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Ethiopia

Based at the Ethiopia Public Health Institute in Addis Ababa, the IDEAS team worked in four of Ethiopia’s ten regions - Amhara, Oromia, Southern Nations, Nationalities and Peoples and Tigray - to provide a rich source of data for funders, governments and non-governmental organisations working in maternal and newborn health in Ethiopia.

Working with our measurement, learning and evaluation partners and using multidisciplinary research methods, our findings on what works, why and how aims to close the gap in implementation research on how to get life-saving interventions to families at scale.

In Ethiopia, the IDEAS project worked across a range of research areas.

Supporting local decision-making

To enhance the capacity of health systems, quality data needs to be generated and used at the local level for timely course correction, improved health outcomes and the long-term sustainability of health initiatives. Following an Ethiopian feasibility study in 2012 and the experiences of a prototype phase in the state of West Bengal State in India, we developed an intervention to support data-driven decision-making at district level in Ethiopia, supported implementation over a period of 21 months, and used a cluster-randomised controlled evaluation in 24 districts (woreda) in North Shewa zone, which showed strong evidence of improved health information system performance and data-driven decision-making.

 

Understanding quality improvement

Building on our previous work to understand behaviour change at household level in Ethiopia, IDEAS used novel qualitative and quantitative approaches to understand health worker behaviours that drive quality improvement in the provision and utilisation of maternal and newborn health services.

One initiative supporting understanding quality improvement is the Quality of Care Network research (QCN). IDEAS collaborated with a multi-country research project titled: “How does a multi-country, multilateral network focused on specific health care improvements evolve and what shapes its ability to achieve its goals?” (‘QCN project’).  The parent project is led by the UCL Institute for Global Health. Working with the Ethiopian Public Health Institute (EPHI), IDEAS focused on the experience of Ethiopia as part of this larger body of research.

Fostering innovation sustainability

We studied how to scale-up and sustain maternal and newborn health innovations in Ethiopia, northeast Nigeria and Uttar Pradesh in India. We defined ‘scale-up’ as the adoption of donor-funded health innovations beyond original programme districts, and ‘sustainability’ as the longer-term implementation of donor-funded innovations that have been scaled-up.

Community-Based Newborn Care

Community-Based Newborn Care (CBNC) is an Ethiopian national initiative launched in 2013. It brings life-saving care to mothers and newborns at the community level within the Ethiopian health system. IDEAS collaborated with the Ethiopian Federal Ministry of Health and JaRco Consulting to evaluate the CBNC programme through a series of quantitative surveys and qualitative assessments over five years.

 

Published content

Journal article
Evaluating efforts to increase primary child health services in Ethiopia

This protocol, authored by Della Berhanu and others, published in BMC Health Services, describes an evaluation of a complex intervention that aims...


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Ethiopia
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Community-based newborn care
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Evaluation methods
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Evidence for policy and practice
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Research findings
News
In memory of Deepthi Wickremasinghe

Deepthi was a Research Fellow, specialising in qualitative research, systematic literature reviews and information and knowledge...


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Ethiopia
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General
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India
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Nigeria
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Fostering innovation sustainability
Report
Data Informed Platform for Health – training handbook

It also elaborates on the operationalisation and cyclical implementation of the Data-Informed Platform for Health at the district level. The...


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Ethiopia
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General
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Supporting local decision-making
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Local data use
Journal article
More efforts needed to reach poor and rural women with maternal health services in Ethiopia

Alem Desta Wuneh, a PhD student with the Dagu project, published this paper in the International Journal for Equity in Health. This study used...


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Ethiopia
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Community-based newborn care
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Tracking progress
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Context
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Evidence for policy and practice
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Research findings
Report
COMBINE – End of study report

This End of Study Qualitative Review sought to systematically document key learning points from the experience of implementing the COMBINE study...


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Ethiopia
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Community-based newborn care
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Evaluation methods
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Evidence for policy and practice
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Implementation projects
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Research findings
Journal article
Geographic differences in maternal and child health care utilisation in four Ethiopian regions

Atkure Defar, Dagu project lead at the Ethiopian Public Health Institute and a PhD student supported through the  project and his co-authors,...


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Ethiopia
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Tracking progress
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Evidence for policy and practice
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Research findings
News
Learning from joint research: Maternal, newborn and child health in Ethiopia

These are just some of the results discussed during a joint MNCH learning conference held in Addis Ababa, Ethiopia, on the 7th of November....


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Ethiopia
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Community-based newborn care
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Fostering innovation sustainability
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Improving measurement
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Supporting local decision-making
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Tracking progress
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Understanding quality improvement
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Behaviour change
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Capacity strengthening
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Context
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Economics
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Evaluation methods
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Evidence for policy and practice
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Implementation projects
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Implementation strength
Past event
LSHTM – EPHI Maternal Newborn and Child Health Learning Conference

The objective of the conference is to synthesize the learning emerging from the joint research efforts in Maternal, Newborn and Child...


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Ethiopia
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Community-based newborn care
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Fostering innovation sustainability
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Improving measurement
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Supporting local decision-making
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Tracking progress
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Understanding quality improvement
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Capacity strengthening
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Context
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Evidence for policy and practice
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Research findings
Journal article
Maternal and newborn health improves in rural Nigeria, Ethiopia and India but inequities still exist

“Our findings have a both optimistic and pessimistic interpretation, in that families from all socioeconomic status groups benefited, but...


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Ethiopia
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General
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India
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Nigeria
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Improving measurement
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Tracking progress
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Evidence for policy and practice
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Intervention coverage
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Research findings