Achievements

The Primary Healthcare Transformation Initiative (PTI) aims to build a culture of performance management and accountability, preparing the Woreda (district) health office to lead the ambitious set of primary healthcare reforms envisioned by Ethiopia's Federal Ministry of Health (FMOH). Grounded in Yale’s formative research into the factors differentiating higher-and lower-performing woredas, PTI is designed to strengthen woreda capacity (including the woreda health offices, health centers and health posts, primary hospitals, and the health development army) to enable achievement of target health outcomes comparable to those of a lower-middle-income country by 2025, the vision set forth by the Government of Ethiopia.

GHLI has teamed up with the University of Global Health Equity (UGHE) and PATH to deliver a practical and comprehensive professional development program for small teams of senior managers and Ministry officials with responsibility for immunization program performance. . The EPI Leadership and Management Program (EPI LAMP) represents a flagship investment by Gavi, the Vaccine Alliance in the systems and capacities needed to achieve immunization program targets at scale.

The cornerstone of Ethiopia's primary care system is the Health Extension Program. GHLI works with the Ethiopian Ministry of Health, Harvard School of Public Health and The Bill and Melinda Gates Foundation to facilitate the development of a long-term strategic plan for primary care in Ethiopia. Our goal is to identify, test and refine strategies to ensure long-term sustainability and quality of Ethiopia's primary care system.

Through Project Last Mile, GHLI examines how private and public sectors can work together for the benefit of the local population. We have teamed with supply chain experts in the Coca-Cola system and the country's Medical Stores Department (MSD) to improve access to critical medicines in more than 5000 locations. Lessons learned will help expand the partnership in other countries and provide training tools to prepare global health professionals to both harness the power of private sector partnerships and build technical skills in supply chain management.

From 2009 to 2011, GHLI and the National Bank of Egypt (NBE) partnered to establish the Hospital Strengthening Initiative to improve hospital care for patients with cardiovascular disease. GHLI, the Center for Outcomes Research and Evaluation at Yale, and the NBE collaborated to create Egypt's first data registry for patients with Acute Coronary Syndrome to help measure quality of care, identify gaps and evaluate efforts to improve hospital performance. Through training and mentoring, teams reduced waiting time for procedures and crowding in the Cardiac Catheterization lab designed and implemented an inventory management system for that lab and developed a more effective work plan to improve patient flow in the outpatient clinics.

The Ethiopian Hospital Management Initiative (EHMI) launched in 2006 in partnership with the Ethiopian Ministry of Health and the Clinton Health Access Initiative. Through EHMI efforts, great strides have been made to improve hospital-based and primary care in Ethiopia with the design and implementation of the first Master's of Hospital Administration degree program in Africa and the launch of the Ethiopian Hospital Alliance for Quality to improve hospital services and patient satisfaction. EHMI work is also helping to strengthen adherence to clinical guidelines for labor and delivery and the adaption of WHO Safe Surgery checklist.