With one of the fastest growing economies in sub-Saharan Africa, Ethiopia still faces challenges as health markets are failing to reach those that need life-saving health products and services.
PSI/Ethiopia uses the power of marketing to make health products more affordable, accessible, and appealing. We work with both the private and public sector in HIV/AIDS Prevention & Treatment, Sexual & Reproductive Health, Non-Communicable Diseases and Water, Sanitation & Hygiene (WASH).. We are a team of more than 150 passionate people dedicated to serving our clients and beneficiaries. We focus on the insights gathered through continuous dialogue with our customers to fix the market failures that prevent people from getting what they and their families need. Using market and behavioral data, PSI/Ethiopia identifies the most appropriate solutions to make the markets work for the poor.
PSI/Ethiopia estimates that in 2015, its products and services helped avert 347,984 DALYs, including, by health area:
- 268,752 HIV DALYs
- 73,812 FP DALYs
- 974 TB DALYs
- 4,446 WASH DALYs
PSI/Ethiopia’s family planning programs also provided 260,739 couple-years of protection.
HIV/AIDS Prevention and Treatment
USAID HIV Services for Key and Priority Populations (HS-KPP)
According to Ethiopia’s Demographic and Health Survey (2016), adult HIV prevalence in Ethiopia is estimated to be 0.9%, while in some regions like Addis Ababa and Gambella prevalence rate is much higher than 3.5%. As a follow-on activity to the previous MULU HIV Prevention Project for Most At Risk Populations (May 2012 – March 2018), USAID awarded PSI/Ethiopia a five-years project called HIV Services for Key and Priority Populations (HS-KPP), which mainly aims to enhance best practices and innovations which have exhibited remarkable results in the past. The targeted Key and Priority populations include female sex workers (FSWs), clients of sex workers (non-paying partners/boyfriends), migrant/seasonal or daily laborers at worksites and out-of-school adolescent girls and young women. FHI 360 Ethiopia being a Technical Assistance Partner, PSI-Ethiopia will primarily run this activity in partnership with the Government of Ethiopia and other Local Implementing Partners. USAID HS-KPP, through community based clinical services and public laboratory facilities, intends to improve HIV testing, linkage to treatment and tracking of viral load suppression towards achieving the UNAIDS and PEPFAR goal of 90-90-90 and epidemic control by 2020.
Community HIV Care and Treatment (CHCT) Program
PSI-Ethiopia is a partner in the Community HIV Care and Treatment (CHCT) Program which is primly led by Project HOPE. CHCT Program is a five years PEPFAR funded activity through USAID, which aims to accelerate and sustain HIV and AIDS epidemic control in Ethiopia through delivery of high impact community based HIV services focusing on 187 selected scale-up and 122 attained Woredas of Tigray, Afar, Amhara, Oromia, Harari, Gambella, Somali, Benishangul & Gumuz, and SNNP regions, as well as Addis Ababa and Dire-Dawa city administrations. The main objectives of the project is to strengthen; health & support systems, organizational & technical capacities, data collection & learning competence of community health structures. Currently, the project is being implemented through 12 Local Implementing Partner (LlPs), 4 of which are directly managed by PSI-Ethiopia.
Healthy Heart Africa (HHA)
Healthy Heart Africa is designed to bridge care of chronic non-communicable disease down to primary health care level and to reach hypertension patients by increasing awareness to early screening, diagnosis and management. This one-year AstraZeneca initiative project works in partnership with the Federal Ministry of Health and is implemented at 48 public health facilities (12 hospitals and 36 health centers) across the country. The project supports the task shifting and task sharing of hypertension management from hospitals to primary health care units through a referral program allowing all people with elevated blood pressure to access treatment. By targeting men and women over the ages of 18 equally, HHA ensures hypertension patients are given the education and support to self- manage their condition.
Sexual and Reproductive Health (SRH) Projects
Adolescents 360 (A360)
The Ethiopia’s Demographic and Health Survey (2016) shows that more than a million 15-19 years old girls are married before they turn 18. Adolescents 360 (A360) is a four-year project funded by Bill & Melinda Gates Foundation and the Children’s Investment Fund Foundation aimed at increasing access to and use of voluntary modern contraception for 15-19 years old married girls in Ethiopia. Through an interdisciplinary and innovative approach that puts the girls at the center, the project has designed a solution called Smart Start. Smart Start enables the girls to envision their future and position contraception as key asset to achieve their goal. Being anchored within the existing Health Extension Program (HEP), it equips the HEWs to provide service whenever and wherever the girls decide. By the end of the project, Smart Start aims to help more than 10,000 girls to voluntarily adopt modern contraception in four regions of the country namely Amhara, Oromia, SNNPR and Tigray.
MC-ASRH In-School Project
Insights gathered from the A360 project has revealed that; away from home, exposed to new cities, ideas, and of course boys, many unmarried Ethiopian girls engage in sexual relationships despite the social stigma of pre-marital sex. Due to the wrong presumption that the communities reinforce, most of these girls do not use contraceptives, exposing themselves to a high-risk of unwanted pregnancy as well as sexually transmitted infections. Funded by Maverick Collective’s, the Adolescent Sexual and Reproductive Health (MC-ASRH) in-School Project aims to ensure that adolescents, age 15-19, lead healthy adolescence and succeed in their education to transition in to adulthood as productive citizens. Efforts to expand girls’ access to contraception often fail because solutions are designed FOR them, rather than WITH them. Thus, this project aims to transform the trajectory for the next generation of girls and boys by co-designing a culturally appropriate and affordable solution with the adolescents themselves to increase awareness of sexual health and access to contraceptives for grades 9-12 adolescents in 15 secondary schools of Addis Ababa and Oromia Regions.
