Approaches and strategies used in the training and supervision of Health Extension Workers (HEWs) delivering integrated community case management (iCCM) of childhood illness in Ethiopia: a qualitative rapid appraisal

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dc.contributor.authorNsibande, Duduzile
dc.contributor.authorLoveday, Marian
dc.contributor.authorDaniels, Karen
dc.contributor.authorSanders, David
dc.contributor.authorDoherty, Tanya
dc.contributor.authorZembe, Wanga
dc.date.accessioned2018-05-21T08:27:10Z
dc.date.available2018-05-21T08:27:10Z
dc.date.issued2018
dc.description.abstractBACKGROUND: Globally, preventable and treatable childhood conditions such as pneumonia, diarrhoea, malaria, malnutrition and newborn conditions still account for 75% of under-five mortality. To reduce the mortality rate from these conditions, Ethiopia launched an ambitious Health Extension Programme (HEP) in 2003. Trained Community Health Workers (CHWs), named Health Extension Workers (HEWs) were deployed to deliver a package of care which includes integrated Community Case-Management (iCCM) of common childhood diseases. OBJECTIVES: This qualitative study aimed to explore approaches and strategies used in the HEW training and supervision as part of an evaluation of the Catalytic Initiative to Save a Million Lives. METHODS: A qualitative rapid appraisal study using focus group discussions and in-depth interviews was conducted. RESULTS: Training of HEWs followed a cascaded training of trainer approach supported by implementing partners under guidance of the Ministry of Health. A comprehensive planning phase enabled good coverage of districts and consistency in training approaches. Training was complemented by on-going supportive supervision. HEW motivation was enhanced through regular review meetings and opportunities for career progression. CONCLUSION: These findings describe a thorough approach to training and supervision of HEWs delivering iCCM in rural Ethiopia. Ongoing investments by partners will be critical for long-term sustainability.en_US
dc.description.accreditationDHET
dc.identifier.citationNsibande, D. (2018). Approaches and strategies used in the training and supervision of Health Extension Workers (HEWs) delivering integrated community case management (iCCM) of childhood illness in Ethiopia: a qualitative rapid appraisal. African Health Sciences, 18(1): 188-197.en_US
dc.identifier.issn1729-0503
dc.identifier.urihttp://dx.doi.org/10.4314/ahs.v18i1.24
dc.identifier.urihttp://hdl.handle.net/10566/3703
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherMakerere University Medical School (Uganda)en_US
dc.status.ispeerreviewedTRUE
dc.subjectCommunity health workersen_US
dc.subjectHealth extension workersen_US
dc.subjectIntegrated community case managementen_US
dc.subjectTrainingen_US
dc.subjectSupervisionen_US
dc.subjectEthiopiaen_US
dc.titleApproaches and strategies used in the training and supervision of Health Extension Workers (HEWs) delivering integrated community case management (iCCM) of childhood illness in Ethiopia: a qualitative rapid appraisalen_US
dc.typeArticleen_US

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