Relevant bibliographies by topics / Healthcare systems in Ethiopia

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Healthcare systems in Ethiopia'

Author: Grafiati
Published: 4 June 2021
Last updated: 16 February 2022

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Journal articles on the topic "Healthcare systems in Ethiopia"

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Kassa, Melkamu Dugassa, and Jeanne Martin Grace. "A mixed-method study of quality, availability and timeliness of non-communicable disease (NCD) related data and its link to NCD prevention: Perceptions of health care workers in Ethiopia." Health Information Management Journal 48, no. 3 (August 20, 2018): 135–43. http://dx.doi.org/10.1177/1833358318786313.

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Background: Three-quarters of non-communicable disease (NCD) mortality occurs in low- and middle-income countries. However, in most developing countries, quality and reliable data on morbidity, mortality and risk factors for NCD to predict its burden and prevalence are less well understood and availability of these data is limited. To better inform policymakers and improve healthcare systems in developing countries, it is also important that these factors be understood within the context of the particular country in question. Objective: The aim of this study is to further inform practitioners in Ethiopia about the availability and status of NCD information within the Ethiopian healthcare system. Method: A mixed method research design was used with data collected from 13 public referral hospitals in Ethiopia. In phase 1 quantitative data were collected from 312 health professionals (99 physicians; 213 nurses) using a cross-sectional survey. In phase 2, qualitative data were collected using: interviews ( n = 13 physician hospital managers); and one focus group ( n = 6 national health bureau officers). Results: Results highlighted the lack of NCD morbidity, mortality and risk factor data, periodic evaluation of NCD data and standardised protocols for NCD data collection in hospitals. The study also identified similar discrepancies in the availability of NCD data and standardised protocols for NCD data collection among the regions of Ethiopia. Conclusion: This study highlighted important deficiencies in NCD data and standardised protocols for data collection in the Ethiopian healthcare system. These deficiencies were also observed among regions of Ethiopia, indicating the need to strengthen both the healthcare system and health information systems to improve evidence-based decision-making. Implications: Identifying the status of NCD data in the Ethiopian healthcare system could assist policymakers, healthcare organisations, healthcare providers and health beneficiaries to reform and strengthen the existing healthcare system.
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Mekonnen, Yibeltal, Charlotte Hanlon, Solomon Emyu, Ruth Vania Cornick, Lara Fairall, Daniel Gebremichael, Telahun Teka, et al. "Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Ethiopia." BMJ Global Health 3, Suppl 5 (November 2018): e001108. http://dx.doi.org/10.1136/bmjgh-2018-001108.

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The Federal Ministry of Health, Ethiopia, recognised the potential of the Practical Approach to Care Kit (PACK) programme to promote integrated, comprehensive and evidence-informed primary care as a means to achieving universal health coverage. Localisation of the PACK guide to become the ‘Ethiopian Primary Health Care Clinical Guidelines’ (PHCG) was spearheaded by a core team of Ethiopian policy and technical experts, mentored by the Knowledge Translation Unit, University of Cape Town. A research collaboration, ASSET (heAlth Systems StrEngThening in sub-Saharan Africa), has brought together policy-makers from the Ministry of Health and health systems researchers from Ethiopia (Addis Ababa University) and overseas partners for the PACK localisation process, and will develop, implement and evaluate health systems strengthening interventions needed for a successful scale-up of the Ethiopian PHCG. Localisation of PACK for Ethiopia included expanding the guide to include a wider range of infectious diseases and an expanded age range (from 5 to 15 years). Early feedback from front-line primary healthcare (PHC) workers is positive: the guide gives them greater confidence and is easy to understand and use. A training cascade has been initiated, with a view to implementing in 400 PHC facilities in phase 1, followed by scale-up to all 3724 health centres in Ethiopia during 2019. Monitoring and evaluation of the Ministry of Health implementation at scale will be complemented by indepth evaluation by ASSET in demonstration districts. Anticipated challenges include availability of essential medications and laboratory investigations and the need for additional training and supervisory support to deliver care for non-communicable diseases and mental health. The strong leadership from the Ministry of Health of Ethiopia combined with a productive collaboration with health systems research partners can help to ensure that Ethiopian PHCG achieves standardisation of clinical practice at the primary care level and quality healthcare for all.
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Yesuf, Elias Ali, Mirkuzie Woldie, Damen Haile-Mariam, Daniela Koller, Gönter Früschl, and Eva Grill. "Identification of relevant performance indicators for district healthcare systems in Ethiopia: a systematic review and expert opinion." International Journal for Quality in Health Care 32, no. 3 (March 31, 2020): 161–72. http://dx.doi.org/10.1093/intqhc/mzaa012.

