Ethiopian Healthcare Accreditation Program (EHAP) Roadmap
Launching and High-Level Advocacy
Program
Elevating the Quality and Safety of Healthcare
26January 2024
Hilton ,Addis Ababa
Progress made in establishing the Ethiopia Healthcare Accreditation Program
(EHAP) so far
-Consensus-building meetings were conducted among MoH, IES, and EAS.
-A tripartite MOU was signed by MoH, IES, and EAS.
-The development of Hospital Accreditation Standards is nearing completion.
-A draft of the incentive package was prepared.
Progress made in establishing the Ethiopia Healthcare Accreditation Program
(EHAP) so far…..
-Preparation has started for the Healthcare Accreditation Program manual.
-Capacity building training provided by International Society for Quality in Health
Care (ISQua) for TWG members and the LEO staffs
- 11 staff members were awarded the ISQua Fellowship by the Irish government.
-A visit for sharing experiences in the implementation of the Healthcare Accreditation Program
will be conducted next month.
Contents of the Roadmap(7)
1. Introduction 2.7. Strategic Initiatives and Priority Areas
1.1. Background
2.7.1. Develop National Healthcare Accreditation
1.2. Situational Analysis Standards
1.3. Overview of Accreditation 2.7.2. Capacity Building
1.3.1. Definition of Accreditation 2.7.3. Strengthen Stakeholder Engagement and
1.3.2. Accreditation Bodies Collaboration
1.3.3. Healthcare Facility Accreditation Standards and 2.7.4. Strengthening Information and Communication
Requirements Systems
1.3.4. Healthcare Facility Accreditation Process 2.7.5. Support for Health Facilities
1.3.5. Benefits and Rationale of Healthcare Accreditation 2.7.6. Performance Monitoring and Evaluation
2. Roadmap Purpose, Scope, Goals, Objectives, and 2.7.7. Recognition and Incentives
Strategic Initiatives
2.1. Purpose of the Roadmap
2.2. Scope of the Roadmap
2.3. Goal
2.4. Roadmap Objectives
2.5. Roadmap Development Process
2.6. Guiding Principles
4
Contents…
3. Roadmap Implementation and Milestones 6. Healthcare Facility Eligibility Criteria for EHAP
3.1. Roadmap 7. Monitoring and Evaluation Plan for Healthcare Accreditation
Program
3.2. Targets
7.1. Performance Monitoring
4. Healthcare Accreditation Framework in Ethiopia 7.2. Health Facility Assessment and Report
5. Implementation Arrangement 7.3. Monitoring and Evaluation Framework
5.1. Governance Structure for Healthcare Accreditation 7.4. Indicators
Program Implementation
7.5. Estimated Budget
5.2. Enhancing Resource Mobilization for Healthcare
Annexes
Accreditation Program
Annex 1: SWOT Analysis of Health Service Accreditation Program
5.3. Establishing Digital Technology-Assisted Service
Accreditation System Annex 2: Stakeholder Analysis
5.4. Healthcare Accreditation Information Management Annex 3: Member of Steering Committee
Systems
5
Roadmap Development Process
1. key stakeholders were Identified
• Institute of Ethiopian Standards (IES),
• Ethiopian Accreditation Service (EAS),
• Hospitals, Private Health Sector,
• Ethiopian Public Health Institute (EPHI),
• Professional Societies and Associations, and
• Development Partners with demonstrated expertise in the area.
2. Desk reviews with TWG: Existing local and international accreditation documents
were closely examined,.
6
Roadmap Development Process…..
3. consultative workshops : a series of successive consultative workshops organized
with RHBs and stakeholders
4. International expert review: Expert inputs from Irish Government.
5. Consultative meetings conducted at wing level with LEOs
6. High level review at the Ministerial level
7. Strategically reviewed by MOH MC
7
Definition of Accreditation
Accreditation is a process by which an accrediting body assesses an
organization or a program for complying with standards or criteria
and recognizes it.
The most well-known accrediting Bodies
-International Society for Quality in Health Care (ISQua)
-The Joint Commission International(JCI)
-The Council for Health Service Accreditation of Southern Africa(COHSASA)
Ethiopian Accreditation Service
The rationales for healthcare accreditation
Ensuring Responding to
Quality and Community Institutionalizing
Demand: Improving Continuous Quality
Safety: Serves
addresses the Efficiency: Improvement and
as a tool to Innovation:
growing demand Accreditation fosters
maintain a
from the a focus on efficiency fosters a culture of
certain community for within health improvement and
standard of high-quality facilities innovation within health
quality and healthcare facilities
safety services
The rationale for healthcare accreditation ….
Being Competent Regionally Laying Foundation for Medical Tourism
Ensuring Accountability to
Safeguard the Safety of and
Clients Internationally
The goal of the Roadmap
To establish a comprehensive and globally recognized healthcare accreditation
program in Ethiopia, enhancing the quality of care and fostering public trust,
while accrediting 537 HF at all level at the end of 2030.
Objectives of the roadmap(5)
2
1 3
2. To support the
development and
1. To support a solid amendment of healthcare
foundation for the accreditation standards 3. To advocate health
healthcare accreditation facility accreditation
Program system
Objectives of the roadmap(5) …..
4. To support healthcare facilities in 5. To strengthen Health facilities
achieving compliance with leadership and governance
accreditation standards accountability
Strategic Initiatives and Priority Areas (7)
Strengthen
Develop Strengthening
stakeholder
national Capacity Information and
engagement
accreditation Building Communication
and
standards Systems
collaboration
Support for
Performance
Health Facilities Recognition and
Monitoring and
(Tools, HR, Incentives
Evaluation
Infrastructure…
Ethiopia Healthcare Accreditation Framework
National Accreditation Program
Accreditation
Framework: Standard
Development
draws upon valuable insights
Accreditation
gathered from a thorough review External Audit Continued
Technical
of international experiences and support Self-Assessment
global recommendations, carefully
tailored to the context of our Application
national accreditation system
Figure 1Accreditation Conceptual Framework
Roadmap Implementation and Milestones
Short-Term Mid-Term (2026- Long-Term
Activity Baseline
(2024-25) 2027) (2028-2030)
1. Program Establishment
Support program establishment - 1 1 1
Develop accreditation standards and assessment tools - 3 0 0
Develop incentive package - 1 0 0
Capacity building (accrediting body staff, MoH, RHB, healthcare
- 220 500 1480
professionals, and relevant stakeholders,)
Advocate health facilities to engage in the program - 10 0 0
2. Accreditation Process
Conduct facility readiness assessments - 107 430 537
Provide technical support to health facilities - 107 430 537
3. Accredit health facilities
Comprehensive Specialized Hospitals (CSH) 0 7 21
General Hospitals (GH) 0 10 20
Specialized Clinics (SC) 0 7 18
Primary Hospitals (PH) 0 20 53
Health Centers (HC) 0 70 307
Total Accredited Facilities 0 114 537
Estimated Budget
S/N List of Activities Estimated Budget (ETB)
1 Leadership and Governance 46,173,456
2. Human resource Development
44,583,366
3 Resource Mobilization 53,272,153.85
4 Stakeholder engagement 14,898,361.85
Digitalization of health facility accreditation
5 system
225713300
6 Health facility quality management system
56,784,366.00
7 Monitoring and evaluation 13,300,560
Total
454,725,564
Thank You!
