Effectiveness of participatory community solutions strategy on improving household and provider health care behaviours and practices: a mixed-method evaluation
| Id | EPHI-DS0165 |
|---|---|
| Name | Effectiveness of participatory community solutions strategy on improving household and provider health care behaviours and practices: a mixed-method evaluation |
| Format | .dta |
| Coverage Location | National |
| Coverage Sex | Female |
| Abstract | This study evaluated the effects of this strategy using mixed-methods research. The researchers 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. The project implemented the PC-Solutions strategy in eight of the 115 L10K 2020 Platform woredas (two in each region) between March 2016 and October 2017. This integrated intervention joined communities (including health posts) and facilities (health centers) and built on two previous JSI interventions; Participatory Community Quality Improvement and Early Care-Seeking and Referral Solutions. The 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 is attributable to the strategy. In that regard, the intervention effect on postnatal care in 48 hours of the mother was 15.3% (95% CI: 7.4–23.2). |
| Additional Material | No |
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| Recommended | Yes |
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| Cleaned | Yes |
| Cleaned Format | . csdb |
| RawFormat | . csdb |
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| Date Data Collection Started | 2017-01-01 |
| Date Data Collection End | 2017-11-30 |
| Title | Effectiveness of participatory community solutions strategy on improving household and provider health care behaviors and practices |
| Data Type | Survey |
| PublicationYear | 2020 |
| SugestedCitation | no sugested citation |
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| Description | JSI Research & Training Institute, Inc. (JSI), with funding from the Bill & Melinda Gates Foundation, implements the Last Ten Kilometers (L10K) 2020 project strategies to involve communities in improving high-impact RMNCH care behavior and practices in 115 woredas in four of the most populous regions of the country (Amhara, Oromia, Southern Nations, Nationalities and Peoples [SNNP], and Tigray), covering about 19 million. People, to help meet HSTP MNH targets. Its strategies include community-based data for decision-making (CBDDM), family conversation, and birth notification. The project implemented the PC-Solutions strategy in eight of the 115 L10K 2020 Platform woredas (two in each region) between March 2016 and October 2017. This integrated intervention joined communities (including health posts) and facilities (health centers) and built on two previous JSI interventions; Participatory Community Quality Improvement and Early Care-Seeking and Referral Solutions. |
| Dataset study design | Longitudinal |
| Date Data Archived | 2020-10-23 |
| Date Data Cataloged | 2020-11-03 |
| Data Generating Unit | Health System and Reproductive Health |
| URL | https://rtds.ephi.gov.et/public/showdetail/165 |
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Open Access