Strengthening WASH businesses in Ethiopia: Manufacturing Challenges and their Impact on Market Development

Made in Ethiopia: Jump starting local WASH product manufacturing.

In a series of posts, we will present the main challenges that businesses face when expanding their range of WASH products and services in Ethiopia. In so doing, we will also put forward regulatory and policy actions recommended to help overcome these challenges.

This is the sixth of eight planned articles, which addresses challenges that businesses and investors face when starting up WASH-related manufacturing operations in Ethiopia.

Why does this matter?

Currently, only nine percent of Ethiopians have access to basic sanitation services – a serious situation that affects public health, tourism, education, and many other aspects of the country’s economic and social well-being (JMP, 2021). Achieving universal access to basic WASH cannot be done by Government or NGOs alone; it will require a strong contribution from the country’s private sector. The Government recognizes this, and is working to strengthen private sector businesses that offer WASH products and services (including household sanitation) as a key element of its greater focus on hygiene and environmental health (FMoH, 2016). These measures are necessary because the current market only meets a small fraction of the country’s enormous needs.

To gain insight into how these challenges can be addressed, and to do so in a manner that ensures the solutions are affordable to all, the USAID Transform WASH team spoke with a wide range of experts – including business owners, government officials, and technical specialists) in Ethiopia and other East African countries – to get their advice and recommendations on how to develop and expand Ethiopia’s private sector WASH market. The post which follows is largely based on these experts’ reflections.
To explore this topic in more depth, follow this link to the Learning Note.

Manufacturing’s place in the economy
Manufacturing of plastic slabs in Ethiopia passed through various challenges

Since 2004, the Ethiopian economy has been growing between three and 10 percent annually, and it currently stands as the seventh largest in Africa. Agriculture remains the dominant sector, but it has declined from about 45 to 35 percent of the economy since 2010, while industry has grown from nine to 23 per-cent.

Ethiopia’s Second Growth and Transformational Plan (GTP II) sought to transform the country and place it on a path toward becoming a middle-income economy by encouraging a shift to high productivity industries, especially manufacturing. The policy has emphasized development of manufacturing through industrial parks, encouraging foreign investment, and attracting and supporting small- and medium-sized enterprises (MSEs). This has likely contributed to the country’s growth in manufacturing value added goods (from around 3.5 percent in 2010 to 7.2 percent in 2017), although growth in manufacturing sector employment has been much slower (from 5.2 percent in 2010 to only 5.4 percent in 2017). As a result, Ethiopia is unlikely to achieve its SDG target of doubling the share of manufacturing employment by 2030 (UNIDO, 2020).

Challenges to growing the manufacturing sector

Ethiopia’s manufacturing sector faces numerous challenges, including the following issues highlighted by business experts interviewed for this article.

Business knowledge and skills

Many business leaders raised concerns about the limited capacity of the manufacturing workforce. Although some enterprises may accept this as part of the cost of doing business in the country, low productivity ultimately increases manufacturing costs. The cost of labour is relatively low, which does help to reduce costs, but the flip side is that Ethiopia’s relatively weak labour law system and its lack of a minimum wage are challenging factors for workers and are a constraint on the development of a strong and skilled industrial labour force. Low wages, low productivity, and high turnover are factors that can act as deterrents to manufacturing investment. The labour union movement in the country is growing but relatively weak, and progress toward improving workers’ rights has been mixed. The Government does, however, recognize the importance of strengthening the skills of the country’s workforce and has invested in technical training institutes, such as the Adama Technical University and several regional vocational colleges.

Weak infrastructure

Another challenge for the economy, in general, and specifically for industrial and manufacturing development, is the country’s relatively underdeveloped infrastructure. This includes roads, transport systems, electricity, supply chain logistics, water and sanitation facilities, mobile and internet communication services. These factors make it difficult to access many parts of the country, to import and export goods, and overall makes the country less competitive from a global investment perspective. A related issue is the relative lack of industrial information for the country, including research studies that would assist (and attract) investors.