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Abstract Purpose To identify potential performance indicators relevant for district healthcare systems of Ethiopia. Data sources Public Library of Medicine and Agency for Healthcare Research and Quality of the United States of America, Organization for Economic Cooperation and Development Library and Google Scholar were searched. Study selection Expert opinions, policy documents, literature reviews, process evaluations and observational studies published between 1990 and 2015 were considered for inclusion. Participants were national- and local-healthcare systems. The phenomenon of interest was the performance of healthcare systems. The Joanna Briggs Institute tools were adapted and used for critical appraisal of records. Data extraction Indicators of performance were extracted from included records and summarized in a narrative form. Then, experts rated the relevance of the indicators. Relevance of an indicator is its agreement with priority health objectives at the national and district level in Ethiopia. Results of data synthesis A total of 11 206 titles were identified. Finally, 22 full text records were qualitatively synthesized. Experts rated 39 out of 152 (25.7%) performance indicators identified from the literature to be relevant for district healthcare systems in Ethiopia. For example, access to primary healthcare, tuberculosis (TB) treatment rate and infant mortality rate were found to be relevant. Conclusion Decision-makers in Ethiopia and potentially in other low-income countries can use multiple relevant indicators to measure the performance of district healthcare systems. Further research is needed to test the validity of the indicators.
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Magge, Hema, Abiyou Kiflie, Kojo Nimako, Kathryn Brooks, Sodzi Sodzi-Tettey, Nneka Mobisson-Etuk, Zewdie Mulissa, et al. "The Ethiopia healthcare quality initiative: design and initial lessons learned." International Journal for Quality in Health Care 31, no. 10 (December 2019): G180—G186. http://dx.doi.org/10.1093/intqhc/mzz127.

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Abstract Objective To describe the development, implementation and initial outcomes of a national quality improvement (QI) intervention in Ethiopia. Design Retrospective descriptive study of initial prototype phase implementation outcomes. Setting All public facilities in one selected prototype district in each of four agrarian regions. Participants Facility QI teams composed of managers, healthcare workers and health extension workers. Interventions The Ethiopian Federal Ministry of Health (FMoH) and the Institute for Healthcare Improvement co-designed a three-pronged approach to accelerate health system improvement nationally, which included developing a national healthcare quality strategy (NHQS); building QI capability at all health system levels and introducing scalable district MNH QI collaboratives across four regions, involving healthcare providers and managers. Outcome measures Implementation outcomes including fidelity, acceptability, adoption and program effectiveness. Results The NHQS was launched in 2016 and governance structures were established at the federal, regional and sub-regional levels to oversee implementation. A total of 212 federal, regional and woreda managers have been trained in context-specific QI methods, and a national FMoH-owned in-service curriculum has been developed. Four prototype improvement collaboratives have been completed with high fidelity and acceptability. About 102 MNH change ideas were tested and a change package was developed with 83 successfully tested ideas. Conclusion The initial successes observed are attributable to the FMoH’s commitment in implementing the initiative, the active engagement of all stakeholders and the district-wide approach utilized. Challenges included weak data systems and security concerns. The second phase—in 26 district-level collaboratives—is now underway.
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TUEPKER, ANAIS, and CHUNHUEI CHI. "Evaluating integrated healthcare for refugees and hosts in an African context." Health Economics, Policy and Law 4, no. 2 (April 2009): 159–78. http://dx.doi.org/10.1017/s1744133109004824.

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Abstract:This paper argues on ethical and practical grounds for more widespread use of an integrated approach to refugee healthcare, and proposes a basic model of assessment for integrated systems. A defining element of an integrated approach is an equal ability by refugee and host nationals to access the same healthcare resources from the same providers. This differs fundamentally from parallel care, currently the predominant practice in Africa. The authors put forward a general model for evaluation of integrated healthcare with four criteria: (1) improved health outcomes for both hosts and refugees, (2) increased social integration, (3) increased equitable use of healthcare resources, and (4) no undermining of protection. Historical examples of integrated care in Ethiopia and Uganda are examined in light of these criteria to illustrate how this evaluative model would generate evidence currently lacking in debates on the merit of integrated healthcare.
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Argaw, Mesele Damte, Binyam Fekadu Desta, Melkamu Getu Abebe, Elias Mamo, Tesfaye Gebru, Wubishet Kebede Heyi, Chala Gela, and Temesgen Ayehu Bele. "Improving Performance Together: Twinning Partnership Between Medium and Low Performer Districts in Ethiopia." Medical University 3, no. 1 (January 1, 2020): 12–38. http://dx.doi.org/10.2478/medu-2020-0002.

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AbstractThis article describes the United States Agency for International Development Transform: Primary Health Care Activity supported a twinning partnership strategy, which was implemented between districts (woredas) in the different performance categories. This study presents the details of the partnership and the result observed in health systems strengthening in Ethiopia. The twinning partnership strategy was implemented with six steps. The established relationship helps the health systems to build the skill and capacities of the health workforce at primary healthcare entities. Both partner woredas improved their performances through the established win-win relationship and institutionalized the characteristics of a learning organization.
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Abdela, Seid Getahun, Johan van Griensven, Fikre Seife, and Wendemagegn Enbiale. "Neglecting the effect of COVID-19 on neglected tropical diseases: the Ethiopian perspective." Transactions of The Royal Society of Tropical Medicine and Hygiene 114, no. 10 (August 27, 2020): 730–32. http://dx.doi.org/10.1093/trstmh/traa072.

