Mental, Neurological and substance use disorders: where each service is provided in Ethiopia, and who pays
51 services in the Mental, Neurological and substance use disorders programme of Ethiopia’s Essential Health Services Package, of which 36 are free of charge. A tick means that level of facility is expected to provide the service.
Source: Essential Health Services Package of Ethiopia (November 2019), Annex II, Table 19 — Ministry of Health of Ethiopia. These are the services the package says should be available at each level of the public health system, and how they are paid for. Availability at a particular facility can differ and fees change: confirm before you travel. BinaSmart is an information service, not a medical provider.
| Service | Health post | Health centre | Primary hospital | General hospital | Tertiary hospital | Payment |
|---|---|---|---|---|---|---|
| BCC and awareness creation program on all MNSD MNSD: BCC and policy interventions | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| Workplace stress reduction programs- physical exercise and cognitive MNSD: BCC and policy interventions | · | · | · | · | · | Free |
| In school -mental health awareness among school children and MNSD: BCC and policy interventions | · | · | · | · | · | Free |
| Basic psychosocial treatment for mild depression Depressive disorders | · | ✓ | ✓ | ✓ | ✓ | Free |
| Basic psychosocial treatment and anti-depressant medication of first Depressive disorders | · | ✓ | ✓ | ✓ | ✓ | Free |
| Intensive psychosocial treatment and anti-depressant medication of Depressive disorders | · | · | · | · | ✓ | Free |
| Intensive psychosocial treatment and anti-depressant medication of Depressive disorders | · | · | · | · | ✓ | Free |
| Intensive psychosocial treatment and anti-depressant medication of Depressive disorders | · | · | · | · | ✓ | Free |
| Psychosocial care for peri-natal depression Depressive disorders | · | ✓ | ✓ | ✓ | ✓ | Free |
| Diagnosis and management of psychosis with first generation and Psychotic disorders | · | ✓ | ✓ | ✓ | ✓ | Free |
| Basic psychosocial support and anti-psychotic medication Psychotic disorders | · | ✓ | ✓ | ✓ | ✓ | Free |
| CBT as adjunctive treatment for positive symptoms. Cognitive Psychotic disorders | · | ✓ | ✓ | ✓ | ✓ | Free |
| Basic psychosocial support and anti-psychotic medication Psychotic disorders | · | ✓ | ✓ | ✓ | ✓ | Free |
| Psychosocial interventions to reducing the need Psychotic disorders | · | ✓ | ✓ | ✓ | ✓ | Free |
| Intensive psychosocial support and anti-psychotic medication Psychotic disorders | · | · | · | · | ✓ | Free |
| Continuing care of schizophrenia Psychotic disorders | · | ✓ | ✓ | ✓ | ✓ | Free |
| Management of refractory psychosis with clozapine Psychotic disorders | · | · | · | · | ✓ | Free |
| Basic psychosocial treatment, advice, and follow-up for bipolar Bipolar disorder | · | · | · | · | ✓ | Free |
| Intensive psychosocial intervention for bipolar disorder, plus mood- Bipolar disorder | · | · | · | · | ✓ | Free |
| Basic psychosocial treatment for anxiety disorders (mild cases) Anxiety disorders | · | ✓ | ✓ | ✓ | ✓ | Free |
| Basic psychosocial treatment and anti-depressant medication for Anxiety disorders | · | · | ✓ | ✓ | ✓ | Free |
| Intensive psychosocial treatment and anti-depressant medication for Anxiety disorders | · | · | · | · | ✓ | Free |
| Diagnosis and management of epilepsy Epilepsy | · | ✓ | ✓ | ✓ | ✓ | Free |
| Epilepsy: Basic psychosocial support, advice, and follow-up, plus anti- Epilepsy | · | ✓ | ✓ | ✓ | ✓ | Free |
| Diagnosis and management of dementia Dementia | · | ✓ | ✓ | ✓ | ✓ | Free |
| Opportunistic screening for detection of dementia Dementia | · | ✓ | ✓ | ✓ | ✓ | Free |
| Parenting programs in infancy to promote early child development Childhood and adolescent mental, | · | · | · | · | · | Free |
| Improve the quality of antenatal and perinatal care to reduce risk Childhood and adolescent mental, | · | ✓ | ✓ | ✓ | ✓ | Free |
| Screening for congenital hypothyroidism among infants Childhood and adolescent mental, | · | · | · | · | ✓ | Free |
| Family psychoeducation Developmental Disorders | · | ✓ | ✓ | ✓ | ✓ | Free |
| Psychosocial interventions for treatment of behavioural disorders Behavioural Disorders | · | ✓ | ✓ | ✓ | ✓ | Free |
| Diagnosis and treatment of ADHD including Methylphenidate ADHD | · | · | · | ✓ | ✓ | Free |
| Family psychoeducation (ADHD) ADHD | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| Identification of children with MNS disorders in schools Common Childhood Mental disorders | · | · | · | · | · | Free |
| Psychosocial interventions, treatment of emotional disorders Emotional Disorders | · | ✓ | ✓ | ✓ | ✓ | Free |
| Antidepressants among adolescents with moderate-severe depressive Depression in Older children and adolescents | · | ✓ | ✓ | ✓ | ✓ | Free |
| Anxiety, post-traumatic stress disorder-Cognitive and behavioural Childhood and adolescent mental, | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Screening and brief interventions for alcohol use disorders Alcohol use disorders | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Management of alcohol withdrawal Alcohol use disorders | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Relapse prevention medication for alcohol use/dependence Alcohol use disorders | · | · | · | · | ✓ | Cost sharing |
| Opioid substitution therapy (methadone and buprenorphine) for Opioid Use Disorder | · | · | · | · | ✓ | Cost sharing |
| Identification and assessment of new cases of drug use/dependence Others drug use disorders (illicit, cannabis, | · | · | · | · | · | Cost sharing |
| Brief interventions and follow-up for drug use/dependence Others drug use disorders (illicit, cannabis, | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Management of drug withdrawal Others drug use disorders (illicit, cannabis, | · | ✓ | ✓ | ✓ | · | Cost sharing |
| Management of tobacco (Nicotine) dependence Others drug use disorders (illicit, cannabis, | · | · | · | · | · | Cost sharing |
| Assess and care for person with self-harm Suicide and self-harm | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Basic psychosocial treatment, advice, and follow-up for self- Suicide and self-harm | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Safer storage of pesticides in the community and farming households Suicide and self-harm | · | · | · | · | · | Cost sharing |
| Emergency management of poisoning Suicide and self-harm | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Planned follow-up and monitoring of suicide attempters* Suicide and self-harm | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Treatment of comorbid mood and substance use disorder* Suicide and self-harm | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |