Ethiopia

What mechanisms drive uptake of family planning when integrated with childhood immunisation in Ethiopia? A realist evaluation

Maternal and child health are key priorities of the Sustainable Development Goals. Two components of maternal and child health are family planning (FP) and immunization. This study shares findings on how CHWs are providing integrated services that can increase the uptake of vaccines and modern contraceptive methods. … [Read more...] about What mechanisms drive uptake of family planning when integrated with childhood immunisation in Ethiopia? A realist evaluation

CHWs in low-income countries often provide postnatal care services in areas with limited access to formal health care. Yemane Tesfau and colleagues evaluated service area coverage and provision of care by CHWs in Ethiopia to assess health system needs. Health extension workers visited 15% of mothers within three days after childbirth and 24% within 42 days. The researchers call … [Read more...] about Postnatal home visits by health extension workers in rural areas of Ethiopia: a cross-sectional study design

Ethiopian primary health care usage for sick children is low, possibly due to poor perceptions about the quality of care in local settings. Dawit Wolde Daka and colleagues evaluated the quality of care among health extension workers for children under-five. Health extension workers failed to adhere to Community Case management guidelines with over 80% of sick children. … [Read more...] about Quality of clinical assessment and management of sick children by Health Extension Workers in four regions of Ethiopia: A cross-sectional survey

Ethiopia received recognition as one of sub-Saharan Africa’s models of primary care, due in part to training and deploying over 30,000 Health Extension Workers since 2004. Kevin Croke discusses factors enabling the country to implement the program at scale. … [Read more...] about The origins of Ethiopia’s primary health care expansion: The politics of state building and health system strengthening

Low- and middle-income countries sometimes experience challenges motivating and retaining CHWs. Nikita Arora and colleagues interviewed Ethiopian Health Extension Workers (HEW) to identify opportunities to improve retention policies. In addition to financial incentives, the researchers identified improvements in health facility infrastructure, provision of childcare, and … [Read more...] about Understanding the importance of nonmaterial factors in retaining community health workers in low-income settings: a qualitative case-study in Ethiopia