Evaluation of an intervention to increase utilisation of primary maternal, newborn, and child health services in Ethiopia

Conditions

The focus of the study is primary care utilization for the main causes of under-five mortality in Ethiopia, i.e., neonatal conditions, pneumonia, and diarrheal diseases Infections and Infestations Under-five mortality in Ethiopia, i.e., neonatal conditions, pneumonia, and diarrheal diseases

Daka DW, Wordofa MA, Berhanu D, Persson LÅ, Woldie M.

2023-02-166 citations

10.1186/s12913-023-09131-1

Association between a complex community intervention and quality of health extension workers’ performance to correctly classify common childhood illnesses in four regions of Ethiopia

Theodros Getachew, Solomon Mekonnen Abebe, Mezgebu Yitayal, Lars Åke Persson, Della Berhanu

PLoS ONE2021-03-1212 citations

10.1371/journal.pone.0247474

Distance, difference in altitude and socioeconomic determinants of utilisation of maternal and child health services in Ethiopia: a geographic and multilevel modelling analysis

Atkure Defar, Yemisrach B. Okwaraji, Zemene Tigabu, Lars Åke Persson, Kassahun Alemu

BMJ Open2021-02-0117 citations

10.1136/bmjopen-2020-042095

Does a complex intervention targeting communities, health facilities and district health managers increase the utilisation of community-based child health services? A before and after study in intervention and comparison areas of Ethiopia

Della Berhanu, Yemisrach B. Okwaraji, Atkure Defar, Abebe Bekele, Ephrem Tekle Lemango et al. (20 authors)

BMJ Open2020-09-0119 citations

10.1136/bmjopen-2020-040868

Protocol for the evaluation of a complex intervention aiming at increased utilisation of primary child health services in Ethiopia: a before and after study in intervention and comparison areas

Della Berhanu, Yemisrach B. Okwaraji, Abebe Bekele Belayneh, Ephrem Tekle Lemango, Nesibu Agonafer et al. (14 authors)

BMC Health Services Research2020-04-2129 citations

10.1186/s12913-020-05151-3

Interventions

A complex intervention including activities aiming at community engagement in primary care services, capacity building of health extension workers and "Women's Development Army" members (a type of co

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. All community members, invited to the different engagement activities 2. Health extension workers and women's development army members participating in capacity building activities 3. Stakeholders within the district health services who are invited to ownership and accountability creation activities

Exclusion criteria

Exclusion criteria: Participants outside the intervention areas.

Design outcomes

Primary

Measure	Time frame
Care seeking and provision of appropriate treatment for probable pneumonia and diarrheal diseases in children below the age of five years, and neonatal sepsis. This is measured through baseline (before) and endline (after) surveys in interventions and comparison areas in four regions in Ethiopia by household interviews and interviews and observations in health posts in these areas. The estimation of effectiveness will be performed by the difference-in-differences methodology, with adjustments for the cluster design and confounding factors.	—

Measure

Time frame

Care seeking and provision of appropriate treatment for probable pneumonia and diarrheal diseases in children below the age of five years, and neonatal sepsis. This is measured through baseline (before) and endline (after) surveys in interventions and comparison areas in four regions in Ethiopia by household interviews and interviews and observations in health posts in these areas. The estimation of effectiveness will be performed by the difference-in-differences methodology, with adjustments for the cluster design and confounding factors.

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Secondary

Measure	Time frame
Coverage of antenatal visits, institutional delivery, postnatal first week home visit, quality of care provided by health extension worker (observation, re-examination), use of prevention (bed-nets, immunization). This will be assessed through baseline and endline surveys in intervention and comparison areas in four regions in Ethiopia.	—

Countries

England, Ethiopia, United Kingdom

Outcome results

None listed