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Evaluate the Effectiveness of Health Extension Workers on Antenatal Care Outcomes in Rural Ethiopia ruddcu.washington

Health Sector Development Plan. Prevention-based health policy, a primary focus on maternal and child health servicesHealth Extension Workers (HEW)Trained for 1 year

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Evaluate the Effectiveness of Health Extension Workers on Antenatal Care Outcomes in Rural Ethiopia ruddcu.washington

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    1. Evaluate the Effectiveness of Health Extension Workers on Antenatal Care Outcomes in Rural Ethiopia ruddc@u.washington.edu

    2. Health Sector Development Plan Prevention-based health policy, a primary focus on maternal and child health services Health Extension Workers (HEW) Trained for 1 year & sent to a rural kebele (village) Family Health component focuses on: Maternal and Child Health, Family Planning, Vaccination Service, Nutrition, Adolescent Reproductive Health

    3. Health Overview & Antenatal Care Utilization 75% receive no antenatal care in rural areas 28% receive at least one antenatal visit from a health professional Maternal Mortality Ratio: 871 per 100,000 Under 5 Mortality Rate: 123 per 1,000 2005 DHS Survey

    4. Objective: Determine the Effectiveness of Health Extension Workers on Antenatal Care Outcomes in Rural Ethiopia Questions: Determine effectiveness of HEWs within health posts and community Compare differences among 2 comparable rural clinics in different regions

    5. Methodology Study design: Cross-sectional descriptive analysis of patients at two rural health outposts where HEWs have been working for one year Study Instruments: Health Facility Registers and Medical records Collect data from patients admitted to the health post Sample Survey Conduct sample survey within kebele

    6. Indicators Antenatal care coverage Proportion of deliveries assisted by trained health worker (HEW or TBA) Proportion of Maternal Deaths Study Concerns: Generalizability Ways to compare HEW kebele and non-HEW kebele?

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