H-DAV NDMC EPHI

Effects of a community-based data fordecision-making intervention on maternal and newborn health care practices in Ethiopia: a dose-response study


Description
Id EPHI-DS0161
Name Effects of a community-based data fordecision-making intervention on maternal and newborn health care practices in Ethiopia: a dose-response study
Format .dta
Coverage Location National
Coverage Sex Female
Abstract

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. The household survey applied a two-stage cluster sampling method: at the first stage, kebeles were selected as primary sampling units with the probability of selection being proportionate to the population. At the second stage, the sampling strategy described by Lemeshow and Robinson (1985) was used to select the household with the target respondentsUsing data from cross-sectional surveys in 2010–11 and 2014–15 from 177 kebeles, we estimated selfreported 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 randomeffects 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.Kebeles 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, mthermal 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.

Additional Material No
Keywords
  • Community-based information system
  • Community engagement
  • Community health workers
  • Women’sdevelopment army of Ethiopia
  • Health extension program of Ethiopia
Recommended Yes
Location
Cleaned Yes
Cleaned Format .dta
RawFormat .dta
Comment
Remark
Note
Treatment
Date Data Collection Started 2013-07-01
Date Data Collection End 2015-01-30
Title Effects of a community-based data fordecision-making intervention on maternal and newborn health care practices in Ethiopia: a dose-response study
Data Type Survey
PublicationYear 2018
SugestedCitation

no sudested citation 

OtherIdType
Description

The household cross sectional survey applied a two-stage cluster sampling method: at the first stage, kebeles were selected as primary sampling units with the probability of selection being proportionate to the population. At the second stage, the sampling strategy described by Lemeshow andRobinson (1985) was used to select the household with the target respondentsUsing data from cross-sectional surveys in 2010–11 and 2014–15 from 177 kebeles, we estimated selfreported 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 randomeffects 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.

Dataset study design Longitudinal
Date Data Archived 2020-10-23
Date Data Cataloged 2020-10-26
Data Generating Unit Health System and Reproductive Health
URL https://rtds.ephi.gov.et/public/showdetail/161

Tags
Unpublished

Open Access