,704 7 Government 6850640 6,079,640 771,000 8 Capital 14354499 13,258,000 1,096,499 9 GAVI 3212203 2,212,203 1,000,000 10 Prevecto Vission 872961 252,779 620,182 11 WHO 4,061,852 446,770 3,615,082 12 MOF, RDF 1500000 933,964 566,036 13 CBM 568429 568,429 0 14 ITI 730,733 705,733 25,000 15 Africa Viva 1508829 875,526 633,303 16 I-TECH 675,000 328,258 346,742 17 EHNRI 661,579 174,587 486,992 18 Others 4,096,256 2,539,660 1,556,596 Total 25,272,450 54,067,697 20,463,057 Note: the balance of 20,463,057 is mostly committed. Total Allocated 204,923 11,055,162 6,733,000 Total utilized 204,923 10,708,131 2,233,128

54

IPAS

55

SECTION 2

Statistical Tables & Wereda Performance

56

Age by Sex Wereda

Male 0-4 Female Male 5-14 Female Male 15-44 Female Male 45-64 Female Male 65+ Female

Total

Kafta Humera Tahtay Adiyabo Laelay Adiyabo Tahtay Koraro Medebay Zana Asegede Tsimbla Tselemti Welkait Tsgede Abergele Mereb Leke Ahferom Werie Leke Adwa Laelay Maychew Tahtay Maychew Naeder Adet Kola Temben Degua Temben Erob Gulomekeda S/ Tsaedaemba Ganta Afeshum Hawzen Wukro Atsbi Wenberta Samre Enderta Hintalo Wejirat Alaje Endamohoni Raya Azebo Alamata Ofla Mekelle

6,404 9,747 9,360 10,141 11,049 11,386 11,455 10,470 6,848 6,759 8,962 14,501 12,393 12,892 10,907 8,955 9,532 13,060 10,155 1,976 8,963 11,221 14,591 10,455 10,043 9,123 10,097 12,143 12,680 9,415 9,527 10,034 11,416 14,294 13,821

5,211 8,984 8,898 9,546 11,163 10,600 10,822 10,096 6,717 6,541 8,880 15,443 12,800 12,581 10,366 9,011 9,749 12,969 10,121 2,069 9,163 12,070 14,456 10,796 9,939 10,238 10,115 12,199 12,752 9,722 9,580 10,044 10,787 14,401 11,191

10,927 16,292 15,498 17,215 18,279 18,853 18,929 17,292 11,250 11,154 14,826 23,979 20,446 21,702 18,530 14,824 15,679 21,643 16,755 3,256 14,862 18,649 24,839 17,254 16,925 15,080 16,668 20,209 21,042 15,591 16,087 16,645 19,457 23,835 24,879

9,010 14,997 14,580 16,495 18,244 17,360 17,643 16,449 10,816 10,621 14,514 25,167 20,802 21,310 17,877 14,720 15,734 21,253 16,469 3,349 15,022 19,896 24,945 17,541 16,855 16,691 16,454 20,168 20,944 15,931 16,303 16,529 18,738 23,939 22,074

17,247 25,179 23,717 27,029 27,947 28,852 28,903 26,393 17,073 17,010 59,928 36,641 31,168 33,788 29,116 22,684 23,827 33,142 25,544 4,958 22,778 28,647 39,115 26,307 26,380 23,037 25,423 31,094 32,276 23,864 25,122 25,518 30,679 36,746 41,314

15,034 24,296 23,234 27,507 29,002 27,656 27,987 26,078 16,964 16,788 23,080 39,910 32,909 34,954 29,765 23,394 24,732 34,872 26,083 5,276 23,945 31,876 41,559 27,740 27,677 26,477 26,055 32,398 33,451 25,388 26,847 26,439 31,383 38,638 40,527

3,533 5,456 5,275 5,616 6,229 6,414 6,464 5,909 3,879 3,818 5,052 8,179 7,000 7,183 6,037 5,046 5,395 7,356 5,737 1,116 5,045 6,307 8,065 5,904 5,590 5,148 5,702 6,818 7,134 5,303 5,297 5,646 6,303 8,016 7,325

3,749 6,127 5,895 6,861 7,366 7,019 7,116 6,631 4,331 4,272 5,860 10,146 8,373 8,773 7,429 5,944 6,309 8,594 6,634 1,345 6,075 8,072 10,369 7,058 6,942 6,729 6,628 8,195 8,482 6,443 6,728 6,699 7,816 9,758 9,766

1,266 1,959 1,897 2,013 2,244 2,308 2,327 2,126 1,398 1,375 1,818 2,943 2,521 2,576 2,164 1,816 1,942 2,647 2,064 402 1,816 2,269 2,888 2,125 2,006 1,853 2,052 2,450 2,565 1,908 1,898 2,032 2,258 2,882 2,596

1,301 2,085 1,983 2,380 2,474 2,361 2,386 2,223 1,440 1,429 1,969 3,403 2,804 3,010 2,576 1,996 2,104 2,891 2,223 448 2,045 2,725 3,594 2,363 2,383 2,257 2,220 2,773 2,858 2,168 2,313 2,260 2,720 3,310 3,597

73,682 115,122 110,337 124,803 133,997 132,809 134,032 123,667 80,716 79,767 144,889 180,312 151,216 158,769 134,767 108,390 115,003 158,427 121,785 24,195 109,714 141,732 184,421 127,543 124,740 116,633 121,414 148,447 154,184 115,733 119,702 121,846 141,557 175,819 177,090

Region

* Population for Kafta Humera Woreda doesn't include daily labourers and Settlement areas.

4,487,260

1. Projected Population, 1999 EFY (Source: CSA, 1994 GC)

Name of Urban woreda Eenda Selassie Town Sitit Humera Sheraro Town Axum Town Abi adi Town Adua Town Woukro Tiwn Adigrat Town 57 Korom Town Maichew Town Alamata Town Population ( all age) 37,770 12,905 20,255 60,695 13,805 46,750 32,550 69,770 30,590 12,665 45,280

2. Maternal Health

1st visit ANC Assisted by Skilled personnel 3,252 2,709 2,797 5,363 2,625 2,357 4,980 2,159 1,685 2,222 3,962 3,911 3,590 2,090 2,333 3,249 2,889 1,972 1,261 2,048 814 4,237 3,136 3,579 2,770 5,074 2,327 1,844 3,019 2,179 1,490 2,917 2,093 1,846 4,417 904 52 0 378 186 557 TBAs/ CBRHA 0 494 644 1,713 1,051 174 332 309 62 1,937 2,353 2,856 1,385 2,577 1,166 4,984 1,382 2,602 607 0 163 747 1,574 1,311 846 1,200 1,275 1,278 1,804 2,154 1,672 1,660 841 492 7 107 0 0 424 9 0 % Health Facility 85 78 52 164 60 43 92 89 38 51 84 84 81 29 72 53 98 44 26 36 83 82 64 76 116 111 61 44 63 37 30 62 24 30 292 18 10 0 16 34 30 Normal Delivery Health Facility 462 437 320 707 779 351 907 308 279 705 615 680 826 405 256 473 201 334 97 322 179 483 972 336 548 525 434 336 360 308 126 206 304 231 2,453 664 0 0 83 11 257 TBAs/ CBRHA 1,076 773 990 511 620 473 685 672 48 1,044 1,888 1,469 970 883 590 1,442 1,193 1,954 757 838 140 1,324 804 657 537 725 1,173 1,692 1,598 913 1,249 1,093 477 816 337 149 13 0 167 48 43 Abnormal Delivery Health Facility 3 26 3 119 0 4 1 8 11 0 29 7 0 23 5 0 1 0 1 0 3 1 54 0 25 3 0 0 2 2 19 0 12 2 135 196 0 0 21 0 0 C/Section Health Facility 0 0 0 39 0 0 0 0 0 0 0 0 57 46 0 0 0 0 0 0 0 0 111 0 10 0 0 0 0 0 16 0 0 0 254 122 0 0 15 0 37

Wereda Kafta Humera Tahtay Adiyabo Laelay Adiyabo Tahtay Koraro Medebay Zana Asegede Tsimbela Tsilemti Welkait Tsegede Mereb Lehe Enticho Werie Lehe Adwa Laelay Maychew Tahtay Maychew Naeder Adet Kola Temben Degua Temben Abergele Gulomahda Erob Saesi Tsaedaemba Ganta Afeshum Hawzen Wukro Atsbi Wenberta Samre Enderta Hintalo Wajirat Alaje Endamehoni Raya Azebo Alamata Ofla Mekele E/ Silase Sitit humera Sheraro Town Axum Town Abi adi Town Adua Town

Eligible 3825 3473 5373 3279 4356 5424 5429 2422 4464 4387 4711 4670 4437 7303 3233 6130 2954 4499 4936 5724 982 5170 4920 4724 2398 4569 3832 4228 4795 5863 4924 4682 8630 6232 1511 5010 516 810 2428 552 1870

58

Woukro Tiwn Adigrat Town Korom Town Maichew Town Alamata Town Region

1302 2791 1224 507 1811 177310

693 414 420 616 519

0 102 0 150 176

53 15 34 122 29

226 331 75 183 435

24 108 79 227 139

13 32 8 39 2

4 57 0 38 0

........ Maternal Health

Mothers died during Delivery Wereda Kafta Humera Tahtay Adiyabo Laelay Adiyabo Tahtay Koraro Medebay Zana Asegede Tsimbela Tsilemti Welkait Tsegede Mereb Lehe Enticho Werie Lehe Adwa Laelay Maychew Tahtay Maychew Naeder Adet Kola Temben Degua Temben Abergele Gulomahda Erob Saesi Tsaedaemba Ganta Afeshum Hawzen Wukro Atsbi Wenberta Samre Enderta Hintalo Wajirat Alaje Endamehoni Raya Azebo Alamata Ofla Mekele E/ Silase Health Facility 3 1 1 0 1 0 3 3 1 0 5 0 3 0 0 1 4 0 0 0 0 0 47 0 0 0 4 0 0 1 0 0 0 0 2 0 TBAs/ CBRHA 0 0 3 0 0 0 0 3 0 0 1 0 8 0 0 0 0 1 0 0 0 0 9 0 0 0 3 0 0 0 0 0 0 0 0 0 % Died 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Babies Wt. < 2.5 kg Health Facility 2 0 3 3 3 8 3 2 5 3 1 6 14 1 0 0 1 1 1 0 7 1 54 0 17 3 2 0 1 0 8 0 11 1 152 11 Babies died during delivery Health Facility 6 10 9 5 6 5 2 10 16 4 19 6 4 1 7 1 4 6 0 2 2 11 8 0 10 6 6 0 1 0 13 0 8 2 69 20 TBAs/ CBRHA 0 2 3 0 6 0 0 11 0 0 1 0 31 0 0 0 1 5 13 0 0 5 2 0 0 0 0 0 1 2 0 0 0 0 0 3

59

Sitit humera Sheraro Town Axum Town Abi adi Town Adua Town Woukro Tiwn Adigrat Town Korem Town Maichew Town Alamata Town Region

0 0 0 0 2 0 0 0 2 0 84

0 0 0 0 0 0 0 0 0 28 56

0 0 0 0 0 0 0 0 0 0

0 0 3 0 5 12 35 0 20 400 800

0 0 10 0 7 10 31 1 31 369 738

0 0 0 0 0 0 0 0 86 172

........ Maternal Health

1st visit -PNC Health Facility 885 547 1,392 1,194 1,261 511 1,743 805 303 989 747 1,405 1,223 798 597 1,148 439 633 279 484 371 1,146 869 959 1,234 1,603 622 476 1,092 377 TBAs/ CBRHA 58 101 619 439 685 330 615 707 48 1,352 1,701 1,468 798 1,999 845 1,739 987 1,430 647 1,243 145 1,788 1,457 1,060 885 786 1,205 1,670 1,729 864 Abortion Spontaneous 66 13 21 47 45 18 53 64 29 16 51 40 17 43 20 5 30 4 31 80 17 38 12 35 16 15 18 0 35 6 Induced 7 3 33 32 0 0 0 39 3 3 2 0 0 0 0 1 0 7 0 0 4 19 0 0 59 9 0 0 2 1 Family Planning Eligible 21,991 19,969 30,895 18,857 25,049 31,188 31,214 13,924 25,667 25,224 27,087 26,850 25,511 41,990 18,593 35,245 16,985 25,870 28,381 32,914 5,644 29,729 28,292 27,162 13,788 26,274 22,034 24,309 27,574 33,713 New & Repeat 16,815 21,355 5,203 7,716 16,313 11,575 10,808 12,615 10,362 9,789 19,214 18,675 11,174 16,191 10,096 22,830 17,759 35,838 20,159 12,665 3,983 15,756 15,365 19,938 17,199 50,256 23,188 12,754 20,666 16,741 % CAR 76 107 17 41 65 37 35 91 40 39 71 70 44 39 54 65 105 139 71 38 71 53 54 73 125 191 105 52 75 50

Wereda Kafta Humera Tahtay Adiyabo Laelay Adiyabo Tahtay Koraro Medebay Zana Asegede Tsimbela Tsilemti Welkait Tsegede Mereb Lehe Enticho Werie Lehe Adwa Laelay Maychew Tahtay Maychew Naeder Adet Kola Temben Degua Temben Abergele Gulomahda Erob Saesi Tsaedaemba Ganta Afeshum Hawzen Wukro Atsbi Wenberta Samre Enderta Hintalo Wajirat Alaje

60

Endamehoni Raya Azebo Alamata Ofla Mekele E/ Silase Sitit humera Sheraro Town Axum Town Abi adi Town Adua Town Woukro Tiwn Adigrat Town Korom Town Maichew Town Alamata Town Region

198 1,383 799 496 2,350 872 0 0 135 11 260 101 91 96 374 34 33,332

967 1,180 549 659 200 149 7 0 427 48 43 104 0 25 150 121 34,029

39 26 55 2 244 93 0 0 51 2 0 61 37 6 116 19 1636 349

4 0 10 2 0 22 0 0 0 0 46 16 0 17 0 8

28,315 26,920 49,625 35,835 8,687 28,807 2,968 4,659 13,960 3,175 10,753 7,487 16,047 7,036 2,913 10,414 1,019,524

14,044 28,995 25,252 18,682 5,332 12,039 273 0 1,703 772 2,840 1,874 3,369 1,526 8,393 855 628,947

50 108 51 52 61 42 9 0 12 24 26 25 21 22 288 8 61.7

61

3. Immunization , 1999 EFY

Wereda Kafta Humera Tahtay Adi Abo Laelay Adi Abo Tahtay Qoraro Medebay Zana Asgede Tsimbla Tselemti Wolkait Tsegede Mereb Leke Aheferom Werie Leke Adua Laelay Maichew Tahetay Maichew Naeder Adiet Kola Tembien Degua Tembien Tanqua Abergele Gulomekeda Erob Sasie T/ Emba Ganta Afeshum Hawzien Wukro Atsibi Wenberta Samre saherti Enderta Hintalo Wajirat Alaje Enda Mehoni Raya Azebo Alamata Ofla Mekelle Humera Town Sheraro Town E/Selasse Town Axum Town Adua Town Abey Ade Town Wukro Town Adegrat Town Korom Town Maichew Town Alamata Town Static Out Reach Eligible BCG Ach. % Eligible Measles Ach. % DPT3 Ach. % OPV3 Ach. %

7 5 9 2 6 6 7 4 5 5 7 6 4 3 3 6 4 5 5 5 3 6 8 6 5 4 6 9 8 7 6 5 5 5 24 1 0 1 2 1 1 1 1 4 3 1

15 32 42 22 40 42 45 36 27 34 36 44 24 24 25 22 42 33 28 20 14 28 38 23 28 24 30 37 61 46 25 34 31 16 0 0 0 0 0 3 2 0 0 4 4 0