Water, Sanitation and Hygiene
USAID Transform WASH
USAID Transform WASH is a five-year activity awarded to PSI and consortium partners; SNV, IRC and Plan International; to test and develop market-based models that will increase demand for and supply of quality, affordable WASH products and services. Through development and testing of scalable and replicable business models, the activity will support and increase capacity of the Government of Ethiopia’s One WASH National Program (OWNP) to increase use of improved WASH products and services. The activity will address key barriers to uptake and sustained use of WASH products and services through; 1) increased WASH governance and management capacity at subnational level; 2) increased demand for low-cost, quality WASH products and services, with a focus on sanitation; 3) increased supply for low-cost quality WASH products and services, with a focus on sanitation; and increased knowledge base to bring WASH innovations to scale.
Growth through Nutrition (GtN)
Feed the Future Ethiopia Growth through Nutrition Activity is USAID’s five-year flagship multi-sector, nutrition and WASH project. The project aims to improve the nutritional status of women and young children in Ethiopia’s four productive regions, focusing on the first 1000 days (from conception to age two). The project will achieve its objective by delivering nutrition-sensitive livelihoods and agriculture activities; social and behavioral change communication on nutrition, WASH, and agriculture-related behaviors; utilization of quality nutrition services; utilization of WASH products and services; and, multi-sector coordination and capacity to implement the National Nutrition Program and One WASH National Program in addition to cross-cutting activities. PSI/Ethiopia’s role is to lead private sector engagement and improve access to sanitation and hygiene products through a market development approach that harnesses private entrepreneurship, public stewardship, and technical expertise.
Liyu Class – Social Sanitation Business
In the rapidly -growing capital of Ethiopia, Addis Ababa, most households lack a basic toilet, a problem that is particularly acute in the slums of Addis Ababa where 80 percent of the city’s residents live (UN-Habitat 2016). Faced with these challenges, and the determination to provide the urban poor with an aspirational, yet affordable solution that customers would actually enjoy using, PSI-Ethiopia launched a sanitation business that provides not only a clean but also affordable toilet to poor households. The result is Liyu Class (liyu means “special” or “premier” in Amharic), a pay-to-use toilet that offers its users with an experience that is “beyond clean”. The ‘Liyu Class’ toilets are well designed, well managed and have hand washing and shower services available onsite. It also presents an economic opportunity for local entrepreneurs to manage and earn money from it.
Product Sales & Marketing (P&G and WuhaAgar)
Poor sanitation and/or diarrheal diseases resulting from drinking impure water contributes to more than 13% of child deaths in Ethiopia (WHO 2014). PSI/E leverages its global expertise in social marketing to increase demand and address market failures for greater health impact. As a result, it markets inexpensive, easy-to-use household water treatment products to individuals and families, ensuring access to safe drinking water. The project uses the simplest technology to provide safe water to the greatest number of people possible by the promotion of the household water treatment products ‘P&G Purifier of Water’ and ‘WaterGuard’ (locally branded as WuhaAgar). PSI/E’s sales and marketing strategies and activities works to avail safe water when and where people need them, in places like local shops, kiosks, markets and though community-based sales agents across the country. Marketing campaigns promote the correct and consistent use of products, taking into account what drives product uptake and any barriers to use.
- Bill & Melinda Gates Foundation (BMGF)
- Children’s Investment Fund Foundation (CIFF)
- Procter & Gamble – P&G
- U.S. Agency for International Development (USAID)
- Federal HIV/AIDS Prevention and Control Office (FHAPCO) – Ministry of Health
- 11 Regional HAPCOs and Health Bureaus
- 17 Local NGOs
- Getting to FP2020: Harnessing the Private Sector to Increase Modern Contraceptive Access and Choice in Ethiopia, Nigeria, and DRC
- Adolescents 360: A Girl with a Plan!
Adolescents 360 aims to increase the demand for, uptake of and perception surrounding voluntary, modern contraceptives among adolescent girls in Nigeria, Tanzania and Ethiopia. This two-pager dives into the program’s unique Human-Centered Design approach to drive adolescent and youth sexual and reproductive health breakthrough.
- Ethiopia FPwatch 2015 Outlet Survey Presentation
This presentation summarizes findings from the 2015 Outlet Survey conducted in Ethiopia.
- Ethiopia FPwatch 2015 Outlet Survey Research Brief
This brief highlights important findings from the FPwatch 2015 Ethiopia outlet survey.
- Ethiopia 2015 FPwatch Reference Document
This outlet report contains the comprehensive findings from the 2015 FPwatch outlet survey conducted in Ethiopia.
- Ethiopia FPwatch 2015 Overview
This document summarizes the implementation and key findings of the FPwatch 2015 outlet survey in Ethiopia.
- Ethiopia FPwatch 2015 Outlet Survey Dissemination Report
This report summarizes the FPwatch dissemination event held in Addis Ababa on June 28, 2016 and details the action items identified by participants.
- Reproductive Health Supplies Coalition: Plenary Session Presentation
On October 13, FPwatch findings from Ethiopia were presented at the Reproductive Health Supplies Coalition (RHSC) Annual Meeting in Seattle.
- FPwatch Supplement: Misoprostol
This document gives an overview of misoprostol tablet availability, price, and volume across FPwatch study countries.
- FPwatch Supplement: Pregnancy Test Kits
This document gives an overview of pregnancy test kit availability, price, and volume in Nigeria, Democratic Republic of Congo, and Ethiopia.