Wednesday, January 26, 2022
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17th round auction of 20/80 condominium shops put to a halt

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Addis Ababa Housing Development Corporation cancels the 17th round auction of 20/80 condominium shops.
The auction was made for 2573 available shops for interested buyers in various locations across the city under 20/80 low cost condominium schemes. The shops were located in a low-cost condominium housing schemes across five sub cities namely; Bole, Akaki Kality, Arada, Lemikura and Nifas Silk Lafto.
The bid which was opened starting from November 26, 2021 to December 8 announced the cancellation on Friday January 21, 2022. The corporation did not provide full details with regards to the said termination and Capital’s effort to get officials from the corporation to get information on the issue was unsuccessful.
“Based on the bid document article 2, sub article 40 the corporation has fully canceled the bid,” reads the notice later.
From the total 2573 condo shops, 86 of them are located in two sites of Bole sub city; Bole Bulbula 1 and 2, whereas Lemikura has 321 shops located in four sites whilst Arada has 8. Akaki Kality shares the largest number with 2155 shops for the auction in nine sites and Nifas Silk has the remaining 3 condo shops for sell.
For this round of bid, the Agency set the floor price of all the shops at 15,068 birr per square meter which is equivalent to the total cost spent while building the shop. In previous bids the price was 10,000 birr for the 16th round and 9,170 birr for the 15th round. At the time, banking and micro-finance institutions were the ones that gave the highest offers.
According to the document, the total width of the condo shops range between 235.50 square meters and minimum 21.15 square meters.
The shops were part of houses located in the aforementioned sites. It is to be recalled that these houses were completed and inaugurated last year after a public outcry over the delay on the completion of the houses.

Non-communicable disease triggers half of Ethiopia’s mortality deaths

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Ministry of Health indicates that 52 percent of annual mortality rates in Ethiopia are caused by Non-communicable disease. With regards to increase in specialized treatments in the country, the ministry is working with the Ministry of Finance to build hospitals with a public private partnership scheme.
According to the Ministry, in previous years the major death rates in the country were the infant and maternal mortality rate which has now declined over time in the country.
“The epidemiological transition that is happening in Ethiopia has made transition from predominantly infectious diseases to non-communicable diseases,” said Dr. Lia Tadesse, Minister of Health on an event hosted by Ethiopian Investment Commission to promote investment areas in the country. “Ethiopia has been successful in reducing common infectious, maternal, neonatal, and nutritional deficiency which causes premature mortality,” Dr. Lia explained.
As the Minister highlighted, this trend showed that generally, non-communicable diseases had existed to be problematic which became even more evident following greater reductions in common infectious, maternal, and nutritional diseases.
Medical treatment for such Non-communicable disease is one of the priority areas the government is working on, and as Dr. Lia revealed; her Ministry is working closely with the Ministry of Finance and has now approved public private partnership projects on the sector with auction or bidding announcements underway. Oncology projects, diagnostic centers are some of the projects that will benefit from this.
According to the information from the Ministry of Finance, there are three ongoing public private partnership projects on the health sector.
“Project management team has been established to retain a consultant for detailed feasibility study,” the finance Ministry disclosed with regards to the oncology project.
World Health Organization (WHO) estimated in 2011 that 34% of Ethiopian population is dying from non-communicable diseases to which the number has now grown to 52 percent within a space of ten years. The major non-communicable diseases such as cardiovascular disease, cancer, diabetes mellitus, and chronic obstructive pulmonary disease are causing higher proportions of morbidity and mortality, impacting both in the rural and urban populations of Ethiopia.
Their impact varies with type of disease, age, and region. Hospitalization impacts of cardiovascular diseases have increased over time within the last five decades. This burden is becoming a big challenge to the healthcare delivery system of the country.
As a result of this transition, according to reports ischemic heart disease, hemorrhagic stroke, ischemic stroke, diabetes, and hypertensive heart disease were found to be among the 10 leading causes of age-standardized death rates in Ethiopia.
Ethiopia’s success in decreasing the mortality rates of lower respiratory infections, diarrheal diseases, tuberculosis, HIV/AIDS, measles, malaria, protein-energy malnutrition, and other diseases supports the directions and investment of the HSDP on MDG.
Infant mortality rate has decreased from 96.9 per 1000 births in 2000 to 48 per 1000 births in 2016, however as the Minister said in recent reports the death rate is 54 per 1000.
“There are many projects areas to be worked on, in the health sector and the public private partnerships are one of the options of the advancing the sector,” noted Dr. Lia whilst calling upon the diaspora community to invest in the sector; and as she indicated, Ethiopia losses about 100 million dollars annually for medical treatment abroad.
After massive study and legal document development through the Ministry of Finance, the government enacted the PPP 1076/2018 proclamation that makes it formalized for private sector involvement through public projects for the benefit of both sides.
The February 2018 proclamation allows establishing a favorable and binding legislative framework that promotes and facilitates the implementation of privately financed infrastructure projects by enhancing transparency, fairness and long terms suitability.

