Population: 83 million Total TB cases notified (2012): 143503 Treatment Success Rate for new smear-positive and/or culture-positive (2011): 90%
Country Director: Ezra Shimeles Address: Sub city: Bole Kebele: 02 House No. 5477 Telephone: +251116632362 Fax No. : +251116632362 P.O.BOX: 703/1110 Lead Partner: KNCV Tuberculosis Foundation
Ethiopia is located in the horn of Africa with a total area of around 1.1 million square kilometers. Its topographic features range from peaks as high as 4,620 meters above sea level at Ras Dashen to 110 meters below sea level in the Afar Depression. The total population for 2011 is estimated to be 82.4 million which makes Ethiopia the second most populous country in Africa. The majority of the population, 83.6%, lives in rural areas, whilst only 16.4% live in urban areas. The pyramidal age structure of the population has remained predominately young with 44% under the age 15 years, and over half (52%) of the population in the age group 15 and 65 years. The population over the age of 65 is very small, and accounts for only 3% of the total. The sex ratio is almost equal. Administratively, the country is divided in to nine regional states and two city administrations. The Government of Ethiopia follows a market based and agricultural-led, industrialization economic policy. The country core elements of the health policy are democratization and decentralization of the health care system, development of the preventive, promotive, curative and rehabilitative components of health care, assurance of accessibility of health care for all segments of the population and the promotion of private sector and NGO participation in the health sector. Hence, more than 95 % of the population has access to primary health care.
The HIV/AIDS Situation
HIV/AIDS has been and still is a challenge for the Ethiopian health system. In 2010 there was an estimated overall HIV prevalence rate of 1.9 in males and 2.9 in femaleswith a national point prevalence of 2.4 (Single point HIV prevalence Estimate, June 2007). The free Anti-Retroviral Treatment (ART) program was launched in 2005. Service decentralization and task shifting to scale up access to HIV/AIDS treatment & care are the major achievements in HIV/AIDS control activities of the country.
Tuberculosis has been recognized as a major public health problem for more than five decades. The country has adopted DOTS & the STOP TB Strategy, and currently, the geographic coverage of DOTS has reached 100%, whereas the Health Facility coverage is 95%. According to the WHO global report of 2010, the country ranks eighth among the 22 high burden countries. The estimated incidence of all forms of TB, was 359/100,000 population, and for smear positive cases was 160/100,000. The prevalence of all forms of TB is estimated to be 572/100,000. The TB mortality rate is estimated as 64 per 100,000. The county is also among the 27 MDR-TB high priority countries.
TB CARE I Ethiopia Staff
Key Areas of Focus
Cognizant of the burden of the TB in the country, the former TB CAP and the follow on TB CARE I, have been working closely with the Federal Ministry of Health and regional health bureaus to strengthen TB control activities in the country, since July 2008: KNCV is the lead partner and MSH & the WHO are collaborating partners. Based on the gap analysis, TB CARE I has planned to support the national TB Program in the following core areas: support guidelines, manuals & provider tools development/revision, procurement of second line drugs for MDR TB, strengthening laboratory services through procurement of microscopes and introduction of new technology, support scale up of TB infection control, capacity building of the TB program manager and Health Care Workers, program support & monitoring and operations research.