Phased Out Projects

1. Reproductive Health Innovation Fund (RIF)

Project PeriodAugust 1, 2016 - June 20 2018

Administered by: The Ethiopian Society of Obstetricians and Gynecologists (ESOG) in collaboration with the Ethiopian Medical Association (EMA)

Project Site: Afar Regional State

Funded by: The Ethiopian Federal Ministry of Health (FMoH)

Objective: This activity is conducted in all Eight Woredas, both during the first and the second-year project period. The objectives of the workshop include;

  • To provide basic information on the role of TBAs as a vehicle to disseminate basic information to create demand and awareness on:
  • Pregnancy related danger signs and the benefits of seeking skilled care
  • Birth readiness and complication readiness
  • Use the information and referral system properly.
  • Importance of ANC, skilled attendance at delivery, PNC, and FP
  • The negative health and social consequences of HTPs associated with pregnancy and delivery
  • The role of TBAs in conveying Information on RMNH service; ANC/SBA/ PNC and promote institutional delivery through the TBAs.
  • The role of TBAs in conveying Information on FP services;
  • The role of TBAs in conveying information on HTP & early marriage
  • To covey information on how TBAs should organize, trace, record and make follow up (for ANC, delivery PNC, FP etc…) pregnant women in their kebeles.
  • Promote male involvement as part of shared responsibility and collective action to improve household health seeking behaviour.

Programme Outputs and Accomplishments

Output 1: Increased uptake of culturally acceptable and appropriate RMNH Services for women and youth in program regions

  • Support and strengthen integrated Out-Reach health services to ensure access to RMNH services at local community level
  • Establish/Construct culturally acceptable maternity waiting homes
  • RMNH sensitization workshop for TBAs
  • Sensitization workshop for FIEMA groups
  • Sensitization workshop to religious/clan leader and traditional healers on RNMH service
  • Capacity building (FP/RH Training)

Output 2: Improved community attitudes to RMNH needs of women and youth

Output 3: Women and girls empowered and confident to make healthy RMNH choices and access

  • Orientation Training on National Gender Mainstreaming Manual
  • Gender Mainstreaming Manual Translation & Validation
  • Panel Discussion on Gender equality and Preventing Violence Against Women and Girls
  • Publication of the translated Gender Mainstreaming Manual in Afar

Output 4: Enhanced accountability and responsiveness of service providers to communities and women

  • CRC Training
  • Orientation Training on Social Accountability & Responsiveness for Health Facility Management Boards
  • Avail wooden suggestion box at all health centres
  • Ensure access to availability of water in the health centres

2. Expanding PMTCT Services in Private Health Institutions in Ethiopia Project


Administered by: ESOG, Addis Ababa Regional Health Bureau, Ethiopian Public Health                                                    Association, John Hopkins University and private health facilities

Launched in: 2007/8

Funded by: US Department of Health and Human Services (HHS), Centers for Disease Control                             and Prevention (CDC) Under the President’s Emergency Plan for AIDS Relief                                (PEPFAR) in accordance with the ESOG-CDC Cooperative Agreement.

Starting under: COP2010, ESOG became a direct CDC grantee and now is in the fifth year of                               implementation. 

In Collaboration with: Federal Ministry of Health (FMoH), Regional Health Bureaus (RHBs),                                             HAPCO, PFSA, partner governmental & non-governmental organizations                                       in the country and private health institutions. 

Project Site: Currently the number of target facilities supported by the project and providing the                             standard PMTCT services based on the Option B+ approach has grown to 68 in                              seven regions of the country. These regions are Addis Ababa, Amhara, Oromia,                            SNNPR, Dire             Dawa, Harare and Somali regions.

Objective:  To contribute to the reduction of HIV transmission with extensive training and promoting wide application of the recommended PMTCT intervention strategies in the private health sector which increasingly are becoming important allies in the fight against HIV/AIDS.

Major Activities Accomplished: - 

The project site support teams conduct regular mentoring of all target facilities visiting each facility once in 1-1 ½ months to support onsite implementation of the PMTCT services according to the national standards. 

  • Joint (ESOG and RHBs) supportive supervisions and catchment area review meetings conducted in all target regions biannually.
  • Basic PMTCT Training, DBS training and update training on option B+ of health care providers conducted as planned to address the dynamics of trained professional in the private facilities
  • 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 project sites regions.
  • ToT on mother baby pair cohort follow up and continuous quality improvement (CQI) approach was provided for 56 staff health providers from project supported facilities in collaboration with the Federal Ministry of Health. The trainings were given to strengthen option B+ PMTCT service data management system and to improve quality of PMTCT service. Mother baby pair cohort follow up registers were distributed to all supported facilities, cascaded to all target regions and their implementation was followed up.
  • Provides technical support to FMOH and RHBs in expanding/strengthening and improving quality of PMTCT/MNCH/FP services in the country

3. Performance Assessment of Emergency   Surgical Officers (ESOs) Deployed at 97 Primary Hospitals in Ethiopia (Strengthening CEmONC at the Facility Level Supporting Integrated Emergency Surgery MSC Program)

General objectives:

To provide an in-depth performance assessment of CEmONC services provided by Emergency Surgical Officers deployed at the Primary/District hospitals of the country and inform the national IESO program, for quality improvements of CEmONC service.


