I. Phase out Project
Save the Mothers Initiative (SMI):
The first Project of ESOG. A five years pilot project carried out from 1998 to 2004 in collaboration with FIGO and Swedish Society of Obstetrics and Gynecology. The major aim of the project is availing Emergency Obstetric Care services to rural women. Project site is Ambo town in West Shoa zone, 125 KM west of Addis Ababa.
Active Management of the Third Stage of Labor (AMTSL):
A one year project from February 2003 - June 2004 launched in collaboration with Federal Ministry of Health Ethiopia and IntrahHealth-International. The project focused on reduction of maternal mortality and morbidity through preventing the occurrence of Post Partum Hemorrhage by the universal application of active management of third stage of labor.
Main streaming emergency contraception in to public sector:
Its objective is familiarization of Emergency Contraception in the country by using the dedicated products (progestin only preparation). It has been implemented in the project sites of 5 regions of the country, in 37 health institutions. It is funded by African forum on Emergency Contraception (EC Afrique). Federal Ministry of Health & Regional Health Bureau are the collaborators of the project. It is completed at the beginning of 2008.
Prevention of Post Partum Hemorrhage Initiative (POPPHI):
This is a regional survey on the management of the third stage of labor which is conducted in collaboration with Family Health Department, Ministry of Health. It was carried out from 2006-2007. The aim of the study is to provide the descriptive information necessary to assess current practices regarding Active Management of Third Stage of Labor and to identify major barriers to its use. A complementary component of the study includes a qualitative assessment of perceptions and practices with regard to serious post partum bleeding in home births. A secondary aim is to provide public domain tools for future monitoring activities. The projects sites are 10 health professional training institutions and 6 health facilities located in Tigray, Diredawa and Harar regions.
Saving Mothers and Newborns Initiative:
It aims to improve basic emergency obstetric and newborn care. It was started in 2007 and completed in Dec 2008. The project is funded by ACCESS-USAID. Project site Partners were Ambo hospital and its referring 10 health centers.
ESOG-Venture Strategies Post Partum Hemorrhage Prevention Initiative:
It aims to expand Misoprostol knowledge and provision by developing national guideline on active management of third stage of labor (AMTSL) with Misoprostol and by inclusion of Misoprostol use during Active Management of Third Stage of Labor for prevention and treatment of Post Partum Hemorrhage in mid-level health training schools curricula. Ministry of Health and Venture Strategies for Health and Development are the major collaborators. It is funded by Venture strategies for Health Development.
Strengthening and expansion of service provision at the model clinic and nationalization of ESOG’s guidelines on comprehensive management for survivors of sexual assault:
The objective of the project is to improve sexual gender based violence related health, legal and social services in Ethiopia. Family Health Department of Federal Ministry of Health worked in collaboration with the society. It was financed by Population Council. It was started in November 2007 and completed in March 2009. Project successfully completed and achieved the major activity of providing the country with a national guideline for management of survivors of sexual assault.
Ensuring sustainability of the model clinic of victims of sexual violence and strengthening collaboration against sexual violence:
It aims to improve sexual violence related health, legal and social services in Addis Ababa. It started at the end of 2007 and ended in August 2010. UNFPA financed the project Gandhi Memorial Hospital and Addis Ababa legal system are project site partners.
Save the Mothers and RH Project
The major objective is to improve the availability, accessibility, quality and use of basic obstetric care and family planning services. The project is in Hadiya Zone of SNNPR and funded by the David and Lucile Packard Foundation. The partners are Ethiopian Midwives Association and Zonal Health Bureau & Woreda Health Bureaus. The project started in April 2008 and is ongoing until September 2011.
Major activities accomplished include; Training on family planning & Emergency Obstetric and Newborn care are conducted. Community mobilization activities are undertaken & support by supplying appropriate medical equipment and supplies to the Project sites undertaken.
Saving Mothers and Newborns at two regions of Ethiopia (Amhara and Oromia)-Fiche Hospital, Debre Markos Hospital, Ejere Health Center and Bichena Health Center
The objective of the project is expanding and strengthening maternal and newborn care. The project is funded by FIDE, Germany and the partners are Regional Health Bureaus and Zonal Health Bureaus. The project sites are from Amhara region-East Gojam Zone-Debremarkos Hospital and Bichena Health Center and from Oromiya Region North Shewa Zone-Fiche Hospital and Ejerie Health Center. The project started in January 2009 and ended in June 2012.
The major activities accomplished include: Technical update and skill standardization training, training of providers at zonal hospital and referral health centers to conduct near miss audit. Blood bank is established in Debremarkos and Fiche Hospitals. Community mobilization activities are undertaken, supportive supervision activities are performed. End line survey is conducted.
Magnesium Sulphate use for prevention of Preeclampsia and Eclampsia related mortality in Ethiopia
The objective of the project is to contribute towards the reduction of maternal mortality by introducing Mgso4 in all public hospitals in Ethiopia. The project was funded by UNICEF. The partners are UNICEF, Federal Ministry of Health, Pharmaceutical Fund Supply Agency and Emory University. The project started in April 2009 and ended in July 2011. The activities accomplished include training of Obstetricians and Gynecologists, an advocacy on magnesium sulphate at the ESOG 2010 annual conference through a program on “MgSO4 Day” was undertaken, training to General Practitioners, Health Officers & midwifes given at the local chapters of ESOG and Addis Ababa, data collection in 24 hospitals selected for audit and distribution of Mgso4 drug.