2422 3825 4464 3473 5424 5373 5429 5010 3279 4356 7303 6130 4499 2954 4387 4670 4711 4936 3233 4437 982 5724 4569 5170 2398 4724 4920 4228 6232 4682 4795 4924 3832 5863 8630 516 810 1511 2428 1870 552 1302 2791 1224 507 1811

3586 4046 4511 3111 4938 5566 4043 4584 3126 4443 5369 5326 4413 2422 3680 3817 5990 4054 3520 2237 815 4693 3738 3733 3226 3917 4190 4394 5564 3883 3456 4422 3328 4460 5703 313 363 884 568 978 586 544 978 481 511 435

148.1 105.8 101.1 89.6 91.0 103.6 74.5 91.5 95.3 102.0 73.5 86.9 98.1 82.0 83.9 81.7 127.1 82.1 108.9 50.4 83.0 82.0 81.8 72.2 134.5 82.9 85.2 103.9 89.3 82.9 72.1 89.8 86.8 76.1 66.1 60.7 44.8 58.5 23.4 52.3 106.2 41.8 35.0 39.3 100.8 24.0

2175 3434 4008 3119 4871 4825 4875 4499 2945 3912 6558 5504 4040 2653 3939 4193 4230 4432 2904 3984 881 5140 4103 4643 2153 4242 4418 3796 5596 4204 4306 4422 3441 5265 7750 464 728 1357 2180 1679 496 1169 2506 1099 455 1626

2370 2849 4149 2698 4130 4754 3176 5772 2367 3668 4774 4983 4242 2249 3377 3775 4647 3092 2908 2193 739 4082 2794 2876 2818 3310 3177 3229 4563 3110 3018 2892 2558 3999 4808 222 286 643 511 803 409 397 662 366 351 238

109.0 83.0 103.5 86.5 84.8 98.5 65.1 128.3 80.4 93.8 72.8 90.5 105.0 84.8 85.7 90.0 109.9 69.8 100.1 55.0 83.9 79.4 68.1 61.9 130.9 78.0 71.9 85.1 81.5 74.0 70.1 65.4 74.3 76.0 62.0 47.8 39.3 47.4 23.4 47.8 82.5 34.0 26.4 33.3 77.1 14.6

3082 3799 4387 2955 4295 4547 3199 3793 2115 4121 5216 5087 4354 2415 3432 3811 5198 3579 3084 2210 774 4495 3425 3167 2902 3869 3543 3837 4552 3306 3234 3537 2747 4237 5439 259 297 730 524 866 603 460 763 447 404 339

141.7 110.6 109.5 94.7 88.2 94.2 65.6 84.3 71.8 105.3 79.5 92.4 107.8 91.0 87.1 90.9 122.9 80.8 106.2 55.5 87.9 87.5 83.5 68.2 134.8 91.2 80.2 101.1 81.3 78.6 75.1 80.0 79.8 80.5 70.2 55.8 40.8 53.8 24.0 51.6 121.6 39.3 30.4 40.7 88.8 20.8

3061 3799 4424 2943 4141 4738 3041 3588 2117 4117 5216 5059 4434 2415 3452 3927 5239 3629 3116 2232 776 4517 3430 3169 2902 3891 3543 3878 4545 3306 3340 3522 2802 4144 5439 274 297 729 524 796 603 460 778 442 407 362

140.7 110.6 110.4 94.4 85.0 98.2 62.4 79.8 71.9 105.2 79.5 91.9 109.8 91.0 87.6 93.7 123.9 81.9 107.3 56.0 88.1 87.9 83.6 68.3 134.8 91.7 80.2 102.2 81.2 78.6 77.6 79.6 81.4 78.7 70.2 59.1 40.8 53.7 24.0 47.4 121.6 39.3 31.0 40.2 89.5 22.3

62

Region

227

1,081 177,310 148,945

84.0

159,219 125,034

78.5 133,435

83.8 133564

83.9

... Immunization Wereda Kafta Humera Tahtay Adi Abo Laelay Adi Abo Tahtay Qoraro Medebay Zana Asgede Tsimbla Tselemti Wolkait Tsegede Mereb Leke Aheferom Werie Leke Adua Laelay Maichew Tahetay Maichew Naeder Adiet Kola Tembien Degua Tembien Tanqua Abergele Gulomekeda Erob Sasie T/ Emba Ganta Afeshum Hawzien Wukro Atsibi Wenberta Samre saherti Enderta Hintalo Wajirat Alaje Enda Mehoni Raya Azebo Alamata Ofla Mekelle Humera Town

, 1999 EFY

Fully immunized Achieved % 2170 100 3027 88 4088 102 2643 85 3961 81 4002 83 2813 58 2900 64 1377 47 3663 94 4760 73 4957 90 4291 106 2219 84 3227 82 3746 89 4360 103 3104 70 2634 91 2193 55 739 84 4069 79 2740 67 2810 61 2723 126 3282 77 3179 72 3057 81 3759 67 2280 54 3057 71 2588 59 2401 70 2317 44 4810 62 213 46 Eligible 11503 18167 21203 16496 25764 25522 25786 23797 15577 20693 34687 29116 21371 14031 20837 22180 22376 23445 15359 21074 4662 27190 21705 24558 11390 22438 23372 20081 29603 22239 22779 23391 18202 27850 40994 2452 TT2+NP Achieved 3489 3505 7234 8549 8948 6623 5340 3782 3213 7388 15647 15052 13192 3334 9467 8460 6422 6026 3014 8017 2755 5128 11054 9381 5536 7590 5843 6311 12013 5322 4961 4373 5951 8664 9576 489 % 30 19 34 52 35 26 21 16 21 36 45 52 62 24 45 38 29 26 20 38 59 19 51 38 49 34 25 31 41 24 22 19 33 31 23 20 TT2+PR Eligible Achieved 2422 1226 3825 1332 4464 1729 3473 2226 5424 2897 5373 1447 5429 1344 5010 1239 3279 1066 4356 642 7303 2630 6130 4128 4499 3409 2954 620 4387 2344 4670 1791 4711 1101 4936 1046 3233 579 4437 421 982 312 5724 1240 4569 2273 5170 1064 2398 474 4724 2049 4920 1308 4228 937 6232 3175 4682 1837 4795 1928 4924 1958 3832 1681 5863 2350 8630 2360 516 267 % 51 35 39 64 53 27 25 25 33 15 36 67 76 21 53 38 23 21 18 9 32 22 50 21 20 43 27 22 51 39 40 40 44 40 27 52

63

Sheraro Town Enda slase Axum Town Adua Town Abey adi Town Wukro Town Adigrat town Korem Town Mychew Town Alamata Town Region

286 614 464 709 386 272 662 242 351 155 114300

39 45 21 42 78 23 26 22 77 10 72

3848 7176 11532 8883 2623 6185 13256 5812 2406 8603 842214

581 1323 167 1886 1972 811 857 382 113 255 259996

15 18 1 21 75 13 6 7 5 3 31

810 1511 2428 1870 552 1302 2791 1224 507 1811 177310

160 780 124 845 441 164 266 239 171 295 61915

20 52 5 45 80 13 10 20 34 16 35

4. Child Health, 1999 EFY

Woredas Kafta Humera Tahtay Adiyabo Laelay Adiyabo Tahtay Koraro Medebay Zana Asegede Tsimbela Tsilemti Welkait Tsegede Mereb Lehe Enticho Werie Lehe Adwa Laelay Maychew Tahtay Maychew Naeder Adet Kola Temben Degua Temben Abergele Gulomokeda Erob Saesi Tsaedaemba Ganta Afeshum Hawzen Wukro Atsbi Wenberta Samre Enderta Hintalo Wajirat Alaje Endamehoni Eligible 10,292 16,255 18,971 14,760 23,052 22,836 23,071 21,292 13,937 18,514 31,036 26,051 19,121 12,554 18,644 19,846 20,021 20,977 13,742 18,856 4,172 24,328 19,420 21,973 10,191 20,076 20,911 17,968 26,487 19,898 20,381 CDD Achieved 7,022 1,099 3,279 6,107 4,003 2,517 5,382 5,004 2,628 2,546 3,702 4,215 3,346 3,207 2,102 1,589 2,208 6,162 1,736 1,791 2,441 3,687 3,888 3,317 3,064 5,211 3,182 2,181 5,280 8,812 6,805 % 68.2 6.8 17.3 41.4 17.4 11.0 23.3 23.5 18.9 13.8 11.9 16.2 17.5 25.5 11.3 8.0 11.0 29.4 12.6 9.5 58.5 15.2 20.0 15.1 30.1 26.0 15.2 12.1 19.9 44.3 33.4 Eligible 51,460 81,273 94,855 73,798 115,258 114,178 115,357 106,460 69,687 92,572 155,179 130,255 95,605 62,771 93,218 99,228 100,104 104,885 68,712 94,280 20,858 121,638 97,101 109,867 50,955 100,380 104,557 89,838 132,433 99,488 101,904 ARI Achieved 8,262 443 3,316 3,965 1,950 1,351 2,191 3,002 2,493 1,445 814 2,778 3,467 2,813 2,407 1,628 1,932 1,392 1,721 1,610 3,092 3,823 4,280 2,874 4,180 3,714 4,661 2,747 5,308 2,854 3,639 % 16.1 0.5 3.5 5.4 1.7 1.2 1.9 2.8 3.6 1.6 0.5 2.1 3.6 4.5 2.6 1.6 1.9 1.3 2.5 1.7 14.8 3.1 4.4 2.6 8.2 3.7 4.5 3.1 4.0 2.9 3.6 Eligible 11,012 17,392 20,299 15,793 24,665 24,434 24,686 22,782 14,913 19,811 33,208 27,874 20,460 13,433 19,949 21,235 21,422 22,445 14,704 20,176 4,464 26,031 20,780 23,511 10,904 21,481 22,375 19,225 28,341 21,290 21,807 <5 Child exam 1st- visits % 21,018 204.2 5,092 31.3 7,763 40.9 12,188 82.6 5,632 24.4 5,171 22.6 9,615 41.7 11,100 52.1 6,947 49.8 4,306 23.3 4,773 15.4 6,514 25.0 8,346 43.6 6,039 48.1 6,298 33.8 3,947 19.9 6,444 32.2 5,047 24.1 5,671 41.3 5,185 27.5 6,718 161.0 7,460 30.7 9,320 48.0 9,762 44.4 8,716 85.5 14,517 72.3 7,522 36.0 6,800 37.8 9,145 34.5 8,552 43.0 11,411 56.0

64

Raya Azebo Alamata Ofla Mekele E/ Silase Town Setit Humora town Shraro Town Axum town Abi Adi Town Adua Town Wukro Town Adi Grat Town Korom Town Michew Town Alamata Town Regional

20,928 16,286 24,918 36,679 6,421 2,194 3,443 10,318 2,347 7,948 5,534 11,861 5,200 2,153 7,698 753,561

4,232 4,245 2,690 7,410 2,166 388 949 2,619 451 938 1,433 5,918 715 1,105 2,784 155,556

20.2 26.1 10.8 20.2 33.7 17.7 27.6 25.4 19.2 11.8 25.9 49.9 13.7 51.3 36.2

104,642 81,430 124,592 183,396 32,105 10,969 17,217 51,591 11,734 39,738 27,668 59,305 26,002 10,765 38,488 3,767,796

4,735 4,440 3,532 10,471 2,295 541 1,561 1,491 519 1,530 1,626 2,521 1,048 1,456 3,965 131,883

4.5 5.5 2.8 5.7 7.1 4.9 9.1 2.9 4.4 3.9 5.9 4.3 4.0 13.5 10.3

22,393 17,426 26,663 39,247 6,870 2,347 3,684 11,040 2,511 8,504 5,921 12,691 5,564 2,304 8,236 806,303

12,923 10,323 6,164 11,141 5,196 1,240 3,635 3,744 921 1,613 3,006 4,990 2,751 2,276 9,590 326,532

61.7 63.4 24.7 30.4 80.9 56.5 105.6 36.3 39.2 20.3 54.3 42.1 52.9 105.7 124.6

65

........ Child Health, 1999 EFY

Growth monitoring <60% New & Repeat % 1,204 5.7 147 1.7 610 3.7 442 1.8 452 4.5 145 2.3 2,235 8.3 300 2.5 238 2.5 162 1.9 235 1.3 1,472 7.4 1,529 7.2 897 5.6 437 3.8 263 4.4 347 4.0 1,630 17.2 795 6.8 359 3.2 228 2.0 986 6.2 1,172 6.1 658 5.4 956 6.5 3,042 9.9 719 4.8 857 7.7 1,543 5.6 2,554 11.2 676 4.4 471 2.5 433 3.8 1,158 8.5 1,687 4.8 349 5.4 90 4.9 57 1.2 203 3.1 0 0.0 191 5.8 674 9.2 562 4.6 31 1.1 75 2.7 555 4.2 60-80% New & Repeats 10,580 3,673 7,922 15,582 6,254 2,969 15,969 6,322 5,443 4,277 9,875 9,226 12,803 8,625 5,175 3,074 4,920 4,600 6,110 4,296 6,861 9,803 10,412 6,285 9,351 16,456 7,579 5,941 15,858 11,354 6,390 9,066 5,801 7,100 19,299 3,691 1,129 2,077 3,452 1,447 1,360 3,861 5,979 1,103 1,396 7,007

Woredas Kafta Humera Tahtay Adiyabo Laelay Adiyabo Tahtay Koraro Medebay Zana Asegede Tsimbela Tsilemti Welkait Tsegede Mereb Lehe Enticho Werie Lehe Adwa Laelay Maychew Tahtay Maychew Naeder Adet Kola Temben Degua Temben Abergele Gulomokeda Erob Saesi Tsaedaemba Ganta Afeshum Hawzen Wukro Atsbi Wenberta Samre Enderta Hintalo Wajirat Alaje Endamehoni Raya Azebo Alamata Ofla Mekele E/ Silase Town Setit Humora town Shraro Town Axum town Abi Adi Town Adua Town Wukro Town Adi Grat Town Korom Town Michew Town Alamata Town

Eligible 10,292 16,255 18,971 14,760 23,052 22,836 23,071 21,292 13,937 18,514 31,036 26,051 19,121 12,554 18,644 19,846 20,021 20,977 13,742 18,856 4,172 24,328 19,420 21,973 10,191 20,076 20,911 17,968 26,487 19,898 20,381 20,928 16,286 24,918 36,679 6,421 2,194 3,443 10,318 2,347 7,948 5,534 11,861 5,200 2,153 7,698

Achieved 21,251 8,426 16,656 24,073 10,148 6,363 26,767 12,231 9,356 8,412 17,787 19,763 21,156 16,078 11,436 5,999 8,673 9,464 11,685 11,223 11,540 16,001 19,191 12,141 14,657 30,684 14,964 11,060 27,756 22,816 15,306 18,912 11,484 13,632 34,972 6,422 1,851 4,762 6,533 2,179 3,267 7,295 12,209 2,757 2,746 13,293

% 186.4 45.9 81.1 81.7 24.4 26.1 74.2 50.3 62.0 37.7 46.7 65.7 85.2 79.8 53.8 24.9 31.6 37.3 61.3 36.2 189.5 38.5 59.8 51.2 76.1 99.4 43.9 41.5 90.3 85.1 62.1 65.7 55.8 48.4 62.6 61.8 50.4 102.4 49.1 67.2 25.2 62.4 95.0 43.5 94.7 117.9

