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...
ReportCommunity Based Newborn Care in Ethiopia: Quality of CBNC programme assessment Midline Evaluation Report March 2017
The results of a quality of care assessment of the Ethiopian Community Based Newborn Care (CBNC) programme, conducted in late 2015.
Journal article‘The stars seem aligned’
A qualitative study of context on scale-up of maternal and newborn health innovations in #Ethiopia #India & #Nigeria https://t.co/OEy3JIZYXL —...
Journal articleDistrict decision-making for health in low-income settings: a feasibility study of a data-informed platform for health in India, Nigeria and Ethiopia
A study of the feasibility of using a data informed platform for health in a district health systems context in five districts of India, Nigeria and Ethiopia.
Journal articleDistrict decision-making for health in low-income settings: a case study of the potential of public and private sector data in India and Ethiopia
A study documenting the nature and type of data collected by the public and private health systems, data flow and sharing, use and inter-sectoral linkages in India and Ethiopia.
ReportChanges in maternal and newborn health care in Ethiopia
The aim of this study was to estimate changes in maternal and newborn health care in areas of Ethiopia where implementation projects funded by the Bill & Melinda Gates Foundation were operating.
NewsAccelerating progress in Maternal and Newborn Child Health
How do we scale-up high impact service packages that will accelerate progress in maternal and newborn child health towards the 2030 Sustainable...
Research briefCatalysing scale-up of maternal and newborn health innovations in Ethiopia
Scaling-up community-based neonatal sepsis management across a large geographical area produced challenges, yet there have also been positive and enabling factors in Ethiopia
Research briefSummary of IDEAS maternal and newborn household and facility surveys in Ethiopia for local health officials
Two page summary of IDEAS household and facility surveys in Ethiopia for local health officials
Journal articleAdding Content to Contacts: Measurement of High Quality Contacts for Maternal and Newborn Health in Ethiopia, North East Nigeria, and Uttar Pradesh, India
Families in high mortality settings need regular contact with high quality health services. This paper presents a method for estimating the population level coverage of high quality contacts.