Importing materials and goods

Many manufacturers cannot source their needed manufacturing equipment or material inputs from the local supply chain so are dependent on importing these goods. The importation process can be costly, logistically challenging, and time consuming. Some informants noted that it can take six to nine months to receive an order from an international distributor. Depending upon the product and process, once these materials are finally in the hands of an importing company, they may get used up within just a few weeks or months of production. A consequence of this inefficiency is that manufacturers often choose to produce only well-known products that have strong existing consumer demand (requiring little to no marketing), rather than taking a risk on a new product line with unproven demand or profit margins (such as most WASH-related products). A related challenge is the degree to which Ethiopia’s customs duties and taxes – as applied to imported goods as well as the sale of WASH products and services to consumers – can greatly increase their cost. This is a disincentive to businesses and investors, as well as decreasing consumer demand in the country’s price-sensitive market (see News Item 3 in this series).

Product certification

WASH products to be introduced into the Ethiopian market may require review and approval by the Ethiopian Food and Drug Authority (EFDA) and the Ethiopia Conformity Assessment Enterprise (ECAE). For example, EFDA rates household water treatment technologies (on a zero to three-star basis), according to the product’s pathogen removal efficiency. However, EFDA does not currently have any in-country laboratories to test for this, so the tests must be conducted outside of Ethiopia. A similar situation exists for testing and certification of bottled water. Some businesses reported that the ECAE and EFDA have overlapping responsibilities, and it can be difficult to coordinate the review and certification process between the two agencies. Laboratories and even the World Health Organization may also be involved to certify products linked to human health, such as water filters. Another concern cited by a manufacturer was the changing of classification of a specific product from one round of importation to the next, leading to increased fees, delays, and additional expenses. Other businesses expressed frustration that the certification process itself could change between rounds, resulting in further delays and increased storage charges.

Foreign exchange currency

A scarcity of foreign exchange (Forex), a serious issue discussed in News Item 1 in this series, remains a key challenge for the manufacturing sector. It can take weeks or months for a Forex request to be processed, and the full amount requested is not always granted. This creates a significant bottleneck in the process of importing raw materials and finished goods, as well as in making loan and profit-sharing payments. The disruption that this causes in manufacturing production also deters investment.

Political stability

Political and security issues in various parts of Ethiopia are not new, but a crisis that began in November 2020 involving the northern Tigray region continues, and there are related and unrelated security issues arising in Amhara, Afar, Oromia, and other regions. These situations impact not only the communities and individuals involved, but generally create a less favourable investment climate for the country.

Recommendations
  • Advocate for stronger government support for manufacturing enterprises, especially those focused on providing products and services to low-income households. Such support should include improving access to credit, reducing regulatory bottlenecks, and other approaches discussed in more detail in News Item 5 of this series.
  • Work with the Technical and Vocational Education and Training (TVET) system and the country’s science and technology universities to expand technical training relevant for employment in the manufacturing sector, especially programs aimed at unemployed youth.
  • Support efforts to strengthen the country’s infrastructure and supply chain logistics and improve monitoring and dissemination of business information.
  • Work with relevant government agencies (e.g., ERCA) to advocate for streamlining, easing, and speeding up the process and reducing the cost of importing materials and goods needed for manufacturing, especially for smaller-sized and start-up manufacturers.
  • Advocate for establishing a formal government office or point person(s) to promote small-scale manufacturing industries in Ethiopia and to provide technical advice and help to resolve challenges. Such a position or positions could be located within ERCA and/or the Ministry of Trade and Industry.


 About Transform WASH

USAID Transform WASH aims to improve water, sanitation and hygiene (WASH) outcomes in Ethiopia by increasing market access to and sustained use of a broader spectrum of affordable WASH products and services, with a substantial focus on sanitation.
Transform WASH achieves this by transforming the market for low-cost quality WASH products and services: stimulating demand at the community level, strengthening supply chains, and improving the enabling environment for a vibrant private market.

USAID Transform WASH is a USAID-funded activity implemented by PSI in collaboration with SNV, Plan International, and IRC WASH. The consortium is working closely with government agencies, including the Ministry of Health, the Ministry of Water, Irrigation and Electricity, the One WASH National Program, and regional and sub-regional governments.