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Abstract Countries around the world are facing an enormous challenge due to the COVID-19 pandemic. The pressure that the pandemic inflicts on health systems could certainly impact on the care, control, and elimination of neglected tropical diseases (NTDs). From mid-January 2020, Ethiopia started to prepare for the prevention and treatment of COVID-19. The Federal Ministry of Health pledged to continue essential healthcare, including NTD care, during this pandemic. However, some hospitals have been closed for other healthcare services and have been turned into isolation and treatment centers for COVID-19. In addition to the healthcare facility measures, all community-based health promotion and disease prevention services have been stopped. The current shift in attention towards COVID-19 is expected to have a negative impact on NTD prevention and care.
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Islam, Muhammad, Muhammad Usman, Azhar Mahmood, Aaqif Afzaal Abbasi, and Oh-Young Song. "Predictive analytics framework for accurate estimation of child mortality rates for Internet of Things enabled smart healthcare systems." International Journal of Distributed Sensor Networks 16, no. 5 (May 2020): 155014772092889. http://dx.doi.org/10.1177/1550147720928897.

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Globally, under-five child mortality is a substantial health problem. In developing countries, reducing child mortality and improving child health are the key priorities in health sectors. Despite the significant reduction in deaths of under-five children globally, developing countries are still struggling to maintain an acceptable mortality rate. Globally, the death rate of under-five children is 41 per 1000 live births. However, the death rate of children in developing nations like Pakistan and Ethiopia per 1000 live births is 74 and 54, respectively. Such nations find it very challenging to decrease the mortality rate. Data analytics on healthcare data plays a pivotal role in identifying the trends and highlighting the key factors behind the children deaths. Similarly, predictive analytics with the help of Internet of Things based frameworks significantly advances the smart healthcare systems to forecast death trends for timely intervention. Moreover, it helps in capturing hidden associations between health-related variables and key death factors among children. In this study, a predictive analytics framework has been developed to predict the death rates with high accuracy and to find the significant determinants that cause high child mortality. Our framework uses an automated method of information gain to rank the information-rich mortality variables for accurate predictions. Ethiopian Demographic Health Survey and Pakistan Demographic Health Survey data sets have been used for the validation of our proposed framework. These real-world data sets have been tested using machine learning classifiers, such as Naïve Bayes, decision tree, rule induction, random forest, and multi-layer perceptron, for the prediction task. It has been revealed through our experimentation that Naïve Bayes classifier predicts the child mortality rate with the highest average accuracy of 96.4% and decision tree helps in identifying key classification rules covering the factors behind children deaths.
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Maat, Harro, Dina Balabanova, Esther Mokuwa, Paul Richards, Vik Mohan, Freddie Ssengooba, Revocatus Twinomuhangi, Mirkuzie Woldie, and Susannah Mayhew. "Towards Sustainable Community-Based Systems for Infectious Disease and Disaster Response; Lessons from Local Initiatives in Four African Countries." Sustainability 13, no. 18 (September 9, 2021): 10083. http://dx.doi.org/10.3390/su131810083.

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This paper explores the role of decentralised community-based care systems in achieving sustainable healthcare in resource-poor areas. Based on case studies from Sierra Leone, Madagascar, Uganda and Ethiopia, the paper argues that a community-based system of healthcare is more effective in the prevention, early diagnosis, and primary care in response to the zoonotic and infectious diseases associated with extreme weather events as well as their direct health impacts. Community-based systems of care have a more holistic view of the determinants of health and can integrate responses to health challenges, social wellbeing, ecological and economic viability. The case studies profiled in this paper reveal the importance of expanding notions of health to encompass the whole environment (physical and social, across time and space) in which people live, including the explicit recognition of ecological interests and their interconnections with health. While much work still needs to be done in defining and measuring successful community responses to health and other crises, we identify two potentially core criteria: the inclusion and integration of local knowledge in response planning and actions, and the involvement of researchers and practitioners, e.g., community-embedded health workers and NGO staff, as trusted key interlocuters in brokering knowledge and devising sustainable community systems of care.
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Gebremichael, Gebrewahd Bezabh, and Teklewoini Mariye Zemicheal. "Hypoglycemia Prevention Practice and Associated Factors among Diabetic Patients on Follow-Up at Public Hospitals of Central Zone, Tigray, Ethiopia, 2018." International Journal of Endocrinology 2020 (March 13, 2020): 1–7. http://dx.doi.org/10.1155/2020/8743531.

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Background. Hypoglycemia is an acute medical situation that occurs when blood glucose level falls below 70 mg/dl. Although prevention of hypoglycemia is one cornerstone in the management of diabetes mellitus, its prevention practice among patients with diabetes mellitus is insufficiently studied. Moreover, the existed scarce literature in Ethiopia revealed hypoglycemia prevention practice is inadequate. Thus, this study tried to assess hypoglycemia prevention practices and associated factors among diabetic patients. Methods. Hospital-based cross-sectional study design was employed from March 1 to April 1, 2018, in the central zone of Tigray regional state of Ethiopia. A total of 272 diabetes mellitus patients selected by a systematic random sampling method were included in the study. Data were entered into Epi-data version 3.1 and exported to SPSS version 23 for further analysis. The binary logistic regression model (AOR, 95% CI, and p value < 0.05) was used to determine the predictors of hypoglycemia prevention practice. Results. The mean age of respondents was 43.62 years, and about 100 (63.2%) participants had good hypoglycemia prevention practice. Good knowledge on hypoglycemia (AOR = 10.34; 95% CI [5.41, 19.89]), having a glucometer at home (AOR = 3.02; 95% CI [1.12, 8.12]), favorable attitude towards diabetes mellitus (AOR = 2.36 CI [1.26, 4.39]), and being governmental employee (AOR = 5.19, 95% CI [1.63, 16.58]) were positive predictors of good hypoglycemia prevention practice. However, being divorced (AOR = 0.13, 95% CI [0.32, 0.53]) was found negatively associated with good hypoglycemia prevention practice. Conclusion. Only two-thirds of the study participants were found to have good hypoglycemia prevention practices. Healthcare personnel and Ethiopian diabetic association should promote patients’ attitude towards DM and knowledge on hypoglycemia by strengthening information, education, and communication program. Stakeholders should also try to provide glucometers to diabetic patients.
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Dissertations / Theses on the topic "Healthcare systems in Ethiopia"