% 49.8 43.6 47.6 64.7 61.6 46.7 59.7 51.7 58.2 50.8 55.5 46.7 60.5 53.6 45.3 51.2 56.7 48.6 52.3 38.3 59.5 61.3 54.3 51.8 63.8 53.6 50.6 53.7 57.1 49.8 41.7 47.9 50.5 52.1 55.2 57.5 61.0 43.6 52.8 66.4 41.6 52.9 49.0 40.0 50.8 52.7

66

Regional

753,561

615,377

81.7

33,826

5.4

327,753

53.2

67

5. Malaria Control Distribution of Insecticide Treated Nets in 1999 EFY (2006-07 GC)

Total functional LLINs 39,735 37,912 49,441 11,404 27,745 7,370 39,093 45,540 40,817 24,350 14,825 46,283 30,370 27,100 33,790 46,000 62,000 9,200 40,155 27,610 36,000 30,611 16,500

Village Eligible

57 55 44 10 60 8 56 54 66 47 10 43 55 70 68 74 69 12 80 56 45 38 8

Households Eligible

23,014 25,645 17,180 5,333 19,060 4,051 24,103 28,520 28,000 17,002 9,065 27,702 22,120 23,812 24,000 37,400 32,200 3,214 28,158 19,011 15,520 17,860 8,260 30,360

Population Eligible

115,070 128,225 85,900 26,667 95,298 20,253 120,515 142,600 140,000 85,010 45,326 138,509 110,600 119,074 120,000 187,000 161,000 16,070 140,790 95,055 77,600 89,300 41,300 151,800

Woreda

Tsegedie Wolkait K/Humera S/Humera T/Adiabo Sheraro L/Adiabo Tselemti A/Tsimbla T/Koraro E/Slassie M/Zana T/Maichew N/Adiet M/Leke Ahferom W/leke A/Adi K/Tembien T/Abergele S/Samre Alamata Alamata/Ketema Raya-Azebo

Covered: Number (%)

57(100) 44(80) 44 (100) 10(100) 60 (100) 8 (100) 56 (100) 54 (100) 66(100) 47(100) 10(100) 43(100) 55(100) 66(94) 68(100) 58(78) 69(100) 12(100) 80(100) 56(100) 45(100) 38(100) 8(100) 48(100)

Covered: Number (%)

22,075 (96) 21,062 (82) 27,467 (160) 6,336 (119) 15,414 (81) 4,094 (101) 21,718 (90) 25,300 (89) 22,676 (81) 13,528 (80) 8,236 (91) 25,713 (93) 16,872 (76) 15,056 (63) 18,772 (78) 25,556 (68) 32,200 (100) 3,214 (100) 22,308 (79) 15,339 (81)

15,520 (100)

Protected: Number (%)

99338(86) 94,780(74) 85,900(100) 26,667(100) 69,363(73) 18,425(91)

97,733(81)

113,850(80) 102,043(73) 60,875(72) 37,063(82) 115,708(84) 75,925(69) 67,750(57) 84,475(70) 115,000(61) 155,000(96) 16,070(100) 100388(71) 69,025(73) 90,000(116) 76,528(86) 41,250(100) 143228(94) 1,95,6384 (80)

17,006 (95) 8,260 (100) 30,360 (100) 434,082 (88)

57,291 48 Total 801,142 1,133 LLINs= Long lasting Insecticide treated Nets

1,102 (97)

490,590

2,452,962

68

5. ........Malaria Control Residual Insecticide House Spraying Operations by Woreda 1999 EFY (2006-07 GC)

Villages(Kushets) Protected

Plan Ach. 62 22 24 17 23 58 17 13 12 11 18 30 24 18 18 18 24 11 4

424

Houses Protected

Plan 19,002 19,583 19,083 11,367 14,543 21,189 5,719 4,658 3,469 4,492 4,233 16,383 9,333 4,960 16,574 7,144 9,530 4,291 3,000

198,553

Population Protected

Plan 40,738 45,000 31,581 20,619 25,713 30,306 12,041 7,548 7,174 7,235 10,119 36 19,097 13,439 37,638 15,531 20,339 12,515 5,800

362,469

Woreda

% 100 100 100 121 100 97 100 100 92 100 95 75 100 113 100 106 150 100 100

100

Ach. 20,155 21,422 17,536 12,727 12,895 17,991 5,468 4,516 3,316 4,542 4,083 14,614 8,546 5,648 15,714 7,971 8,417 3,895 3,021

192,477

% 106.1 109.4 91.9 112 87.9 84.9 95.6 97 95.6 101.1 96.5 89.2 91.6 113.9 94.8 97.9 88.3 90.8 100

96.9

Ach. 39,666 32,650 29,380 19,913 24,068 29,447 11,746 7,329 6,826 8,719 7,410 27,930 19,097 13,439 36,857 17,862 21,645 11,628 5,832

371,444

% 97.4 72.6 93.0 96.6 93.6 97.2 97.6 97.1 97.1 120.5 73.2 78.3 100.0 100.0 97.9 115.0 106.4 92.9 100.0

102.5

Houses Not Sprayed

1,777 833 0 985 1,351 833 251 0 0 121 1,208 279 100 0 860 115 1,307 93 0

10,113

Population Not Protected

3,145.0 2,640.0 0.0 923.0 1,572.0 2,640.0 295.0 0.0 0.0 71.0 2,298.0 533.0 787.0 0.0 781.0 193.0 3,323.0 396.0 0

19,597

Insecticide used (KG)

590.6 6,698.0 4,829.0 3,873.4 3,852.1 5,393.0 1,656.4 1,219.8 877.4 2,324.0 1,073.2 4,398.8 2,276.0 1,325.0 3,925.3 2,128.8 2,335.3 2,100.0 663.3

51,539.4

Ahferom Werileke Adwa T/ Maichew L/ Maichew N/Adet D/Tembien G/Mekeda Erob S/Tsaidaemba G/afeshum Hawzen Kilte Awlalo Atsbi Wenberta Seharti Samre Enderta H/Wajirat Ofla Wukro Town

Total

62 22 24 14 23 60 17 13 13 11 19 40 24 16 18 17 16 11 4

424

69

6. Human Resource (Health professionals working at Health facilities) 1999 EFY

6.1 Zonal Hospitals Adigrat Hosp. M F 1 0 0 0 0 0 1 0 0 0 0 0 5 0 0 1 0 0 0 3 0 1 0 0 1 0 0 0 0 0 1 0 1 0 0 0 2 0 0 0 16 20 0 3 0 0 0 0 0 3 0 2 1 1 0 0 1 0 0 0 6 7 3 11 2 0 0 3 0 0 0 0 0 0 3 2 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 MidreGenet Hosp. (Shire) M F 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 3 0 1 0 2 3 1 0 0 0 0 1 1 1 0 0 0 1 0 1 0 0 8 11 0 9 0 0 0 0 0 0 0 2 1 1 0 0 0 0 1 0 4 13 0 5 2 1 0 4 0 0 0 0 4 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 St.Mary Hosp. (Axum) M F 1 0 0 0 1 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 6 1 2 0 0 0 0 0 2 2 0 0 1 1 2 0 0 17 19 3 22 0 0 0 0 1 1 0 3 0 0 0 0 0 1 0 1 12 15 3 13 2 2 0 0 0 0 0 0 1 4 0 0 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Lemlem Carl Hosp. (Maichew) M F 0 0 0 0 0 0 0 0 0 0 2 0 3 1 0 0 0 0 2 1 0 1 2 4 0 0 0 0 0 0 0 1 0 0 0 2 1 1 0 0 7 14 0 2 0 0 0 0 1 2 0 4 3 0 0 0 0 0 0 0 5 4 0 6 3 0 0 1 0 0 0 0 0 0 5 1 1 0 1 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0

SN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48

Type of Profession Internist Surgeon Pediatrician Gynecologist Ophthalmologist Public Health Specialist GP Health Officer Pharmacist Nurse B.s.c Matron Head Nurse Psychiatry Nurse Pediatric Nurse MCH Nurse Ansth Nurse Dental Nurse OR Nurse Ophtalmic Nurse Staff Nurse Senior Clinical Nurse Junior Clinical Nurse S/ Public Health nurse J/Public Health nurse Senior Mid Wife nurse Junior Mid Wife nurse Lab .Technology B.SC B.SC Enviromental HW S/ Enviromental HW J/ Environmental HW Health Assistant Junior Health Assistant Senior Lab.Technician Junior Lab.Technician Malaria Technician Vector Technician Druggist S/harmacy Technician Jpharmacy Techn. Senior X-Ray Techn. Junior X-Ray Techn. Dental Assistant Ophtelmic Assistant Anesthetic Assistant Field Surgoen Social Worker Medical Equip-Wor BSc Ansth Nurse

M

Mekelle Hosp. F 3 0 4 0 1 1 2 0 0 0 0 0 1 1 3 1 1 0 2 2 0 1 1 5 1 3 0 0 0 1 4 1 1 0 0 4 0 0 0 0 14 36 1 19 0 0 0 0 0 1 0 11 0 1 0 0 1 0 0 0 5 37 3 11 3 2 1 2 0 0 0 0 0 0 2 2 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

M

Total F 5 0 5 0 2 1 3 0 0 0 2 0 12 3 3 3 1 0 7 6 1 4 11 13 5 3 0 0 0 2 8 5 2 0 1 7 4 4 0 0 62 100 4 55 0 0 0 0 2 7 0 22 5 3 0 0 2 1 1 1 32 76 9 46 12 5 1 10 0 0 0 0 5 4 10 5 2 0 8 0 3 0 1 0 1 1 1 1 0 0 1 0 2 0 1 0

70

49 50

Physotrapy Junior Physiotherapy Total

0 2 51

0 0 57

0 0 32

0 0 55

0 0 59

0 0 87

1 2 41

0 0 47

0 0 59

0 0 142

1 4 242

0 0 388

6.2 District Hospitals Meareg (Dansha) Hospital M F 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 2 0 1 0 3 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 3 2 11 0 0 0 0 0 0 0 0 0 2 1 0 0 1 0 0 0 11 4 0 4 0 0 1 0 0 0 0 0 Kahsay Abera Hospital M F 0 0 0 0 0 0 0 0 0 0 0 0 5 0 3 0 0 0 3 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 21 9 0 5 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 5 1 0 0 4 0 1 0 0 0 0 0

SN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36

Type of Profession Internist Surgeon Pediatrician Gynecologist Ophthalmologist Public Health Specialist GP Health Officer Pharmacist Nurse B.s.c Matron Head Nurse Psychiatry Nurse Pediatric Nurse MCH Nurse Ansth. Nurse Dental Nurse OR Nurse Ophtalmic Nurse Staff Nurse Senior Clinical Nurse Junior Clinical Nurse Senior Public Health nurse JuniorPublic Health nurse Senior Mid Wife nurse Junior Mid Wife nurse Lab .Technology B.SC B.SC Enviromental HW Senior Enviromental HW Junior Enviromental HW Health Assistant Junior Health Assistant Senior Lab.Technician Junior Lab.Technician Malaria Technician Vector Technician

Quiha Hospital M F 0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0 0 0 1 0 1 0 2 1 1 0 0 0 0 0 0 0 1 0 0 3 1 5 0 0 4 17 0 5 0 0 0 0 0 0 0 2 0 1 0 0 0 1 0 0 0 6 0 0 0 0 0 3 0 0 0 0

Wukro Hospital M F 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 0 2 4 1 0 0 0 0 0 1 0 0 0 0 2 0 1 0 0 6 15 0 13 0 0 0 0 0 2 0 3 1 1 0 0 0 1 0 0 3 5 1 2 0 2 0 3 0 0 0 0

Adua Hospital M F 0 0 0 0 0 0 0 0 0 0 0 0 5 0 2 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 16 15 2 11 0 0 0 0 1 0 0 3 2 1 0 0 1 0 0 0 3 7 0 1 1 1 1 1 0 0 0 0

AbiAdi Hospital M F 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 10 9 1 5 2 0 0 0 0 1 0 1 3 0 0 0 0 0 0 0 4 11 1 10 1 0 0 1 0 0 0 0

Alamata Hospital M F 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 11 10 0 4 0 0 0 0 0 1 0 0 2 0 0 0 0 0 0 0 3 2 1 1 1 0 0 0 0 0 0 0

Total M F 0 0 0 0 0 0 0 0 1 0 0 0 15 0 12 2 0 0 10 2 3 0 7 5 3 0 0 0 0 0 6 1 1 0 0 9 5 7 0 0 71 77 14 43 2 0 0 0 1 4 0 9 12 5 0 0 2 2 0 0 29 36 3 18 7 3 3 8 0 0 0 0

71

37 38 39 40 41 42 43 44 45 46 47 48

Druggist Senior Farmacy Technician Junior Farmacy Technician Senior X-Ray Technician Junior X-Ray Technician Dental Assistant Ophtalmic Assistant Anesthetic Assistant Field Surgoen B.Sc Ansth Nurse Physotrapy Junior Physotrapist Total

0 1 0 0 0 0 0 1 1 0 0 0 17

0 4 0 0 0 0 0 0 0 0 0 0 48

0 1 0 0 1 0 0 0 0 0 0 0 21

0 1 0 0 0 0 0 0 0 0 0 0 57

0 1 0 1 0 1 0 1 0 0 0 0 42

0 1 0 0 1 0 0 0 0 0 0 0 43

0 2 0 0 0 0 0 0 0 0 0 0 41

0 0 0 0 0 0 0 0 0 0 0 0 12

1 1 0 0 0 0 0 0 1 0 0 0 28

0 2 0 0 0 0 0 0 0 0 0 0 44

0 4 0 0 0 0 0 0 0 0 0 0 51

0 0 0 0 0 0 0 0 0 0 0 0 17

0 0 0 0 0 0 0 0 0 0 0 0 25

0 1 0 0 0 0 0 0 0 0 0 0 20

1 10 0 1 1 1 0 2 2 0 0 0 225

0 9 0 0 1 0 0 0 0 0 0 0 241

72

6.3 Health Center (41)

S.N Type of Profession

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Health Officer Clinical Nurse(Diploma) Public Health Nurse (Diploma) Midwife Nurse (Diploma) Environmental Health Technician (Diploma) Pharmacy Technician (Diploma) Laboratory Technician (Diploma) Junior Environmental Health Technician Junior Pharmacy Technician Junior Medical Laboratory Technician Junior Clinical Nurse Junior Midwife Nurse Health Assistance Junior Health Assistant Extension Package Primary Health Worker Primary Mid wife Nurse/ BSC laboratory Technologist Other Total

Male Female Total

27 140 2 7 29 35 31 0 6 3 3 1 64 38 0 5 0 1 2 28 422 8 181 4 21 15 31 21 1 1 8 103 42 91 102 7 6 2 0 1 36 681 35 321 6 28 44 66 52 1 7 11 106 43 155 140 7 11 2 1 3 64 1,103

6.4 Nucleus Health Center (99)

S.N Type of Profession

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Health officer Clinical Nurse(Diploma) Public Health Nurse (Diploma) Midwife Nurse(Diploma) Environmental Health Technician(Diploma) Pharmacy Technician(Diploma) Laboratory Technician (Diploma) Junior Environmental Health Technician Junior Pharmacy Technician Junior Medical Laboratory Technician Junior Clinical Nurse Junior Midwife Nurse Health Assistant Junior Health Assistant Extension Package Primay Health worker Primary Mide Wife Nurse/BSC Environmental Health BSC Other Total

Male Female Total

14 173 0 0 3 33 24 0 2 7 8 9 33 7 0 15 0 4 1 2 335 0 56 3 1 3 15 7 0 2 24 29 16 32 75 0 17 10 0 0 5 295 14 229 3 1 6 48 31 0 4 31 37 25 65 82 0 32 10 4 1 7 630

