NCD: where each service is provided in Ethiopia, and who pays
119 services in the NCD programme of Ethiopia’s Essential Health Services Package, of which 28 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 |
|---|---|---|---|---|---|---|
| Physical activity + obesity reduction All NCDs: BCC and policy interventions | · | · | · | · | · | Free |
| Physical inactivity: Awareness campaigns to encourage increased All NCDs: BCC and policy interventions | · | · | · | · | · | Free |
| Sodium: Knowledge: Education and communication All NCDs: BCC and policy interventions | · | · | · | · | · | Free |
| Sodium: Environment: Salt reduction strategies in community-based All NCDs: BCC and policy interventions | · | · | · | · | · | Free |
| Offer to help quit tobacco use: Brief intervention All NCDs: BCC and policy interventions | · | · | · | · | ✓ | Cost sharing |
| Screening and brief intervention for hazardous and harmful alcohol All NCDs: BCC and policy interventions | · | · | · | ✓ | ✓ | Cost sharing |
| Physical inactivity: Brief advice as part of routine care All NCDs: BCC and policy interventions | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| Health and age warnings on alcohol products All NCDs: BCC and policy interventions | · | · | · | · | · | Free |
| Implement community-wide mass sporting, education and awareness All NCDs: BCC and policy interventions | · | · | · | · | · | Free |
| Enact policies on design of buildings and roads which encourage All NCDs: BCC and policy interventions | · | · | · | · | · | Free |
| Provide brief psychosocial intervention for persons with hazardous and All NCDs: BCC and policy interventions | · | · | · | ✓ | ✓ | Cost sharing |
| Increase access to electricity and low emission energy efficient cooking All NCDs: BCC and policy interventions | · | · | · | · | · | Cost recovery |
| Screening for Khat use and brief intervention All NCDs: BCC and policy interventions | · | · | · | ✓ | ✓ | Cost sharing |
| Management of khat intoxication and withdrawal All NCDs: BCC and policy interventions | · | · | · | ✓ | ✓ | Cost sharing |
| Basic palliative care for cancer at home, community and health facility All cancers | ✓ | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Awareness raising on risk factors of cancers All cancers | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| Early detection/screening of most common cancers All cancers | ✓ | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Basic breast cancer awareness education and education on self- Breast cancer | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| Screening: Clinical breast exam Breast cancer | · | ✓ | ✓ | ✓ | ✓ | Free |
| Screening: Mammography Breast cancer | · | · | · | · | ✓ | Cost sharing |
| Breast cancer treatment: Stage 1 Breast cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Breast cancer treatment: Stage 2 Breast cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Breast cancer treatment: Stage 3 Breast cancer | · | · | · | ✓ | ✓ | Cost sharing |
| Breast cancer treatment: Stage 4 Breast cancer | · | · | · | · | ✓ | Cost sharing |
| Basic palliative care for breast cancer Breast cancer | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| Extended palliative care for breast cancer Breast cancer | · | ✓ | ✓ | ✓ | ✓ | Free |
| Vaccination against HPV of ages 9-14 old girls Cervical cancer | · | · | · | · | · | Free |
| Cervical conization /Loop Electro-surgical Excision Procedure (LEEP) Cervical cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| HPV DNA and Cryotherapy Cervical cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| VIA and cryotherapy Cervical cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| PAP smear and Cryotherapy Cervical cancer | · | · | · | ✓ | ✓ | Cost sharing |
| HPV DNA test Cervical cancer | · | · | · | · | ✓ | Cost recovery |
| Visual inspection with acetic acid (VIA) Cervical cancer | · | ✓ | ✓ | ✓ | · | Free |
| Papanicolaou test (Pap smear) Cervical cancer | · | · | · | ✓ | ✓ | Cost sharing |
| HPV DNA + VIA Cervical cancer | · | · | · | · | ✓ | Cost recovery |
| HPV DNA + Pap smear Cervical cancer | · | · | · | · | ✓ | Cost recovery |
| Cryotherapy Cervical cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Loop Electrosurgical Excision Procedure (LEEP) Cervical cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Cervical cancer treatment: Stage I Cervical cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Cervical cancer treatment: Stage II Cervical cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Cervical cancer treatment: Stage III Cervical cancer | · | · | · | ✓ | ✓ | Cost sharing |
