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Afar Site Visits


According to the 2020 Health and Health Related Indicators published by the Federal Ministry of Health, the region has 7 hospitals, 96 health centers, and 338 health posts. Compared to other regions in the country, the region has one of the worst sexual and reproductive health outcomes, such as low institutional delivery and the highest stillbirth rate. This condition is worsened by the destruction of the health facilities in the recent war in northern Ethiopia.



Region Coach Hospital Hub health facilities Spoke health facilities
Dubti Dubti Hospital Dubti Hospital Dubti HC
      Gereni HC
      Dichoto HC
      Elidar HC
      Manda HC
      Guyah HC
      Serdo HC
Ayssaita   Ayssaita Hospital Humodoyta HC
      RRS HC
      Megenta HC
      Berga HC
      Simbileta HC
      Alasabolo HC
Logiya   Logiya Health Center Harsis HC
      Semera HC
      Darsagita HC
      Eliweha HC
      Mille HC

The current COPMOD implementation project works to improve SRH outcomes by implementing quality improvement innovations and assisting in rebuilding the damaged health infrastructure. The system will use Dubti general hospital as a coach facility, and Assayta hospital, Chifra hospital, and Dubti health center as hubs. Under its umbrella, each hub supports seven spokes.


Amhara Site Visit


HSFR/HFG End of Project Regional Report published in June 2018, the region has 80 hospitals (5 referral, 2 general, and 73 primary), 847 health centers, and 3,342 health posts. As in other regions of Ethiopia, Amhara’s health care system was unable to modernize and provide quality health services due to many challenges:

  • Shortages of specialist doctors and other medical professionals, despite the increased number of health facilities
  • Shortages of medical equipment, drugs, and medical supplies
  • Inefficient and inequitable use of health resources
  • Burdensome, high out-of-pocket payments for health care by the majority of the population at the time of illness



Region Coach Hospital Hub helath facilities Spoke health facilities
Debreberhan Debreberhan C.S Hospital    
Maretna Jiru   Enewari HC  
      Jihur HC
      Keteb HC
      Entera HC
Ankober(Woreda)   Ankober HC
      Aliyuamba HC
      Mescha HC
      Derefo HC
      Gorgo HC
      Harmba HC
      Gachene HC
Hageremariam (Woreda)   Bulga HC
Asagert (Woreda)     Tamo HC
      Tidesh HC
      Genager HC
      Akermit HC
      Gorfo HC
      Sekoru HC
      Koremash HC
Dessie Zuria Dessie C.S Hospital    
Ambasel   Wuchale Hc Golbu HC
      Robit HC
      Marie HC
      Addisamba HC
      Milawa HC
      Dalba HC
Werebabu   Bisitima HC Goha HC
      Ijersa HC
      Fokaksa HC
      Arobati HC
Kalu   Harbu HC Dawlo HC
      Beke HC
      Bosena HC
      Medina HC
      Ketetiya HC
      Eresa HC
      Ardibo HC
      Degan HC

For the year 2023, we’ll have 2 coach hospitals for the implementation of COPMOD in Amhara region: Debrebirhan and Dessie Comprehensive Referral Hospitals. Both hub hospitals will have 3 hub health facilities each which will have a total of 33 spoke centers.


Oromia Site Visits


According to the 2012 (EFY) Health and Health Related Indicators published by MoH, Oromia has 104 Hospitals, 1405 Health Centers and 7,090 Health Posts. On almost all health and health related indicators, Oromia is amongst the top performing regions in the country. Despite remarkable strides towards better healthcare in the region, there still remains a lot of work to do in order to achieve key national and global health goals.



