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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

Report
IDEAS 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...


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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
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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
Past event
Health 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...


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Ethiopia
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General
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Nigeria
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Improving measurement
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Understanding quality improvement
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Research findings
Past event
IDEAS 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...


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Ethiopia
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Understanding quality improvement
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Behaviour change
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Context
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Evidence for policy and practice
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Implementation projects
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Implementation strength
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Research findings
Past event
IDEAS 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...


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Ethiopia
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Supporting local decision-making
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Capacity strengthening
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Evidence for policy and practice
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Local data use
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Research findings
News
IDEAS 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,...


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Ethiopia
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General
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Nigeria
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Improving measurement
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Supporting local decision-making
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Understanding quality improvement
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Behaviour change
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Context
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Evaluation methods
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Evidence for policy and practice
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Implementation strength
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Local data use
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Research findings
Journal article
Why data falsification happens

This qualitative study published in BMJ Global Health aimed to understand reasons why healthcare providers intentionally falsify maternal and...


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Ethiopia
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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
Embedding 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...


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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
Journal article
How 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...


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Ethiopia
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Understanding quality improvement
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Behaviour change
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Context
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Economics
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Evidence for policy and practice
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Research findings
Journal article
Can 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


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Ethiopia
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Understanding quality improvement
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Behaviour change
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Capacity strengthening
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Evidence for policy and practice
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Research findings