Ethiopia has made impressive strides in improving its health care system and can serve as a model for other countries, a paper from Yale University suggests.
The paper, "Grand strategy and Global Health, the Case of Ethiopia," states that the country has successfully applied concepts of grand strategy to implement achievable priorities, worked with diverse partners and external funders and developed middle-level management to promote new health policies. The result has been significant changes on the ground and in improved health for more than 80 million Ethiopians though numerous new health centers and clinics, trained personnel to staff them, expanded access to clean water and nutritious food and sharply cut the number of deaths from malaria. One of the authors of the paper, published in the current issue of Global Health Governance, describes Ethiopia's health reform strategy "as guided by an extraordinary clarity of purpose, reflecting the priorities of the country rather than the priorities of donors." The paper traces the improvements to the appointment of Dr. Tedros Adhanom as Health Minister in 2005 and underlines the importance of the ongoing partnership with the William J. Clinton Foundation. The paper, authored by Professor Elizabeth H. Bradley of the Yale School of Public Health, Michael Skonieczny, executive director of GHLI, and Lauren Taylor, also notes that Ethiopia has successfully resolved the long-standing divide between vertical solutions involving combating single diseases such as malaria and HIV/AIDS and the more horizontal approach of expanding infrastructure and training additional health workers.