Publications by authors named "Firehiwot Abebe"
Ethiopia has made great strides in improving population health but sustaining health system and population health improvements in the current fiscal environment is challenging. Provider payment, as a function of purchasing, is a tool to use limited health resources better. This study describes the design and implementation of Ethiopia's provider payment mechanisms (PPMs) and how they influence health system objectives and contribute to universal health coverage goals.
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- Community-based Health Insurance (CBHI) has been growing in sub-Saharan Africa to improve health service access for informal sector populations, but enrolment and membership renewals remain low.
- The systematic review analyzed existing studies to identify barriers that prevent people from participating in CBHI, using databases like PubMed and Scopus, adhering to PRISMA guidelines, and registering the protocol with PROSPERO.
- Key barriers identified include lack of awareness, socio-economic challenges, distrust in management, poor service quality, perceived health status, and limited coverage, which can guide policymakers in implementing more effective health insurance strategies.
Article Synopsis
- Ciprofloxacin is a commonly used antibiotic in Ethiopia, but its use has strayed from standard treatment guidelines, contributing to increased antimicrobial resistance.
- A retrospective study reviewed 522 medical records from 2016, finding that most ciprofloxacin prescriptions were for urinary tract infections and that use was primarily in adults treated in outpatient settings.
- Only 30% of the prescriptions adhered to Ethiopian guidelines, with the majority of inappropriate use attributed to incorrect duration of treatment, though WHO standards were generally met in terms of indication, dosage, and frequency.