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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

News
Putting maternal, newborn and child health on the agenda in Ethiopia

As part of the conference IDEAS team members presented key findings from the five-year evaluation of the Community Based Newborn Care (CBNC)...


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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
Report
Final evaluation of the Community Based Newborn Care (CBNC) programme in Ethiopia

The overall evaluation plan included baseline, quality of care and follow up surveys, as well as two qualitative studies. It was conducted in...


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Ethiopia
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Community-based newborn care
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Research findings
Past event
MNCHAN Conference Addis Ababa, Ethiopia

As part of this conference IDEAS will be presenting findings from the five-year evaluation of the Community Based Newborn Care (CBNC) programme....


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Ethiopia
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Community-based newborn care
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Research findings
Journal article
Mapping complex interventions – lessons from developing and applying a characterisation framework in Nigeria, Ethiopia and India

This paper authored by Krystyna Makowiecka et al and published in BMJ Global Health al describes how government leadership to enhance maternal and...


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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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Supporting local decision-making
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Context
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Evidence for policy and practice
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Implementation projects
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Research findings
Journal article
Stronger diagnostic abilities for common childhood illnesses needed in Ethiopia

This paper published by Theodros Getachew et al in Acta Paediatrica reveals findings from a study which included a survey and observations of the...


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Ethiopia
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Community-based newborn care
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Understanding quality improvement
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Evidence for policy and practice
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Research findings
Journal article
‘People have started to deliver in the facility these days’: a qualitative exploration of factors affecting facility delivery in Ethiopia

The findings in this paper, authored by Zelee Hill and others suggest that barriers, which had prevented women in the past from delivering their...


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Ethiopia
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Community-based newborn care
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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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Research findings
News
We are hiring

We are seeking to appoint a Project Coordinator. The post holder will be responsible for providing efficient administrative, logistical and...


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Ethiopia
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General
News
What to expect from IDEAS this year

In Nigeria, our work on tracking progress and promoting the use of data for decision making in Gombe State will be completed this year. A final...


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Ethiopia
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Nigeria
News
Recruiting a Research Assistant

The post-holder will coordinate action research on the Data Informed Platform for Health (DIPH), a district-level data-sharing, evidence-based...


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Ethiopia
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Supporting local decision-making
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Local data use