The Protracted Civil and Armed Conflicts in Ethiopia Fueling the COVID-19-Related Health Crisis: Perspective on Building a Resilient Health System to Shocks

Abstract

Prior to the intensified civil and armed conflicts in Ethiopia, remarkable progress was made in the health sector, which has persuaded the  Ministry of Health to give special focus on building a responsive and resilient health system in the second five-year health sector  transformation plan (HSTP II 2021-2025). However, the years-long civil and armed conflicts have been fueling the COVID-19 crisis and  have caused multi-sectoral infrastructure damage, human life loss, and economic crisis. In 2021 alone, the conflict causes more than five  million internal displacements of persons (IDP) and thousands civilian deaths. Review of reported government data has shown that 3,508  health posts, 750 health centers, and 76 hospitals were partially or completely damaged in four regions. Looting of medical equipment and facilities for amenities was devastating. More than 19 million people were affected by the armed and civil conflicts between 2020 and  2021. Unless peace is ensured across the nation the sooner possible, it is foreseen that the devastation may further worsen, and recovery  may be a far-fetched possibility. Therefore, in addition to restoration of the disrupted health services, it is the right time for the Ministry  of Health to incorporate the humanitariandevelopment nexus as a joint strategy with the Disaster Prevention and Preparedness  Commission (DPPC) to ensure a resilient health system for similar multifaceted conflict-related health crisis, disasters, and infectious  outbreaks.