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McKnight, Jacob. "Constructing reform in the Ethiopian healthcare system : unintended consequences for hospitals and patients." Thesis, University of Oxford, 2013. http://ora.ox.ac.uk/objects/uuid:e844b6c5-2830-49ad-a411-2b3c0cb849ad.

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In the last decade, the reach of New Public Management (NPM) has stretched well beyond its Western origins as modernising African governments and their global health partners have sought to import new approaches. Public health systems in Africa are entirely different to those of the West however, and this sort of application introduces a number of contextually-specific questions that are not considered by the majority of the NPM literature. The few studies that do investigate NPM in Africa are evaluative in content, seeking to understand whether reforms work and to identify barriers to success. Invariably, whether they find in favour of public management reform or not, the same issues are highlighted: lack of capacity, weak institutions, and improper implementation. This thesis will build a theory of NPM reform that is particular to the African context. I develop this theoretical extension through an intensive ethnographic case study of one of the most important on-going public health reform efforts in Africa—the transformation of the entire Ethiopian hospital system to an NPM-style administrative regime. I develop a constructionist theory of African NPM through thick description of the hospitals under reform. I detail the various ways in which the reforms are indigenised as they meet up with local understandings, institutions, and market contexts, and the inevitable unintended consequences as managers seek to ‘make do’ in environments radically different to those of NPM’s origins. I then conduct a detailed consumer analysis to describe the strategies employed by patients seeking care. Patients from different class positions use very different strategies to get health services and I demonstrate that the reform has very different consequences for Ethiopians across classes. Many patients are not recognisable as the ‘customers’ described in the reform documents, and so the hospitals do not organise their reform efforts to serve them.
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Hedvall, Alexander, and Emil Svensson. "Teaching Maternal Healthcare and Nutrition in Rural Ethiopia through a Serious Game." Thesis, Malmö högskola, Fakulteten för teknik och samhälle (TS), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-20939.

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Ethiopia has one of the highest maternal and child mortality rates in the world. The main reason for this isthe low accessibility of educational content regarding healthcare in the rural regions. In this thesis weinvestigate the possibility to address this issue through a serious game, something that has proven efficientas a tool for learning in many situations. By designing and creating a game for rural Ethiopians, we aim tointerest them in learning about healthcare and nutrition by playing a game that reflects their culture andlife. In order to validate our solution we conducted a field study in Ethiopia, where we organized andcarried out a usability test with Ethiopian mothers. Our findings suggest that educational games has apotential in developing countries.
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Libasie, M. "Implementation of women's right to reproductive health in Ethiopia : policy and healthcare perspectives." Thesis, University of Surrey, 2017. http://epubs.surrey.ac.uk/813209/.

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Issues related to reproductive health are being increasingly recognised by the international community to contributing greatly towards eliminating gender-based health disparity. And in recent years, normative developments have proliferated both in the international and domestic arena. This thesis showcases the level of implementation of women’s right to reproductive health in Ethiopia. In so doing, it questions the international legal footings of this specific right. Implementation in this context is grappled with various obstacles such as balancing low economic resource setting with fulfilling economically demanding obligations; and/or eliminating entrenched harmful cultural traditions while enhancing acceptability of services. The research adopts a set contextual human rights indicators to sift the legal framework and health system of Ethiopia with a view to assessing the level of implementation. It identifies existing gaps and seeks to forward recommendations.
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Dineley, Louise. "Risk management systems in healthcare." Thesis, University of Kent, 2016. https://kar.kent.ac.uk/68659/.

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Healthcare is recognised as a complex high risk industry that demands effective management of the risks presented. A total of 260 NHS Trusts were surveyed to identify the risk management arrangements in place. The results were analysed alongside three different sources of nationally published data (CQC, Monitor and NHSLA) to determine if certain organisational or system characteristics existed that would either predetermine risk performance or predispose the Trust to a higher or lower level of performance. The results successfully dispelled a number of preconceptions relating to the size and status of the Trust in determining the performance achieved. However what was evident was the influence that the Trust’s culture and commitment to risk has on the safety and quality of services delivered. A second finding was the significant influence of central policy in the arrangements that organisations had in place from the presentation and content of risk strategy documents, criteria considered and executive leadership. The constraints of a national policy applied locally potentially limits the effectiveness of the processes in managing risk. It was concluded that whilst central policy may help in standardising how risk is managed current arrangements focus arrangements to narrowly. As a result the role of central policy makers should be to set principles that draw on and translate best practice from other high risk industries and encourage local health leaders to flex the approach to reflect local needs and priorities. This local flex should aim to integrate with other corporate programmes to ensure that risk is embedded in all decision making and the risk of the safety and quality of patients is considered alongside risks that may be perceived to be a higher priority such as operational targets and financial balance.
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Au-Yeung, Susanna Wau Men. "Response times in healthcare systems." Thesis, Imperial College London, 2008. http://hdl.handle.net/10044/1/1297.