73

6.5 Clinic (46)

S.N Type of Profession

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Health Officer Clinical Nurse(Diploma) Public Health Nurse (Diploma) MidWife Nurse (Diploma) Enviromental Health Technician (Diploma) Pharmacy Technician (Diploma) Laboratory Technician (Diploma) Junior Enviromental Health Technician Junior Pharmacy Technician Junior Medical Laboratory Technician Junior Clinical Nurse Junior MidWife Nurse Health Assistance Junior Health Assistant Extension Package Primary Health Worker Primary Mid wife Nurse/ BSC Other Total

Male

0 49 0 0 0 1 1 0 1 0 5 0 13 12 0 2 0 0 1 85

Female Total

0 41 0 0 0 2 0 0 0 0 45 11 7 10 42 4 2 0 13 177 0 90 0 0 0 3 1 0 1 0 50 11 20 22 42 6 2 0 14 262

6.6 Health Post ( functional )

No 1 2 3 4 5 6 7 8 9

Type of Profession Clinical Nurse(Diploma) Junior Clinical Nurse Junior Midwife Nurse Health Assistant Junior Health Assistant Extension Package Primary Health worker Primary Mid Wife Other Total

Male 47 7 1 20 8 0 62 0 1 146

Female 36 24 0 5 4 881 33 41 5 1,029

Total 83 31 1 25 12 881 95 41 6 1,175

74

6.7 Health Professionals by Sex and Woreda Western Zone

Adua Woreda Seraro Ketema Adua Ketema

Central Zone K/Tembien Abi Adi Ketema T/Maichew D/Tembien Welekait T/Abergele

0 0 5 8 0 0 0 1 1 0 2 0 1 0 0 0 0 0 0 0 0 8 0 2 3 2 2 5 0 7 18 16 19 7 0 0 30 5 1 2 30 72 2 25 76 56 45 73 27

L/maichew Axum Ketema

Ahferom

W/Leke

M/Leke

T/ Adiabo

L/ Adiabo

T\koraro E/Selassie Ketema

Sex Humera Woreda Humera Ketema

N/Adiet

M/ Zana Asegde Tsembla

No

1 2 3 4 5 6 7 Health Officer Clinical Nurse Junior Clinical Nurse Public Health Nurse MidWife Nurse Junior MidWife Nurse Enviromental HealthTechnician Junior Enviromental Health Technician Pharmacy Technician (Diploma) Junior Pharmacy Technician Laboratory Technician (Diploma) Junior Laboratory Technician Health Assistance Junior Health Assistant Primary

M F M F M F M F M F M F M F M F M F M F M F M F M F M F M

0 0 31 5 1 8 0 0 1 1 0 1 1 0 0 0 3 0 0 0 5 0 0 0 12 2 0 0 10

2 0 7 2 0 3 0 0 0 0 0 0 1 0 0 0 2 1 0 0 2 0 0 0 0 0 0 0 0

0 0 4 4 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 3

0 1 5 5 0 5 0 0 0 0 0 0 0 2 0 0 2 1 0 0 1 0 1 0 2 7 1 6 0

1 0 10 12 0 1 0 0 0 0 0 0 0 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 1

1 0 3 5 0 2 0 0 0 0 0 1 1 0 0 0 2 1 0 0 0 0 0 1 3 4 1 4 0

1 0 10 4 1 5 0 0 0 0 0 2 0 1 0 0 3 1 0 0 2 0 0 0 0 4 2 3 2

0 0 5 7 1 8 2 0 0 0 0 2 1 0 0 0 3 1 0 0 2 0 0 0 4 2 2 3 3

2 0 9 11 0 8 0 0 0 0 0 4 1 0 0 0 0 0 0 0 0 1 0 1 5 2 3 5 0

2 2 26 2 0 10 0 0 0 1 0 1 0 0 0 0 1 0 0 0 2 0 0 0 1 1 4 2 2

4 0 13 7 1 8 1 0 1 0 0 2 1 0 0 0 4 0 0 0 5 0 0 0 2 0 1 0 2

2 0 23 0 2 6 1 0 0 3 1 0 0 0 0 0 1 0 1 0 3 1 0 0 6 2 0 0 4

Segede

Health Profesional

Tselemti

0 0 6 9 0 0 0 0 1 0 2 1 3 0 0 0 0 0 0 0 0 5 0 3 1 2 3 0 0

0 0 3 17 0 1 0 0 1 1 0 1 0 0 0 0 3 0 0 1 2 10 0 6 11 2 10 7 0

0 0 5 8 0 0 0 1 1 0 2 0 1 0 0 0 0 0 0 0 0 8 0 2 3 2 2 5 0

0 0 11 5 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 3 12 0 0 1 2 2 4 0

0 1 4 4 0 0 0 0 2 0 2 0 2 0 0 0 0 0 0 1 0 0 0 2 4 8 1 4 0

1 0 8 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 5 2 0 0 0

0 0 2 4 0 0 0 0 1 0 2 0 0 1 0 0 1 0 0 0 0 2 0 2 3 4 1 2 0

1 1 10 7 0 0 0 1 0 1 2 0 2 0 0 0 0 0 0 0 0 6 0 1 5 3 3 3 0

1 0 5 7 0 0 1 0 1 0 1 0 1 1 0 0 0 0 0 0 1 3 0 1 3 1 4 6 0

1 0 14 4 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 0 7 0 1 1 2 1 4 0

0 0 1 6 0 0 0 0 1 0 0 0 0 2 0 0 0 0 0 0 0 4 0 0 1 2 0 5 0

1 0 7 2 0 0 0 0 1 0 1 0 2 0 0 0 0 0 0 0 0 3 1 1 0 0 2 5 0

20 5 227 147 6 65 5 4 12

8

9

10

11

12 13 14 15

75

Total

Health Worker 16 17 18 19 20 21 22 23 Primary Midwife Extension Package Nurse/BSC laboratory Technologist Ophtalmic Nurse Biologist Environmental Health/BSC Vector Biology Other Total 24 25 26 CHA TBA CBRHA Total

F M F M F M F M F M F M F M F M F M F M F M F M F

2 0 2 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 62 2 0 47 0 0 111

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 3 0 0 3

3 0 1 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 132 0 0 140 0 48 320

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 47 0 0 0 0 0 0 0

1 0 2 0 25 0 0 0 0 0 0 0 0 0 0 0 0 6 18 81 51 1 0 54 2 17 125

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 2 0 0 14 0 1 17

2 0 7 0 30 0 0 0 0 0 0 0 0 0 0 0 0 1 22 103 77 0 0 81 35 10 203

0 0 1 0 38 1 0 0 0 0 0 0 0 0 0 0 0 0 1 87 107 2 0 98 19 37 263

0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 6 6 104 56 0 0 35 25 35 151

3 1 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 1 0 96 90 0 0 81 0 50 221

1 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 82 61 0 30 0 0 0 91

4 0 7 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 1 102 70 2 0 72 0 0 144

35 4 3 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83 96 0 0 256 0 24 376

49 0 3 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131 99 2 0 146 0 34 281

28 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 2 7 81 0 0 0 89 0 0 89

34 5 3 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 68 25 0 214 37 0 344

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 3 25 0 19 0 23 70

24 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 79 2 0 149 0 0 230

0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 26 7 9 0 42 0 0 58

32 4 3 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 84 0 0 218 0 0 302

6 0 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 10 13 71 88 0 0 224 19 33 364

42 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 48 1 0 168 54 29 300

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 1 4 17 0 0 8 30

26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 15 71 81 0 0 207 5 9 302

28 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 2 7 81 0 0 0 89 0 0 89

320 16 42 0 315 1 0 0 1 0 0 0 0 0 0 0 0 36 94 1,827 1,362 75 47 2,446 196 358 4,484

76

......... Health Professionals by age and Woreda Eastern Zone Korem Ketema Adigrat Town A/Wenberta K/Awulaelo G/Afeshum G/mekeda S/S/Emba Hawzien Ofla Alamata woreda Wukro Erob Southern & Mekelle Zone Seharti Samre Zoba Mekelle Enda mekoni Maichew Ketema H/ Wajrat Alamata Ketema R/Azebo Enderta Total 33 10 268 254 9 95 2 3 3 16 1 29 39 10 1 0 46 46 2 1 17 21 4 4 47 70 Alaje 2 0 14 16 1 4 1 0 0 0 0 1 2 0 0 0 2 4 0 0 2 0 0 0 2 8

Health Profesional No 1 2 3 4 5 6 7 Health Officer ClinicalNurse Junior Clinical Nurse Public Health Nurse MidWife Nurse Junior MidWife Nurse Enviromental HealthTechnician Junior Enviromental Health Technician Pharmacy Technician (Diploma) Junior Pharmacy Technician Laboratory Technician (Diploma) Junior Laboratory Technician Health Assistance Sex

M F M F M F M F M F M F M F M F M F M F M F M F M F

1 0 13 1 0 2 0 0 0 0 0 0 1 0 0 0 3 0 0 0 0 0 1 0 0 0

2 1 15 9 2 3 0 1 0 1 0 0 1 1 0 0 3 2 0 0 1 2 0 0 2 2

2 0 12 11 1 0 0 0 0 0 0 0 0 0 0 0 4 2 0 0 3 0 0 0 2 1

0 1 10 10 0 2 0 0 1 4 0 0 4 1 0 0 2 1 0 0 1 2 0 0 1 7

1 2 14 9 0 9 0 0 0 0 0 1 2 0 0 0 4 1 0 0 1 1 0 0 1 1

3 0 8 7 0 12 0 0 0 0 0 2 1 0 0 0 2 2 0 0 1 2 0 0 2 2

0 1 5 9 0 5 0 0 0 3 0 1 2 0 0 0 0 2 1 0 0 1 0 1 4 6

2 0 16 9 1 6 0 0 0 1 1 2 1 1 0 0 3 2 0 0 1 1 0 0 1 3

4 0 10 8 0 1 0 0 0 0 0 1 2 0 1 0 5 0 0 0 1 0 0 0 2 4

1 0 8 6 0 1 0 0 0 0 0 1 2 0 0 0 0 1 0 0 0 0 0 0 0 0

1 0 18 23 1 2 0 0 0 0 0 1 1 0 0 0 4 0 0 0 0 0 0 0 0 0

1 0 4 7 1 6 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 1 0 2 0

2 0 4 7 0 0 0 0 0 1 0 0 1 1 0 0 0 2 0 0 1 1 0 0 2 1

1 0 12 5 2 0 0 0 0 0 1 1 0 0 0 2 1 0 0 1 0 0 0 2 0

0 0 2 4 0 0 0 1 0 0 0 2 1 1 0 0 1 1 0 0

3 0 30 22 1 5 0 1 0 0 0 4 1 1 0 0 4 3 0 0 1 2 0 1 2 2

1 1 10 16 0 5 1 0 0 0 0 4 1 1 0 0 1 4 0 0 1 0 2 0 3 2

1 1 14 12 1 5 0 0 0 2 0 1 4 0 0 0 3 4 0 0 0 2 0 0 6 5

1 2 21 7 0 6 0 0 0 0 0 0 4 2 0 0 2 3 0 0 0 1 0 0 5 5

4 1 28 56 0 19 0 0 2 4 0 7 6 1 0 0 1 10 1 1 1 5 0 2 8 17

8

9

10

11

1 0 0 0 4

12 13

77

14

15 16 17 18 19 20 21 22 23

Junior Health Assistant Primary Health Worker Primary Midwife Extension Package Nurse/BSC laboratory Technologist Ophtalmic Nurse Biologist Environmental Health/BSC Vector Biology Other Total

M F M F M F M F M F M F M F M F M F M F M F M F M F M F

0 0 0 0 3 2 12 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51 28 0 0 28 0 14 70

1 2 2 3 0 4 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105 92 0 0 80 0 80 252

1 1 1 5 0 3 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 74 0 67 0 84 225

1 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55 0 0 0 0 0 33 33

2 4 5 0 0 4 0 50 0 0 1 0 1 0 0 0 0 0 0 0 0 0 114 68 0 0 66 8 91 233

1 0 4 2 0 5 0 26 0 0 0 0 0 0 0 0 0 0 0 0 3 10 95 80 0 0 63 0 70 213

0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 43 1 0 0 8 0 16 25

3 5 4 3 0 1 0 33 0 0 0 0 0 0 0 0 1 0 0 0 0 0 101 60 4 0 43 7 70 184

4 5 0 3 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77 168 0 0 129 0 36 333

0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 12 10 22

0 0 4 0 0 1 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79 64 0 0 154 15 55 288

0 1 2 4 0 3 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49 33 0 0 132 21 42 228

0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 1 0 0 7 1 26 35

0 0 3 0 0 4 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65 68 0 0 78 58 204

1 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 23 3 0 0 9 0 17 29

5 5 3 1 6 0 32 0 0 0 0 0 0 1 0 1 0 0 0 0 0 113 141 60 0 109 35 30 375

2 9 3 1

2 9 2 1 0 7 0 38 1 0 0 0 0 0 0 0 1 0 0 0 0 0 114 110 3 0 142 27 36 318

3 7 3 2 0 5 0 40 0 0 0 0 0 0 0 0 0 0 2 0 0 0 123 71 0 0 84 0 67 222

4 1 3 2 0 1 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 88 0 0 152 8 26 274

0 4 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 181 5 0 0 90 0 0 95

30 65 39 27 3 47 12 476 4 0 3 0 1 0 1 0 4 0 2 0 5 10 1,760 1,081 141 0 1,540 151 895 3,808

0 37 1 0 0 0 0 0 0 0 0 0 0 0 0 0 136 0 0 87 29 34 150

24 25 26

CHA TBA CBRHA Total

78

7. Health Facilities and Availability of infrastructure by woreda, 1999 EFY

Wereda

Kafta Humera Tahetay Adiabo Laelay Adiyabo Tahtay Koraro Medebay Zana Asgede Tsimbla Tselemti Welkait Tsegede Mereb Leke Ahferom Werie Leke Adwa Laelay Maichew Tahetay Maichew Naeder Adet Kola Temben Degua Temben Tanqua Abergele Gulomekeda Erob Saesi Tsaedaemba Ganta Afeshum Hawzen Wukro Atsbi Wenberta Samre Seharti Enderta Hintalo Wajirat

Hospital

Government Nucleus Health Center H/Center

Infrastructure H/Post Functional Electricity

No Yes Yes Yes Yes Yes No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes yes yes Yes Yes

Telephone

Yes Yes Yes Yes Yes Yes Yes No No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes

1 -

2 0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 2 1 2 0 1 0 1 1 1 2

4 4 2 2 3 2 2 3 1 4 4 3 4 4 3 3 3 4 4 4 4 1 3 3 4 2 3 3 4

16 17 18 12 19 28 19 20 29 15 25 24 21 13 13 20 18 24 13 13 7 23 16 21 14 18 16 18 21

79

Alaje Endamekoni Raya Azebo Alamata Ofla Alamata Town Korem Town Maichew Town Adigreat Town Wukro Town Axsum Town Adwa Town Abi ­ Adi Town Setit Humera Town Sheraro Town Shrei Town Mekelle Town

Region

1 0 1 1 1 1 1 1 1 1 1 12

1 0 1 0 0 1 1 1 1 1 1 1 1 1 1 1 3 42

3 3 4 3 3 2 108

18 9 15 10 18 0 0 0 0 0 0 0 0 0 0 0 2 603

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

8. Health service utilization

Out patient utilization by wereda and year (1996-1999 EFY) 1996 1997 1.76 3.06 0.85 0.82 0.84 0.65 0.79 0.64 0.45 0.48 0.61 0.64 0.63 0.67 0.51 0.37 7.23 1.23 0.53 0.54

Wereda Kafta Humera Tahetay Adiabo Laelay Adiyabo Tahtay Koraro Medebay Zana Asgede Tsimbla Tselemti Welkait Tsegede Mereb Leke

