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 (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.
Journal articleHas Ethiopia been successful in increasing health care utilisation for children?
Despite a range of programmes and initiatives introduced in Ethiopia since 2003 care-seeking for sick under-five children has remained low. The...
ReportIDEAS Phase 2 Final Report 2022
In 2016, the IDEAS project entered a second phase of work, building on lessons learned from phase one. Five key research themes were...
Past eventHealth Systems Research 2022
This year’s HSR conference has the theme of Health Systems Performance in the Political Agenda: Sharing Lessons on Current and Future Global...
Past eventIDEAS webinar series: Part 2 How collaboration is experienced within Quality Improvement Collaboratives in Ethiopia
Quality improvement collaboratives require collaboration across and within health facilities to enable and accelerate quality improvement. Little...
Past eventIDEAS Webinar Series: Part 1 Enabling data-driven decision making in the district health system in Ethiopia
The Data-Informed Platform for Health (DIPH) is a health system-strengthening intervention which uses local data sources to promote structured...
NewsIDEAS webinar series 2022
IDEAS webinar series in collaboration with the MARCH Centre and Centre for Evaluation IDEAS Phase 2 has focussed on understanding what works,...
Journal articleWhy data falsification happens
This qualitative study published in BMJ Global Health aimed to understand reasons why healthcare providers intentionally falsify maternal and...
Journal articleEmbedding Community-Based Newborn Care in the Ethiopian health system: lessons from a 4-year programme evaluation
This study was published as part of journal supplement on Reimagening health systems for better health and social justice in Health Policy and...
Journal articleHow health care workers choose their jobs: a discrete choice experiment in Ethiopia
This study unlike many others, which interview doctors or medical students, aimed to understand job preferences of lower-skilled cadres such as...
Journal articleCan quality improvement programmes affect health care workers’ motivation?
A knowledgeable and motivated workforce is critical for health systems to provide high-quality services. Many low- and middle-income countries