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Babylon’s AI symptom checker and PSI’s health provider locator tool captures real-time, quality data that supports health systems to plan, monitor and respond to consumer and provider needs. But for this data to be effective and useable, it needs to be available across the health system. Fast Healthcare Interoperability Resources (FHIR) standard provides a common, open standard that enables this data exchange.
PSI’s first consumer-facing implementation of FHIR was launched in September 2022 as part of the Babylon Symptom Checker project in Vietnam, enabling rapid alignment between PSI and Babylon’s FHIR-enabled client records systems. PSI already has several other consumer health FHIR implementations under active development in 2023, including PSI’s collaboration with the Kenya MOH to launch a FHIR-enabled WhatsApp national health line for COVID-19 health information. PSI will also look to adopt and scale health workforce-facing FHIR-enabled tools, such as OpenSRP2, which will be piloted in an SRH-HIV prevention project in eSwatini in partnership with Ona by the end of 2023.

— Martin Dale, Director, Digital Health and Monitoring, PSI

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Training health workers in Angola

By: Anya Fedorova, Country Representative, PSI Angola  

The shortage of skilled health workers is widely acknowledged as a significant barrier to achieving Universal Health Coverage. To address this challenge, PSI supported ministries of health to develop a digital ecosystem that brings together stewardship, learning, and performance management (SLPM). The ecosystem enhances training, data-driven decision-making, and the efficiency of healthcare delivery.

Here’s what it looks like in practice.

In July 2020, PSI Angola, alongside the Angolan digital innovation company Appy People, launched Kassai, an eLearning platform that targets public sector health workers in Angola. Through funding from USAID and the President’s Malaria Initiatve (PMI), Kassai features 16 courses in malaria, family planning, and maternal and child health – with plans to expand learning topic areas through funding from ExxonMobil Foundation and private sector companies. A partnership with UNITEL, the largest telecommunication provider in Angola, provides all public health providers in Angola free internet access to use Kassai.

Kassai’s analytics system to follow learners’ success rate and to adjust the course content to learners’ performance and needs. Kassai analytics are integrated with DHIS2 – the Health Management Information System (HMIS) of Angolan MOH, to be able to link learners’ knowledge and performance with the health outcomes in the health facilities.  The analytics track learners’ performance by course and gives visibility by health provider, health facility, municipality, and province. Each course has pre-and post-evaluation tests to track progress of learning, too.

By the end of 2022, there were 6,600 unique users on the Kassai platform and 31,000 course enrollments. PSI Angola’s partnership with UNITEL, the largest telecommunication provider in Angola, allows for free internet access to learn on the Kassai for all public health providers in Angola. Building on its success for malaria training, Kassai now also provides courses in family planning, COVID-19, and maternal and child health. This reduces training silos and provides cross-cutting benefits beyond a single disease.

Implementing the SLPM digital ecosystem brings numerous benefits to health systems. It allows for more strategic and efficient workforce training and performance management, enabling ministries of health to track changes in health workers’ knowledge, quality of care, service utilization, and health outcomes in real time. The ecosystem also supports better stewardship of mixed health systems by facilitating engagement with the private sector, aligning training programs and standards of care, and integrating private sector data into national HMIS. Furthermore, it enables the integration of community health workers into the broader health system, maximizing their impact and contribution to improving health outcomes and strengthening primary healthcare.

OUR COMMITMENTS

WHISTLEBLOWER AND ANTI-RETALIATION

PSI does not tolerate retaliation or adverse employment action of any kind against anyone who in good faith reports a suspected violation or misconduct under this policy, provides information to an external investigator, a law enforcement official or agency, or assists in the investigation of a suspected violation, even if a subsequent investigation determines that no violation occurred, provided the employee report is made in good faith and with reasonable belief in its accuracy.

OUR COMMITMENTS

Global Code of Business Conduct And Ethics

PSI’s code sets out our basic expectations for conduct that is legal, honest, fair, transparent, ethical, honorable, and respectful. It is designed to guide the conduct of all PSI employees—regardless of location, function, or position—on ethical issues they face during the normal course of business. We also expect that our vendors, suppliers, and contractors will work ethically and honestly.