1998 3.58 1.26 0.66 1.10 0.48 0.68 0.47 0.71 1.61 0.62

1999

3.22 0.53 0.59 0.65 0.37 0.63 0.35 0.57 1.10 0.27

80

Ahferom Werie Leke Adwa Laelay Maichew Tahetay Maichew Naeder Adet Kola Temben Degua Temben Tanqua Abergele Gulomekeda Erob Saesi Tsaedaemba Ganta Afeshum Hawzen Wukro Atsbi Wenberta Samre Seharti Enderta Hintalo Wajirat Alaje Endamekoni Raya Azebo Alamata Ofla Mekelle

Region

0.61 0.58 0.74 0.84 0.55 0.41 0.66 0.24 1.18 0.61 1.99 0.88 0.93 0.57 1.85 0.74 0.60 0.90 0.74 0.64 0.99 1.52 1.31 0.56 2.08 0.95

0.56 0.58 0.70 0.68 0.53 0.38 0.61 0.24 0.58 0.57 1.65 0.56 0.82 0.48 1.14 0.47 0.65 0.77 1.05 0.65 0.53 1.50 1.49 0.57 1.81 0.78

0.53 0.66 0.73 0.97 0.61 0.45 0.76 0.27 0.53 0.62 1.55 0.53 0.86 0.48 0.91 0.42 0.64 0.74 0.84 0.70 0.53 1.67 1.13 0.55 2.00 0.83

0.49 0.60 0.67 0.72 0.63 0.37 0.72 0.32 0.56 0.43 1.74 0.43 0.75 0.52 0.94 0.48 0.79 0.65 0.65 0.73 0.59 1.51 1.17 0.52 1.77 0.72

81

MDG INDICATORS: THE RATE OF PROGRESS

Indicators MDG 1Eradicate extreme poverty and hunger Percent of infants with LBW (19992004)* Prevalence of stunted children Prevalence of wasted children Vitamin A supplementation coverage of under 5 children* MDG4 Reduce child mortality Infant mortality rate Under-five mortality rate Proportion of one-year-old fully immunized against measles Prevalence of Anemia* MDG5 Improve maternal health Antenatal coverage* Percentage of births attended by skilled health personnel Percentage of births in a health facility* Maternal Mortality Ratio Contraceptive Prevalence Rate Prevalence of obstetric fistula* Prevalence of female circumcision* Prevalence of Anemia in women*

1960 National

1970 National

1995 National

1990 2000 National Tigray National Tigray

2004 National

National

2005 Tigray

15 43 19 52 11 61 8 52 11 55 11 52 11 65 175 269 155 260 23 131 204 52 97 166 14 104 169 44 77 123 47 10.5

2 41 11.6 17.8

239

166 56.8

83 53.5 56.5 58.6 19.2(2004) 8.5(2004) 850 14 1.0 71 26.5 16 1.6 29.3 29.3

27 14 8 6 5 870 6 850 6

36 5 4 10

37 11.2 6.5 850

82

.....MDG INDICATORS: 1960 Indicators MDG6 Combat HIV/AIDS, Malaria and other diseases HIV prevalence among pregnant women aged 15-24 years Condom use rate of the contraceptive prevalence rate Ratio of school attendance of orphans to school attendance of non-orphans aged 10-14 years Prevalence rates associated with malaria per 100,000 population Prevalence of TB per 100,000 population Percentage of TB cases detected under DOTS Percentage of TB cases cured under DOTS MDG7 Ensure environmental sustainability Percentage of population using traditional fuel consumption Percentage of population with sustainable access to an improved water source Percentage of population with access to improved sanitation Demography * Total Population Life expectancy at birth Crude Death Rate Crude Birth Rate Total Fertility Rate* Access to health services * = MDG related indicators 24.3(Eth) 1.7 (Tig.) 36 28 51 6.9 National 1970 National 1995 National 1990 National Tigray 2000 Nationa Tigray l 2004 Nationa l 2005 National Tigray

4.4 23.5 60

5.0 23.5 60 18,317 440 42 80 93.3 36 76

4.7 20.1

25,677

76

16 4

24 12 20 63.5 mn.

35.8 30.6

54 18.9

3.7 mn 48

73.4 mn 47.6 35.7 5.4

4.2 mn

42 20 50 6.8 46 6.8 6.8

5.7

5.1

83

Regional

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Malaria, unspecified AURI Infectious, parasitic, ot Skin infection Gastritis, duodenitis Helminth, other Pneumonia, broncho Pneumonia, other Amoebiasis Hypertrophy tonsil TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 83,472 83,020 44,384 41,480 39,661 31,436 26,967 23,080 22,622 21,198 417,320 894,249 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Normal delivery Malaria, unspecified Pneumonia, other Malaria, Pf Pneumonia, broncho Abortion Pregnancy, other Eye, cataract TB, respiratory Accident, other TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 4,884 3,492 1,962 1,637 1,597 1,364 1,304 1,246 1,084 995 19,565 39,684 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Malaria, unspecified AIDS Pneumonia, broncho TB, respiratory Pneumonia, other Malaria, Pf Leishmaniasis HTN Infectious, parasitic, ot Dysentery, unspecified TOTAL TOP 10 DEATHS TOTAL DEATHS Total 169 141 118 99 91 62 41 33 31

27

812 1,589

Regional

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center (Regional)

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI Malaria, unspecified Gastritis, duodenitis Infectious, parasitic, ot Skin infection Helminth, other Pneumonia, broncho Genitourinary, other Hypertrophy tonsil Pneumonia, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 37,667 32,673 22,843 18,644 16,376 13,340 11,732 11,408 10,027 9,799 184,509 393,761 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Normal delivery Malaria, unspecified Abortion Pregnancy, other Pneumonia, other Pneumonia, broncho Malaria, Pf Abortion, sepsis Eye, cataract TB, respiratory TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 4,884 1,447 1,362 1,304 858 686 658 572 560 502 12,833 21,953 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Malaria, unspecified AIDS TB, respiratory Pneumonia, broncho Pneumonia, other Malaria, Pf HTN Infectious, parasitic, ot Anemia, unspecified Dysentery, unspecified TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS Total 67 60 54 43 39 27 19 19 15 15 358 701

84

Regional

Top Ten Under 5 Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Under 5 Outpatient Cases Diagnosis AURI Pneumonia, broncho Malaria, unspecified Hypertrophy tonsil Infectious, parasitic, ot Skin infection Pneumonia, other Gastroenteritis, < 2yr Helminth, other Dysentery, unspecified TOP 10 UNDER 5 CASES TOTAL UNDER 5 CASES Total 23,487 13,886 13,641 11,432 9,840 9,520 8,906 8,648 7,537 7,432 114,329 183,524 Rank 1 2 3 4 5 6 7 8 9 10 All Under 5 Admissions Diagnosis Pneumonia, broncho Pneumonia, other Gastroenteritis, < 2yr Malaria, unspecified Malnutrition, other Malaria, Pf Marasmus Dysentery, bacillary Skin infection Kwashiorkhor TOP 10 UNDER 5 ADMISSIONS TOTAL UNDER 5 ADMISSIONS Total 979 967 645 496 263 234 229 198 165 112 4,288 6,024 Rank 1 2 3 4 5 6 7 8 9 10 All Under 5 Deaths Diagnosis Pneumonia, broncho Pneumonia, other Gastroenteritis, < 2yr Marasmus Malnutrition, other Malaria, unspecified Dysentery, bacillary Septicaemia Kwashiorkhor Pneumonia, lobar TOP 10 UNDER 5 DEATHS TOTAL UNDER 5 DEATHS Total 57 38 24 21 16 13 12 12 11 10 214 300

85

Kafta Humera

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Infectious, parasitic, ot AURI Dysentery, unspecified Pneumonia, broncho Respiratory, other Malaria, unspecified Malaria, Pf Gastritis, duodenitis Skin, other Genitourinary, other TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 4,623 4,343 2,919 2,298 1,606 1,582 1,254 1,251 1,190 1,124 22,190 37,180 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Leishmaniasis Measles Malaria, unspecified TB, respiratory AIDS Dysentery, unspecified Pneumonia, broncho HTN Poison Accident, other TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 284 202 174 77 67 64 64 46 37 28 1,043 1,374 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Leishmaniasis AIDS Malaria, unspecified Dysentery, unspecified HTN TB, respiratory Pneumonia, broncho War Lung abscess, empyema Measles TOTAL TOP 10 DEATHS TOTAL DEATHS Total 36 28 22 13 13 13 10 8 5

5

153 185

Kafta Humera

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, unspecified AURI Infectious, parasitic, ot Dysentery, unspecified Pneumonia, broncho Genitourinary, other Gastritis, duodenitis Skin, other Respiratory, other Malaria, Pv TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 4,614 2,015 1,550 892 832 654 579 442 440 401 12,419 18,140 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, unspecified Measles Dysentery, unspecified AIDS Leishmaniasis TB, respiratory HTN Pneumonia, broncho Asthma Malnutrition, other TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 67 39 32 31 29 24 23 23 12 12 292 421 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis HTN AIDS Dysentery, unspecified TB, respiratory War Gastritis, duodenitis Malaria, unspecified Anemia, unspecified Measles Other tooth, gum TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS Total 10 9 8 8 4 3 3 2 2 1 50 62

86

Tahtay Adiabo

Top Ten Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, unspecified AURI Helminth, other Malaria, Pf Broncitis, acute Dysentery, bacillary Amoebiasis Broncitis, chronic Accident, other Gastritis, duodenitis TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 6,721 4,480 3,423 1,276 941 935 917 808 452 420 20,373 24,572 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Malaria, unspecified Malaria, Pf Helminth, other Pneumonia, other Animal, other Broncitis, chronic AURI Homicide,injury external Accident, other HTN, heart disease TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 121 55 19 12 8 8 6 6 5 5 245 279 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Accident, other Helminth, other AIDS AURI Anemia, Iron deficiency Broncitis, chronic Malaria, Pf Malaria, unspecified Pneumonia, lobar Pregnancy, sepsis TOTAL TOP 10 DEATHS TOTAL DEATHS Total 2 2 1 1 1 1 1 1 1 1 12 12

Tahtay Adiabo

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, unspecified AURI Helminth, other Malaria, Pf Dysentery, bacillary Amoebiasis Broncitis, acute Broncitis, chronic Gastritis, duodenitis Genitourinary, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 3,377 2,140 1,604 632 490 423 418 357 305 223 9,969 11,862 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, unspecified Malaria, Pf Pneumonia, other Helminth, other Broncitis, chronic AURI Anemia, pernicious Accident, other Dysentery, bacillary HTN, heart disease TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 58 28 9 8 4 3 3 2 2 2 119 130 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Accident, other Anemia, Iron deficiency Broncitis, chronic Helminth, other Malaria, Pf Pneumonia, lobar Pregnancy, sepsis Total 1 1 1 1 1 1 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

7 7

87

Laelay Adiabo

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis AURI Malaria, unspecified Amoebiasis Infectious, parasitic, ot Skin, other Gastritis, duodenitis Dysentery, unspecified Dysentery, bacillary Anemia, Iron deficiency Eye, other TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 3,283 3,159 1,383 918 845 808 694 439 431 414 12,374 16,999 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Malaria, Pf Pneumonia, broncho Malaria, unspecified Fever of unknown origin Infectious, parasitic, ot Gastritis, duodenitis Malaria, Pv AURI Accident, other Respiratory, other TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 20 15 14 13 7 4 4 3 3 3 86 103 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Infectious, parasitic, ot Malaria, unspecified Anthrax Fever of unknown origin Accident, other Pneumonia, broncho Poison Pregnancy, sepsis Skin, other TOTAL TOP 10 DEATHS TOTAL DEATHS Total 4 4 2 2 1 1 1 1 1 17 17

Laelay Adiabo

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI Malaria, unspecified Amoebiasis Gastritis, duodenitis Infectious, parasitic, ot Skin, other Dysentery, unspecified Anemia, Iron deficiency Dysentery, bacillary Eye, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 1,401 1,256 592 461 391 349 286 193 189 189 5,307 7,375 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Fever of unknown origin Malaria, Pf Malaria, unspecified Pneumonia, broncho Infectious, parasitic, ot Respiratory, other Skin, other AURI Broncitis, acute Gastritis, duodenitis TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 11 8 8 7 3 3 3 2 2 2 49 57 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Anthrax Fever of unknown origin Infectious, parasitic, ot Malaria, unspecified Pneumonia, broncho Poison Pregnancy, sepsis Total 2 1 1 1 1 1 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

8 8

88

Tahtay Koraro

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Malaria, unspecified AURI Helminth, other Broncitis, acute Homicide,injury external Malaria, Pf Pneumonia, other Broncitis, chronic Kidney stone Hypertrophy tonsil TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 3,289 2,369 2,368 1,425 1,183 1,164 1,034 978 733 685 15,228 27,593 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Labour, disproportion Pneumonia, other Malaria, unspecified Abortion, sepsis Malaria, Pf Normal delivery TB, respiratory Homicide,injury external Anemia, unspecified Ulcer, intestine TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 332 258 211 189 185 120 114 110 100 95 1,714 2,893 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Pneumonia, other AIDS Malaria, unspecified Anemia, unspecified TB, respiratory Gastroenteritis, < 2yr No Acute Distress Ulcer, intestine AURI Fever of unknown origin TOTAL TOP 10 DEATHS TOTAL DEATHS Total 19 15 12 9 9 5 4 3 2 2 80 105

Tahtay koraro

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, unspecified AURI Helminth, other Broncitis, acute Malaria, Pf Pneumonia, other Broncitis, chronic Kidney stone Homicide,injury external Hypertrophy tonsil TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 1,390 1,112 960 586 478 429 385 373 352 352 6,417 12,113 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Labour, disproportion Abortion, sepsis Normal delivery Pneumonia, other Malaria, unspecified Malaria, Pf Anemia, unspecified Pregnancy, other Ulcer, intestine TB, respiratory TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 332 189 120 99 86 74 70 54 53 52 1,129 1,633 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis AIDS Pneumonia, other Anemia, unspecified TB, respiratory Malaria, unspecified Gastroenteritis, < 2yr Labour, disproportion Meningitis, H.influenza No Acute Distress Rheumatic, chronic TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS Total 9 8 7 5 4 2 2 2 2 2 43 54

89

Medebay Zana

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Infectious, parasitic, ot AURI Malaria, unspecified Pneumonia, other Gastritis, duodenitis Respiratory, other AIDS Broncitis, chronic Malaria, Pf Skin infection TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES All Admissions Total 1,878 1,560 1,402 1,214 1,042 627 555 528 492 400 9,698 13,402 Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, unspecified Pneumonia, other Malaria, Pf Infectious, parasitic, ot Gastritis, duodenitis TB, respiratory Salmonella, typhoid AURI Broncitis, chronic Respiratory, other TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 135 74 56 31 16 16 15 10 10 10 373 447 Rank 1 2 3 4 5 6 7 8 9 10 TOTAL TOP 10 DEATHS TOTAL DEATHS 10 10 All Deaths Diagnosis Malaria, unspecified Pneumonia, other TB, respiratory AIDS Gastritis, duodenitis Malaria, Pf Total 3 2 2 1 1 1

Medebay Zana

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Infectious, parasitic, ot AURI Gastritis, duodenitis Malaria, unspecified Pneumonia, other AIDS Respiratory, other Broncitis, chronic Skin infection Malaria, Pf TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 753 693 595 529 507 290 286 222 170 164 4,209 5,912 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, unspecified Pneumonia, other Malaria, Pf Infectious, parasitic, ot Gastritis, duodenitis Salmonella, typhoid AURI TB, respiratory Broncitis, chronic Respiratory, other TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 53 33 17 15 11 11 6 6 4 4 160 199 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Gastritis, duodenitis Pneumonia, other Total 1 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

