The Ethiopian health extension program and variation in health systems performance: What matters?

PLoS ONE

Volumn 11, Issue 5, 2016, Pages

  Fetene, Netsanet ^a   Linnander, Erika ^a   Fekadu, Binyam ^b   Alemu, Hibret ^c   Omer, Halima ^a   Canavan, Maureen ^a   Smith, Janna ^a   Berman, Peter ^c   Bradley, Elizabeth ^a  

^a YALE UNIVERSITY   (United States)

^b JSI RESEARCH AND TRAINING INSTITUTE   (United States)

^c HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CONSTANT COMPARATIVE METHOD; COORDINATION; DATA ANALYSIS; EXPECTATION; FINANCIAL MANAGEMENT; HEALTH CENTER; HUMAN; HUMAN EXPERIMENT; INTERVIEW; PRIMARY HEALTH CARE; PROBLEM SOLVING; QUALITATIVE RESEARCH; STAFF; WORKER; ETHIOPIA; FEMALE; HEALTH CARE DELIVERY; MALE; PUBLIC HEALTH;

DELIVERY OF HEALTH CARE; ETHIOPIA; FEMALE; HUMANS; MALE; NATIONAL HEALTH PROGRAMS; PRIMARY HEALTH CARE;

EID: 84971277800     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0156438     Document Type: Article

References (43)

