wow-inequalities/02-data/intermediate/wos_sample/8006f7a77959bfe359a195d26b94e816-wereta-tewabech-and/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background: Maternal and newborn health care intervention coverage has
increased in many low-income countries over the last decade, yet poor
quality of care remains a challenge, limiting health gains. The World
Health Organization envisions community engagement as a critical
component of health care delivery systems to ensure quality services,
responsive to community needs. Aligned with this, a Participatory
Community Quality Improvement (PCQI) strategy was introduced in
Ethiopia, in 14 of 91 rural woredas (districts) where the Last Ten
Kilometers Project (L10 K) Platform activities were supporting national
Basic Emergency Obstetric and Newborn Care (BEmONC) strengthening
strategies. This paper examines the effects of the PCQI strategy in
improving maternal and newborn care behaviors, and providers'' and
households'' practices.
Methods: PCQI engages communities in identifying barriers to access and
quality of services, and developing, implementing and monitoring
solutions. Thirty-four intervention kebeles (communities), which
included the L10 K Platform, BEmONC, and PCQI, and 82 comparison
kebeles, which included the L10 K Platform and BEmONC, were visited in
December 2010-January 2011 and again 48 months later. Twelve women with
children aged 0 to 11 months were interviewed in each kebele. Propensity
score matching was used to estimate the program''s average treatment
effects (ATEs) on women''s care seeking behavior, providers'' service
provision behavior and households'' newborn care practices.
Results: The ATEs of PCQI were statistically significant (p < 0.05) for
two care seeking behaviors - four or more antenatal care (ANC) visits
and institutional deliveries at 14\% (95\% CI: 6, 21) and 11\% (95\% CI:
4, 17), respectively - and one service provision behavior - complete ANC
at 17\% (95\% CI: 11, 24). We found no evidence of an effect on
remaining outcomes relating to household newborn care practices, and
postnatal care performed by the provider.
Conclusions: National BEmONC strengthening and government initiatives to
improve access and quality of maternal and newborn health services,
together with L10 K Platform activities, appeared to work better for
some care practices where communities were engaged in the PCQI strategy.
Additional research with more robust measure of impact and
cost-effectiveness analysis would be useful to establish effectiveness
for a wider set of outcomes.'
affiliation: 'Wereta, T (Corresponding Author), JSI Res \& Training Inst Inc, Last
Ten Kilometers Project L10K 2020, Kebele 03-05,Hs 2111, Addis Ababa, Ethiopia.
Wereta, Tewabech; Betemariam, Wuleta; Karim, Ali Mehryar; Zemichael, Nebreed Fesseha;
Dagnew, Selamawit; Wanboru, Abera, JSI Res \& Training Inst Inc, Last Ten Kilometers
Project L10K 2020, Kebele 03-05,Hs 2111, Addis Ababa, Ethiopia.
Bhattacharya, Antoinette, London Sch Hyg \& Trop Med, Fac Infect \& Trop Dis, Dept
Dis Control, Keppel St, London WC1E 7HT, England.'
article-number: '364'
author: Wereta, Tewabech and Betemariam, Wuleta and Karim, Ali Mehryar and Zemichael,
Nebreed Fesseha and Dagnew, Selamawit and Wanboru, Abera and Bhattacharya, Antoinette
author-email: weretatewabech@gmail.com
author_list:
- family: Wereta
given: Tewabech
- family: Betemariam
given: Wuleta
- family: Karim
given: Ali Mehryar
- family: Zemichael
given: Nebreed Fesseha
- family: Dagnew
given: Selamawit
- family: Wanboru
given: Abera
- family: Bhattacharya
given: Antoinette
da: '2023-09-28'
doi: 10.1186/s12884-018-1977-9
eissn: 1471-2393
files: []
journal: BMC PREGNANCY AND CHILDBIRTH
keywords: Maternal; Newborn; Quality improvement; Community engagement
keywords-plus: ALMA-ATA; NEWBORN; DELIVERY; LESSONS
language: English
month: SEP 24
number-of-cited-references: '44'
papis_id: 1ce3de3dbbd8bc1cb2937c21d02fbfa6
ref: Wereta2018effectsparticipatory
researcherid-numbers: Karim, Ali/AAX-4495-2021
times-cited: '17'
title: 'Effects of a participatory community quality improvement strategy on improving
household and provider health care behaviors and practices: a propensity score analysis'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000460333600002
usage-count-last-180-days: '0'
usage-count-since-2013: '1'
volume: '18'
web-of-science-categories: Obstetrics \& Gynecology
year: '2018'