  1. Conduct facility level ESOs performance assessment of 97 selected health facilities providing CEmONC and Emergency Surgical Services by ESOs in all target regions of the country.
  2. To assess the current working environment and facility preparedness for CEmONC and Emergency Surgical Services of target health facilities where ESOs are deployed.
  3. To assess ESOs clinical skill in the provision of CEmONC and Emergency Surgical Care services and procedures.
  4. To identify gaps and challenges in the provision of CEmONC and Emergency Surgical Services by ESOs in the target facilities

5.To compare and describe the status of CEmONC & Emergency Surgical services in the target facilities, one year before and one year after deployment of ESOs.

  1. To measure successes in the provision of CEmONC and Emergency Surgical Services by ESOs in the target facilities.
  2. To provide facility specific on-site feedback on the assessment findings to the ESO and CEmONC team through debriefing sessions by the assessment team.
  3. Inform local and international stake holders of the IESO program of assessment findings and come up with appropriate recommendations for the program improvement. 
  4. Disseminate identified best practices nationally to expand the program approach.

Project sites:

 The project sites are 97 facilities located in all regions of the country except Addis Ababa & Dire Dawa Administration. The regional distribution of facilities is shown in the following table.



Number of facilities

















Benishangul Gumuz











 To facilitate the data collection, process the sites in these regions are organized and grouped in to four centers, based on geographic proximity and simplicity for data collection and supervision.



No of facilities



Addis Ababa


Oromiya, part of SNNPRS,Gambella, Harari, Somali, and Part of BG and Gumz






Bahir Dar


Amhara and part of BG and Gumz






Major activities accomplished:

  1. Preparatory activities for assessment
  • Questionnaire (prepared by FMoH) revised                                                                                                                  
  • Protocol for the assessment developed
  • TOR and Work plan are developed
  • Discussions and consultations were made both on the revised questionnaire and protocol with the FMoH
  • Both the questionnaire and the protocol were forwarded to CDC for comments and approval.
  • Comments were given by CDC, and the comments were incorporated and resubmitted for CDC
  • The task (assessment) considered as research determination and required an ethical clearance for approval. Obtained from DC. Accordingly, the document is submitted to EPHI and then to CDC for ethical clearance.
  • Ethical clearance is obtained both from EPHI and CDC.
  • Adequate number of assessment tools (112 copies) including printing of format and protocol prepared.
  • Adequate number of bags (112 bags), and stationary procured
  1. Mobilization and communication recruitment work
  • Appropriate Communication, consultations and mobilization activities with FMoH, RHBs, Partners and ESOG Chapter Offices
  • Data Collectors and supervisor were recruited from FMoH, RHBs of Tigray and Amhara, RHBs and via Mekelle, Bahir Dar, Jimma, Harari, Hawassa and Gondar ESOG chapter offices. Moreover, Supervisors from CDC and WHO staffs seconded to FMoH have participated.
  • A one-day orientation for data collectors and supervisors was given in four centers.
  • 37 vehicles were made available for data collection and supervision.
  1. Conduct and oversee the Assessment




No of sites

Manpower at field





Data collectors


Field coordinators



July 27 – Aug 19/2015






Bahir Dar

Aug 3 – 23/2015







Nov 2 – 19/2015






Addis Ababa

Nov 16 – Dec 10/2015











As shown in the table the assessment was carried out from July 27 up to December 10/2015 in two rounds. The assessment was carried out in all sites except one site found where there was no assigned ESO at all. 29 clinicians (21 Obstetricians and 8 surgeons) and 29 PHS were involved in the data collection.

4. 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 conducted 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: 

Its objective is to standardize and increase quality of training on comprehensive abortion care. The project was undertaken by FMoH, Ipas Ethiopia and Engender Health Ethiopia.

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 IntraHealth-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.

Sexual and Reproductive Health Rights Project 

A two-year project from 2004- 2006. It is aimed at raising awareness of stakeholders and members alike, develop a national code of ethics on sexual and reproductive health and subsequently introduce same into medical curricula of post graduate studies in Obstetrics and Gynecology and undergraduate studies in Obstetrics and Gynecology and undergraduate medical students. In addition, it increased public awareness on the problem of unsafe abortion and make sure that unsafe abortion remains in the public agenda by involving the media. the project was implemented with Federal Minisitry of Health and FIGO.

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.

Safe Motherhood and RH Project 

The project was a three-year project implemented from 2004-2007. It was aimed at improving access to life saving procedures and ensure skilled care at delivery, demonstrate ways and means of increasing use of injectable contraceptives by involving junior health personnel at health post level in two regions, make use of the results of the study to influence policy makers and managers on ways of expanding FP utilization with special emphasis on injectables, to build support to influence policy on sexual and reproductive rights including abortion services and orient women on family law including the revised law on abortion.