2 2

90

Asgede Tsimbila

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Malaria, unspecified Helminth, other AURI Malaria, Pf Broncitis, chronic Infectious, parasitic, ot Skin infection Gastritis, duodenitis Respiratory, other Pneumonia, broncho TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 4,546 2,269 2,244 2,089 1,798 1,770 1,533 1,461 1,140 1,003 19,853 30,946 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Malaria, unspecified Malaria, Pf Pneumonia, broncho Helminth, other Dysentery, unspecified Broncitis, chronic Pneumonia, other Anemia, Iron deficiency Ascariasis Amoebiasis TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 155 55 46 28 17 11 11 9 9 8 349 379 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Pneumonia, broncho Malaria, Pf Malaria, unspecified Leishmaniasis Anemia, Iron deficiency AIDS Dysentery, unspecified Hepatits, chronic AURI Anthrax TOTAL TOP 10 DEATHS TOTAL DEATHS Total 13 12 6 4 3 2 2 2 1 1 46 51

Asgede Tsimbila

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, unspecified AURI Helminth, other Gastritis, duodenitis Infectious, parasitic, ot Broncitis, chronic Malaria, Pf Skin infection Pneumonia, broncho Respiratory, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 1,742 968 889 824 770 730 667 518 463 457 8,028 12,551 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, unspecified Malaria, Pf Pneumonia, broncho Dysentery, unspecified Helminth, other Anemia, Iron deficiency Pneumonia, other Ascariasis Broncitis, chronic Salmonella, typhoid TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 46 19 18 7 7 4 4 3 3 3 114 121 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Pneumonia, broncho Malaria, Pf Malaria, unspecified AIDS AURI Anemia, Iron deficiency Anthrax Dysentery, unspecified Leishmaniasis Pregnancy, other TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS Total 8 5 2 1 1 1 1 1 1 1 22 22

91

Tselemti

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Malaria, unspecified AURI Pneumonia, other Dysentery, unspecified Skin infection Broncitis, acute Gastritis, duodenitis Amoebiasis Infectious, parasitic, ot Respiratory, other TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 4,209 1,216 681 673 621 589 570 482 471 381 9,893 13,673 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Malaria, unspecified Malaria, Pf Pneumonia, other Fall Malaria, Pv AURI Infectious, parasitic, ot Drowning Genitourinary, other Skin, other TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 179 127 15 6 5 4 4 3 3 3 349 354 Rank 1 2 3 4 5 6 7 8 9 10 TOTAL TOP 10 DEATHS TOTAL DEATHS 6 6 All Deaths Diagnosis Malaria, Pf Malaria, unspecified Arthritis, spondylitis Fever of unknown origin Total 2 2 1 1

Tselmti

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, unspecified AURI Gastritis, duodenitis Pneumonia, other Dysentery, unspecified Skin infection Broncitis, acute Infectious, parasitic, ot Amoebiasis Respiratory, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 1,738 548 371 309 290 241 192 186 177 147 4,199 5,666 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, unspecified Malaria, Pf Pneumonia, other AURI Infectious, parasitic, ot Malaria, Pv Anemia, unspecified Anthrax Broncitis, acute Genitourinary, other TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 73 59 7 4 3 2 1 1 1 1 152 152 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Fever of unknown origin Malaria, Pf Malaria, unspecified Total 1 1 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

3 3

92

Wolkait

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Infectious, parasitic, ot AURI Malaria, unspecified Gastritis, duodenitis Broncitis, acute Respiratory, other Amoebiasis Pneumonia, other Skin infection Schistosomiasis, intestin TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 2,293 1,859 1,145 689 596 574 478 464 397 364 8,859 13,629 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Malaria, unspecified Infectious, parasitic, ot Malaria, Pf Accident, other Respiratory, other Gastritis, duodenitis Fall Fever of unknown origin Pneumonia, broncho TB, other TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 64 32 27 17 11 9 6 6 6 6 184 241 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Malaria, Pf AURI Asthma Fever of unknown origin Malaria, unspecified Suicide, self injury Total 3 1 1 1 1 1

TOTAL TOP 10 DEATHS TOTAL DEATHS

8 8

Wolkait

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Infectious, parasitic, ot AURI Gastritis, duodenitis Malaria, unspecified Respiratory, other Pneumonia, other Broncitis, acute Neonatal infection, other Amoebiasis Dental caries TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 801 600 333 267 202 174 173 173 150 128 3,001 4,560 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, unspecified Malaria, Pf Gastritis, duodenitis Accident, other Respiratory, other Infectious, parasitic, ot Pneumonia, broncho Pneumonia, other Ancyclostoma, hookworm Fever of unknown origin TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 20 10 8 7 6 5 3 3 2 2 66 66 Rank 1 2 3 4 5 6 7 8 9 10 Malaria, Pf AURI All Female Deaths Diagnosis Total 2 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

3 3

93

Tsegede

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Malaria, unspecified Infectious, parasitic, ot Helminth, other AURI Respiratory, other Hypertrophy tonsil Gastritis, duodenitis Malaria, Pv Pneumonia, other Skin infection TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 4,699 2,134 1,843 1,591 1,132 971 949 808 692 686 15,505 21,969 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Malaria, unspecified Normal delivery Pneumonia, broncho Accident, other Abortion Malaria, Pv Malaria, Pf AURI Injury, transport, other Pneumonia, other TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 485 95 43 42 41 33 27 26 23 23 838 1,113 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Malaria, unspecified TB, respiratory Anemia, pernicious GI, other Pneumonia, broncho AIDS Fall Malaria, Pf Malaria, Pv Marasmus TOTAL TOP 10 DEATHS TOTAL DEATHS Total 10 4 2 2 2 1 1 1 1 1 25 29

Tsegede

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, unspecified Infectious, parasitic, ot AURI Helminth, other Gastritis, duodenitis Hypertrophy tonsil Respiratory, other Malaria, Pv Genitourinary, other Pneumonia, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 1,702 935 679 582 492 406 306 301 288 286 5,977 8,562 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, unspecified Normal delivery Abortion Pneumonia, broncho Malaria, Pv Asthma Pneumonia, other TB, respiratory AURI Accident, other TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 153 95 41 15 13 10 10 9 8 7 361 460 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Malaria, unspecified GI, other Marasmus Pneumonia, broncho Skin, other TB, respiratory Total 3 1 1 1 1 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

8 8

94

Mereb Leke

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Malaria, Pf Pneumonia, other Broncitis, acute Dysentery, bacillary Malaria, Pv Skin infection Gastritis, duodenitis Amoebiasis Skin, other Tapeworm TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 3,816 1,819 1,065 916 816 807 783 671 666 659 12,018 17,657 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Abortion Anthrax Malaria, Pf Malaria, Pv Normal delivery Pregnancy, other Total 4 4 4 1 1 1 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Total

No Death

TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS

15 15

TOTAL TOP 10 DEATHS TOTAL DEATHS

0 0

Mereb Leke

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, Pf Pneumonia, other Gastritis, duodenitis Broncitis, acute Dysentery, bacillary Skin infection Malaria, Pv Tapeworm Amoebiasis Skin, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 1,673 770 465 452 393 331 321 303 293 292 5,293 7,901 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Abortion Anthrax Malaria, Pf Normal delivery Pregnancy, other Total 4 1 1 1 1 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Total

No Death

TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS

8 8

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

0

95

Ahferom

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis AURI Amoebiasis Skin infection Malaria, unspecified Malaria, Pf Gastritis, duodenitis Arthritis, spondylitis Broncitis, acute Eye, inflammatory Broncitis, chronic TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 2,539 2,516 1,747 824 746 688 664 562 422 382 11,090 14,932 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Homicide, injury external Malaria, Pf Skin infection Malaria, unspecified Pneumonia, broncho Amoebiasis Broncitis, acute AURI Gastritis, duodenitis Genitourinary, other TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 29 25 21 20 15 14 7 6 6 6 149 172 Rank 1 2 3 4 5 6 7 8 9 10 TOTAL TOP 10 DEATHS TOTAL DEATHS 2 2 All Deaths Diagnosis Malaria, Pf Total 2

Ahferom

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI Amoebiasis Skin infection Gastritis, duodenitis Malaria, unspecified Arthritis, spondylitis Broncitis, acute Malaria, Pf Broncitis, chronic Eye, inflammatory TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 1,019 921 622 355 295 253 229 198 177 172 4,241 5,874 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Homicide,injury external Malaria, Pf Amoebiasis Malaria, unspecified Skin infection Broncitis, acute Gastritis, duodenitis Genitourinary, other Pneumonia, broncho AURI TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 8 8 7 7 4 3 3 3 3 2 48 56 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Total

No Death

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

0

96

Werie Leke

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Malaria, unspecified AURI Pneumonia, other Infectious, parasitic, ot Gastritis, duodenitis Accident, other Broncitis, chronic Malaria, Pf Skin infection Malaria, Pv TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 2,536 2,080 1,690 1,385 1,119 873 868 850 822 819 13,042 20,841 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Malaria, Pf Malaria, unspecified Pneumonia, other Malaria, Pv Anthrax Infectious, parasitic, ot Gastritis, duodenitis Accident, other Anemia, unspecified Broncitis, chronic TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 145 93 79 45 18 18 11 10 10 7 436 502 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Pneumonia, other Malaria, Pf Animal, other CVS, other GI obstruction Malaria, unspecified TB, respiratory Total 5 3 1 1 1 1 1

TOTAL TOP 10 DEATHS TOTAL DEATHS

13 13

Werie Leke

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, unspecified AURI Pneumonia, other Gastritis, duodenitis Infectious, parasitic, ot Malaria, Pf Broncitis, chronic Malaria, Pv Skin infection Broncitis, acute TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 998 907 688 674 588 342 341 340 277 257 5,412 8,547 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, Pf Malaria, unspecified Pneumonia, other Malaria, Pv Anthrax Infectious, parasitic, ot Anemia, unspecified Gastritis, duodenitis Abortion Amoebiasis TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 71 48 32 19 10 10 6 5 4 3 208 241 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Pneumonia, other CVS, other GI obstruction Malaria, Pf TB, respiratory Total 3 1 1 1 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

7 7

97

Adua

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis AURI Malaria, unspecified Pneumonia, broncho Amoebiasis Gastritis, duodenitis Infectious, parasitic, ot Skin infection Dysentery, bacillary Genitourinary, other Broncitis, acute TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 4,157 2,534 2,437 2,357 2,258 1,839 1,629 1,368 1,329 1,238 21,146 39,896 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Normal delivery Abortion Hernia Pneumonia, broncho Malaria, unspecified Gastritis, duodenitis TB, respiratory Gastroenteritis, < 2yr Fall AIDS TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 1,204 381 370 311 243 218 161 148 111 94 3,241 4,432 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Pneumonia, broncho TB, respiratory AIDS Hernia Anemia, pernicious Anthrax Gastritis, duodenitis HTN, heart disease Malnutrition, other Marasmus TOTAL TOP 10 DEATHS TOTAL DEATHS Total 11 11 9 6 3 3 3 3 3 3 55 76

Adua

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI Gastritis, duodenitis Amoebiasis Malaria, unspecified Pneumonia, broncho Genitourinary, other Infectious, parasitic, ot Dysentery, bacillary Skin infection Broncitis, acute TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 1,841 1,422 1,098 1,027 1,025 873 808 589 546 519 9,748 18,106 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Normal delivery Abortion Pneumonia, broncho Gastritis, duodenitis Malaria, unspecified Pregnancy, sepsis TB, respiratory Abortion, sepsis Gastroenteritis, < 2yr AIDS TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 1,204 381 151 147 115 86 82 71 61 60 2,358 2,957 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis TB, respiratory AIDS Anthrax Pneumonia, broncho Malaria, unspecified Abortion Anemia, pernicious Anemia, unspecified Animal, other Firearm TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS Total 6 4 3 3 2 1 1 1 1 1 23 31

98

Laelay Maichew

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI Helminth, other Skin infection Pneumonia, broncho Broncitis, chronic Gastritis, duodenitis Accident, other Infectious, parasitic, ot TB, respiratory Kidney infection TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 3,971 2,764 2,337 2,330 2,192 2,159 1,888 1,844 1,766 1,665 22,916 50,618 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Normal delivery Pneumonia, broncho Abortion Malaria, Pf Accident, other Abortion, sepsis GI, other Rheumatic, chronic TB, respiratory AIDS TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 653 364 265 254 196 190 151 148 143 136 2,500 4,793 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Pneumonia, broncho AIDS GI obstruction Malaria, Pf Pneumonia, lobar Rheumatic, chronic Gastroenteritis, 2+yr Septicaemia Ulcer, intestine Nephritis, acute TOTAL TOP 10 DEATHS TOTAL DEATHS Total 25 13 11 10 8 7 5 5 5 4 93 137

Laelay Maichew

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI Helminth, other Gastritis, duodenitis Pneumonia, broncho Broncitis, chronic Skin infection Kidney infection Infectious, parasitic, ot TB, respiratory Malaria, unspecified TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 1,929 1,146 1,134 1,103 1,004 944 851 833 776 596 10,316 23,283 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Normal delivery Abortion Abortion, sepsis Pneumonia, broncho Labour, malposition Pregnancy, haemorrhage Pregnancy, other Malaria, Pf AIDS Rheumatic, chronic TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 653 265 190 149 105 89 84 80 74 74 1,763 2,709 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Pneumonia, broncho AIDS Gastroenteritis, 2+yr Pneumonia, lobar Ulcer, intestine GI obstruction Rheumatic, chronic TB, respiratory Anemia, Iron deficiency HTN TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS Total 11 6 4 4 4 3 3 3 2 2 42 60

Tahtay Maichew

99

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Pneumonia, other Broncitis, chronic Skin infection Gastritis, duodenitis Helminth, other Amoebiasis Malaria, Pf Respiratory, other Dysentery, bacillary Broncitis, acute TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 1,414 1,219 1,155 810 742 651 637 505 496 365 7,994 13,160 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Respiratory, other Malaria, Pf Malaria, Pv Pneumonia, broncho Anemia, Iron deficiency Pneumonia, other Anthrax Anemia, unspecified Dysentery, bacillary Gastritis, duodenitis TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 30 21 13 13 8 5 4 3 3 3 103 118 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Marasmus Total 1

TOTAL TOP 10 DEATHS TOTAL DEATHS

1 1

Tahtay Maichew

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Pneumonia, other Gastritis, duodenitis Skin infection Broncitis, chronic Helminth, other Respiratory, other Amoebiasis Dysentery, bacillary Broncitis, acute Genitourinary, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 482 463 441 404 348 332 240 184 157 130 3,181 5,236 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Respiratory, other Anemia, Iron deficiency Malaria, Pf Anthrax Pneumonia, broncho Pneumonia, other Anemia, unspecified Malaria, Pv Fall Fever of unknown origin TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 12 5 5 4 4 4 2 2 1 1 40 42 Rank 1 2 3 4 5 6 7 8 9 10 Marasmus All Female Deaths Diagnosis Total 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

1 1

100

Naedier Adiet

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Pneumonia, other AURI Infectious, parasitic, ot Gastritis, duodenitis Malaria, unspecified Eye, inflammatory Malaria, Pf Skin infection Amoebiasis Genitourinary, other TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 1,641 1,013 871 806 625 485 474 455 360 339 7,069 12,308 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis CVS, other Infectious, parasitic, ot Gastritis, duodenitis Pneumonia, other Malaria, Pv Eye, inflammatory Amoebiasis Tapeworm Broncitis, acute Dysentery, unspecified TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 72 72 70 50 36 29 23 22 19 18 411 635 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Total