1. World Health Organization. Declaration of Alam-Ata International Conference on Primary Health Care, Alma Ata, USSR, 6-12 1978. Available: http://www.who.int/publications/almaata-declaration-en.pdf.
2. Gilmore B, McAuliffe E. Effectiveness of community health workers delivering preventive interventions for maternal and child health in low- and middle-income countries: a systematic review. BMC Public Health. 2013; 13:847. doi: 10.1186/1471-2458-13-847 PMID: 24034792
3. Banteyerga H. Ethiopia's health extension program: improving health through community involvement. MEDICC Rev. 2011; 13(3):46-9. PMID: 21778960
4. Central Statistical Agency (CSA). Population Projection of Ethiopia for All Regions at Wereda Level from 2014-2017. 2013. Available: http://www.csa.gov.et/images/general/news/pop-pro-wer-2014-2017-final.
5. Ministry of Health. Quarterly Health Bulletin. Policy and Practice: Information for Action. Addis Ababa, Ethiopia: Federal Democratic Republic of Ethiopia; 2013.
6. Kassebaum NJ, Bertozzi-Villa A, Coggeshall MS, Shackelford KA, Steiner C, Heuton KR, et al. Global, regional, and national levels and causes of maternal mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014; 384(9947):980-1004. doi: 10.1016/S0140-6736(14)60696-6 PMID: 24797575
7. Wang H, Liddell CA, Coates MM, Mooney MD, Levitz CE, Schumacher AE, et al. Global, regional, and national levels of neonatal, infant, and under-5 mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014; 384(9947):957-79. doi: 10.1016/S0140-6736(14)60497-9 PMID: 24797572
8. Afework MF, Admassu K, Mekonnen A, Hagos S, Asegid M, Ahmed S. Effect of an innovative community based health program on maternal health service utilization in north and south central Ethiopia: a community based cross sectional study. Reprod Health. 2014; 11:28. doi: 10.1186/1742-4755-11-28 PMID: 24708848
9. Gebrehiwot TG, San Sebastian M, Edin K, Goicolea I. The Health Extension Program and Its Association with Change in Utilization of Selected Maternal Health Services in Tigray Region, Ethiopia: A Segmented Linear Regression Analysis. PLoS One. 2015; 10(7):e0131195. doi: 10.1371/journal.pone.0131195 PMID: 26218074
10. Karim AM, Admassu K, Schellenberg J, Alemu H, Getachew N, Ameha A, et al. Effect of ethiopia's health extension program on maternal and newborn health care practices in 101 rural districts: a dose-response study. PLoS One. 2013; 8(6):e65160. doi: 10.1371/journal.pone.0065160 PMID: 23750240
11. Medhanyie A, Spigt M, Kifle Y, Schaay N, Sanders D, Blanco R, et al. The role of health extension workers in improving utilization of maternal health services in rural areas in Ethiopia: a cross sectional study. BMC Health Serv Res. 2012; 12:352. doi: 10.1186/1472-6963-12-352 PMID: 23043288
12. Yitayal M, Berhane Y, Worku A, Kebede Y. Health extension program factors, frequency of household visits and being model households, improved utilization of basic health services in Ethiopia. BMC Health Serv Res. 2014; 14:156. doi: 10.1186/1472-6963-14-156 PMID: 24708661
13. Barros AJ, Ronsmans C, Axelson H, Loaiza E, Bertoldi AD, Franca GV, et al. Equity in maternal, newborn, and child health interventions in Countdown to 2015: a retrospective review of survey data from 54 countries. Lancet. 2012; 379(9822):1225-33. doi: 10.1016/S0140-6736(12)60113-5 PMID: 22464386
14. Lakew Y, Bekele A, Biadgilign S. Factors influencing full immunization coverage among 12-23 months of age children in Ethiopia: evidence from the national demographic and health survey in 2011. BMC Public Health. 2015; 15:728. doi: 10.1186/s12889-015-2078-6 PMID: 26224089
15. Mangham-Jefferies L, Mathewos B, Russell J, Bekele A. How do health extension workers in Ethiopia allocate their time? Hum Resour Health. 2014; 12:61. doi: 10.1186/1478-4491-12-61 PMID: 25315425
16. Mekonnen Y, Tensou B, Telake DS, Degefie T, Bekele A. Neonatal mortality in Ethiopia: trends and determinants. BMC Public Health. 2013; 13:483. doi: 10.1186/1471-2458-13-483 PMID: 23683315
17. Skaftun EK, Ali M, Norheim OF. Understanding inequalities in child health in Ethiopia: health achievements are improving in the period 2000-2011. PLoS One. 2014; 9(8):e106460. doi: 10.1371/journal.pone.0106460 PMID: 25166860
18. Yesuf EA, Calderon-Margalit R. Disparities in the use of antenatal care service in Ethiopia over a period of fifteen years. BMC Pregnancy Childbirth. 2013; 13:131. doi: 10.1186/1471-2393-13-131 PMID: 23767975
19. Yesuf EA, Kerie MW, Calderon-Margalit R. Birth in a health facility - inequalities among the Ethiopian women: results from repeated national surveys. PLoS One. 2014; 9(4):e95439. doi: 10.1371/journal.pone.0095439 PMID: 24751600
