joint-aus-us-gov-review-hamlin-fistula-ethiopia-final-report.doc

The tutorstudent ratio is very high and the

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The tutor/student ratio is very high and the classrooms are overcrowded. Some classes have more than 120 students, making teaching and learning very difficult. This is more prominent in the colleges. The health facilities for the practical area are very crowded with large numbers of students while the number of women delivering in the health facilities is less. This has affected the quality of training as midwives graduate without getting the required skills and number of deliveries. 32 per cent of midwives in Ethiopia are practicing without licensure. This is a critical issue as they are not protected and can also endanger the lives of women and children. There is no clear mechanism for re-licensure. The midwives are required to renew the license after 5 years of practice. However, there is no follow-up to ensure that this is done. The regulatory body has started to work on the mechanism. Table 1 shows the number and regional origins of student intake at HCM. This only includes midwives sponsored by HFE. Additionally 5 midwives sponsored by other organizations were also trained and graduated in 2012. Currently HCM has 68 first, second and third year students enrolled in the 4 years program. Two students were dismissed for academic reasons from the 2012 intake. Table 1: HCM Student intake and graduates Region Year 2007 Year 2008 Year 2009 Total Intake Graduate (2010) Intake Graduate (2011) Intake Graduate (2012) Amhara 6 6 4 4 10 Tigray 3 2 3 3 5 Harar 7 7 7 Metu 3 3 3 SNNPR 3 3 3 3 3 3 9 Total 12 11 (1 a cademi c dismissa l) 13 10 10 34 Source: HCM, August 2013 AusAID Health Resource Facility 60 Managed by HLSP in association with IDSS
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AID and USAID Review of Support to Hamlin Fistula Ethiopia (Ethiopia) 31/05/2018 Services Order 230 Draft report Table 2 shows the breakdown of midwifery training costs at the HCM. Table 2: Breakdown of Midwife Training Costs Expense description % Amount in USD Remark Salaries and benefits of full and part time, instructors, 2 Deans, registrar 37 1,480 Supplies including medical, uniforms 11 440 Students receiving full medical coverage once they are enrolled Food and accommodation 8 320 Insurances motors, buildings, staff 8 320 Transport (motor expenses) 5 200 Students transported from and to the clinical area and field Utilities and communication 3 120 Personal cleaning materials and 24 hrs internet access provided Maintenance & upkeep 4 160 Printing and stationeries 2 80 Per diem and travel to sites 5 200 Staff training 2 80 Other support services & Admin 15 600 Total 100 4000 Source: HCM, August 2013 AusAID Health Resource Facility 61 Managed by HLSP in association with IDSS
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AID and USAID Review of Support to Hamlin Fistula Ethiopia (Ethiopia) 31/05/2018 Services Order 230 Draft report Annex 5: Australian support to the Ethiopian Health sector 62 The FMOH Annual Performance Report for 2012 (EFY 2004) provides details of the contributions to the different funding streams. In EFY2004, a total of USD 409.35 million was committed by Development Partners through public modalities (Channel 2), and a total of USD 411 million (100.4 per cent) was disbursed. The tables and figures below show the contribution made by AusAID to the health sector for EFY2004.
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