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Health Policy and Planning; 6(4): 327-335
© 1991

research-article

Integrating health services: the experience of NGOs in Ethiopia

JOHN WALLEY1,, BEKELE TEFERA2 and MARY-ANNE MCDONALD3

1Programme manager, Save the Children Fund Medical Programme Ethiopia
2MCH nurse, Save the Children Fund Medical Programme Ethiopia
3Programme co-ordinator, Save the Children Fund Medical Programme Ethiopia

Dr John Walley, INDEVELOP Program Office Vietnam, c/o INDEVELOP AB, PO Box Nana 1226, Bangkok 10112, Thailand

In the Wollo region of Ethiopia, many non-governmental organizations (NGOs) stayed on after providing relief and emergency medical services during the 1984–5 famine. Initially they adopted different strategies for supporting health development - their approaches, strengths and weaknesses are discussed.

Since 1988, the Save the Children Fund UK (SCF) and subsequently other NGOs have further integrated their programmes with the Ministry of Health (MOH), and co-operated with each other. They have adopted a health systems approach, through which the NGOs help to analyse, develop and implement improved systems of district health management and care. In so doing, the NGOs have become effective catalysts of change by helping to identify the strategies and processes necessary to implement MOH policies. In particular, NGOs played a key role in the implementation of the MOH policy of integrated basic (curative and Mother and Child Health) services.


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