Essential Health Services Delivery Status During COVID-19 Pandemic in Ethiopia: A National Mixed-Methods Survey of Primary Healthcare Units.

Autor: Yesuf EA; Jimma University, Institute of Health, Ethiopia., Abdisa B; Jimma University, Institute of Health, Ethiopia., Sime H; Jimma University, Institute of Health, Ethiopia., Alemu EK; Jimma University, Institute of Health, Ethiopia., Asseffa NA; Hawassa University, College of Medicine and Health Sciences, Ethiopia., Jisso M; Hawassa University, College of Medicine and Health Sciences, Ethiopia., Tamiso A; Hawassa University, College of Medicine and Health Sciences, Ethiopia., Alemayehu A; Hawassa University, College of Medicine and Health Sciences, Ethiopia., Fikre R; Hawassa University, College of Medicine and Health Sciences, Ethiopia., Umer A; Dire Dawa University, College of Medicine and Health Sciences, Ethiopia., Kebede M; Dire Dawa University, College of Medicine and Health Sciences, Ethiopia., Mohammed H; Dire Dawa University, College of Medicine and Health Sciences, Ethiopia., Yazie B; Dire Dawa University, College of Medicine and Health Sciences, Ethiopia., Gurmu KK; World Health Organization Country Office for Ethiopia, Universal Health Coverage/Life Course, Health System Strengthening Team, Addis Ababa, Ethiopia., Gashu KD; University of Gonder, College of Medicine and Health Science, Institute of Public Health, Ethiopia., Angaw DA; University of Gonder, College of Medicine and Health Science, Institute of Public Health, Ethiopia., Endehabtu BF; University of Gonder, College of Medicine and Health Science, Institute of Public Health, Ethiopia., Tilahun B; University of Gonder, College of Medicine and Health Science, Institute of Public Health, Ethiopia., Gonete TZ; University of Gonder, College of Medicine and Health Science, Institute of Public Health, Ethiopia.
Jazyk: angličtina
Zdroj: Ethiopian journal of health sciences [Ethiop J Health Sci] 2023 Oct; Vol. 33 (Spec Iss 2), pp. 87-94.
DOI: 10.4314/ejhs.v33i2.2S
Abstrakt: Background: Essential health services are a package of services critical to improve health outcomes. COVID-19 pandemic disrupts essential health services. However, the level of essential health service disruption due to COVID-19 in Ethiopia is not clear. This study aimed at measuring the status of delivery of essential health services in Ethiopia during COVID-19.
Methods: A national mixed-methods cross-sectional survey was conducted. It was undertaken in Amhara (10 districts), Oromia (eight districts), Sidama (six districts), Southern Nations, Nationalities, and People's Region (16 districts), and Dire Dawa City Administration. A total of 452 health facilities were surveyed. Data were collected using face-to-face interview. Descriptive analysis was undertaken. Qualitative data was analyzed thematically.
Results: The woredas (districts) and health facilities which adopted essential health services before the COVID-19 pandemic were 81.4% and 51.2%, respectively. Nearly all health centers provided antenatal care services. Blood pressure measuring apparatus and delivery set were available in all health centers. However, only 50% of health centers had radiant warmer. Malnutrition services were provided by 47% of rural health centers. Moreover, a functional incinerator was available in only 41% of health centers. The provision of cardiovascular disease management was at 27.2%. Furthermore, HIV/AIDS treatment was provided by 43.5% of health facilities.
Conclusion: The adoption of lists of essential health services was optimal. The status of delivery of essential health services was high for maternal healthcare. Neonatal care at birth, malnutrition treatment, and cardiovascular disease management were low. The district health system should strive more to maintain essential health services.
(© 2023 Elias AY, et al.)
Databáze: MEDLINE
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