ORS/Zinc status – Ethiopia

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EthiopiaEthiopia (4th)*

Population: 115m (2020)
Area: 1.129m sqkm

Diarrhoea deaths: 25,139 (2019)

ORS coverage: 30% (2016)

ORS + Zinc coverage: 17% (2019)**

Ethiopia has the fourth highest number of diarrhoea deaths in the World
** This coverage rate is prior to the 2020 addition of co-packaged ORS and Zinc to the Ethiopian Essential Medicines List

Ethiopia Essential Medicines List – 6th edition – 2020 (PDF 695 KB)

National policy
✅ ORS+Zinc in National Clinical Guidelines
✅ ORS included in the National Essential Medicines List
✅ Zinc included in the National Essential Medicines List
✅ Co-packaged ORS & Zinc included in the National Essential Medicines List (added in 2020)
Note: Although ORS and Zinc are listed separately, a note under the Zinc entry states that: “zinc sulfate should be used as an adjunct to oral rehydration salts (co-packaged ORS/zinc)”.

Zinc availability
✅ Zinc available “over the counter” (needs verification)
✅ Any retailer can sell Zinc (needs verification)

Outlets for Zinc tablets:
✅ Pharmacies
✅ Drug stores/shops
❌ Supermarkets
❌ General retail outlets
✅ Community Health Workers
❌ Door-to-door sales people
✅ Government hospitals/clinics
✅ Private hospitals/clinics
❌Campaigns and outreach
✅  Other – Mobile Health Team

Co-pack availability
✅ Co-packaged ORS and Zinc available

Outlets for co-packaged ORS and Zinc tablets:
✅ Pharmacies
✅ Drug stores/shops
❌ Supermarkets
❌ General retail outlets
✅ Community Health Workers
❌ Door-to-door sales people
✅ Government hospitals/clinics
✅ Private hospitals/clinics
❌ Campaigns and outreach
✅ Other – Mobile Health Team

Co-packaged ORS and Zinc brands (may not be exhaustive)
Lem Lem Plus

Lem Lem Plus (co-packaged ORS and Zinc) Ethiopia
Lem Lem Plus diarrhoea treatment kit, Ethiopia (DKT Pharmaceuticals)

Co-packaged ORS and Zinc manufacturers (may not be exhaustive)
EPHARM
DKT Pharmaceuticals

Co-pack costs
Typical cost of a ORS/Zinc co-pack in the PUBLIC sector
USD 1.00 (Mar-2020)
24 ETB
Typical cost of a ORS/Zinc co-pack in the PRIVATE sector
35 ETB
USD 1.50 (Mar-2020)

✅ Diarrhoea programmes currently on-going

Name Organisation Funder Diarrhoea specific Target area
ICMNCI, IMNCI Ministry of Health Government & partners No Nationwide
Media spot using local Radio and national FM and TV and training of health providers (now concluded) DKT Pharmaceuticals and Micronutrient Initiative CIDA Yes Nationwide
COVID-19 Response project for pregnant women and children
Nutrition International
Global Affairs of Canada
Yes 3 regions and 88 Woredas
Motivated schoolgirls model
Nutrition International
Global Affairs Canada
No
9 Woredas

Additional information
None

 

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Making co-packaged ORS and Zinc the "go to" treatment for childhood diarrhoea

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