6. 5. Quality Management in the Ethiopian Health Sector 

Quality management in the Ethiopian health sector consists of external quality control and internal quality improvement process 

6. 5.1 External Quality Control. 

External quality control is conducted by a newly established Health Regulatory Agency (previously DACA) which is responsible for registration and licensing of health care providers 

6.5.2. Internal Quality Improvement Processes 

Internal Quality Improvement Processes is one of the major activities under the Monitoring and Evaluation Sub-Process. It is expected at health facility level (Health Post, Health Center, and Hospital) 

Quality measurement based on two sets of quality indicators 

• National quality of care indicators 
• Locally relevant quality of care indicators 

Quality improvement processes at health facility level (Health Post, Health Center, and Hospital) 

Quality improvement processes at health facility level Use the S-P-D cycle (See-Plan-Do cycle) which is a simplified adaptation of the Deming's Cycle 

SEE

Does the observed level of quality need improvement? 

• Which of the areas need improvement? 
• Which of them need to be maintained and benchmarked? 

PLAN 

• Set priorities for improvement 
• Identify root causes of the observed quality problems 
• List the possible solutions for the observed problems 
• Prepare an action plan for the most effective and feasible solution 
• Communicate improvement plan with the Performance Monitoring Team and others relevant 

DO 

• Putting planed activities in practice 
• The involvement of departments/units during Quality Measurement makes this step appropriate and contributes for the effective implementation of the plan. 
• Then the cycle restarts.