ArticleEthiopian journal of health sciences2016
The Role of Health Extension Workers in Linking Pregnant Women With Health Facilities for Delivery in Rural and Pastoralist Areas of Ethiopia.
Article in Ethiopian journal of health sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
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27 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Multilevel determinants of community health workers for an effective maternal and child health programme in sub-Saharan Africa: a systematic review.BMJ global health · 2022Pooled it
- Health services uptake among nomadic pastoralist populations in Africa: A systematic review of the literature.PLoS neglected tropical diseases · 2020Pooled it
- Contribution of women's development army to maternal and child health in Ethiopia: a systematic review of evidence.BMJ open · 2019Pooled it
- Dynamic copula Bayesian network predictive model for assessing the impact of initiative programs on child undernutrition in Ethiopia, 2009-2016.BMC public health · 2026Article
- Mapping multilevel barriers impacting the performance of Ethiopia's Community-Based Health Extension Program: A scoping review.PloS one · 2026Article
- Article
- Inequalities in use of hospitals for childbirth among rural women in sub-Saharan Africa: a comparative analysis of 18 countries using Demographic and Health Survey data.BMJ global health · 2024Article
- Article
- Men's knowledge, attitudes, and associated factors toward obstetric danger signs: A community-based cross-sectional study in Debre Tabor North West, Ethiopia.Journal of family medicine and primary care · 2023Article
- Community-based newborn care intervention fidelity and its implementation drivers in South Wollo Zone, North-east Ethiopia.PLOS global public health · 2023Article
- Article
- Community perception of barriers and facilitators to institutional delivery care-seeking behavior in Northwest Ethiopia: a qualitative study.Reproductive health · 2022Article
- Exploring complementary and competitive relations between non-communicable disease services and other health extension programme services in Ethiopia: a multilevel analysis.BMJ global health · 2022Article
- Utilization of Skilled Birth Attendance among Mothers Who Gave Birth in the Last 12 Months in Kembata Tembaro Zone.Advances in medicine · 2022Article
- Article
- An innovative intervention to improve respectful maternity care in three Districts in Ethiopia.BMC pregnancy and childbirth · 2021Article
- Contributing barriers to loss to follow up from antenatal care services in villages around Addis Ababa: a qualitative study.BMC women's health · 2021Article
- Article
- Is patient navigation a solution to the problem of "leaving no one behind"? A scoping review of evidence from low-income countries.Health policy and planning · 2021Article
- Article
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2 authors.
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Abstract
backgroundWomen's preference to give birth at home is deeply embedded in Ethiopian culture. Many women only go to health facilities if they have complications during birth. Health Extension Workers (HEWs) have been deployed to improve the utilization of maternal health services by bridging the gap between communities and health facilities. This study examined the barriers and facilitators for HEWs as they refer women to mid-level health facilities for birth.
methodsA qualitative study was conducted in three regions: Afar Region, Southern Nations Nationalities and People's Region and Tigray Region between March to December 2014. Interviews and focus group discussions were conducted with 45 HEWs, 14 women extension workers (employed by Afar Pastoralist Development Association, Afar Region) and 11 other health workers from health centers, hospitals or health offices. Data analysis was done based on collating the data and identifying key themes.
resultsBarriers to health facilities included distance, lack of transportation, sociocultural factors and disrespectful care. Facilitators for facility-based deliveries included liaising with Health Development Army (HDA) leaders to refer women before their expected due date or if labour starts at home; the introduction of ambulance services; and, provision of health services that are culturally more acceptable for women.
conclusionHEWs can effectively refer more women to give birth in health facilities when the HDA is well established, when health staff provide respectful care, and when ambulance is available at any time.
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