Management of bacterial infections in young infants in Ethiopia: Facility preparedness, health workers’ knowledge and quality of care

Getahun, Tigist; Azale, Telake; Alemayehu, Mekuriaw; Yitayal, Mezgebu; Persson, Lars‐Åke; Berhanu, Della

doi:10.1111/apa.16364

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…More needs to be done to improve child health. Therefore, the study by Getahun et al in this issue of Acta Paediatrica, 3 in which new data on the management of bacterial infection in young infants in Ethiopia is presented, is timely. More specifically, the authors describe primary care facility preparedness, health workers' knowledge, and the classification and treatment of potentially serious bacterial infections and local bacterial infections in young infants.…”

mentioning

confidence: 99%

Strengthened health systems and a multisectoral approach are needed to achieve sustainable health gains for children

Alfvén

2022

Acta Paediatrica

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mentioning

confidence: 99%

Strengthened health systems and a multisectoral approach are needed to achieve sustainable health gains for children

Alfvén

2022

Acta Paediatrica

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A qualitative study of healthcare workers’ living and working conditions in rural and urban areas of Senegal in the context of Universal Health Coverage: the ANRS-12399 Soignants Senegal study

Diop,

Boutet,

Coulibaly

et al. 2024

Preprint

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Background Healthcare delivery in Senegal is hindered by a limited, unequally distributed healthcare workforce, and by inadequate infrastructure which negatively impact access to quality care and good health outcomes. Despite efforts to improve healthcare delivery through Universal Health Coverage (UHC), progress remains insufficient. We investigated the living and working conditions of Senegalese healthcare workers (HWs), specifically their representations and experiences of the implementation of UHC programs. Methods The ANRS-12399 Soignants Senegal study focused on HWs, including community HWs, working in health posts, health centers, regional and national hospitals, located in urban, sub-urban and rural areas. Individual semi-structured interviews were conducted with doctors and with new (preceding 12 months) arrivals (any HR type). Instead, separate semi-structured focus groups were conducted for non-doctor HWs who had graduated in a chosen technical field (e.g., nurses) and non-graduate HWs (e.g., community HWs). Results The sample comprised 60 HWs; median age was 34 years (IQR [29.5–37.5]). Those with administrative responsibility were more likely to have an understanding of the UHC’s various programs. UHC implementation had led to debt for care structures, poorer working conditions because of a deterioration of the patient-HW relationship through unexpected out-of-pocket costs for supposedly free services, delayed salary payment, and drug stock-outs. Moreover, job tenure was shorter in rural areas and for doctors, indicating the attractiveness of urban workplaces and greater doctor mobility, respectively. Reasons for leaving rural positions included dissatisfaction because of poor recognition, limited opportunities for career development, equipment and training infrastructure shortages, distance from one’s family, and the absence of financial incentives. HWs working in urban settings faced more equipment maintenance issues, but were less likely to leave their position. Different knowledge acquisition desires drove mobility to and from rural areas; seeking stable contracts motivated HWs to work in rural areas. Conclusion HWs working in rural Senegal face greater challenges. Deciding whether to work there entails more than financial considerations. Although UHC is not the origin of HWs’ poor working conditions in the country, it exacerbates them. Addressing difficulties HWs face in rural Senegal is essential to ensure retention and better implementation of the UHC’s various programs.

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Management of bacterial infections in young infants in Ethiopia: Facility preparedness, health workers’ knowledge and quality of care

Cited by 2 publications

References 19 publications

Strengthened health systems and a multisectoral approach are needed to achieve sustainable health gains for children

Strengthened health systems and a multisectoral approach are needed to achieve sustainable health gains for children

A qualitative study of healthcare workers’ living and working conditions in rural and urban areas of Senegal in the context of Universal Health Coverage: the ANRS-12399 Soignants Senegal study

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