ArticleBMJ open2021
Health extension workers' perceived health system context and health post preparedness to provide services: a cross-sectional study in four Ethiopian regions.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Mapping multilevel barriers impacting the performance of Ethiopia's Community-Based Health Extension Program: A scoping review.PloS one · 2026Article
- Factors affecting the implementation of the Health Extension Workers Programme in Kavango East Region, Namibia.Health SA = SA Gesondheid · 2026Article
- The triple burden: A systematic review and meta-analysis of essential medicine availability, price, and affordability across Ethiopian health facilities.Exploratory research in clinical and social pharmacy · 2025Review
- Towards equitable partnerships in global health research: experiences from Ethiopia, Uganda, Lao PDR and Vietnam.BMJ global health · 2025Article
- Quality of sick child management by health extension workers: role of a complex improvement intervention.BMC health services research · 2023Article
- Factors Affecting Inventory Management Performance of Tracer Medicines Across Primary Health Care Units, Gamo Zone, Southern Nations Nationalities and People's Region, Ethiopia.Integrated pharmacy research & practice · 2023Article
- 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
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Authors and funding
6 authors.
Funding
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Abstract
objectiveThe health system context influences the implementation of evidence-based practices and quality of healthcare services. Ethiopia aims at reaching universal health coverage but faces low primary care utilisation and substandard quality of care. We assessed the health extension workers' perceived context and the preparedness of health posts to provide services.
settingThis study was part of evaluating a complex intervention in 52 districts of four regions of Ethiopia. This paper used the endline data collected from December 2018 to February 2019.
participantsA total of 152 health posts and health extension workers serving selected enumeration areas were included. OUTCOME MEASURES: We used the Context Assessment for Community Health (COACH) tool and the Service Availability and Readiness Assessment tool.
resultsInternal reliability of COACH was satisfactory. The dimensions
conclusionThe health extension workers had a good relationship with the local community, used data for planning, were highly committed to their work with positive perceptions of their work culture, a relatively positive attitude regarding their leaders, and reported no corruption or informal payments. In contrast, they had insufficient sources of information and a severe lack of resources. The health post preparedness confirmed the low level of resources and preparedness for services. These findings suggest a significant potential contribution by health extension workers to Ethiopia's primary healthcare, provided that they receive improved support, including new information and essential resources.
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