 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, Dire Dawa 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 school’s 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.

FIGO LOGIC Initiative in MNH Project

The goal of FIGO-LOGIC Initiative in MNH Project is to improve policy and practice by strengthening Ethiopian Society of Obstetricians and Gynecologists and using its position and knowledge to facilitate and contribute to these improvements, leading to better MNH for under-served populations in Ethiopia. The project is funded by Bill and Melinda Gates Foundation through International Federation of Gynecology and Obstetrics (FIGO) during the period of November 2009 to October 2013.

Major Performances of the project during the project period were establishing working groups of health professionals and other partners working on MNCH in Ethiopia. The group meet every six months, and twelve organizations represented and conducted 11 regular meetings and discussed on the current MNH affairs and each organization presented its best practices. By the help of the Society of Obstetricians and Gynecologists of Canada an organizational capacity building framework and plan were developed and implemented.

Under the project, a weekly FM radio broadcast and articles in private newspaper were posted. Birth and death registration in eight public hospitals were conducted. Regarding maternal death and near miss case, reviewing standard and structured questionnaire were developed and used to collect data. Hospitals started completing the tools since May 2011, preliminary (six months) and final paper (18 months) produced and findings communicated at different events. Maternal Death Review Ethiopian Initial Experiences Sharing Workshop was conducted in Addis Ababa and people from five African Countries which also implement the FIGO-LOGIC project participated in the workshop. In addition, regional health bureaus and other partners attended the experience sharing workshop.

In addition, provision of technical update training for health professionals was conducted for 2 consecutive years. Changes and improvements were observed as a result of maternal death review processes like formal deaths and near miss review is in place, relatively complete information kept in client or patient card, improved patient card retrieval system and good documentation of MDR process was developed and implemented. Services are available 24/7 in all facilities. In the health facilities oral referrals are minimized. Recently these hospitals have improved linkage and give supervision to health centers. Moreover, feedbacks are given to referring health centers, and there are decreased unnecessary referrals. Project mid-term review was conducted by external independent consultants on all physical and financial project status.

Challenges faced in conducting maternal death review were vital. Moreover, MNH statistics registration is incomplete and there is difficulty of requiring information near or at the time of maternal death. There is also inaccurate measurement of medical causes of death and near misses, and fear of being judged. The other challenges are demanding workload and women were afraid to tell their stories.

 Women and Their Children’s Health (WATCH) Project

WATCH project was funded through the Canadian Department of Foreign Affairs, Trade and Development (DFATD) and managed by Plan International Canada working through partnering with Plan International Ethiopia, Society of Obstetricians & Gynecologists of Canada (SOGC) and Ethiopian Society of Obstetricians and Gynecologists (ESOG). WATCH project used a community-based approach to improve the quality of community outreach and MNCH services, while encouraging health-seeking behaviors and improved health care management to reduce the three delays for patients to seek care and to save the lives of more mothers and their children.

WATCH project was implemented in 8 rural districts in three regions namely: Amhara Region: Lasta, Bugena and Meket districts; Oromia Region; TiroAfeta&Kersa districts and SNNPR Region: Shebedino, Gorche and Bona Zuria districts. The project was implemented from November 2011 to April 2015.

 The major activities accomplished during the implementation of the project were:

 Two ESOG board members travel to Canada for WATCH Project Orientation meeting.

  • ToT training on ALARM International Program for ESOG members.
  • BEmONC needs assessment at 48 health centers.
  • A three-day BEmONC sensitization workshop for health administrators conducted to create an enabling environment for BEmONC service at the ground level.
  • Follow up meeting on BEmONC with health administrators.
  • CEmONC focal persons were also recruited for each of the three regions. The CEmONC focal persons are ESOG members who oversee that referrals are occurring in a timely and efficient manner between BEmONC and CEmONC facilities.
  • Training of 167 mid-level health care providers on BEmONC.
  • Five rounds of quarterly supportive supervision were carried out.
  • Meeting with CEmONC focal persons.
  • Five types of BEmONC related posters were developed and distributed to health centers.

After all these efforts, health care providers are managing complications that were previously referred. Project monitoring trends indicated increases in usage of MNCH services (i.e. four antenatal visits and/or delivery with a skilled birth attendant). 

Sexual Assault Clinical Outreach Project 

The objective is to improve the delivery of integrated and quality of care for survivors of sexual violence. The project is funded by UNFPA and was carried out from January 2013-December 2015.

Major activities accomplished: -

In 2013: - 

  • Three rounds of training on care for survivors of sexual violnce were conducted.
  • GBV is incorporated into the medical school curriculum.
  • Adama and Hawassa Model Clinics which were established to provide care for survivors of sexual assault in Ethiopia were handed over to the hospital administration.
  • Standard operating procedure on response and prevention of sexual violence is developed. 
  • An outreach campaign was undertaken at Benishangul Gumuz Region, Assosa Hospital and operation on uterine prolapse and cervical cancer screening were performed