Health extension workers' perceived health system context and health post preparedness to provide services: a cross-sectional study in four Ethiopian regions.

BMJ Open
Theodros GetachewDella Berhanu

Abstract

The health system context influences the implementation of evidence-based practices and quality of healthcare services. Ethiopia aims at reaching universal health coverage but faces low primary care utilisation and substandard quality of care. We assessed the health extension workers' perceived context and the preparedness of health posts to provide services. This study was part of evaluating a complex intervention in 52 districts of four regions of Ethiopia. This paper used the endline data collected from December 2018 to February 2019. A total of 152 health posts and health extension workers serving selected enumeration areas were included. We used the Context Assessment for Community Health (COACH) tool and the Service Availability and Readiness Assessment tool. Internal reliability of COACH was satisfactory. The dimensions community engagement, work culture, commitment to work and leadership all scored high (mean 3.75-4.01 on a 1-5 scale), while organisational resources, sources of knowledge and informal payments scored low (1.78-2.71). The general service readiness index was 59%. On average, 67% of the health posts had basic amenities to provide services, 81% had basic equipment, 42% had standard precautions for infection ...Continue Reading

References

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Software Mentioned

Context Assessment for
Tigrigna
Amharic
Context Assessment for Community Health ( COACH )
COACH
STATA

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