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Review
. 2022 May 19;21(1):73.
doi: 10.1186/s12939-022-01656-x.

A policy analysis of policies and strategic plans on Maternal, Newborn and Child Health in Ethiopia

Josea Rono  1 , Lynette Kamau  2 , Jane Mangwana  3 , Jacinta Waruguru  1 , Pauline Aluoch  1 , Maureen Njoroge  1
Affiliations
Review

A policy analysis of policies and strategic plans on Maternal, Newborn and Child Health in Ethiopia

Josea Rono et al. Int J Equity Health. .

Erratum in

Abstract

Significant progress has been made to advance Maternal, Newborn and Child Health (MNCH) in Ethiopia. Further, the country has enshrined equity as a core value in their strategic and development frameworks and policies. Although national statistics show improved health outcomes, there exists persistent inequities in avoidable health risks and premature deaths. Additionally, the improving health statistics mask the disparities in health outcomes based on education, employment status, income level, gender and ethnicity dimensions.The EquiFrame framework was used to assess the extent to which equity was entrenched in MNCH health policies and plans. The framework, which describes core concepts against which health policies and plans can be assessed, also provides a scoring criterion for policy assessment. The framework was modified to include the concept of intersectionality, which is increasingly gaining significance in the health policy ecosystems. The policies and plans reviewed in this analysis exercise were selected based on (1) their relevance - only policies and plans in force as of the year 2020 were considered; (2) availability in the public domain as this study was limited to desk research; and (3) relevance to MNCH. A total of five policies and plans were analyzed and evaluated against the 15 core concepts presented in the modified EquiFrame framework. Following the outcomes of the assessment, documents were ranked as either being low, moderate, or high, in exhaustively addressing the core concepts.The Ethiopia Health Sector Transformation Plan (2016-2020) is the only policy or plan that earned a high ranking. The other four policies and plans were ranked as moderate. This shows that while majority of the Ethiopian health sector policies and plans exist and address the core health equity concepts, they fail to: (i) spell out plans to implement and monitor the proposed interventions; and (ii) demonstrate evidence that the interventions were implemented or monitored. With the global goal of leaving no one behind, future policy development in Ethiopia needs to prioritize equity considerations in order to enhance the ongoing health improvement.

Keywords: EquiFrame; Ethiopia; Health policy; Health systems; Health systems research; Maternal; Newborn and child health; Sustainable development goals.

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Conflict of interest statement

Lynette Kamau, a co-author of this paper, works for the African Population and Health Research Center (APHRC). The authors declare that they have no competing interests. The findings and conclusions of this study are those of the author(s) and do not represent the funder of the study.

Figures

Fig. 1
Fig. 1
PRISMA flow diagram
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References

    1. Whitehead M, Dahlgren G. Concepts and principles for tackling social inequities in health: levelling up part 1. World Health Org: Stud Soc Econ Determinants Popul Health. 2006;2:460–474.
    1. Marmot M, Bell R. The sustainable development goals and health equity. Epidemiology. 2018;29(1):5–7. doi: 10.1097/EDE.0000000000000773. - DOI - PubMed
    1. World Health Organization. Health topics. In: Sustainable Development Goal 3: Health [cited 26 May 2021]. Available from: https://www.who.int/health-topics/sustainable-development-goals#tab=tab_2.
    1. United Nations. The Millennium Development Goals Report [Internet]. Way C, editor. New York; 2015 [cited 29 Oct 2021] p. 6–7. Available from: https://www.un.org/millenniumgoals/2015_MDG_Report/pdf/MDG%202015%20rev%....
    1. Pons-Duran C, Lucas A, Narayan A, Dabalen A, Menéndez C. Inequalities in sub-Saharan African women’s and girls’ health opportunities and outcomes: evidence from the demographic and health surveys. J Glob Health. 2019;9(1):5. - PMC - PubMed

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