ArticleThe American journal of tropical medicine and hygiene2015
Determinants of Utilization of Health Extension Workers in the Context of Scale-Up of Integrated Community Case Management of Childhood Illnesses in Ethiopia.
Article in The American journal of tropical medicine and hygiene, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 5 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Analysis of the institutionalisation of Integrated Community Case Management and its implications for access to community healthcare since 2019 in Sub-Saharan Africa: a systematic review.BMC primary care · 2026Pooled it
- Factors Influencing Community Members' Perception of Primary Health Care Services Delivered by Community Health Workers in Rural Areas: A Systematic Review.The Australian journal of rural health · 2026Pooled it
- Systematic review of the quality of care provided to sick children in Ethiopian health facilities.Journal of global health · 2024Pooled it
- Health extension service utilization in Ethiopia: systematic review and meta-analysis.BMC health services research · 2024Pooled it
- Community health workers and health equity in low- and middle-income countries: systematic review and recommendations for policy and practice.International journal for equity in health · 2022Pooled it
- Mapping multilevel barriers impacting the performance of Ethiopia's Community-Based Health Extension Program: A scoping review.PloS one · 2026Article
- The pathway to child survival in the Birhan Cohort, Ethiopia, 2018-22.Journal of global health · 2025Article
- Multidimensional performance enablers of Ethiopian community-based health extension program: A scoping review.PloS one · 2025Article
- Strengthening primary health care in Ethiopia: A scoping review of successes, challenges, and pathways towards universal health coverage using the WHO monitoring framework.PLOS global public health · 2025Article
- Barriers to equitable healthcare services for under-five children in Ethiopia: a qualitative exploratory study.BMC health services research · 2024Article
- Management of children with danger signs in integrated community case management care in rural southwestern Uganda (2014-2018).International health · 2024Observational
- Quality of sick child management by health extension workers: role of a complex improvement intervention.BMC health services research · 2023Article
- Contribution of community health workers to the treatment of common illnesses among under 5-year-olds in rural Uganda.Malaria journal · 2022Article
- Article
- Utilization of integrated community case management service of childhood illness (ICCM) and associated factors among under-five children in Shashogo district, Hadiya zone, south Ethiopia.SAGE open medicine · 2022Article
- Timely health care seeking and first source of care for acute febrile illness in children in Hawassa, southern Ethiopia.PloS one · 2022Article
- Integrated Community Case Management Utilization Status and Associated Factors Among Caretakers of Sick Children Under the Age of 5 Years in West Shewa, Ethiopia.Frontiers in public health · 2022Article
- Barriers to the uptake of community-based curative child health services in Ethiopia.BMC public health · 2021Article
- Barriers to the utilization of community-based child and newborn health services in Ethiopia: a scoping review.Health policy and planning · 2021Article
- Child Caregiver's healthcare seeking behavior and its determinants for common childhood illnesses in Addis Ababa, Ethiopia: a community-based study.Italian journal of pediatrics · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Ethiopia has invested significant resources in integrated community case management (iCCM) of childhood illness. In Oromia Region, iCCM scale-up was phased in, allowing for comparisons between districts providing iCCM and routine services. We assessed the determinants of utilization of health extension workers (HEWs) delivering iCCM services at rural health posts by caregivers of sick, under-five children in a cross-sectional survey. We found low utilization of HEWs with only 9.3% of caregivers of a child sick with diarrhea, fever, and/or pneumonia in the previous 2 weeks taking their child to HEWs in both iCCM and routine areas. There was a higher likelihood of utilization of HEWs in iCCM areas (OR: 1.44; 95% CI: 0.97-2.12; P = 0.07), but this effect disappeared after accounting for confounders. In iCCM areas, maternal education, illness type, and distance were associated with utilization. Perceptions of illness severity and service quality were the primary reasons given for not utilizing the health post. Our findings suggest that though iCCM is reaching some vulnerable populations, there remain significant barriers to use of HEWs delivering iCCM services. Efforts for demand generation and minimization of remaining barriers are urgently needed for the sustained success of the iCCM strategy in Ethiopia.
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