Region Coach Hospital Hub health facilities Spoke health facilities
Addis Ababa Alert Specialized Hospital    
Ilu (Woreda)     Teji HC
      Asgori HC
Dawo (Woreda)     Busa HC
      Dawoseden HC
      Kersa HC
      Dimajeliwan HC
Seaden (Woreda)     Harbo HC
      DH Geda HC
      Fesawa HC
Becho (Woreda)     Jato HC
      Shankur HC
      Awashbune HC
      Tullubollo HC
Sebeta Subcity   Dima HC Gora harkiso HC
    Sebeta HC Welete HC
    Alemgena HC Jewe HC
      Daleti HC
      Tefki HC
      Kelecha HC
      Awashmelka HC
Addis Ababa Abebech Gobena MCH Legatafo HC  
Abichu (Woreda)     Ade dalete HC
      Gara chatu HC
      Sirti HC
      Dembel HC
Kura jida subcity   Sendafa hospital Welgeo HC
      Legadadi HC
Gimbichu (Woreda)     Chefe donsa HC
Bereh (Woreda)     Dire HC
      Lencha HC
      Sirogeyo HC
      Bura barak HC
Aleltu (Woreda)     Fiche gelila HC

Contain Patients Move Doctors (COPMOD) is an approach that represents a rights-based holistic primary care transformation to accelerate improvements in quality of sexual and reproductive health (SRH) services. The 2022/2023 GC COPMOD program in Oromia region is being implemented with 2 coach hospitals,6 hubs and 50 spoke health centers.


Ethiopia implements a three-tier healthcare delivery system with primary,secondary, and tertiary levels of care networked through a referral system. Aprimary care unit comprises of primary hospitals, health centers, and theirsatellite health posts. Over the past three decades, the country has achieved asteady expansion of primary care units as well as mobilization of a women-ledhealth development groups to create model households and communities

During the same period, the government and development partners have madesignificant progress in promoting and implementing policies and laws thatcenter on reproductive rights and empowerment of women, legalization ofabortion under certain circumstances, combating gender-based violence andprevention of early marriage and other harmful traditional practices.

The COPMOD (Contain Patients Move Doctors) approach is a rights-basedholistic transformation of primary care aimed at accelerating improvements inthe quality of sexual and reproductive health (SRH) services. In tertiary healthfacilities, there are high number of both health professionals and patients. Toaddress this, COPMOD focuses on moving doctors from tertiary facilities toprimary health centers, effectively containing patients at the primary level. Thisapproach also enables experts to transfer their knowledge to mid and low-level health professionals.

Key Focus Areas

In the realm of sexual, reproductive, and maternal health, timely access to acute care is a matter oflife and death. Tragically, 60% of mortality related to these health conditions is attributed to delaysin receiving adequate care. Despite efforts made to make the health care system morecompassionate and respectful, there remains a lot to be done to insure it recognizes people’sidentity, culture and privacy. In addition to these most care interactions between providers andclients are missed opportunities to transfer knowledge. The COPMOD project aims to tackle thesepressing issues by implementing three strategic pillars that focus on improving timeliness,implementing person-centered care, and empowering women to take ownership of their health. Byrethinking the way healthcare is delivered, COPMOD strives to create a healthier community.

Enhancing Timeliness of Acute Care

Institutions providing healthcare often witness delays in delivering the right care, leading topreventable deaths and disabilities. The COPMOD project addresses this challenge by enhancingadherence to evidence-based protocols, redesigning task distribution, and improving the skills ofhealthcare professionals. Moreover, a culture of clinical audit will be fostered, allowing forcontinuous learning and improvement within the system. By initiating thematic quality improvementinitiatives and optimizing the efficiency of sexual, reproductive, and maternal emergency careprocesses, COPMOD aims to improve timeliness of maternal care.

Our Achievements
  • Training on the COPMOD concept and its implementation quality improvement tools wasprovided to 340 health professionals from across 5 coaches, 15 hubs and 85 spokes.
  • Operative delivery service was facilitated in 12 out of 15 (80%) of the envisaged hubs, providingcesarean delivery service to 468 pregnant women closer to their homes.
  • Obstetrics Emergency Case-based Training Manual, Structured Point of care ObstetricUltrasound (SPOUS) Training Manual and Cesarean Delivery Training Manuals were preparedthrough consultative workshops featuring subject matter experts.
  • The Structured Point of care Obstetric Ultrasound (SPOUS) training was administered to 73mid-level professionals across 15 hub and selected spoke facilities.
  • Two tools, the Obstetric Emergency Triage Tool and ToR for Referral and Linkage weredeveloped to improve triage and emergency flow processes in addition to Audit Tool forObstetric Emergency Services and Audit Tool for Abortion Services for the optimization of SRHemergency care process