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It is a goal universally acknowledged that a healthcare system should treat its patients – and especially those in need of critical care – in a timely manner. However, this is often not achieved in practice, particularly in state-run public healthcare systems that suffer from high patient demand and limited resources. In particular, Accident and Emergency (A&E) departments in England have been placed under increasing pressure, with attendances rising year on year, and a national government target whereby 98% of patients should spend 4 hours or less in an A&E department from arrival to admission, transfer or discharge. This thesis presents techniques and tools to characterise and forecast patient arrivals, to model patient flow and to assess the response-time impact of different resource allocations, patient treatment schemes and workload scenarios. Having obtained ethical approval to access five years of pseudonymised patient timing data from a large case study A&E department, we present a number of time series models that characterise and forecast daily A&E patient arrivals. Patient arrivals are classified as one of two arrival streams (walk-in and ambulance) by mode of arrival. Using power spectrum analysis, we find the two arrival streams exhibit different statistical properties and hence require separate time series models. We find that structural time series models best characterise and forecast walk-in arrivals, but that time series analysis may not be appropriate for ambulance arrivals; this prompts us to investigate characterisation by a non-homogeneous Poisson process. Next we present a hierarchical multiclass queueing network model of patient flow in our case study A&E department. We investigate via a discrete-event simulation the impact of class and time-based priority treatment of patients, and compare the resulting service-time densities and moments with actual data. Then, by performing bottleneck analysis and investigating various workload and resource scenarios, we pinpoint the resources that have the greatest impact on mean service times. Finally we describe an approximate generating function analysis technique which efficiently approximates the first two moments of customer response time in class-dependent priority queueing networks with population constraints. This technique is applied to the model of A&E and the results compared with those from simulation. We find good agreement for mean service times especially when minors patients are given priority.
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Kilic, Ozgur. "Achieving Electronic Healthcare Record (ehr) Interoperability Across Healthcare Information Systems." Phd thesis, METU, 2008. http://etd.lib.metu.edu.tr/upload/12609665/index.pdf.

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Providing an interoperability infrastructure for Electronic Healthcare Records (EHRs) is on the agenda of many national and regional eHealth initiatives. Two important integration profiles have been specified for this purpose: the "
IHE Cross-enterprise Document Sharing (XDS)"
and the "
IHE Cross Community Access (XCA)"
. XDS describes how to share EHRs in a community of healthcare enterprises and XCA describes how EHRs are shared across communities. However, currently no solution addresses some of the important challenges of cross community exchange environments. The first challenge is scalability. If every community joining the network needs to connect to every other community, this solution will not scale. Furthermore, each community may use a different coding vocabulary for the same metadata attribute in which case the target community cannot interpret the query involving such an attribute. Another important challenge is that each community has a different patient identifier domain. Querying for the patient identifiers in another community using patient demographic data may create patient privacy concerns. Yet another challenge in cross community EHR access is the EHR interoperability since the communities may be using different EHR content standards.
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Røstad, Lillian. "Access Control in Healthcare Information Systems." Doctoral thesis, Norges teknisk-naturvitenskapelige universitet, Institutt for datateknikk og informasjonsvitenskap, 2009. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-5130.

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Access control is a key feature of healthcare information systems. Access control is about enforcing rules to ensure that only authorized users get access to resources in a system. In healthcare systems this means protecting patient privacy. However, the top priority is always to provide the best possible care for a patient. This depends on the clinicians having access to the information they need to make the best, most informed, care decisions. Care processes are often unpredictable and hard to map to strict access control rules. As a result, in emergency or otherwise unexpected situations, clinicians need to be able to bypass access control. In a crisis, availability of information takes precedence over privacy concerns. This duality of concerns is what makes access control in healthcare systems so challenging and interesting as a research subject. To create access control models for healthcare we need to understand how healthcare works. Before creating a model we need to understand the requirements the model should fulfill. Though many access control models have been proposed and argued to be suitable for healthcare, little work has been published on access control requirements for healthcare. This PhD project has focused on bridging the gap between formalized models and real world requirements for access control in healthcare by targeting the following research goals:RG1 To collect knowledge that forms a foundation for access control requirements in healthcare systems.RG2 To create improved access control models for healthcare systems based on real requirements.This PhD project has consisted of a number of smaller, distinct, but relatedprojects to reach the research goals. The main contributions can be summarized as:C1 Requirements for access control in healthcare: Studies performed onaudit data, in workshops, by observation and interviews have helped discoverrequirements. Results from this work include methods for access controlrequirements elicitation in addition to the actual requirements discovered.C2 Process-based access control: The main conclusion from the requirementswork is that access control should be tailored to care processes. Care processesare highly dynamic and often unpredictable, and access control needs to adaptto this. This thesis suggests how existing sources of process information, bothexplicit and implicit, may be used for this purpose.C3 Personally controlled health records (PCHR): This thesis explores theconsequences of making the patient the administrator of access control andproposes a model based on these initial requirements. From a performedusability study it is clear that the main challenge is how to keep the patientinformed about the consequences of sharing.
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Sassoon, Richard. "Security in SOA-Based Healthcare Systems." Thesis, Norwegian University of Science and Technology, Department of Telematics, 2009. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-9884.