OUR COMMITMENTS

The Future of Work

With overarching commitments to flexibility in our work, and greater wellbeing for our employees, we want to ensure PSI is positioned for success with a global and holistic view of talent. Under our new “work from (almost) anywhere,” or “WFAA” philosophy, we are making the necessary investments to be an employer of record in more than half of U.S. states, and consider the U.S. as one single labor market for salary purposes. Globally, we recognize the need to compete for talent everywhere; we maintain a talent center in Nairobi and a mini-hub in Abidjan. PSI also already works with our Dutch-based European partner, PSI Europe, and we’re creating a virtual talent center in the UK.

OUR COMMITMENTS

Meaningful Youth Engagement

PSI is firmly committed to the meaningful engagement of young people in our work. As signatories of the Global Consensus Statement on Meaningful Adolescent & Youth Engagement, PSI affirms that young people have a fundamental right to actively and meaningfully engage in all matters that affect their lives. PSI’s commitments aim to serve and partner with diverse young people from 10-24 years, and we have prioritized ethics and integrity in our approach. Read more about our commitments to the three core principles of respect, justice and Do No Harm in the Commitment to Ethics in Youth-Powered Design. And read more about how we are bringing our words to action in our ICPD+25 commitment, Elevating Youth Voices, Building Youth Skills for Health Design.

OUR COMMITMENTS

Zero Tolerance for Modern-Day Slavery and Human Trafficking

PSI works to ensure that its operations and supply chains are free from slavery and human trafficking. Read more about this commitment in our policy statement, endorsed by the PSI Board of Directors.

OUR COMMITMENTS

UNITED NATIONS GLOBAL COMPACT

Since 2017, PSI has been a signatory to the United Nations Global Compact, a commitment to align strategies and operations with universal principles of human rights, labor, environment and anti-corruption. Read about PSI’s commitment to the UN Global Compact here.

OUR COMMITMENTS

Environmental Sustainability

The health of PSI’s consumers is inextricably linked to the health of our planet. That’s why we’ve joined the Climate Accountability in Development as part of our commitment to reducing our greenhouse gas emissions by 30 percent by 2030. Read about our commitment to environmental sustainability.

OUR COMMITMENTS

Affirmative Action and Equal Employment Opportunity

PSI does not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, protected veteran status or any other classification protected by applicable federal, state or local law. Read our full affirmative action and equal employment opportunity policy here.

OUR COMMITMENTS

Zero Tolerance for Discrimination and Harassment

PSI is committed to establishing and maintaining a work environment that fosters harmonious, productive working relationships and encourages mutual respect among team members. Read our policy against discrimination and harassment here.

PSI is committed to serving all health consumers with respect, and strives for the highest standards of ethical behavior. PSI is dedicated to complying with the letter and spirit of all laws, regulations and contractual obligations to which it is subject, and to ensuring that all funds with which it is entrusted are used to achieve maximum impact on its programs. PSI provides exceptionally strong financial, operational and program management systems to ensure rigorous internal controls are in place to prevent and detect fraud, waste and abuse and ensure compliance with the highest standards. Essential to this commitment is protecting the safety and well-being of our program consumers, including the most vulnerable, such as women and children. PSI maintains zero tolerance for child abuse, sexual abuse, or exploitative acts or threats by our employees, consultants, volunteers or anyone associated with the delivery of our programs and services, and takes seriously all complaints of misconduct brought to our attention.

OUR FOCUS

Diversity and Inclusion

PSI affirms its commitment to diversity and believes that when people feel respected and included they can be more honest, collaborative and successful. We believe that everyone deserves respect and equal treatment regardless of gender, race, ethnicity, age, disability, sexual orientation, gender identity, cultural background or religious beliefs. Read our commitment to diversity and inclusion here. Plus, we’ve signed the CREED Pledge for Racial and Ethnic Equity. Learn more.

OUR COMMITMENTS

Gender Equality

PSI affirms gender equality is a universal human right and the achievement of it is essential to PSI’s mission. Read about our commitment to gender equality here.

Cover

01 #PeoplePowered

02 Breaking Taboos

03 Moving Care Closer to Consumers

04 Innovating on Investments

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