20. Legesse E, Dechasa W. An assessment of child immunization coverage and its determinants in Sinana District, Southeast Ethiopia. BMC Pediatr. 2015; 15:31. doi: 10.1186/s12887-015-0345-4 PMID: 25886255
21. Medhanyie A, Spigt M, Dinant G, Blanco R. Knowledge and performance of the Ethiopian health extension workers on antenatal and delivery care: a cross-sectional study. Hum Resour Health. 2012; 10:44. doi: 10.1186/1478-4491-10-44 PMID: 23171076
22. Shaw B, Amouzou A, Miller NP, Tsui AO, Bryce J, Tafesse M, et al. Determinants of Utilization of Health Extension Workers in the Context of Scale-Up of Integrated Community Case Management of Childhood Illnesses in Ethiopia. Am J Trop Med Hyg. 2015; 93(3):636-47. doi: 10.4269/ajtmh.14-0660 PMID: 26195461
23. Federal Democratic Republic of Ethiopa. Health Sector Development Program IV 2010/11-2014/15 Available: http://phe-ethiopia.org/admin/uploads/attachment-721-HSDP%20IV%20Final%20Draft%2011Octoberr%202010.pdf.
24. World Health Organization. WHO African Region: Ethiopia. 2016. Available: http://www.who.int/countries/eth/en/.
25. World Health Organization. African Health Observatory: Analytical summary - Service delivery. Available: http://www.aho.afro.who.int/profiles-information/index.php/Ethiopia:Analytical-summary-Service-delivery.
26. World Health Organization. WHO Recommendations for Routine Immunization - Summary Tables. 2012. Available: http://www.who.int/immunization/policy/immunization-tables/en/.
27. Curry L, Nunez-Smith M. Mixed Methods in Health Sciences Research Los Angeles: Sage; 2015.
28. Bradley EH, Curry LA, Devers KJ. Qualitative data analysis for health services research: developing taxonomy, themes, and theory. Health Serv Res. 2007; 42(4):1758-72. PMID: 17286625
29. Glaser BG, Strauss AL. The discovery of grounded theory: strategies for qualitative research. Chicago: Aldine Publishing Co.; 1967.
30. Patton MQ. Qualitative research and evaluation methods. Third edition. ed. Thousand Oaks, California: Sage; 2002.
31. Miles MB, Huberman AM. Qualitative Data Analysis. Second ed. Thousand Oaks: Sage Publications; 1994.
32. Mays N, Pope C. Rigour and qualitative research. BMJ. 1995; 311(6997):109-12. PMID: 7613363
33. Gilchrist VJ, Williams RL. Key Informant Interviews. In: Bryman A, Burgess R, editors. Qualitative Research London: Sage; 1999. p. 71-88.
34. Bradley EH, Byam P, Alpern R, Thompson JW, Zerihun A, Abebe Y, et al. A systems approach to improving rural care in Ethiopia. PLoS One. 2012; 7(4):e35042. doi: 10.1371/journal.pone.0035042 PMID: 22558113
35. Bradley EH, Taylor LA, Cuellar CJ. Management Matters: A Leverage Point for Health Systems Strengthening in Global Health. Int J Health Policy Manag. 2015; 4(7):411-5. doi: 10.15171/ijhpm.2015.101 PMID: 26188805
36. Kok MC, Kea AZ, Datiko DG, Broerse JE, Dieleman M, Taegtmeyer M, et al. A qualitative assessment of health extension workers' relationships with the community and health sector in Ethiopia: opportunities for enhancing maternal health performance. Hum Resour Health. 2015; 13(1):80.
37. Pfeffermann G, Kurth A. Value of management education to enhance health systems. Lancet Glob Health. 2014; 2(9):e504. doi:10.1016/S2214-109X(14)70272-4 PMID: 25304411
38. Gopinathan U, Lewin S, Glenton C. Implementing large-scale programmes to optimise the health workforce in low- and middle-income settings: a multicountry case study synthesis. Trop Med Int Health. 2014; 19(12):1437-56. doi: 10.1111/tmi.12381 PMID: 25255908
39. Pallas SW, Minhas D, Perez-Escamilla R, Taylor L, Curry L, Bradley EH. Community health workers in low- and middle-income countries: what do we know about scaling up and sustainability? Am J Public Health. 2013; 103(7):e74-82. doi: 10.2105/AJPH.2012.301102 PMID: 23678926
40. Zulu JM, Kinsman J, Michelo C, Hurtig AK. Integrating national community-based health worker programmes into health systems: a systematic review identifying lessons learned from low-and middle-income countries. BMC Public Health. 2014; 14:987. doi: 10.1186/1471-2458-14-987 PMID: 25245825
41. Sundararaman T, Gupta G. Indian approaches to retaining skilled health workers in rural areas. Bull World Health Organ. 2011; 89(1):73-7. doi: 10.2471/BLT.09.070862 PMID: 21346894
42. Javanparast S, Baum F, Labonte R, Sanders D. Community health workers' perspectives on their contribution to rural health and well-being in Iran. Am J Public Health. 2011; 101(12):2287-92. doi: 10.2105/AJPH.2011.300355 PMID: 22021303
43. Javanparast S, Baum F, Labonte R, Sanders D, Rajabi Z, Heidari G. The experience of community health workers training in Iran: a qualitative study. BMC Health Serv Res. 2012; 12:291. doi: 10.1186/1472-6963-12-291 PMID: 22938138