Political economy analysis of Ethiopia’s Integrated Emergency Surgical Officer programme - Takeaways - MDSpire
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Analysis of the Political Economy Surrounding Ethiopia's Integrated Emergency Surgical Officer Initiative

  • By

  • Meskerem A Kebede

  • Andualem D Beyene

  • Martilord Ifeanyichi

  • Maeve Bognini

  • Melese Takele

  • Rachel Hargest

  • Rocco Friebel

  • December 10, 2025

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  • 1

    Ethiopia's Integrated Emergency Surgical Officer (IESO) programme was launched in 2010 to enhance access to emergency surgical care.

  • 2

    Over 735 IESOs have been trained, contributing significantly to improvements in maternal and child health.

  • 3

    The programme faces challenges including limited career development, workplace conflicts, and concerns about the quality of care.

  • 4

    Recent agreements have been made to allow IESOs to pursue advanced training, addressing career stagnation and attrition.

  • 5

    The IESO programme exemplifies the complexities of task shifting, balancing access to care with the need for quality and professional integration.

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