Sexual Violence Against Women Project
The objective is to improve the delivery of integrated and quality of care for survivors of sexual violence. It is funded by UNFPA. The project was started in April 2009 and ended in May 2012. Activities accomplished include: Two model clinics are providing services to survivors of sexual assault at Adama & Hawassa Hospitals, health care providers are trained on care for survivors of sexual assault, nationalization of training manual developed by ESOG on care for survivors of sexual assault, inclusion of GBV in the medical school curricula is successful, monitoring and evaluation conducted and purchase of medical equipments and supplies to the model clinics undertaken.
II. Consultancy for Research
Prevention of unsafe abortion initiative (Situational Analysis)
It is anticipated that situation analysis will result in significant awareness and advocacy in regard to the interrelated problems surrounding unsafe abortion including the development of evidence-based national action plan. It was a three years project started from 2007. Ipas funded the project and FIGO is a collaborator with the Society. ESOG is happy to have been involved in the activity but concerned that it has not yet received the results of data analysis as they are of importance to the activities of the society and safe motherhood activities in the country.
Health Professionals Survey on Health system cost of unsafe abortion:
Its objective is to increase awareness and provide evidence on health system cost of unsafe abortion for advocacy and evidence based policy action. The site of project sampled public and private health facilities and it is funded by Ipas Ethiopia. FMoH and Ethiopian Public Health Association are the partners of the society. It started in November 2007 and completed.
Female Genital Mutilation (FGM):
The society in collaboration with Care Ethiopia is conducting an institutional capacity assessment to provide care for complications of FGM and development of training material for management of these complications.
Developing Training Manual for Comprehensive Abortion Care:
It’s objective is to standardize and increase quality of training on comprehensive abortion care. The project has started in February 2010 and is underway. The project is undertaken by FMoH, Ipas Ethiopia and Engender Health Ethiopia.
III. Projects underway
1. Expanding PMTCT services in private health institutions in Ethiopia
The objective is expansion of PMTCT services in private hospitals and special clinics with maternal and child health (MCH) services in Ethiopia. The project is funded by PEPFAR-CDC.
It is started at the end of 2007 through Ethiopian Public Health Association. It is now in the fourth year of funding. Starting from October 2010, ESOG becomes a direct grantee of CDC for the next 5 years.
The major activities accomplished so far:-
- 60 private health facilities (private hospitals & MCH private clinics) in the country (Addis Ababa, Amhara, Dire-Dewa, Harari, Somali, Oromia and SNNPR) have started providing the standard PMTCT services.
- The service will be started in Tigray region in the fiscal year.
- Regular site support & mentorship of providers / facilities through the site support team provide to maintain delivery of full package PMTCT services in the 60 health facilities.
- 26 of the Health facilities which have started providing PMTCT services are from the Regions.
- ESOG conducted TOT training on PMTCT in collaboration with FMOH and WHO country office to facilitate the scale up PMTCT and to rollout the revised PMTCT guideline for 23 participants from all regions except Tigray region.
- Basic PMTCT Training of health care providers is being conducted as planned to address the dynamics of trained professional in the private facilities.
2. FIGO/Gates MNH Project
The objective is to improve the Maternal and Newborn Health in Ethiopia by increasing the role of obstetric and gynecology national association. The project is funded by Bill and Melinda Gates Foundation through FIGO. It started in November 2009 for five years.
Activities accomplished so far:-
- Maternal Death and Near Miss Audit is initiated in 9 public hospitals Yekatit 12, Durame, Hawassa, Debremarkos, Debreberhan, Assela, Bishoftu, St Paul and Butajira Hospitals.
- Maternal Death and Near Miss Audit committees were established at the hospitals. Improving the capacity of ESOG by Organizational Capacity Improvement Plan and Implementation is underway.
3. Improving Comprehensive Emergency Obstetric and Newborn Care (CEmONC) Service in the Regional Hospitals of Ethiopia, the first Phase
The Ethiopian Society of Obstetricians and Gynecologists has signed a grant agreement with the Federal Ministry of Health in October, 2010 contribute towards the reduction of maternal and newborn mortality and morbidity by updating the maternal and newborn care skills of providers at 22 hospitals in eight regions of the country.
The activities accomplished so far:
- Twenty two full time obstetricians recruited and employed, to work for 6 months especially focused on training and mentoring of the trainee health care providers as follows:-
- Conducted induction/ training for obstetricians for five days
- Assessment tool in collaboration with FMoH was developed
- The project sites were assessed by the obstetricians using the assessment tool terms to determine whether their current status can fulfill the minimum requirements to undertake CEmONC services in order to be selected as project sites
- Based on the findings of the site assessment, the project team will identify gaps and designed a site strengthening action plan and facilitated on addressing those gaps.
- Training and mentoring 47 health professionals (in 22 facilities)