No Death

TOTAL TOP 10 DEATHS TOTAL DEATHS

0

Naedier Adiet

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Pneumonia, other Gastritis, duodenitis AURI Infectious, parasitic, ot Eye, inflammatory Skin infection Malaria, unspecified Hypertrophy tonsil Dysentery, bacillary Genitourinary, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 652 421 394 325 177 159 144 135 133 130 2,670 4,759 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Infectious, parasitic, ot Gastritis, duodenitis CVS, other Malaria, Pv Pneumonia, other Eye, inflammatory Pneumonia, broncho Amoebiasis Anemia, Iron deficiency Anthrax TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 40 39 22 18 18 12 10 8 7 7 181 277 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Total

No Death

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

0 0

101

Kolla Tembien

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Malaria, unspecified AURI Infectious, parasitic, ot Gastritis, duodenitis Broncitis, chronic Amoebiasis Pneumonia, broncho Malaria, Pf Hypertrophy tonsil Accident, other TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 3,855 2,729 2,611 1,123 1,081 814 781 668 633 576 14,871 21,969 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Malaria, unspecified Malaria, Pf Accident, other Pneumonia, broncho TB, respiratory Pneumonia, other Infectious, parasitic, ot Respiratory, other Genitourinary, other Marasmus TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 270 246 92 65 50 49 44 36 34 32 918 1,265 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Marasmus Pneumonia, other Cirrhosis Infectious, parasitic, ot TB, respiratory Anthrax Genitourinary, other HTN Malaria, unspecified Anemia, Iron deficiency TOTAL TOP 10 DEATHS TOTAL DEATHS Total 7 4 3 3 3 2 2 2 2 1 29 34

Kolla Tembien

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, unspecified AURI Infectious, parasitic, ot Gastritis, duodenitis Broncitis, chronic Amoebiasis Pneumonia, broncho Hypertrophy tonsil Malaria, Pf Kidney infection TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 1,631 1,186 1,002 615 411 356 346 305 300 245 6,397 9,493 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, unspecified Malaria, Pf Pneumonia, other Infectious, parasitic, ot Pneumonia, broncho Gastritis, duodenitis TB, respiratory Accident, other Genitourinary, other Marasmus TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 115 98 25 22 21 20 19 18 17 13 368 513 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Marasmus TB, respiratory Anthrax Infectious, parasitic, ot Cirrhosis HTN Malaria, Pf Malaria, unspecified Pneumonia, other TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS Total 4 3 2 2 1 1 1 1 1 16 16

102

Degua Tembien

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Skin infection Pneumonia, broncho Infectious, parasitic, ot AURI Gastritis, duodenitis Homicide,injury external Respiratory, other Fever of unknown origin Amoebiasis Other, allergy, endo, met TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 1,256 1,236 1,020 781 555 430 417 300 295 234 6,524 9,769 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Pneumonia, broncho Fever of unknown origin Infectious, parasitic, ot Respiratory, other Gastritis, duodenitis Genitourinary, other Homicide,injury external Broncitis, chronic Amoebiasis Asthma TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 47 40 39 19 17 11 9 8 7 6 203 261 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Pneumonia, broncho Total 1

TOTAL TOP 10 DEATHS TOTAL DEATHS

1 1

Dogua Tembien

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Pneumonia, broncho Skin infection Infectious, parasitic, ot AURI Gastritis, duodenitis Respiratory, other Amoebiasis Fever of unknown origin Homicide,injury external CVS, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 532 514 426 371 351 211 124 122 121 109 2,881 4,400 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Pneumonia, broncho Infectious, parasitic, ot Fever of unknown origin Respiratory, other Gastritis, duodenitis Genitourinary, other HTN Helminth, other Asthma Broncitis, chronic TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 28 22 18 12 11 8 5 4 3 3 114 144 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Total

No Death

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

0

103

Tanqua Abegelle

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Malaria, unspecified Malaria, Pf Pneumonia, broncho Infectious, parasitic, ot Amoebiasis AURI Skin infection Hypertrophy tonsil Arthritis, spondylitis Mumps TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 1,507 960 656 481 468 373 219 198 160 142 5,164 7,287 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Malaria, unspecified Malaria, Pf Pneumonia, broncho Malaria, Pm Gastritis, duodenitis Pneumonia, lobar Anemia, pernicious Anemia, unspecified Animal, other Nephritis, acute TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 78 43 23 20 9 4 3 2 2 2 186 197 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Malaria, unspecified Malaria, Pm Pneumonia, broncho Malaria, Pf Anemia, unspecified Fever of unknown origin Infectious, parasitic, ot Anemia, Iron deficiency Animal, other Genitourinary, other TOTAL TOP 10 DEATHS TOTAL DEATHS Total 29 11 11 6 5 2 2 1 1 1 69 72

Tanqua Abergelle

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, unspecified Malaria, Pf Pneumonia, broncho Amoebiasis Infectious, parasitic, ot AURI Skin infection Anemia, Iron deficiency Hypertrophy tonsil Gastroenteritis, 2+yr TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 673 371 287 202 189 155 95 91 80 79 2,222 3,145 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, unspecified Malaria, Pf Pneumonia, broncho Malaria, Pm Gastritis, duodenitis Anemia, pernicious Ancyclostoma, hookworm Anemia, Iron deficiency Anemia, unspecified Animal, other TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 39 20 15 12 9 3 1 1 1 1 102 108 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Malaria, Pm Malaria, Pf Pneumonia, broncho Anemia, Iron deficiency Anemia, unspecified Genitourinary, other Infectious, parasitic, ot Yaws Total 6 3 2 1 1 1 1 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

16 16

104

Gulomekada

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Broncitis, acute Homicide,injury external Infectious, parasitic, ot AURI Pneumonia, other Eye, inflammatory Skin infection Gastritis, duodenitis Fall SI,Ill_defined TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 674 484 478 409 377 271 256 214 213 184 3,560 5,787 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Total Rank 1 2 3 4 5 6 7 8 9 10 0 0 All Deaths Diagnosis Total

No Admission

No Death

TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS

TOTAL TOP 10 DEATHS TOTAL DEATHS

0 0

Gulomekada

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Broncitis, acute AURI Infectious, parasitic, ot Pneumonia, other Gastritis, duodenitis Eye, inflammatory Genitourinary, other Skin infection Dental caries SI,Ill_defined TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 314 186 181 169 117 116 103 99 85 83 1,453 2,343 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Total Rank 1 2 3 4 5 6 7 8 9 10 0 All Female Deaths Diagnosis Total

No Admission

No Death

TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

0

105

Erob

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis AURI SI,Ill_defined Pneumonia, broncho Eye, inflammatory Dysentery, unspecified Respiratory, other Genitourinary, other Accident, other Helminth, other Gastritis, duodenitis TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 574 454 385 323 298 286 282 249 229 194 3,274 5,778 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Abortion Pregnancy, other Immaturity Pregnancy, haemorrhage Total 2 2 1 1 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Total

No Death

TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS

6 6

TOTAL TOP 10 DEATHS TOTAL DEATHS

0

Erob

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI SI,Ill_defined Genitourinary, other Pneumonia, broncho Eye, inflammatory Respiratory, other Dysentery, unspecified Helminth, other Gastritis, duodenitis Hypertrophy tonsil TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 266 261 174 168 158 151 131 109 106 106 1,630 2,854 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Abortion Pregnancy, other Immaturity Pregnancy, haemorrhage Total 2 2 1 1 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Total

No Death

TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS

6 6

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

0

106

Saeisie Tsaeda Emba

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Gastritis, duodenitis Pneumonia, other SI,Ill_defined AURI Respiratory, other Skin infection Homicide,injury external Eye, inflammatory Amoebiasis Arthritis, spondylitis TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 863 832 776 767 754 711 668 584 562 426 6,943 12,225 Rank 1 2 3 4 5 6 7 8 9 10 CVS, other Malaria, Pf All Admissions Diagnosis Total 4 1 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Total

No Death

TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS

5 5

TOTAL TOP 10 DEATHS TOTAL DEATHS

0

Saesie Tsaeda Emba

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Gastritis, duodenitis Pneumonia, other AURI Respiratory, other SI,Ill_defined Skin infection Eye, inflammatory Amoebiasis Arthritis, spondylitis Broncitis, chronic TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 593 385 375 374 356 288 276 255 202 180 3,284 5,707 Rank 1 2 3 4 5 6 7 8 9 10 CVS, other All Female Admissions Diagnosis Total 1 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Total

No Death

TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS

1 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

0

107

Ganta Afeshum

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis AURI Gastritis, duodenitis Skin infection Helminth, other Accident, other Pneumonia, other Pneumonia, broncho Genitourinary, other Dysentery, unspecified Eye, other TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 3,704 3,629 3,504 2,688 1,995 1,703 1,615 1,597 1,462 1,432 23,329 46,549 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Normal delivery Pneumonia, other Abortion Pregnancy, other Gastroenteritis, < 2yr AIDS Accident, other Genitourinary, other Labour, disproportion TB, respiratory TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 525 303 247 103 102 101 90 72 71 70 1,684 2,758 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Pneumonia, other AIDS Salmonella, typhoid Septicaemia CVS, other Kwashiorkhor Marasmus TB, other TB, respiratory Diabetes mellitus TOTAL TOP 10 DEATHS TOTAL DEATHS Total 14 12 6 5 4 4 4 4 4 3 60 98

Ganta Afeshum

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Gastritis, duodenitis AURI Skin infection Helminth, other Genitourinary, other Pneumonia, other Pneumonia, broncho Dysentery, unspecified Eye, other Accident, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 2,180 1,783 1,521 1,255 856 838 737 688 683 663 11,204 22,471 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Normal delivery Abortion Pneumonia, other Pregnancy, other Labour, disproportion Genitourinary, other Labour, malposition AIDS Pregnancy, haemorrhage TB, respiratory TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 525 247 127 103 71 57 49 48 43 42 1,312 1,748 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis AIDS Pneumonia, other CVS, other Heat Kwashiorkhor Salmonella, typhoid Septicaemia Genitourinary, other Marasmus TB, other TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS Total 7 4 3 3 3 3 3 2 2 2 32 45

108

Hawzien

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis AURI Skin infection Malaria, unspecified Broncitis, acute Gastritis, duodenitis Homicide,injury external Genitourinary, other Infectious, parasitic, ot Ascariasis Dysentery, bacillary TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 1,598 1,535 1,086 892 684 619 610 583 579 528 8,714 14,797 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Pneumonia, other Malaria, unspecified Dysentery, unspecified Pneumonia, broncho Gastroenteritis, 2+yr Malaria, Pf Abortion Broncitis, acute Amoebiasis Gastritis, duodenitis TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 72 46 22 21 17 15 12 11 10 7 233 299 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Malaria, unspecified Gastroenteritis, 2+yr Pneumonia, broncho Skin infection Abortion Amoebiasis Gastritis, duodenitis Gastroenteritis, < 2yr Infectious, parasitic, ot Kwashiorkhor TOTAL TOP 10 DEATHS TOTAL DEATHS Total 7 4 4 2 1 1 1 1 1 1 23 24

Hawzien

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI Skin infection Malaria, unspecified Gastritis, duodenitis Broncitis, acute Genitourinary, other Infectious, parasitic, ot Dysentery, bacillary Ascariasis Homicide,injury external TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 777 639 480 393 377 321 256 247 234 221 3,945 6,951 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Pneumonia, other Malaria, unspecified Pneumonia, broncho Abortion Gastroenteritis, 2+yr Dysentery, unspecified Malaria, Pf Genitourinary, other Gastritis, duodenitis Pregnancy, other TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 37 17 14 10 10 9 8 7 6 6 124 168 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Malaria, unspecified Skin infection Abortion Gastritis, duodenitis Infectious, parasitic, ot Kwashiorkhor Pneumonia, broncho Total 3 2 1 1 1 1 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

10 10

109

Wukro

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis AURI Helminth, other Skin infection Pneumonia, broncho Gastritis, duodenitis Arthritis, spondylitis Malaria, unspecified Genitourinary, other Hypertrophy tonsil Broncitis, chronic TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 6,157 4,919 4,168 3,774 2,930 1,774 1,621 1,473 1,376 987 29,179 41,133 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Pneumonia, other Normal delivery Skin infection Abortion Pregnancy, other Malaria, unspecified Gastroenteritis, 2+yr Nephritis, acute Ulcer, stomach Septicaemia TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 349 286 162 132 109 83 82 61 53 51 1,368 2,010 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Pneumonia, other Septicaemia TB, other AIDS Gastroenteritis, 2+yr Malaria, unspecified TB, respiratory CVS, Degenerative Cirrhosis Gastroenteritis, < 2yr TOTAL TOP 10 DEATHS TOTAL DEATHS Total 9 9 8 7 7 3 3 2 2 2 52 69

Wukro

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI Helminth, other Gastritis, duodenitis Pneumonia, broncho Skin infection Arthritis, spondylitis Genitourinary, other Malaria, unspecified Hypertrophy tonsil Broncitis, chronic TOP 10 FEMALE CASES Total 3,004 2,115 1,980 1,696 1,673 897 883 712 697 433 14,090 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Normal delivery Pneumonia, other Abortion Pregnancy, other Skin infection Nephritis, acute Gastroenteritis, 2+yr Ulcer, stomach Septicaemia Malaria, unspecified TOP 10 FEMALE ADMISSIONS Total 286 155 132 109 52 46 36 32 29 28 905 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Pneumonia, other AIDS TB, other Septicaemia Gastroenteritis, 2+yr Malaria, unspecified TB, respiratory Asthma Diabetes insipidus Epilepsy TOP 10 FEMALE DEATHS Total 6 5 5 4 2 2 2 1 1 1 29

110

Atsbi Wenberta

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis AURI Pneumonia, lobar Gastritis, duodenitis Skin infection Helminth, other Homicide,injury external Malaria, unspecified Arthritis, spondylitis Pneumonia, broncho Dysentery, unspecified TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 1,999 1,220 1,082 1,034 870 851 500 433 385 331 8,705 11,321 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Nephritis, acute Pneumonia, lobar Gastritis, duodenitis Helminth, other AURI Dysentery, unspecified Skin infection Homicide,injury external Anemia, Iron deficiency Arthritis, spondylitis TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 21 20 18 15 11 9 9 7 4 3 117 137 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Total

No Death

TOTAL TOP 10 DEATHS TOTAL DEATHS

0

Atsibi Wenberta

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI Gastritis, duodenitis Pneumonia, lobar Skin infection Helminth, other Homicide,injury external Arthritis, spondylitis Pneumonia, broncho Nephritis, acute Dysentery, unspecified TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 916 690 556 429 392 291 179 179 174 151 3,957 5,156 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Gastritis, duodenitis Pneumonia, lobar Helminth, other Nephritis, acute AURI Dysentery, unspecified Skin infection Amoebiasis Anemia, Iron deficiency Arthritis, spondylitis TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 16 13 11 10 7 7 4 2 2 2 74 84 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Total

No Death

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

0

111

Samre Saharti

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Infectious, parasitic, ot AURI Malaria, unspecified Amoebiasis Gastritis, duodenitis Skin, other Broncitis, acute Hypertrophy tonsil Pneumonia, broncho Q fever TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 1,269 1,226 1,101 1,047 940 888 854 637 551 463 8,976 14,078 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Malaria, Pf Pneumonia, broncho Malaria, unspecified Skin, other Amoebiasis Anemia, unspecified Anthrax Infectious, parasitic, ot Q fever Gastroenteritis, 2+yr TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 55 42 11 6 4 4 4 4 3 2 135 148 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Pneumonia, broncho Malaria, Pf TB, respiratory Total 2 1 1