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Healthcare organizations need to handle many kinds of information and integrate different support systems, which may be accessed from external corporations. Service Oriented Architecture (SOA) provides the means to achieve a common platform to deploy services that can be used across the organization and its boundaries, but introduces new security concerns that need to be evaluated in order to implement a secure system, while still suffering from standard threats. Web Services are the common way to implement SOA applications, having several standards related to security (such as XML Encryption, XML Signature and WS-Security). Still, other security mechanisms such as input validation and SSL/TLS need to be thought of as well. A penetration test based on recognized methodologies and guidelines, such as the NIST Technical Guide to Information Security Testing and Assessment, OWASP Testing Guide and SIFT Web Services Security Testing Framework, was performed on a case study system. A proof of concept application making use of a set of middleware (web) services, the MPOWER platform, was audited in order to expose vulnerabilities. After conducting the penetration test on the system, 10 out of 15 scenarios presented security issues. The vulnerabilities found were described, demonstrating several risks from misusing, or not implementing at all, security mechanisms. As a consequence, countermeasures and recommendations were proposed in an attempt to improve the overall security of SOA-based (healthcare) systems. The results of the assessment show us how important is to validate the security of a system before putting it into production environment. We also come to the conclusion that security testing should be an inherent part of a secure software development life cycle. Moreover, not only healthcare systems may benefit from this study, and also not only SOA-based ones.

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Gebrezghi, Solomon Ghebre-Ghiorghis. "Dysfunctional polities, mediated information systems and modernisation in Ethiopia." Thesis, University of Liverpool, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367074.

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Furnell, Steven Marcus. "Data security in European healthcare information systems." Thesis, University of Plymouth, 1995. http://hdl.handle.net/10026.1/411.

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This thesis considers the current requirements for data security in European healthcare systems and establishments. Information technology is being increasingly used in all areas of healthcare operation, from administration to direct care delivery, with a resulting dependence upon it by healthcare staff. Systems routinely store and communicate a wide variety of potentially sensitive data, much of which may also be critical to patient safety. There is consequently a significant requirement for protection in many cases. The thesis presents an assessment of healthcare security requirements at the European level, with a critical examination of how the issue has been addressed to date in operational systems. It is recognised that many systems were originally implemented without security needs being properly addressed, with a consequence that protection is often weak and inconsistent between establishments. The overall aim of the research has been to determine appropriate means by which security may be added or enhanced in these cases. The realisation of this objective has included the development of a common baseline standard for security in healthcare systems and environments. The underlying guidelines in this approach cover all of the principal protection issues, from physical and environmental measures to logical system access controls. Further to this, the work has encompassed the development of a new protection methodology by which establishments may determine their additional security requirements (by classifying aspects of their systems, environments and data). Both the guidelines and the methodology represent work submitted to the Commission of European Communities SEISMED (Secure Environment for Information Systems in MEDicine) project, with which the research programme was closely linked. The thesis also establishes that healthcare systems can present significant targets for both internal and external abuse, highlighting a requirement for improved logical controls. However, it is also shown that the issues of easy integration and convenience are of paramount importance if security is to be accepted and viable in practice. Unfortunately, many traditional methods do not offer these advantages, necessitating the need for a different approach. To this end, the conceptual design for a new intrusion monitoring system was developed, combining the key aspects of authentication and auditing into an advanced framework for real-time user supervision. A principal feature of the approach is the use of behaviour profiles, against which user activities may be continuously compared to determine potential system intrusions and anomalous events. The effectiveness of real-time monitoring was evaluated in an experimental study of keystroke analysis -a behavioural biometric technique that allows an assessment of user identity from their typing style. This technique was found to have significant potential for discriminating between impostors and legitimate users and was subsequently incorporated into a fully functional security system, which demonstrated further aspects of the conceptual design and showed how transparent supervision could be realised in practice. The thesis also examines how the intrusion monitoring concept may be integrated into a wider security architecture, allowing more comprehensive protection within both the local healthcare establishment and between remote domains.
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Books on the topic "Healthcare systems in Ethiopia"

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Braithwaite, Jeffrey. Healthcare Systems:. Boca Raton : Taylor & Francis, 2018.: CRC Press, 2018. http://dx.doi.org/10.1201/b22185.

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Marmor, Theodore R. Reforming healthcare systems. Cheltenham: Edward Elgar, 2010.

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name, No. Healthcare information systems. 2nd ed. Boca Raton, FL: Auerbach Publications, 2002.

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Griffin, Paul M., Harriet Black Nembhard, Christopher J. DeFlitch, Nathaniel D. Bastian, Hyojung Kang, and David A. Muñoz. Healthcare Systems Engineering. Hoboken, NJ, USA: John Wiley & Sons, Inc, 2015. http://dx.doi.org/10.1002/9781119174639.

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Deutsch, Ellen S., Shawna J. Perry, and Harshad G. Gurnaney, eds. Comprehensive Healthcare Simulation: Improving Healthcare Systems. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-72973-8.