| Cervical cancer treatment: Stage IV Cervical cancer | · | · | · | · | ✓ | Cost sharing |
| Basic palliative care for cervical cancer Cervical cancer | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| Extended palliative care for cervical cancer Cervical cancer | · | ✓ | ✓ | ✓ | ✓ | Free |
| Diagnosis and Management of Ovarian Cancer (Surgery) Ovarian Cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Diagnosis and Management of Thyroid Cancer Thyroid Cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Screening: Fecal occult blood testing Colorectal cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Screening: Sigmoidoscopy Colorectal cancer | · | · | · | ✓ | ✓ | Cost sharing |
| Screening: Colonoscopy Colorectal cancer | · | · | · | ✓ | ✓ | Cost sharing |
| Colorectal cancer treatment: Stage I Colorectal cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Colorectal cancer treatment: Stage II Colorectal cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Colorectal cancer treatment: Stage III Colorectal cancer | · | · | · | ✓ | ✓ | Cost sharing |
| Colorectal cancer treatment: Stage IV Colorectal cancer | · | · | · | · | ✓ | Cost sharing |
| Basic palliative care for colorectal cancer Colorectal cancer | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| Extended palliative care for colorectal cancer Colorectal cancer | · | ✓ | ✓ | ✓ | ✓ | Free |
| Diagnosis with endoscopy, biopsy/pathology, Esophageal cancer | · | · | · | · | ✓ | Cost sharing |
| Treatment with chemotherapy, surgery, radiotherapy Esophageal cancer | · | · | · | · | ✓ | Cost sharing |
| Lip and oral cancer treatment: Surgery+chemotherapy Lip and oral cancer | · | · | · | · | ✓ | Cost sharing |
| Lip and oral cancer treatment radiotherapy+chemothrapy Lip and oral cancer | · | · | · | · | ✓ | Cost sharing |
| Treatment with Chemo/hormonal therapy Lip and oral cancer | · | · | · | · | ✓ | Cost sharing |
| Nasopharynx cancer treatment: Surgery+chemotherapy Nasopharynx cancer | · | · | · | · | ✓ | Cost sharing |
| Nasopharynx cancer treatment: radiotherapy+chemothrapy Nasopharynx cancer | · | · | · | · | ✓ | Cost sharing |
| Diagnosis of prostate cancer: PSA, blood tests, rectal examination Prostate cancer | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Treatment of prostate cancer: surgery, chemotherapy, radiotherapy Prostate cancer | · | · | · | ✓ | ✓ | Cost sharing |
| Diagnosis of Hodgkin lymphoma cancer Hodgkin lymphoma | · | · | · | ✓ | ✓ | Cost sharing |
| Diagnosis and treatment of childhood leukemias Childhood cancers | · | · | · | ✓ | ✓ | Cost sharing |
| Diagnosis and treatment of childhood Non Hodgkin's Lymphomas Childhood cancers | · | · | · | ✓ | ✓ | Cost sharing |
| Diagnosis and treatment of Wilm's Tumor Childhood cancers | · | · | · | · | ✓ | Cost sharing |
| Diagnosis and treatment of Retinoblastoma Childhood cancers | · | · | · | · | ✓ | Cost sharing |
| Diagnosis and treatment of childhood Hodgkin's Lymphomas Childhood cancers | · | · | · | ✓ | ✓ | Cost sharing |
| Diagnosis and management childhood Bone and Cartilage cancers Childhood cancers | · | · | · | · | ✓ | Cost sharing |
| Targeted screening for hypertension Hypertension | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| Healthy Life Style Counselling for management of Hypertension | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| Management of hypertensive crisis Hypertension | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Screening for risk of CVD Ischemic heart disease, stroke, and peripheral | · | ✓ | ✓ | ✓ | ✓ | Free |
| Treatment for those with high absolute risk of CVD (>30%) with Ischemic heart disease, stroke, and peripheral | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Treatment for those with high blood pressure but low absolute risk of Ischemic heart disease, stroke, and peripheral | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Treatment for those with absolute risk of CVD 20-30% Ischemic heart disease, stroke, and peripheral | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Treatment for those with high absolute risk of CVD (>30%) Ischemic heart disease, stroke, and peripheral | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Treatment adherence counselling Ischemic heart disease, stroke, and peripheral | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Palliative care to ischemic heart disease, stroke, PAD with amputation Ischemic heart disease, stroke, and peripheral | ✓ | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Management for acute critical limb ischemia with unfractionated Peripheral artery diseases | · | · | · | · | ✓ | Cost sharing |
