Initial community perspectives on the Health Service Extension Programme in Welkait, Ethiopia

被引：22

作者：

Negusse H. ^{[1
]}

McAuliffe E. ^{[1
,2
]}

MacLachlan M. ^{[1
,3
]}

机构：

[1] Centre for Global Health, Trinity College Dublin

[2] School of Medicine, Trinity College Dublin

[3] School of Psychology, Trinity College Dublin

来源：

Human Resources for Health | / 5卷 / 1期

关键词：

Malaria; Health Worker; Traditional Birth Attendant; Safe Motherhood; Health Extension Worker;

D O I：

10.1186/1478-4491-5-21

中图分类号：

学科分类号：

摘要：

Background: The Health Service Extension Programme (HSEP) is an innovative approach to addressing the shortfall in health human resources in Ethiopia. It has developed a new cadre of Health Extension Workers (HEWs), who are charged with providing the health and hygiene promotion and some treatment services, which together constitute the bedrock of Ethiopia's community health system. Methods: This study seeks to explore the experience of the HSEP from the perspective of the community who received the service. A random sample of 60 female heads-of-household in a remote area of Tigray participated in a structured interview survey. Results: Although Health Extension Workers (HEWs) had visited them less frequently than planned, participants generally found the programme to be helpful. Despite this, their basic health knowledge was still quite poor regarding the major communicable diseases and their vectors. Participants felt the new HESP represented an improvement on previous health provision. HEWs were preferred over Traditional Birth Attendants for assistance with labour. Conclusion: While the introduction of HEWs has been a positive experience for women living at the study site, the frequency of visits, extent of effectively imparted health knowledge and affects of HEWs on other health providers needs to be further explored. © 2007 Negusse et al; licensee BioMed Central Ltd.

引用

共 11 条

[1]

Mc Auilffe E., MacLachlan M., Turning the Ebbing Tide: Knowledge Flows and Health in Low-income Countries, Higher Education Policy, 18, pp. 231-242, (2005)

[2]

Buchan J.M.D., Dal Poz M.R., Role Definition, Skill Mix, Multi-Skilling, and 'New Workers, Towards a Global Workforce Strategy: Studies in Health Services Organisation and Policy, pp. 275-300, (2003)

[3]

Hoingoro C., Normand C., Health Workers: Building and Motivating the Workforce, Disease Control Priorities in Developing Countries, pp. 1309-1322, (2006)

[4]

Training of Health Extension Workers: First Intake Assessment, (2005)

[5]

Lewin S.A., Babigumira S.M., Bosch-Capblanch X., Aja G., van Wyk B., Glenton C., Scheel I., Zwarenstein M., Daniels K., Lay Health Workers in Primary and Community Health Care: A Systematic Review, (2006)

[6]

Chen L., Evans T., Anand S., Boufford J.I., Brown H., Chowdhurry M., Human Resources for Health: Overcoming the crisis, Lancet, 364, pp. 1984-1990, (2004)

[7]

Filippi V., Ronsmans C., Campbell O.M., Graham W.J., Mills A., Borghi J., Koblinsky M., Osrin D., Maternal health in poor countries: The broader context and a call for action, Lance, 368, pp. 1535-1541, (2006)

[8]

Tigray Health Bureau 1997 EFY Profile, (2005)

[9]

MacLachlan M., Culture & Health: A Critical Perspective Towards Global Health, 2, (2006)

[10]

Walraven G., Weeks A., The role of (traditional) birth attendants with midwifery skills in the reduction of maternal mortality, Tropical Medicine and International Health, 4, pp. 527-529, (1999)

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