ADDIS ABABA, ETHIOPIA – HALLE
ADDIS ABABA, ETHIOPIA – HALLE

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PARTNERSHIPS

PARTNERSHIP BETWEEN:

Martin Luther University, Halle-Wittenberg (MLU)
Department of Gynaecology and Institute of Medical Epidemiology, Biometrics and Informatics / Germany

&

Addis Ababa University School of Public Health / Ethiopia

PARTNERSHIPS

PARTNERSHIP BETWEEN:

Martin Luther University, Halle-Wittenberg (MLU)
Department of Gynaecology and Institute of Medical Epidemiology, Biometrics and Informatics / Germany

&

Addis Ababa University School of Public Health / Ethiopia

Improved decentralised chronic
disease care.
Noncommunicable diseases (NCDs) –
a major cause of disability and death in low- and middle-income countries

The global burden and threat of noncommunicable diseases (NCDs) constitutes a major public health challenge which undermines social and economic development throughout the world. NCDs are the major cause of death among the adult population worldwide accounting for 41 million deaths annually. 85% of these deaths occur in low- and middle-income countries (LMIC) due to change of life-style and increase of risk factors. Cardiovascular diseases account for most NCD deaths (17.9 million), followed by cancers (9 million), respiratory diseases (3.9 million) and diabetes (1.6 million). Health systems of LMIC are insufficiently prepared for handling NCDs in addition to infectious diseases.

MORE ABOUT ETHIOPIA

  • Ethiopia is the oldest independent and the second-most populous country in Africa with 114.7 million inhabitants. It is the most populous landlocked country in the world. Apart from a five-year occupation by Mussolini’s Italy, Ethiopia has never been colonised.
  • In 2018, Prime Minister Abiy Ahmed launched a campaign of political liberalisation at home and sought to end disputes with Ethiopia’s neighbours, in particular Eritrea. Parliament elected Sahle-Work Zewde as Ethiopia’s first woman president in October 2018.
  • Life expectancy at birth in Ethiopia is 63 (m) / 67 (f) years.
  • The probability of dying before the age of five is 55.2 for 1,000 live births.

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Like in other LMIC in sub-Saharan Africa, NCDs have become a major public health challenge in Ethiopia and are estimated to account currently for 34% of all deaths. Cervical cancer is one of the leading causes of morbidity and mortality among all cancers in Ethiopia. Routine screening for these diseases and early detection would significantly reduce the number of deaths as well as related morbidities, such as heart failure, stroke, or chronic kidney diseases, to mention only a few.

However, most people and health professionals in Ethiopia are not well informed about the possibility and advantages of early detection and prevention of NCDs. Besides measuring blood pressure and blood sugar, more complex tests are needed to identify these diseases.

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Such tests are only available in central hospitals, which are difficult to reach for the rural population. Therefore, it would be very important to connect rural health facilities with more central hospitals offering advanced testing facilities and to facilitate communication between them.

The Ethiopian government has recognised the challenge that NCDs represent for the health of the population, and that cervical cancer in particular presents for the health of women. In accordance with WHO’s Action Plan for the prevention and control of NCDs 2013-2020, it has formulated a National Strategic Action Plan for Prevention and Control of NCDs (NSAP), as well as a National Guideline for Cervical Cancer Prevention and Control in Ethiopia based on WHO’s strategy towards the elimination of cervical cancer.

Based on this national and international commitment, the German and Ethiopian university departments have joined forces to address this important public health problem. Health professionals – including a majority of women –  in selected facilities are being trained and offer comprehensive screening for hypertension, elevated blood sugar and cervical and breast cancer.

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eHEALTH

Our eHealth Contribution

One important obstacle which has been identified is inadequate communication between the health facility sending a specimen and the central laboratory receiving the specimen for cervical cancer screening. The specimen and related information take too long to reach the laboratory or do not arrive at all. The health workers needing the test results for the treatment of patients often wait in vain. To improve this situation, the partners have decided to use an innovative solution and have involved an IT company to develop a web-based communication system to link the central laboratory and the peripheral health facilities.

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PARTNERSHIPS

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Martin Luther University (MLU) Institute of Epidemiology, Biostatics and Informatics / Germany

is the only German university offering a wide range of health system sciences joined in the “Profilzentrum Gesundheitswissenschaften”. The core team cooperating with Ethiopia is “Global Health AG”.

This working group links international research and capacity-building including molecular laboratory work, modern clinical medicine and health services.

Contact:

PD Dr. Eva Kantelhardt
Martin-Luther-University Halle-Wittenberg
Institute of Medical Epidemiology, Biostatistics and Informatics
Department of Gynaecology
Global Health AG
Magdeburger Straße 8
06097 Halle
eva.kantelhardt@uk-halle.de

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Addis Ababa University (AAU) School of Public Health (SPH) / Ethiopia

is the oldest and largest higher learning and research institution in Ethiopia. Since its foundation, the University has been the leading centre for teaching, learning, research and community services. The College of Health Sciences (CHS) has embarked on an intensive effort to conduct high-impact research and implementation projects that help alleviate the country’s health-related problems. The School of Public Health with over 50 academic staff is an important partner of Ethiopia’s  Ministry of Health (MoH).

Contact:

Adamu Addissie MD PhD
Addis Ababa University
Associate Professor, School of Public Health, Chair Ethical committee
Main Campus at Sedist Kilo
P.O.Box 366 Code 1029
Addis Ababa
adamuaddissie@gmail.com

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Martin Luther University (MLU) Institute of Epidemiology, Biostatics and Informatics / Germany

is the only German university offering a wide range of health system sciences joined in the “Profilzentrum Gesundheitswissenschaften”. The core team cooperating with Ethiopia is “Global Health AG”.

This working group links international research and capacity-building including molecular laboratory work, modern clinical medicine and health services.

Contact:

PD Dr. Eva Kantelhardt
Martin-Luther-University Halle-Wittenberg
Institute of Medical Epidemiology, Biostatistics and Informatics
Department of Gynaecology
Global Health AG
Magdeburger Straße 8
06097 Halle
eva.kantelhardt@uk-halle.de

Logos Halle 1

Addis Ababa University (AAU) School of Public Health (SPH) / Ethiopia

is the oldest and largest higher learning and research institution in Ethiopia. Since its foundation, the University has been the leading centre for teaching, learning, research and community services. The College of Health Sciences (CHS) has embarked on an intensive effort to conduct high-impact research and implementation projects that help alleviate the country’s health-related problems. The School of Public Health with over 50 academic staff is an important partner of Ethiopia’s  Ministry of Health (MoH).

Contact:

Adamu Addissie MD PhD
Addis Ababa University
Associate Professor, School of Public Health, Chair Ethical committee
Main Campus at Sedist Kilo
P.O.Box 366 Code 1029
Addis Ababa
adamuaddissie@gmail.com

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