March 25, 2025
Championing Networks of Care for a Resilient and Effective Care in Ethiopia.
Dr Desalegn Zegeye (IPPHL Cohort 2) is the Technical Director at the Institute for Healthcare Improvement in Ethiopia. In an interview with IPPHL. Dr Zegeye talks about his work in Public Health through championing networks of care for resilient and effective care in Ethiopia.
Q: Tell us a little about yourself, what you do and the scope of your work?
A: My journey in this field began with a background in medicine, followed by advanced studies in public health and bioethics. Over the past 19 years, I have held various roles ranging from university faculty positions to leadership roles within hospitals and national-level directorates at the Ministry of Health. Currently, I serve as the Technical Director at the Institute for Healthcare Improvement (IHI) in Ethiopia.
At IHI, I play a pivotal role in driving quality improvement strategies and projects within the Ethiopian health sector. My responsibilities span a wide spectrum, including collaborating with stakeholders to design, test, and implement initiatives aimed at strengthening healthcare systems and improving patient outcomes. IHI serves as a key partner for the Ethiopian health sector, co-designing and implementing innovative solutions to address complex challenges.
Could you give us a brief overview of your current project with IHI and what you want to achieve?
A: My current project revolves around the concept of strengthening healthcare systems through the implementation of the Network of Care framework. This approach acknowledges the evolving landscape of healthcare challenges, characterized by complexity and multifaceted issues.
The Network of Care initiative aims to foster collaboration among diverse stakeholders, including service providers, health workers, leaders, and community representatives. By harnessing an improvement in science methodology, we collectively identify systemic issues, prioritize interventions, and establish robust coordination mechanisms to drive sustainable change.
Our overarching goal is to enhance the resilience and effectiveness of the healthcare system, ultimately improving health outcomes for individuals and communities across Ethiopia.
Q: What impact has the implementation of the Network of Care framework created so far?
A: In the past year, we have witnessed tangible progress and positive outcomes stemming from the implementation of the Network of Care initiative. At the implementation sites, we have observed a notable shift towards collaborative problem-solving, increased trust and respect among partners, and a shared commitment to achieving improved health outcomes. While our journey is ongoing, we are optimistic about the transformative potential of this program. We envision continued growth and sustainability, with broader impact across the healthcare landscape in Ethiopia.
Q: What types of skills and knowledge did you find the most useful to implementing the Network of Care Initiative framework?
A: The multifaceted nature of our project necessitates a diverse skill set and knowledge base. Among the most valuable skills and expertise I have leveraged include policy analysis, stakeholder mapping and engagement, and evidence-based evaluation and implementation strategies.
Policy analysis allows us to navigate complex healthcare landscapes, identify key stakeholders, and formulate targeted interventions. Stakeholder mapping and engagement are essential for fostering collaboration and buy-in across diverse groups. Additionally, evidence-based evaluation ensures that our efforts are grounded in data-driven decision-making, maximizing our impact and effectiveness.
Q: Have you implemented your policy project or used any tools or frameworks from IPPHL to advance your work at IHI?
A: Yes, our implementation efforts have been greatly supported by the tools and frameworks provided by IPPHL. Specifically, the policy analysis and evidence-based evaluation tools have played a pivotal role in shaping our strategy development and implementation approach. These resources have empowered me to effectively communicate key findings through policy briefs, engage in knowledge dissemination through local newspapers, and present research findings at national and regional conferences. Furthermore, the personal leadership development coaching provided by IPPHL has enhanced my ability to navigate complex interpersonal dynamics and lead effectively within my organization.
Q: What were some of the organizations or stakeholders you worked with and how did you balance their interests?
A: I have had the privilege of collaborating with a diverse array of organizations and stakeholders throughout my career. These include national and subnational health systems, development partners, health facilities, local governments, and health professionals. Balancing the interests and priorities of these stakeholders requires adept negotiation, trust-building, and conflict resolution skills. The Network of Care framework serves as a platform for fostering collaboration and alignment among these diverse entities. Tools such as stakeholder mapping exercises, negotiation mechanisms, and conflict resolution strategies, which I acquired through IPPHL, have been invaluable in navigating the complexities of these partnerships.
Q: Did the policy or program address health disparities, and are there quantifiable improvements in reducing disparities?
A: Yes, addressing health disparities is a central focus of our Network of Care initiative. By systematically identifying and prioritizing disparities, tailoring context-specific solutions, and engaging in joint implementation and evaluation processes, we have made significant strides in reducing disparities, particularly among vulnerable populations such as mothers and children. Through objective measurement and collaborative prioritization, we have been able to identify and address disparities in access to healthcare services and health outcomes. While our efforts are ongoing, we are encouraged by the quantifiable improvements we have observed and remain committed to advancing health equity across Ethiopia.
Q: Do you have any advice for others looking to become leaders in public health including new people coming into the field, etc.?
A: As someone who has navigated various roles within academia, health systems, and development organizations, I offer the following advice to aspiring leaders in public health, including women and newcomers to the field:
- Recognize the importance of context: Understand that one-size-fits-all approaches may not be effective in addressing today’s complex health challenges. Embrace the nuances of each context and tailor your strategies accordingly.
- Prioritize partnerships and participation: Building strong partnerships with local communities and stakeholders is critical for driving meaningful change. Embrace participatory approaches that empower communities to take ownership of their health outcomes.
- Invest in continuous learning and growth: The field of public health is constantly evolving, and continuous learning is essential for staying relevant and effective. Seek opportunities for professional development, mentorship, and networking to broaden your skills and perspective.
- Embrace resilience and perseverance: Leading initiatives in public health often comes with its share of challenges and setbacks. Cultivate resilience, persevere in the face of adversity, and remain steadfast in your commitment to advancing health equity and social justice.