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

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Ethiopian Journal of Health Sciences Pub Date : 2023-10-01 DOI:10.4314/ejhs.v33i2.2S
Elias Ali Yesuf, Biru Abdisa, Habtamu Sime, Enku Kifle Alemu, Netsanet Abera Asseffa, Meskerem Jisso, Alemu Tamiso, Akalewold Alemayehu, Rekiku Fikre, Abdurezak Umer, Mesfin Kebede, Hussen Mohammed, Bekele Yazie, Kassu Ketema Gurmu, Kassahun Dessie Gashu, Dessies Abebaw Angaw, Berhanu Fikadie Endehabtu, Binyam Tilahun, Tajebew Zayede Gonete
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Abstract

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.

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埃塞俄比亚 COVID-19 大流行期间基本医疗服务的提供状况:全国初级医疗保健单位混合方法调查》。
背景:基本医疗服务是对改善健康结果至关重要的一揽子服务。COVID-19 大流行扰乱了基本医疗服务。然而,COVID-19 在埃塞俄比亚造成的基本医疗服务中断程度尚不清楚。本研究旨在衡量 COVID-19 期间埃塞俄比亚基本医疗服务的提供情况:方法:开展了一项全国性混合方法横断面调查。调查在阿姆哈拉(10 个区)、奥罗莫(8 个区)、锡达玛(6 个区)、南部各族人民区(16 个区)和迪雷达瓦市政府进行。共调查了 452 家医疗机构。采用面对面访谈的方式收集数据。对数据进行了描述性分析。对定性数据进行了专题分析:在 COVID-19 大流行之前采用基本医疗服务的县(区)和医疗机构分别占 81.4%和 51.2%。几乎所有医疗中心都提供产前护理服务。所有保健中心都配备了血压测量仪和分娩设备。不过,只有 50%的保健中心有辐射取暖器。47% 的农村保健中心提供营养不良服务。此外,只有 41%的保健中心配备了实用的焚化炉。提供心血管疾病治疗的占 27.2%。此外,43.5%的医疗机构提供艾滋病毒/艾滋病治疗:结论:采用基本医疗服务清单的情况最佳。结论:基本医疗服务清单的采用情况良好。新生儿出生护理、营养不良治疗和心血管疾病管理水平较低。地区卫生系统应更加努力地维持基本医疗服务。
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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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