Strengthening maternal and newborn health in rural Ethiopia: Early results from frontline health worker community maternal and newborn health training

Dynes, Michelle; Buffington, Sandra Tebben; Carpenter, Mary; Handley, Anna; Kelley, Maureen A.; Tadesse, Lelisse; Beyene, Hanna Tessema; Sibley, Lynn

doi:10.1016/j.midw.2012.01.006

Cited by 35 publications

(64 citation statements)

References 8 publications

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“…Community-based integrated primary health care interventions have been proved as an effective and efficient way to reduce maternal deaths and improve utilization of maternal health care services in Ethiopia (Ergano et al 2012;Dynes et al 2013). The Government of Ethiopia has adopted an approach called the 'health extension programme' (HEP) to provide services in pastoral areas (Ergano et al 2012;Umer 2012;Dynes et al 2013).…”

Section: Nomadic Best Practices From Other Countriesmentioning

confidence: 99%

“…The Government of Ethiopia has adopted an approach called the 'health extension programme' (HEP) to provide services in pastoral areas (Ergano et al 2012;Umer 2012;Dynes et al 2013). The main goal of this approach is to prevent maternal mortality and morbidity among pastoralists by enhancing equitable access to community-based promotive, preventive and selected curative health care interventions (Ergano et al 2012).…”

Section: Nomadic Best Practices From Other Countriesmentioning

confidence: 99%

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Factors influencing the utilization of maternal health care services by nomads in Sudan

Shiekh¹,

Kwaak

2015

Pastoralism

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Sudan has high maternal mortality. The rate among nomads -groups of people who move from place to place as a way of obtaining food, finding pasture or make a living -is very high and varies between different regions of the country. The objective of the study is to identify the factors affecting the utilization of maternal health care services by nomadic communities in Sudan, to make recommendations to improve their health. Nomadic health practices and health care services are the main influencing factors affecting the utilization of maternal health care services. Nomadic health practices are influenced by the mobile lifestyle of nomads, their low level of education and knowledge, gender norms, beliefs, values and attitudes, and their geographical locations. Existing health care services are ill-adapted to the nomadic lifestyle. The study also demonstrates some best practices from other countries that can be applied to the nomadic context in Sudan, such as community health workers, training and support for traditional birth attendants, provision of joint mobile health services for humans and livestock and the establishment of maternity or birth waiting homes. Since the utilization of maternal health care services by nomads is extremely low, the study recommends evidence-based strategies to increase community demand for services or bring women closer to emergency obstetric services.

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Section: Nomadic Best Practices From Other Countriesmentioning

confidence: 99%

Section: Nomadic Best Practices From Other Countriesmentioning

confidence: 99%

Factors influencing the utilization of maternal health care services by nomads in Sudan

Shiekh¹,

Kwaak

2015

Pastoralism

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“…As a result, in 2003 the Ethiopian government began an ambitious programme to expand and improve its primary health care system (Dynes et al, 2013;World Health Organization, 2002). The first phase of the Health Sector Development Programme (HSDP I) established a four-tier health care system, represented at the community level by primary health care units (PHCUs).…”

Section: Setting and Interventionmentioning

confidence: 99%

Preferences for home delivery in Ethiopia: Provider perspectives

Sipsma

Thompson²,

Maurer

et al. 2013

Global Public Health

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More than half of the maternal deaths worldwide occur in sub-Saharan Africa, most commonly during childbirth or the immediate post-partum period. Although delivery in health care facilities can avert maternal deaths, many women in sub-Saharan Africa continue to deliver at home. Factors influencing mothers' decisions to use facility-based delivery services in rural, low-income settings are not well understood. Health care professionals who provide delivery services in these areas may have unique insights about factors specific to such settings. Accordingly, we conducted a qualitative study of health care professionals in rural Ethiopia to determine key factors influencing facility delivery, using in-depth interviews and the constant comparative method of data analysis. Results suggest multiple influences on women's decisions to deliver at home, including inadequate resources in facilities; unappealing aspects of delivery in facility settings; and known barriers to accessing services such as distance, transportation and cost. Our findings suggest that local health care providers offer valuable insight into why many rural Ethiopian women deliver their babies at home, despite major efforts to promote facility-based delivery. Their perspectives underscore the importance of a patient-centred approach to delivery services, which is often lacking in low-resource settings but may be fundamental to encouraging facility-based deliveries.

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“…In response to these problems, and recognizing the widening gap between the need for healthcare and poor healthcare service provision, it was in 2004 that the Ethiopian government introduced a new health program known as Health Extension Program (HEP) at a national level as a structural reform of the national healthcare system. The goal was to improve health outcomes through providing accessible and equitable basic healthcare services to the large population of the country (CNHDE, 2011;Dynes et al, 2012;HEPCAPS1, 2012). The program makes use of Community Health Workers (CHWs), known as Health Extension Workers (HEWs), to provide basic healthcare services and health promotion at village health posts (HPs) on a door-to-door, community outreach and health post basis with especial focus on child and maternal health (FMoH, 2015, FMoH 2013 1 .…”

Section: Introductionmentioning

confidence: 99%

Efficiency of the Ethiopian Health Extension Program: An Application of Data Envelopment Analysis

Gebresilassie¹,

NYTANGA²

2017

EJBE

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Strengthening maternal and newborn health in rural Ethiopia: Early results from frontline health worker community maternal and newborn health training

Cited by 35 publications

References 8 publications

Factors influencing the utilization of maternal health care services by nomads in Sudan

Factors influencing the utilization of maternal health care services by nomads in Sudan

Preferences for home delivery in Ethiopia: Provider perspectives

Efficiency of the Ethiopian Health Extension Program: An Application of Data Envelopment Analysis

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