Implementing Person-Centered Care

By adopting a person-centered care model, COPMOD aims to meet the unique needs of women,girls, and their families. Ambulatory sexual and reproductive health, antenatal care, family planning,and other outpatient visits will be redesigned based on this model. Additionally, the project willestablish contact centers for decision support, ensuring professionals and patients have access toreliable information and guidance.

Our Achievements
  • Person-Centered Care Assessment Checklist for SRH Services, Structured Communication andCollaborative Care Management Training and Expert Mothers Training Manuals were preparedthrough consultative workshops.
  • Structured communication and collaborative care management training was provided to 63health professionals, including liaison officers and health service managers from coach and hubhealth institutions.
  • During the reporting period, decision support contact centers were established within fourcoach centers and one hub institution.
  • 91 gynecologic examination couches and 55 mechanical vacuum aspirators were procured anddistributed to 89 facilities as need assessment findings revealed that 60% of the 103 facilitieslacked full equipment to facilitate cervical cancer screening and comprehensive abortionservices.
  • Since January, 2023, 4,424 cervical cancer screening services have been provided in theCOPMOD project implementation hubs among which 1209 women were screened duringscreening campaigns supported by ACSIS in five sites.

Empowering Women through Literacyand Co-production

Women make up half of Ethiopia's population. Recognizing that sexual and reproductive health is afundamental right, COPMOD emphasizes the importance of involving women in the planning,design, implementation, and delivery of SRH services. By promoting co-production and ownership,the project seeks to involve women and girls in the delivery and monitoring of healthcare services.Through literacy and graduation programs, the knowledge base of women and adolescent girls willbe strengthened. Initiatives such as the Coproduction: By Mothers for Mothers (CoMoM) and womanhealth marketing shops will provide platforms for regular audits and economic empowerment.

Our Achievements
  • Pregnant woman’s portfolio guidebook has been prepared to serve as a reliable resource forexpectant mothers.
  • Women Health Equity Boards, each comprising five female members, were established in 15 hubcenters. WHEB Scorecard was developed to assess healthcare facilities regarding sexual andreproductive health services in addition to a comprehensive assessment tool to evaluate WHEBperformance.
  • Community shades and shops were established in two hubs, namely Harbu Health Center inAmhara 2 (Dessie) cohort and Dima Health Center in Oromia 2 (Alert) cohort.

Our Program Sites

Afar Region

Background: The Afar Region, located in the north-eastern part of Ethiopia, isdivided into 5 administrative zones and 30 woredas. This region ispredominantly occupied by the Afar ethnic group (92%), who mostly engagein agro-pastoralist activities. In the Afar culture, clans are important socialand political units. The region has a total population of nearly 2 millionpeople living in an estimated area of 72,052.78 square kilometers. Theestimated population density is 20.7 people per square kilometer

Amhara Region

Background: The Amhara region, located in the northern part of Ethiopia,administered under 11 zones and 140 woredas. Its capital is Bahirdar which isthe seat of the Regional Government of Amhara. About 90% of the Amharaare rural and make their living through farming, the remaining 10% beingattributed for manufacturing in its urban centers. Based on the 2007 censusconducted by the Central Statistical Agency of Ethiopia (CSA), the Amhararegion has a population of 17,221,976. With an estimated area of 154,708.96km2 (59,733.46 sq mi), this region has an estimated density of 108.2 peopleper square kilometer. The projected population as of 2022 was 32,134,988.

Oromia Region

Ethiopia implements a three-tier healthcare delivery system with primary,secondary, and tertiary levels of care networked through a referral system. Aprimary care unit comprises of primary hospitals, health centers, and theirsatellite health posts. Over the past three decades, the country has achieved asteady expansion of primary care units as well as mobilization of a women-ledhealth development groups to create model households and communities