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Ball, Marion J., Charlotte A. Weaver, and Joan M. Kiel, eds. Healthcare Information Management Systems. New York, NY: Springer New York, 2004. http://dx.doi.org/10.1007/978-1-4757-4041-7.

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Ball, Marion J., Robert I. O’Desky, Judith V. Douglas, and James W. Albright, eds. Healthcare Information Management Systems. New York, NY: Springer New York, 1991. http://dx.doi.org/10.1007/978-1-4757-4043-1.

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Weaver, Charlotte A., Marion J. Ball, George R. Kim, and Joan M. Kiel, eds. Healthcare Information Management Systems. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-20765-0.

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Ball, Marion J., Donald W. Simborg, James W. Albright, and Judith V. Douglas, eds. Healthcare Information Management Systems. New York, NY: Springer New York, 1995. http://dx.doi.org/10.1007/978-1-4757-2402-8.

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Spurgeon, Peter, Mark-Alexander Sujan, Stephen Cross, and Hugh Flanagan. Building Safer Healthcare Systems. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-18244-1.

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Book chapters on the topic "Healthcare systems in Ethiopia"

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Grenier, Catherine, René Amalberti, Laetitia May-Michelangeli, and Anne-Marie Armanteras-de-Saxcé. "France." In Healthcare Systems:, 167–73. Boca Raton : Taylor & Francis, 2018.: CRC Press, 2018. http://dx.doi.org/10.1201/b22185-24.

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Arteaga, Oscar. "Chile." In Healthcare Systems:, 37–43. Boca Raton : Taylor & Francis, 2018.: CRC Press, 2018. http://dx.doi.org/10.1201/b22185-6.

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Braithwaite, Jeffrey, Russell Mannion, Yukihiro Matsuyama, Paul G. Shekelle, Stuart Whittaker, Samir Al-Adawi, Kristiana Ludlow, Wendy James, and McPherson Elise. "Discussion and Conclusion." In Healthcare Systems:, 451–65. Boca Raton : Taylor & Francis, 2018.: CRC Press, 2018. http://dx.doi.org/10.1201/b22185-64.

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Al Maslamani, Yousuf, Noora Alkaabi, and Nagah Abdelaziz Selim. "Qatar." In Healthcare Systems:, 333–39. Boca Raton : Taylor & Francis, 2018.: CRC Press, 2018. http://dx.doi.org/10.1201/b22185-48.

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Jegasothy and, Ravindran, and Ravichandran Jeganathan. "Malaysia." In Healthcare Systems:, 405–11. Boca Raton : Taylor & Francis, 2018.: CRC Press, 2018. http://dx.doi.org/10.1201/b22185-58.

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Shahabuddin and, Syed, and Usman Iqbal. "Pakistan." In Healthcare Systems:, 327–31. Boca Raton : Taylor & Francis, 2018.: CRC Press, 2018. http://dx.doi.org/10.1201/b22185-47.

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Ncube Sikosana, Paulinus Lingani. "Papua New Guinea." In Healthcare Systems:, 427–32. Boca Raton : Taylor & Francis, 2018.: CRC Press, 2018. http://dx.doi.org/10.1201/b22185-61.

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Øvretveit and, John, and Camilla Björk. "Sweden." In Healthcare Systems:, 255–59. Boca Raton : Taylor & Francis, 2018.: CRC Press, 2018. http://dx.doi.org/10.1201/b22185-36.

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Mosadeghrad, Ali Mohammad. "Iran." In Healthcare Systems:, 297–303. Boca Raton : Taylor & Francis, 2018.: CRC Press, 2018. http://dx.doi.org/10.1201/b22185-43.

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Mendes, Walter, Ana Luiza Pavão, Victor Grabois, and Margareth Crisóstomo Portela. "Brazil." In Healthcare Systems:, 23–30. Boca Raton : Taylor & Francis, 2018.: CRC Press, 2018. http://dx.doi.org/10.1201/b22185-4.

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Conference papers on the topic "Healthcare systems in Ethiopia"

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Cunningham, Miriam, and Paul M. Cunningham. "mHealth4Afrika Pilot Validation in Healthcare Facilities in Ethiopia, Kenya and Malawi." In 2019 IEEE Global Humanitarian Technology Conference (GHTC). IEEE, 2019. http://dx.doi.org/10.1109/ghtc46095.2019.9033052.

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Font, Jose M., Alexander Hedvall, and Emil Svensson. "Towards Teaching Maternal Healthcare and Nutrition in Rural Ethiopia through a Serious Game." In CHI PLAY '17: The annual symposium on Computer-Human Interaction in Play. New York, NY, USA: ACM, 2017. http://dx.doi.org/10.1145/3130859.3131291.

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Gebrehiwot, Tesfay, and Kibrom Tadesse. "P814 Comprehensive healthcare interventions at mekelle university STI and ART clinics for key population, northern ethiopia." In Abstracts for the STI & HIV World Congress (Joint Meeting of the 23rd ISSTDR and 20th IUSTI), July 14–17, 2019, Vancouver, Canada. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/sextrans-2019-sti.862.