PHYSIO RECOVERY

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Nebiyou Tesfaye (Photo: Anteneh Aklilu)

A customized physical therapy program can help individuals return to their prior level of functioning, and encourage activities and lifestyle changes that can help prevent further injury and improve overall health and well-being. Primary care doctors often refer patients to physical therapy at the first sign of a problem, since it is considered a conservative approach to managing problems. As is often quoted, “In rehabilitation there is no elevator, you have to take every step meaning one step at a time.”
In light of this, Droga Physiotherapy Specialty Clinic was established in 2015, in Addis Ababa, driven by the slogan, “Pain free mobility.” Over the past half a decade, the clinic has been a recovery haven for many patients who have seen visible changes in their well-being. Capital caught up with Nebiyou Tesfaye, an Expert physiotherapist who manages the two branches for Droga for insights in the rehabilitation space which is relatively new for the Ethiopian scene. Excerpts;

Capital: Can you tell us about your organization?
Nebiyou Tesfaye: Droga Physiotherapy Specialty Clinic was established in 2015 in Addis Ababa by a group of health care professionals, who have an interest in developing the scientific back ground of physiotherapy in Ethiopia.
We are one of; if not the biggest physiotherapy clinics in the country with a staff of seasoned experts in physiotherapy with clinics equipped with advanced physiotherapy equipment.
Our physiotherapy clinic is staffed with a highly qualified and dedicated staff whose expertise stem from years of excellence in the health sector.
Currently, the clinic is serving the community with its two branches located in Addis Ababa with our former location being behind Immigration Office which is now is at 4kilo while the other one is around Bole near Japan Embassy. It is also worth noting that our services are affordable and are for all ages.

Capital: What is physiotherapy? How would you describe the development of this sector in Ethiopia?
Nebiyou Tesfaye: Physical therapy is concerned with identifying and maximizing the quality of life. The modern era of the Physiotherapy profession is thought to have begun in Europe toward the end of the nineteenth century. The early origins of physical therapy practice began in hospital-based settings to address the rehabilitation needs resulting from World War I causalities.
Physiotherapy in nutshell is a science-based profession and takes a ‘whole person’ approach to health and wellbeing, which includes the patient’s general lifestyle. At the core is the patient’s involvement in their own care, through education, awareness, empowerment and participation in their treatment. The profession helps to encourage development and facilitate recovery, enabling people to stay in work while helping them to remain independent for as long as possible.
Physiotherapy helps with back pain or sudden injury, managing long-term medical condition, and in preparing for childbirth or a sporting event. Physiotherapy is a degree-based healthcare profession. The physiotherapists use their knowledge and skills to improve a range of conditions associated with different systems of the body,
The Physiotherapy profession in Ethiopia is relatively new when compared to the history of the profession in other countries and thus here there is a lack of overt public and government support for the physical therapists, possibly due to a limited understanding.

Capital: What kind of treatments do you have in your clinic?
Nebiyou Tesfaye: We have different treatments for our patients based on their injuries which include physical therapies ranging from: Pediatric, neurological, geriatric, orthopedic and rehabilitation, vestibular rehabilitation, cardiovascular/pulmonary, and women health related issues such as incontinence and pelvic organ prolapse.

