ArticlePloS one2020
Effectiveness of participatory community solutions strategy on improving household and provider health care behaviors and practices: A mixed-method evaluation.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Family systems care approaches and methodologies for maternal, newborn and child health in low- and middle-income countries: a scoping review.Global health action · 2025Article
- From separate streams to confluence: A framework for meaningful mixed methods integration in African primary care research.African journal of primary health care & family medicine · 2025Article
- Successes and Challenges Related to Community Participation in Primary Health Care and Health Programs in the IGAD Region: A Scoping Review.La Tunisie medicale · 2025Article
- Networks of care for optimizing Primary Health Care Service Delivery in Ethiopia: Enhancing relational linkages and care coordination.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 and enablers of quality improvement in primary health care in low- and middle-income countries: A systematic review.PLOS global public health · 2024Article
- Community engagement initiatives in primary health care to achieve universal health coverage: A realist synthesis of scoping review.PloS one · 2023Article
- Improving public health sector service delivery in the Free State, South Africa: development of a provincial intervention model.BMC health services research · 2022Article
- Predictors of maternal and newborn health service utilization across the continuum of care in Ethiopia: A multilevel analysis.PloS one · 2022Article
- Evaluation of the Direct Health Facility Financing Program in Improving Maternal Health Services in Pangani District, Tanzania.International journal of women's health · 2021Article
- Determinants of postnatal care utilization in Ethiopia: a multilevel analysis.BMC pregnancy and childbirth · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWe implemented a participatory quality improvement strategy in eight primary health care units of Ethiopia to improve use and quality of maternal and newborn health services.
methodsWe evaluated the effects of this strategy using mixed-methods research. We used before-and-after (March 2016 and November 2017) cross-sectional surveys of women who had children 0-11 months to compare changes in maternal and newborn health care indicators in the 39 communities that received the intervention and the 148 communities that did not. We used propensity scores to match the intervention with the comparison communities at baseline and difference-in-difference analyses to estimate intervention effects. The qualitative method included 51 in-depth interviews of community volunteers, health extension workers, health center directors and staff, and project specialists.
resultsThe difference-in-difference analyses indicated that 7.9 percentage points (95% confidence interval [CI]: 1.8-13.9%) increase in receiving skilled delivery care between baseline and follow-up surveys in the intervention area that is attributable to the strategy. The intervention effect on postnatal care in 48 hours of the mother was 15.3% (95% CI: 7.4-23.2). However, there was no evidence that the strategy affected the seven other maternal and newborn health care indicators considered. Interview participants said that the participatory design and implementation strategy helped them to realize gaps, identify real problems, and design appropriate solutions, and created a sense of ownership and shared responsibility for implementing interventions.
conclusionsCommunity participation in planning and monitoring maternal and newborn health service delivery improves use of some high-impact maternal and newborn health services. The study supports the notion that participatory community strategies should be considered to foster community-responsive health systems.
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