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Guiding Principles


Provision of health care shall be based on comparative need. Accessibility and affordability of quality services at point of demand especially for women and children, for the marginalised and underserved, irrespective of political national, ethnic or religious affiliations

Gender Equity                   

The planning and implementation of all health programmes should address gender sensitive and responsive issues including equal involvement of men and women in decision-making; eliminating obstacles (barriers) to services utilisation; prevention of gender based violence.

Ethics and Standards     

Respect for human dignity, rights and confidentiality; good management practices and quality assurance of service delivery.

Client Satisfaction

Accessibility to twenty-four hour quality essential services especially emergency obstetric care and blood transfusion services; reduced waiting time; empathy in staff attitudes; affordability and adequate staffing in health facilities.

Cultural Identity                 

Recognition of local values and traditions; use of traditional structures. Kabilos, kaffos, traditional healers and religious leaders.

Health System Reforms              

Devolution of political and managerial responsibilities, resources and authority in line with the Government decentralisation programme; capacity building for the decentralised structures (institutions).

Skilled staff retention and circulation  

Attractive service conditions (package); job satisfaction to encourage a net inflow of skills.


Community empowerment; active involvement of the private sector, NGOs, local government authorities and civil society; effective donor co-ordination.

Evidence based health care

Health planning, programming and service delivery shall be informed by evidence-based rearch.

Patient bills of rights

The Patient's Bill of Rights helps patients feel more confident in the health care system. It assures that the health care system is fair and it works to meet patients' needs; gives patients a way to address any problems they may have; and encourages patients to take an active role in staying or getting healthy.

Information disclosure

Patients have the right to accurate and easily -understood information about his/her healthcare plan, health professionals, and healthcare facilities. This must be done using a language understood by the patient so that he/she can make informed health care decisions.

Choice of providers and plans

Where possible every patient shall have the right to choose health care providers who can give him/her high-quality health care when needed.

Access to emergency services

In emergency health situations including severe pain, an injury, or sudden illness that makes a person believe that his/her health is in serious danger, he/she shall have the right to be screened and stabilized using emergency services. He/she should be able to use these services whenever and wherever needed without needing to wait for authorization and any financial payment.

Participation in treatment decisions

Every patient shall have the right to know his/her treatment options and take part in decisions about his/her care. Parents, guardians, family members, or others that they identify can represent them if he/she cannot make his/her own decisions.

Respect and non-discrimination

Every patient must have a right to considerate, respectful and non-discriminatory care from his/her health care provider (s), 

Confidentiality of health information

All patients must have the right to talk privately with health care providers and to have his/her health care information protected. He/she shall have the right to read and copy his/her own medical record. He/she shall have the right to ask that his/her health care provider change his/her record if it is not correct, relevant, or complete.

Complaints and appeals

Every patient shall have the right to a fair, fast, and objective review of any complaint he/she may have against any health plan, health care provider/personnel or health institution. This includes complaints about waiting times, operating hours, the actions of health care personnel, and the adequacy of health care facilities.

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