ArticleBMC pregnancy and childbirth2018
Effects of a community-based data for decision-making intervention on maternal and newborn health care practices in Ethiopia: a dose-response study.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Conceptualisation and application of implementation strength in public health programmes within health systems: a systematic review.BMC health services research · 2026Pooled it
- Community-Based Health Information Systems in Africa: A Scoping Review of Data Generation, Utilization, and Community Empowerment.Wellcome open research · 2024Pooled it
- Interventions to improve infant and young child feeding practices in Ethiopia: a systematic review.BMJ open · 2021Pooled it
- Implementation of the 'Optimising the Health Extension Program' Intervention in Ethiopia: A Process Evaluation Using Mixed Methods.International journal of environmental research and public health · 2020Trial
- Article
- What does it take to design digitally enabled performance management and incentive interventions for community health programs: Lessons from Ethiopia.PLOS digital health · 2025Article
- How Can Community Data Be Leveraged to Advance Primary Health Care? A Scoping Review of Community-Based Health Information Systems.Global health, science and practice · 2024Article
- The Effect of Community Health Information System on Health Care Services Utilization in Rural Ethiopia.Ethiopian journal of health sciences · 2023Article
- What's in a name? Unpacking 'CommunityBMJ global health · 2023Article
- If fear of infertility restricts contraception use, what do we know about this fear? An examination in rural Ethiopia.Reproductive health · 2022Article
- The Combined Effects of Patient Activation and Relational Aspects on the Quality of Life in Atrial Fibrillation Patients.Frontiers in psychology · 2021Article
- Determinants of postnatal care utilization in Ethiopia: a multilevel analysis.BMC pregnancy and childbirth · 2020Article
- Article
- Counseling at all contacts for postpartum contraceptive use: can paper-based tools help community health workers improve continuity of care? A qualitative study from Ethiopia.Gates open research · 2019Article
- Effects of family conversation on health care practices in Ethiopia: a propensity score matched analysis.BMC pregnancy and childbirth · 2018Article
- Correlates of the Women's Development Army strategy implementation strength with household reproductive, maternal, newborn and child healthcare practices: a cross-sectional study in four regions of Ethiopia.BMC pregnancy and childbirth · 2018Article
- The potential of community engagement to improve mother and child health in Ethiopia - what works and how should it be measured?BMC pregnancy and childbirth · 2018Article
- Effects of a participatory community quality improvement strategy on improving household and provider health care behaviors and practices: a propensity score analysis.BMC pregnancy and childbirth · 2018Article
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunity participation and community health volunteer programs are an essential part of the health system so that health services are responsive and accountable to community needs. Information systems are necessary for community health volunteer programs to be effective, yet effectiveness evaluations of such information systems implemented at scale are rare. In October 2010, a network of female volunteers with little or no literacy, the Women's Development Army (WDA), was added to extend Ethiopia's Health Extension Program services to every household in the community. Between July 2013 and January 2015, a health management information system for the WDA's Community-Based Data for Decision-Making (CBDDM) strategy was implemented in 115 rural districts to improve the demand for and utilization of maternal and newborn health services. Using the CBDDM strategy, Health Extension Workers (HEWs) fostered the WDA and community leaders to inform, lead, own, plan, and monitor the maternal and newborn health interventions in their kebeles (communities). This paper examines the effectiveness of the CBDDM strategy.
methodsUsing data from cross-sectional surveys in 2010-11 and 2014-15 from 177 kebeles, we estimated self-reported maternal and newborn care practices from women with children aged 0 to 11 months (2124 at baseline and 2113 at follow-up), and a CBDDM implementation strength score in each kebele. Using kebele-level random-effects models, we assessed dose-response relationships between changes over time in implementation strength score and changes in maternal and newborn care practices between the two surveys.
resultsKebeles with relatively high increases in CBDDM implementation strength score had larger improvements in the coverage of neonatal tetanus-protected childbirths, institutional deliveries, clean cord care for newborns, thermal care for newborns, and immediate initiation of breastfeeding. However, there was no evidence of any effect of the intervention on postnatal care within 2 days of childbirth.
conclusionsThis study shows the extent to which an information system for community health volunteers with low literacy was implemented at scale, and evidence of effectiveness at scale in improving maternal and newborn health care behaviors and practices.
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