Introduction
The Health Extension Programme (HEP) in Ethiopia was launched to improve access to primary health care, especially in rural areas. It aimed to provide affordable, community-based services focusing on prevention and health education.
Achievements of the Ethiopian Health Services Extension Programme
1. Increased Access to Healthcare
The HEP established thousands of health posts and deployed health extension workers across the country. This brought health services closer to people in rural and hard-to-reach areas.
2. Trained Health Workers
More than 30,000 female health extension workers were trained and assigned to communities. They provide health education, basic treatment, and promote hygiene and sanitation.
3. Reduction in Child and Maternal Mortality
The program contributed to a significant drop in maternal and child deaths due to better antenatal care, immunization, and delivery support at health posts.
4. Improvement in Sanitation
Community-led sanitation campaigns helped reduce open defecation. Many households now have latrines, clean water, and improved hygiene practices.
5. Awareness and Behavior Change
The program educated people about malaria prevention, HIV/AIDS, nutrition, and family planning. This led to positive changes in health behavior and awareness.
6. Community Participation
Local communities were involved in building health posts, supporting workers, and spreading health messages. This made the program more sustainable and accepted.
Conclusion
The Ethiopian Health Extension Programme has brought real change in rural healthcare delivery. Its focus on prevention, education, and community participation makes it a model for other African countries seeking to improve public health at the grassroots level.