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Magge, Hema, Abiyou Kiflie, Zewdie Mulissa, Mehiret Abate, Abera Biadgo, Befikadu Bitewulign, Hareg Alemu, Kathryn Brooks, Hassen Mohammed, and Daniel Burssa. "865 Launching the ethiopia health care quality initiative: interim results and initial lessons learned." In Institute for Healthcare Improvement (IHI) Scientific Symposium on Improving the Quality and Value of Health Care. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/bmjoq-2017-ihi.4.

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Bekele, Rahel, Iris Groher, Johannes Sametinger, Tesfaye Biru, Christiane Floyd, Gustav Pomberger, and Peter Oppelt. "User-Centered Design in Developing Countries: A Case Study of a Sustainable Intercultural Healthcare Platform in Ethiopia." In 2019 IEEE/ACM Symposium on Software Engineering in Africa (SEiA). IEEE, 2019. http://dx.doi.org/10.1109/seia.2019.00010.

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Uyar, Kaan, Umit Ilhan, Erkut Inan Iseri, and Ahmet Ilhan. "Forecasting Measles Cases in Ethiopia using Neuro-Fuzzy Systems." In 2019 3rd International Symposium on Multidisciplinary Studies and Innovative Technologies (ISMSIT). IEEE, 2019. http://dx.doi.org/10.1109/ismsit.2019.8932882.

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Richardson, Ita, Louise Reid, and Padraig O'Leary. "Healthcare systems quality." In ICSE '16: 38th International Conference on Software Engineering. New York, NY, USA: ACM, 2016. http://dx.doi.org/10.1145/2897683.2897686.

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Joseph, V. C., Ahn Sung-Ho, Kim Jiyong, Lee Kyung-Hee, and Kim Doo-Hyun. "Intelligent healthcare systems: re-defining personal healthcare solutions." In The 7th International Conference on Advanced Communication Technology. IEEE, 2005. http://dx.doi.org/10.1109/icact.2005.245893.

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Caple. "Systems design of Healthcare systems." In 22nd Digital Avionics Systems Conference Proceedings (Cat No 03CH37449. IEEE, 2003. http://dx.doi.org/10.1109/dasc.2003.1245886.

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Fanta, Getnet Bogale, Leon Pretorius, and Louwrence Erasmus. "Hospitals' Readiness to Implement Sustainable SmartCare Systems in Addis Ababa, Ethiopia." In 2019 Portland International Conference on Management of Engineering and Technology (PICMET). IEEE, 2019. http://dx.doi.org/10.23919/picmet.2019.8893824.

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Reports on the topic "Healthcare systems in Ethiopia"

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Research Institute (IFPRI), International Food Policy. Evolving food systems in Ethiopia: Past, present and future. Washington, DC: International Food Policy Research Institute, 2018. http://dx.doi.org/10.2499/1037800744.

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Walsh, Brendan, Ciarán Mac Domhnaill, and Gretta Mohan. Developments in healthcare information systems in Ireland and internationally. ESRI, June 2021. http://dx.doi.org/10.26504/sustat105.

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McLean, Charles, Y. Tina Lee, Sanjay Jain, and Charles Hutchings. Modeling and simulation of healthcare systems for homeland security applications. Gaithersburg, MD: National Institute of Standards and Technology, 2011. http://dx.doi.org/10.6028/nist.ir.7784.

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Drish, Edward W. Assessing the Value of Professional Coders in Ambulatory Healthcare Systems. Fort Belvoir, VA: Defense Technical Information Center, June 2002. http://dx.doi.org/10.21236/ada420997.

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Research Institute (IFPRI), International Food Policy. Food systems for healthier diets in Ethiopia: Toward a research agenda. Washington, DC: International Food Policy Research Institute, 2018. http://dx.doi.org/10.2499/1032568455.

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Dreifus, Henry, Denis Bovin, James Haveman, Herb Shear, William Winkenwerder, and Kelly S. Van Niman. Healthcare for Military Retirees Task Group. Recommendations Regarding Improvements to the Military Health Systems and Specifically Healthcare of Military Retirees. Fort Belvoir, VA: Defense Technical Information Center, December 2005. http://dx.doi.org/10.21236/ada522668.

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Posthumus, Helena, Bart de Steenhuijsen-Piters, Just Dengerink, and Sietze Vellema. The Food Systems Decision-Support Tool : Application in the case of Ethiopia. The Hague: Wageningen Economic Research, 2018. http://dx.doi.org/10.18174/464053.

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Schlenoff, Craig, Peter Denno, Don Libes, Simon Szykman, and Robert Ivester. An analysis of existing ontological systems for applications in manufacturing and healthcare. Gaithersburg, MD: National Institute of Standards and Technology, 1999. http://dx.doi.org/10.6028/nist.ir.6301.

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Agriculture Nutrition Health, Research Program. Conceptual framework for food systems for diets and nutrition: Country food system fact sheet: Ethiopia. Washington, DC: International Food Policy Research Institute, 2021. http://dx.doi.org/10.2499/p15738coll2.134252.

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Boyd, Brian K., Graham B. Parker, Joseph M. Petersen, Greg Sullivan, W. Goetzler, T. A. Sutherland, and K. J. Foley. Demonstration of Advanced Technologies for Multi-Load Washers in Hospitality and Healthcare -- Ozone Based Laundry Systems. Office of Scientific and Technical Information (OSTI), August 2014. http://dx.doi.org/10.2172/1151875.

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