Current Projects in Ethiopia

Ethiopian Hospital Management Initiative

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, including:

  • The creation of management tools and systems outlined in the Blueprint for Hospital Management by Yale-Clinton Fellows. The Blueprint includes tools to measure key components of hospital performance for ongoing hospital reform, including research in patient and staff satisfaction and the performance of hospital governing boards. The Blueprint evolved into the Ethiopian Hospital Reform Implementation Guidelines, which now serve as the backbone of hospital evaluation and reform in the country. In addition, supported by Yale staff and collaborations at the GHLI conference, Ethiopia developed a system to monitor hospital performance.
  • The design and implementation of the first Master’s of Hospital Administration (M.H.A.) degree program in Africa. Launched in 2008 at Jimma University and expanded to Addis Ababa University, more than 120 health care professionals have been trained through this program. M.H.A. students’ work helped reduce delays in outpatient care and acute mental health admission; the length of inpatient stays and rates of post-surgical infection rates; and increased cleanliness and adherence to infection prevention standards.
  • Catalyzed by work at the GHLI Conference, Ethiopia launched the Ethiopian Hospital Alliance for Quality (EHAQ) in 2012. EHAQ is the continent’s first national quality improvement collaboration designed to create a network of hospitals committed to helping one another improve services, with an initial focus on patient satisfaction. The program is modeled after the successful American College of Cardiology door-to-balloon alliance in the U.S. for which GHLI provided research and evaluation support. 

Health Extension Program

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.

Global Health Equity Scholars Program at Yale University (GHES)

The GHES Program supports research training of post- and pre-doctoral fellows at 12 partnering international institutions. The program brings forth the next generation of global health researchers, educators and professionals prepared to address new challenges in global health. GHLI faculty support research and training at the Ethiopia training site, with a focus on health systems research and implementation science.