Capital: What are the challenges that this sector is facing in Ethiopia?
Nebiyou Tesfaye: Owing to the fact that the sector is still fairly new to the country, there are a couple of challenges that comes with this practice. Atop these challenges are: No formal continuous professional development (CPD) scheme in place thus far, limitation on the public awareness, professionals dependency syndrome, discouraging working environment and lack of medical equipment for the quality care. Moreover, private businesses are taking advantage of the profession at the expense of the practice and most importantly lack of evidence-based practice.
As I earlier cited, there is a lack of overt public and government support for the physical therapists, possibly due to a limited understanding of this relatively new Ethiopian profession. If you couple this with the shortage of qualified local PT faculty, it limits the ability to sustain the academic programs without international support. In addition, local faculties may not be fully qualified for academic roles as they often receive little to no formal training in teaching pedagogy, nor advanced PT skill sets for optimal integration.
It is perceived that some of those assigned to PT programs would prefer to seek opportunities in other health professions, which of course affects the sustainability of quality physiotherapy in the country.
The growth and development of individual practitioners and the profession as a whole is limited by this void.

Capital: What should be done to develop the sector? What kind of support is being provided by government to develop the sector?
Nebiyou Tesfaye: Currently, there have been changes on the sector through time. Most of the modern hospitals have their own physiotherapy department.
However, despite the provision of the practice in various hospitals, there ought to be a harmonized support and corporation are so as to transform the physiotherapy practice and to tackle the challenges faced by the Ethiopian physiotherapists in this resource limited country where physiotherapy medical service is still in high demand.
The government is not giving any support to the sector or actors in the sector like us, and this I believe should change through necessary policy changes. Moreover, since the Ministry of Health recently changed its motto from only prevention to prevention and treatment, for the effectiveness of this slogan, I certainly believe that in one way or the other we should be part and parcel for the effectiveness of the development of the sector since we play a crucial role in the recovery process.

Capital: Who are your target customers? Do you have a physiotherapy department specifically dedicated for children?
Nebiyou Tesfaye: Physiotherapists help people affected by injury, illness or disability through movement and exercise, manual therapy, education and advice. They maintain health for people of all ages, helping patients to manage pain and prevent disease. You can benefit from physiotherapy at any time in your life.
With regards to having our own specific physiotherapy for children, I would say we are close to finalizing a program which will cater to these needs specifically. What we ought to understand is that when we narrow it down to helping children with physiotherapy, it is visible that there is quite a difference to that of helping adults, from an anatomical, physiological and psychological point of view. At our physiotherapy for kids which is soon to launch in our clinics, we believe that to treat children effectively, all these issues need to be considered.
Physiotherapist offers early intervention for children who may have neurological and developmental delays as well as sensory impairments related to hearing, vision and some other impairment which require additional expert knowledge and experience of child development and childhood disabilities. So in these regard we are organizing a group of expertise from different backgrounds to start this specific department which will start giving treatment soon.

Capital: What initiatives is your clinic undertaking for corporate social responsibility?
Nebiyou Tesfaye: From the establishment of our company, we strongly believed in giving back to the community. Despite not being a not for profit organization or a company with huge profits margins, we have undertaken various initiatives to provide services to benefit our society. We have also been trying to provide from time to time physiotherapy treatments to those in urgent needs but without the financial capacity.
Owing to the current situation of the country, many of our soldiers have been casualties of the war and require special attention. On our end, we have been designing a new project which will see us provide the much needed physiotherapy treatments for free to our war heroes. Similarly, the government has also expressed its desire to hire physiotherapists to support our soldiers and we are willing to rise to the call when that happens.

Capital: What are future plans?
Nebiyou Tesfaye: We are striving to increase the number of branches in the capital and regional cities.
In the near future, we have plans to increase the number of branches to four from the existing two right now. Additional to this, we are on the way to build a big rehab center and we are on dew process to request land from the city administration.

Non balcony

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