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 article
Has 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...
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Ethiopia
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Community-based newborn care
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Evidence for policy and practice
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Implementation projects
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Research findings
Published content
Blog Post
Who decides what and how? Making decision-making in health systems more effectiveIn the past, researchers have preferred to target policy-makers – to understand their perspective, develop supportive approaches and tools, and...
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Ethiopia
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General
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India
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Supporting local decision-making
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Evidence for policy and practice
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Local data use
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Scale-up
News
Learn more about ORCAThe ORCA webpage provides regular updates on workshops and research which will strengthen the quality and use of routine health data. ORCA is a...
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Ethiopia
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Capacity strengthening
News
Celebrating 8 years of IDEASJust a few weeks before this exciting milestone the IDEAS team from London, Ethiopia and Nigeria came together for a team retreat to hear from...
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Ethiopia
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General
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India
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Nigeria
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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
Journal article
Ownership in Name, But not Necessarily in ActionThree different commentaries by Melisa Martinez-Alvarez; Osondu Ogbuoji and Gavin Yamey; as well as Elvira Beracochea on the IDEAS-led research on...
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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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Research findings
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Scale-up
News
IDEAS at #HSR2018New evidence presented as posters (above) included: Sustainability for a Village Health Worker scheme in Nigeria Availability of routine facility...
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Ethiopia
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General
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India
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Nigeria
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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
News
A successful project – or just good timing? Measuring interventions and their impact on health outcomesAttributing changes in health outcomes to specific interventions or projects is tricky. Oftentimes coincidental factors, such as the construction...
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Ethiopia
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General
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Improving measurement
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Tracking progress
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Understanding quality improvement
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Evaluation methods
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Implementation projects
Journal article
Early postnatal home visits: a qualitative study of barriers and facilitators to achieving high coverageA paper co-authored by Yared Amare, Pauline Scheelbeek and IDEAS team members Zelee Hill, Joanna Schellenberg, and Della Berhanu and published in...
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Ethiopia
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General
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Understanding quality improvement
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Context
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Intervention coverage
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Research findings
Journal article
Quality over quantity?Do we need to pay more attention to the quality of health care visits over how many visits are taking place in low resource settings? Is it an...
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Ethiopia
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General
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Improving measurement
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Evaluation methods
Journal article
Six steps to prevent a development project ending in the graveyardIn reality however, in more cases than not, once donor funding dries up, the project comes to an end, thereby limiting the project’s longer term...
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Ethiopia
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India
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Nigeria
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Fostering innovation sustainability
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Scale-up