Health System and EPI Program

In 2008, the Ministry of Health and Sanitation was split in two: The Ministry of Medical Services and the Ministry of Public Health and Sanitation. A Health Sector Coordinating Committee is alternately chaired by the permanent secretaries of the MoMS and MoPHS.

Ethiopia

Health System and EPI Program

Ethiopia’s health infrastructure consists of about 15,000 health posts (kebeles), 819 district health offices (woredas), 98 health zones and 11 health regional bureaus. The Expanded Program on Immunization (EPI) was introduced in 1980. It was formerly located in the Family Health Division in the Ministry of Health. There is an EPI focal point in each health region.

DRC

Health System and EPI Program

Basic health care is provided through 515 health zones (antennes) in the country's 11 provinces.

Cameroon

Health System and EPI Program

The Government initiated decentralization efforts in 2004. The MoH was one of the first four ministries to begin decentralizing. Decentralization was implemented by Presidential decree on 1 January 2010.

Bhutan

Health System and EPI Program

Bhutan's health care system is anchored by a network of 519 outreach clinics and 178 community health centers. There are district hospitals, three Regional Referral Hospitals and one National Referral Hospital.

At district and lower levels, district authorities provide administrative support for the system while the Federal Health Ministry provides technical support. The health centers report directly to District Supervisory Officers who compile the reports and submit them to the national level.

Case for Sustainability

Fiscal sustainability is the key to safeguarding public health and building healthy, thriving populations.

In accordance with the GAVI model, we believe self-sufficiency must be the ultimate goal of national immunization programs. In the short term, many countries will need to mobilize and efficiently use both domestic and supplementary external resources to achieve their stated immunization financing goals. This approach allows countries to develop secured, long-term funding arrangements as they build stable, high-performing immunization systems.

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