Relevance of the Health Extension Program to the current Health Needs and Evolving Demands of Rural Ethiopia: A Mixed-Method Analysi
Ethiop. j. health sci
; 33(1): 75-84, 2023. figures, tables
Artigo
em Inglês
| AIM (África)
| ID: biblio-1426238
Biblioteca responsável:
CG1.1
ABSTRACT
BACKGROUND:
Ethiopia has been implementing a health extension program (HEP) to respond to the high maternal and child mortality in rural communities. HEP has brought tremendous contributions to improved access and coverage of primary healthcare in the last 15 years. Despite its attributions, attention to HEP has declined in recent years due to several reasons. This study is designed to explore HEP's relevance to the current healthcare needs of the rural communities.METHODS:
This study is a nested cross-sectional mixed method to the overall HEP's evaluation between March and May 2019. Descriptive statistics were used on qualitative and quantitative assessment. A literature review supplemented the assessment. A representative quantitative sample of 11,746 women, men, and young girls; a qualitative sample of 268 key informants from Kebele administrators, HEWs, program people in the health system and focus groups from community leaders, men and women from 185 Kebeles in 62 woredas were selected. A thematic approach was used for qualitative analysis.RESULTS:
Rural communities and program managers asserted that HEP's service packages with the existing service delivery modalities were relevant. Eighty-two percent of men and women and 77% of young girls confirmed this relevance. Besides the existing packages, additional curative services for adults and children were recommended with emphasis on the pastoralist community. HEP's service uptake has declined as over 86% of targeted rural communities bypassed HPs due to unavailability of services and capacity problems of HEWs.CONCLUSION:
The current HEP packages with the existing service delivery modalities are still relevant to the rural communities' health needs. However, on-going changes to address the evolving demands of the targeted rural communities are crucial
Texto completo
- https://indexmedicus.afro.who.int/iah/fulltext/Relevance of the health extension program to the current health needs and evolving demands of rural Ethiopia a mixed method analysis.pdf
- https://www.ethjhealths.org/relevance-health-extension-program-current-health-needs-and-evolving-demands-rural-ethiopia-mixed
- https://fi-admin.bvsalud.org/document/view/5cpkc
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.2 Reduzir as mortes de recém nascidos e crianças com menos de 5 anos
Problema de saúde:
Arranjos de Entrega
/
Meta 3.1: Reduzir a mortalidade materna
/
Meta 3.2: Reduzir as mortes de recém nascidos e crianças com menos de 5 anos
/
Nutrição
Base de dados:
AIM (África)
Assunto principal:
Relevância Clínica
/
Necessidades e Demandas de Serviços de Saúde
Tipo de estudo:
Pesquisa qualitativa
Limite:
Humanos
Idioma:
Inglês
Revista:
Ethiop. j. health sci
Ano de publicação:
2023
Tipo de documento:
Artigo
Instituição/País de afiliação:
Centre for Innovative Drug Development and Therapeutic Studies for Africa (CDTAfrica), College of Health Science/ET
/
Jimma University, Department of Epidemilogy/ET
/
MERQ Consultancy PLC/ET
/
MERQ Consultancy PLC, Addis Ababa/ET