page_title: Ethiopia
section_title: Health
hierarchical_section_title: Ethiopia / Health
context_page_description: Ethiopia, officially the Federal Democratic Republic of Ethiopia, is a landlocked country in East Africa. It shares borders with Eritrea to the north, Djibouti to the northeast, Somalia to the east, Kenya to the south, South Sudan to the west and Sudan to the northwest. With over 109 million inhabitants as of 2019, Ethiopia is the most populous landlocked country in the world and the second-most populous nation on the African continent. The country has a total area of 1,100,000 square kilometres. Its capital and largest city is Addis Ababa, which lies several kilometres west of the East African Rift that splits the country into the African and Somali tectonic plates. Ethiopian national identity is grounded in the historic and contemporary roles of Christianity and Islam, and the independence of Ethiopia from foreign rule, stemming from the various ancient Ethiopian kingdoms of antiquity.
  Some of the oldest skeletal evidence for anatomically modern humans has been found in Ethiopia. It is widely considered as the region from which modern humans first set out for the Middle East and places beyond.
context_section_description: The World Health Organization's 2006 World Health Report gives a figure of 1,936 physicians (for 2003), which comes to about 2.6 per 100,000. A brain drain associated with globalization is said to affect the country, with many educated professionals leaving Ethiopia for better economic opportunities in the West.
  Ethiopia's main health problems are said to be communicable (contagious) diseases worsened by poor sanitation and malnutrition. Over 44 million people (nearly half the population) do not have access to clean water. These problems are exacerbated by the shortage of trained doctors and nurses and health facilities.
  The state of public health is considerably better in the cities. Birth rates, infant mortality rates, and death rates are lower in cities than in rural areas due to better access to education, medicines, and hospitals. Life expectancy is better in cities compared to rural areas, but there have been significant improvements witnessed throughout the country in recent years, the average Ethiopian living to be 62.2 years old, according to a UNDP report. Despite sanitation being a problem, use of improved water sources is also on the rise; 81% in cities compared to 11% in rural areas. As in other parts of Africa, there has been a steady migration of people towards the cities in hopes of better living conditions.
  There are 119 hospitals (12 in Addis Ababa) and 412 health centers in Ethiopia. Infant mortality rates are relatively high, as 41 infants die per 1,000 live births. Ethiopia has been able to reduce under-five mortality by two-thirds (one of the Millennium Development Goals) since 1990. Although this is a dramatic decrease, birth-related complications such as obstetric fistula affect many of the nation's women.
  HIV/AIDS in Ethiopia stood at 1.1% in 2014, a dramatic decrease from 4.5% 15 years ago. The most affected are poor communities and women, due to lack of health education, empowerment, awareness and lack of social well-being. The government of Ethiopia and many international organizations like World Health Organization (WHO), and the United Nations, are launching campaigns and are working aggressively to improve Ethiopia's health conditions and promote health awareness on AIDS and other communicable diseases.
  Ethiopia has a relatively high infant and maternal mortality rate. Although, Ethiopia did not meet the MDG target of reducing maternal mortality rate by two thirds in 2015, there are improvements nonetheless. For instance, the contraception prevalence rate increased from 8.1% in 2000 to 41.8% in 2014, and Antenatal care service coverage increase from 29% to an astounding 98.1% in the same period. Currently, the maternal mortality rate stands at 420 per 100,000 live births. Only a minority of Ethiopians are born in hospitals, while most are born in rural households. Those who are expected to give birth at home have elderly women serve as midwives who assist with the delivery. The "WHO estimates that a majority of maternal fatalities and disabilities could be prevented if deliveries were to take place at well-equipped health centers, with adequately trained staff".
  The low availability of health-care professionals with modern medical training, together with lack of funds for medical services, leads to the preponderance of less-reliable traditional healers that use home-based therapies to heal common ailments.
  One common cultural practice, irrespective of religion or economic status, is female genital mutilation (FGM), also known as female genital cutting (FGC), a procedure that involves partial or total removal of the external female genitalia, or other injury to the female genital organs for non-medical reasons. The practice was made illegal in Ethiopia in 2004. FGM is a pre-marital custom mainly endemic to Northeast Africa and parts of the Near East that has its ultimate origins in Ancient Egypt. Encouraged by women in the community, it is primarily intended to deter promiscuity and to offer protection from assault.
  The country has a high prevalence of FGM, but prevalence is lower among youn
caption: Declining child mortality in Sub-Saharan Africa and Ethiopia since 1950