TOTAL TOP 10 DEATHS TOTAL DEATHS

4 4

Samre Seharti

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Gastritis, duodenitis Infectious, parasitic, ot AURI Malaria, unspecified Amoebiasis Skin, other Broncitis, acute Hypertrophy tonsil Anemia, unspecified Q fever TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 568 556 546 479 440 384 337 312 270 224 4,116 6,528 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, Pf Pneumonia, broncho Malaria, unspecified Anemia, unspecified Amoebiasis Infectious, parasitic, ot Skin, other Anthrax Gastroenteritis, 2+yr Urinary tract infection TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 29 15 5 4 3 3 3 2 2 2 68 72 Rank 1 2 3 4 5 6 7 8 9 10 Malaria, Pf All Female Deaths Diagnosis Total 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

1 1

112

Enderta

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Eye, other Eye, inflammatory Eye, cataract Trachoma Eye, glaucoma Other tooth, gum Infectious, parasitic, ot Skin, other Respiratory, other AURI TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 5,296 4,126 1,955 1,101 1,089 1,058 990 943 711 643 17,912 25,618 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Eye, cataract Eye, inflammatory Eye, glaucoma Eye, other TB, respiratory AURI Pneumonia, other AIDS Malaria, unspecified Broncitis, acute TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 1,242 193 63 52 34 23 20 14 13 8 1,662 1,708 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis TB, respiratory Pneumonia, lobar HTN Malaria, Pf Pneumonia, other AIDS AURI Arthritis, spondylitis Broncitis, acute Anemia, Iron deficiency TOTAL TOP 10 DEATHS TOTAL DEATHS Total 10 8 3 3 3 2 2 2 2 1 36 38

Enderta

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Eye, other Eye, inflammatory Eye, cataract Trachoma Eye, glaucoma Other tooth, gum Infectious, parasitic, ot Skin, other Respiratory, other MS, other TOTAL TOP 10 CASES TOTAL FEMALE CASES Total 2,362 1,945 941 686 535 534 420 376 323 311 8,433 11,916 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Eye, cataract Eye, inflammatory Eye, other TB, respiratory Eye, glaucoma AURI Malaria, unspecified AIDS Pneumonia, other Broncitis, acute TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 558 87 27 25 24 16 11 9 7 5 769 795 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis TB, respiratory Pneumonia, lobar HTN Arthritis, spondylitis Malaria, Pf Pneumonia, other Total 10 4 3 2 2 2

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

23 23

113

Hintalo Wajarat

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Outpatient Cases Rank Diagnosis 1 Malaria, unspecified 2 AURI 3 Infectious, parasitic, ot 4 Hypertrophy tonsil 5 Skin infection 6 Dysentery, unspecified 7 Gastritis, duodenitis 8 Pneumonia, broncho 9 Broncitis, chronic 10 Kidney infection TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES All Admissions Total Rank Diagnosis 1,693 1 Malaria, unspecified 1,666 2 Infectious, parasitic, ot 1,618 3 Pneumonia, broncho 1,566 4 Pneumonia, other 1,297 5 Broncitis, chronic 1,122 6 Kidney infection 965 7 Gastritis, duodenitis 914 8 Anemia, Iron deficiency 797 9 Malaria, Pf 594 10 Coronary artery disease 12,232 TOTAL TOP 10 ADMISSIONS 19,281 TOTAL ADMISSIONS Total 48 26 19 17 16 13 10 9 9 7 174 220 Rank 1 2 3 4 5 6 7 8 9 10 Total Malaria, unspecified 19 Pneumonia, broncho 8 Infectious, parasitic, ot 6 Pneumonia, other 4 Skin infection 4 Malaria, Pf 3 Broncitis, acute 2 Broncitis, chronic 2 Coronary artery disease 2 Dysentery, bacillary 2 TOTAL TOP 10 DEATHS 52 TOTAL DEATHS 59 All Deaths Diagnosis

Hintalo Wajarat

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Hypertrophy tonsil Infectious, parasitic, ot AURI Malaria, unspecified Gastritis, duodenitis Dysentery, unspecified Skin infection Pneumonia, broncho Kidney infection Broncitis, chronic TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 718 688 665 637 574 514 511 385 356 315 5,363 8,380 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, unspecified Infectious, parasitic, ot Pneumonia, broncho Broncitis, chronic Gastritis, duodenitis Pneumonia, other Anemia, Iron deficiency Kidney infection Coronary artery disease Malaria, Pf TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 25 23 11 10 8 8 6 6 4 4 105 120 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Malaria, unspecified Infectious, parasitic, ot Pneumonia, broncho Broncitis, acute Broncitis, chronic Anemia, unspecified Kidney infection Malaria, Pf Nephritis, acute TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS Total 9 4 4 2 2 1 1 1 1 25 25

114

Alaje

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis AURI Infectious, parasitic, ot Gastritis, duodenitis Malaria, unspecified Fever of unknown origin Pneumonia, other Respiratory, other Skin infection Eye, inflammatory Dysentery, unspecified TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 3,123 2,770 1,837 1,808 1,518 1,454 1,427 1,333 1,253 1,233 17,756 33,971 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis CVS, other Fever of unknown origin AIDS Anemia, unspecified Infectious, parasitic, ot Malaria, unspecified Skin infection Total 10 3 1 1 1 1 1 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis CVS, other AIDS Fever of unknown origin GI, other Total 4 1 1 1

TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS

18 18

TOTAL TOP 10 DEATHS TOTAL DEATHS

7 7

Alaje

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI Infectious, parasitic, ot Gastritis, duodenitis Malaria, unspecified Pneumonia, other Fever of unknown origin Respiratory, other Eye, inflammatory Dysentery, unspecified Tapeworm TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 1,307 1,175 882 685 669 650 579 578 549 527 7,601 15,056 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis CVS, other Anemia, unspecified Fever of unknown origin Infectious, parasitic, ot Malaria, unspecified Total 3 1 1 1 1 Rank 1 2 3 4 5 6 7 8 9 10 CVS, other All Female Deaths Diagnosis Total 2

TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS

7 7

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

2 2

115

Endamohoni

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Respiratory, other AURI Eye, inflammatory Malaria, unspecified TB, respiratory Pneumonia, other Broncitis, chronic Hypertrophy tonsil Helminth, other Infectious, parasitic, ot TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 2,118 1,988 1,696 1,512 1,244 1,147 1,001 994 927 804 13,431 31,364 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Normal delivery Accident, other Malaria, unspecified Ankylosis Pneumonia, other GI obstruction TB, respiratory Pregnancy, other Labour, malposition Malnutrition, other TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 286 281 267 221 221 140 135 129 125 116 1,921 3,412 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Amoebiasis Pneumonia, other Malaria, unspecified TB, respiratory Accident, other HTN TB, other Diabetes mellitus Gastroenteritis, < 2yr Marasmus TOTAL TOP 10 DEATHS TOTAL DEATHS Total 20 17 13 9 7 4 4 3 3 3 83 123

Endamohoni

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI Respiratory, other Eye, inflammatory Malaria, unspecified TB, respiratory Pneumonia, other Hypertrophy tonsil Genitourinary, other Broncitis, chronic Helminth, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 917 916 818 609 569 512 504 454 396 375 6,070 14,265 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Normal delivery Malaria, unspecified Pregnancy, other Labour, malposition Abortion, sepsis Pneumonia, other Accident, other Abortion Malnutrition, other Ulcer, intestine TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 286 140 129 125 98 97 81 63 55 55 1,129 1,834 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Amoebiasis Malaria, unspecified Pneumonia, other Accident, other Marasmus TB, respiratory Diabetes mellitus Gastroenteritis, < 2yr Labour, malposition Malaria, Pf TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS Total 10 6 6 3 3 3 2 2 2 2 39 57

116

Raya Azebo

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Malaria, unspecified AURI Hypertrophy tonsil Infectious, parasitic, ot Malaria, Pv Homicide,injury external Pneumonia, broncho Gastritis, duodenitis Skin infection Genitourinary, other TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 5,098 2,319 1,697 1,691 1,156 977 716 634 596 456 15,340 19,778 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Malaria, unspecified Malaria, Pv Malaria, Pf Gastroenteritis, 2+yr Abortion Abortion, sepsis Pregnancy, sepsis Skin infection Anemia, Iron deficiency Gastroenteritis, < 2yr TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 49 39 34 3 2 2 2 2 1 1 135 137 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Malaria, unspecified Malaria, Pf Malaria, Pv Abortion, sepsis Syphilis, general paresis TB, respiratory Total 17 7 7 1 1 1

TOTAL TOP 10 DEATHS TOTAL DEATHS

34 34

Raya Azebo

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, unspecified AURI Infectious, parasitic, ot Hypertrophy tonsil Malaria, Pv Gastritis, duodenitis Genitourinary, other Pneumonia, broncho Homicide,injury external Skin infection TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 2,494 1,014 753 719 513 385 294 286 254 235 6,947 9,035 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, unspecified Malaria, Pv Malaria, Pf Abortion Abortion, sepsis Pregnancy, sepsis Anemia, Iron deficiency Gastroenteritis, 2+yr Gastroenteritis, < 2yr Skin infection TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 17 15 14 2 2 2 1 1 1 1 56 56 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Malaria, unspecified Malaria, Pf Malaria, Pv Abortion, sepsis Total 9 4 3 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

17 17

117

Alamata

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Malaria, unspecified Fever of unknown origin Helminth, other Pneumonia, broncho Gastroenteritis, 2+yr Skin infection Respiratory, other Homicide,injury external Gastritis, duodenitis Arthritis, spondylitis TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 7,138 4,388 4,067 3,463 2,938 2,059 1,996 1,928 1,589 1,550 31,116 51,635 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Malaria, unspecified Gastroenteritis, 2+yr Pneumonia, other Gastritis, duodenitis Malaria, Pf TB, respiratory Skin, other Homicide,injury external AIDS Fever of unknown origin TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 517 282 272 184 111 100 73 66 65 64 1,734 2,529 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Malaria, unspecified Pneumonia, other AIDS Gastroenteritis, 2+yr TB, respiratory Anemia, unspecified Fever of unknown origin Gastritis, duodenitis Gastroenteritis, < 2yr HTN TOTAL TOP 10 DEATHS TOTAL DEATHS Total 4 4 3 2 2 1 1 1 1 1 20 26

Alamata

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis Malaria, unspecified Fever of unknown origin Helminth, other Pneumonia, broncho Gastroenteritis, 2+yr Respiratory, other Gastritis, duodenitis Skin infection Arthritis, spondylitis Pneumonia, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 3,136 1,931 1,752 1,512 1,323 978 897 839 811 636 13,815 23,203 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Malaria, unspecified Gastroenteritis, 2+yr Pneumonia, other Gastritis, duodenitis TB, respiratory Malaria, Pf Skin, other AIDS Fever of unknown origin Genitourinary, other TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 235 141 135 122 58 57 31 30 30 25 864 1,236 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Pneumonia, other Malaria, unspecified HTN Poison Total 3 2 1 1

TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS

7 7

118

Ofla

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis AURI Skin infection Arthritis, spondylitis Hypertrophy tonsil Infectious, parasitic, ot Gastritis, duodenitis Skin, other Dysentery, unspecified Broncitis, chronic Genitourinary, other TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 1,562 1,406 964 928 866 851 798 782 726 524 9,407 14,347 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Fever of unknown origin Pneumonia, other Anemia, Iron deficiency Infectious, parasitic, ot Dysentery, unspecified Malaria, Pv Genitourinary, other Malaria, unspecified Salmonella, typhoid CVS, other TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 29 11 9 9 8 8 6 6 6 5 97 158 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis Dysentery, unspecified Infectious, parasitic, ot Fever of unknown origin AIDS Genitourinary, other TB, respiratory Malaria, unspecified Skin, other Anemia, Iron deficiency Gastritis, duodenitis TOTAL TOP 10 DEATHS TOTAL DEATHS Total 12 12 7 6 4 4 3 3 2 2 55 69

Ofla

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI Gastritis, duodenitis Arthritis, spondylitis Skin infection Hypertrophy tonsil Infectious, parasitic, ot Dysentery, unspecified Skin, other Broncitis, chronic Genitourinary, other TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 647 485 469 467 424 415 339 332 313 282 4,173 6,343 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Fever of unknown origin Dysentery, unspecified Infectious, parasitic, ot Pneumonia, other Anemia, Iron deficiency CVS, other Genitourinary, other AIDS Abortion Anemia, unspecified TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 9 5 5 5 4 4 3 2 2 2 41 64 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis Infectious, parasitic, ot Dysentery, unspecified Fever of unknown origin AIDS Anemia, Iron deficiency Genitourinary, other Skin, other TB, respiratory Abortion Anemia, unspecified TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS Total 9 6 5 2 2 2 2 2 1 1 32 40

119

Mekelle

Top Ten New Outpatient Cases, Admissions, Deaths: Hospital And Health Center

Rank 1 2 3 4 5 6 7 8 9 10 All New Outpatient Cases Diagnosis Fever of unknown origin Infectious, parasitic, ot Accident, other Skin infection Genitourinary, other Hypertrophy tonsil Gastritis, duodenitis No Acute Distress Pneumonia, lobar Gastroenteritis, 2+yr TOTAL TOP 10 CASES TOTAL OUT PATIENT CASES Total 9,999 7,304 7,236 6,076 4,502 4,418 4,113 3,700 3,282 3,123 53,753 112,727 Rank 1 2 3 4 5 6 7 8 9 10 All Admissions Diagnosis Normal delivery Pregnancy, other Pneumonia, broncho Abortion Accident, other Dysentery, bacillary Prostatic hypertrophy Skin infection Appendicitis Malaria, unspecified TOTAL TOP 10 ADMISSIONS TOTAL ADMISSIONS Total 1,714 794 466 199 188 183 178 174 172 147 4,215 6,566 Rank 1 2 3 4 5 6 7 8 9 10 All Deaths Diagnosis AIDS Pneumonia, broncho TB, respiratory Dysentery, bacillary Injury, transport, other Malnutrition, other Diabetes mellitus TB, other Cirrhosis GI obstruction TOTAL TOP 10 DEATHS TOTAL DEATHS Total 40 28 17 15 13 12 9 9 8 8 159 279

Mekelle

Top Ten Female Outpatient Cases, Admissions, Deaths: Hospital And Health Center

All New Female Outpatient Cases Rank 1 2 3 4 5 6 7 8 9 10 Diagnosis AURI Fever of unknown origin Infectious, parasitic, ot Skin infection Genitourinary, other Gastritis, duodenitis Hypertrophy tonsil Accident, other Gastroenteritis, 2+yr Pneumonia, lobar TOP 10 FEMALE CASES TOTAL FEMALE CASES Total 6,111 4,919 3,346 2,578 2,260 2,231 2,164 2,080 1,614 1,541 28,844 56,113 Rank 1 2 3 4 5 6 7 8 9 10 All Female Admissions Diagnosis Normal delivery Pregnancy, other Abortion Pneumonia, broncho Goiter, nontoxic Skin infection Dysentery, bacillary Malaria, unspecified Gastroenteritis, < 2yr Appendicitis TOP 10 FEMALE ADMISSIONS TOTAL FEMALE ADMISSIONS Total 1,714 794 199 194 85 84 67 64 56 55 3,312 4,261 Rank 1 2 3 4 5 6 7 8 9 10 All Female Deaths Diagnosis AIDS Pneumonia, broncho Dysentery, bacillary TB, respiratory Malnutrition, other Cirrhosis Pregnancy, sepsis TB, other GI obstruction Malaria, unspecified TOP 10 FEMALE DEATHS TOTAL FEMALE DEATHS Total 17 10 9 8 6 5 5 5 4 4 73 124

120

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