| Treatment of acute suspected bacterial tonsilopharyngitis to prevent Rheumatic heart disease | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Medical management of heart failure with diuretics, beta-blockers Heart Failure | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Asthma: Inhaled short acting beta agonist for intermittent asthma Asthma | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Asthma: Low dose inhaled beclometasone + SABA Asthma | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Asthma: High dose inhaled beclometasone + SABA Asthma | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Asthma: Theophylline + High dose inhaled beclometasone + SABA Asthma | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Asthma: Oral Prednisolone + Theophylline + High dose inhaled Asthma | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| COPD: Smoking cessation Chronic respiratory disorders | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| COPD: Inhaled salbutamol Chronic respiratory disorders | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| COPD: Low-dose oral theophylline Chronic respiratory disorders | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| COPD: Ipratropium inhaler Chronic respiratory disorders | · | · | · | ✓ | ✓ | Cost sharing |
| COPD: Exacerbation treatment with antibiotics Chronic respiratory disorders | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| COPD: Exacerbation treatment with oral prednisolone Chronic respiratory disorders | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| COPD: Exacerbation treatment with oxygen Chronic respiratory disorders | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Diagnosis, Management including rehabilitation for bronchiectasis Bronchiectasis | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Diagnosis, management and prevention of occupational lung diseases Occupational Lung Diseases | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Targeted screening for type 2 diabetes Diabetes mellitus treatment | ✓ | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Comprehensive Management of Type 2 DM Diabetes mellitus treatment | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Diagnosis and Comprehensive Management of Type 1 DM Diabetes mellitus treatment | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Screening of people with diabetes for microvascular Diabetes mellitus treatment | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Screening of people with diabetes for macrovascular complications Diabetes mellitus treatment | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Dialysis for acute, reversible kidney injury Acute renal failure | · | · | · | · | ✓ | Cost sharing |
| Haemodialysis for chronic kidney failure Chronic Kidney Diseases | · | · | · | · | ✓ | Cost sharing |
| Peritoneal dialysis for chronic kidney failure Chronic Kidney Diseases | · | · | · | · | ✓ | Cost sharing |
| Screening for chronic kidney disease in high risk groups Chronic Kidney Diseases | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Diagnosis and treatment of CKD; treat comorbid Chronic Kidney Diseases | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Treatment of hypertension in kidney disease Chronic Kidney Diseases | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Management of Complications of CKD Chronic Kidney Diseases | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Kidney transplantation Chronic Kidney Diseases | · | · | · | · | ✓ | Cost sharing |
| Awareness creation and Screening for cataract Cataract | · | · | · | · | · | Free |
| Cataract surgery Cataract | · | · | · | ✓ | ✓ | Cost sharing |
| Awareness creation of RE and Importance of eye glasses Refractive error | · | · | · | · | · | Free |
| School screening Refractive error | · | · | · | · | · | Free |
| Opportunistic screening for refractive errors in Adults in health Refractive error | · | ✓ | ✓ | ✓ | ✓ | Free |
| Correction of Refractive error with eye glass Refractive error | · | · | · | · | ✓ | Cost sharing |
| Awareness creation on glaucoma and screening for glaucoma for Glaucoma | · | · | · | · | · | Free |
| Medical and surgical treatment of glaucoma Glaucoma | · | · | · | · | ✓ | Cost sharing |