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Optimizing integration of community-based management of possible serious bacterial infection (PSBI) in young infants into primary healthcare systems in Ethiopia and Kenya: successes and challenges

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Authors: Gizachew Tadele Tiruneh, George Odwe, Alexandra Haake Kamberos, Kezia K'Oduol, Nebreed Fesseha, Zipporah Moraa, Hellen Gwaro, Dessalew Emaway, Hema Magge, Yasir Bin Nisar, Lisa R Hirschhorn

Ethiopian Health Extension Workers (HEWs) and Kenyan Community Health Volunteers (CHVs) play key roles in implementing community-based treatment for serious newborn infections (PSBI) within their health systems. From November 2020 to August 2021, both countries conducted research to improve PSBI management during COVID-19, employing strategies like coaching for health workers and supply chain enhancements. Results indicated enhanced PSBI treatment and better connections between communities and health facilities. Challenges persisted, including service quality issues and supply shortages. However, the participatory approach helped identify barriers and inform strategies for improved integration, strengthening community-health system relationships. Despite limitations, this research offers valuable insights for scaling up PSBI management and enhancing neonatal health, especially during health crises like the COVID-19 pandemic. Further economic evaluation is recommended for long-term sustainability, emphasizing continued support for frontline workers and effective supply chain management.

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Resource Topic: Child health

Resource Type: Mixed Methods

Year: 2024

Region: Sub-Saharan Africa (SSA)

Country: Ethiopia, Kenya

Publisher May Restrict Access: No

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