Exploring women's development group leaders' support to maternal, neonatal and child health care: A qualitative study in Tigray region, Ethiopia.

<h4>Background</h4>Community health workers and volunteers are vital for the achievement of Universal Health Coverage also in low-income countries. Ethiopia introduced community volunteers called women's development group leaders in 2011. These women have responsibilities in multipl...

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Autores principales:	Fisseha Ashebir, Araya Abrha Medhanyie, Afework Mulugeta, Lars Åke Persson, Della Berhanu
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cacf97429927446bb6d50ae00beb914b
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spelling	oai:doaj.org-article:cacf97429927446bb6d50ae00beb914b2021-12-02T20:08:02ZExploring women's development group leaders' support to maternal, neonatal and child health care: A qualitative study in Tigray region, Ethiopia.1932-620310.1371/journal.pone.0257602https://doaj.org/article/cacf97429927446bb6d50ae00beb914b2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257602https://doaj.org/toc/1932-6203<h4>Background</h4>Community health workers and volunteers are vital for the achievement of Universal Health Coverage also in low-income countries. Ethiopia introduced community volunteers called women's development group leaders in 2011. These women have responsibilities in multiple sectors, including promoting health and healthcare seeking.<h4>Objective</h4>We aimed to explore women's development group leaders' and health workers' perceptions on these volunteers' role in maternal, neonatal and child healthcare.<h4>Methods</h4>A qualitative study was conducted with in-depth interviews and focus group discussions with women's development group leaders, health extension workers, health center staff, and woreda and regional health extension experts. We adapted a framework of community health worker performance, and explored perceptions of the women's development group program: inputs, processes and performance. Interviews were recorded, transcribed, and coded prior to translation and thematic analysis.<h4>Results</h4>The women's development group leaders were committed to their health-related work. However, many were illiterate, recruited in a sub-optimal process, had weak supervision and feedback, lacked training and incentives and had weak knowledge on danger signs and care of neonates. These problems demotivated these volunteers from engaging in maternal, neonatal and child health promotion activities. Health extension workers faced difficulties in managing the numerous women's development group leaders in the catchment area.<h4>Conclusion</h4>The women's development group leaders showed a willingness to contribute to maternal and child healthcare but lacked support and incentives. The program requires some redesign, effective management, and should offer enhanced recruitment, training, supervision, and incentives. The program should also consider continued training to develop the leaders' knowledge, factor contextual influences, and be open for local variations.Fisseha AshebirAraya Abrha MedhanyieAfework MulugetaLars Åke PerssonDella BerhanuPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257602 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Fisseha Ashebir Araya Abrha Medhanyie Afework Mulugeta Lars Åke Persson Della Berhanu Exploring women's development group leaders' support to maternal, neonatal and child health care: A qualitative study in Tigray region, Ethiopia.
description	<h4>Background</h4>Community health workers and volunteers are vital for the achievement of Universal Health Coverage also in low-income countries. Ethiopia introduced community volunteers called women's development group leaders in 2011. These women have responsibilities in multiple sectors, including promoting health and healthcare seeking.<h4>Objective</h4>We aimed to explore women's development group leaders' and health workers' perceptions on these volunteers' role in maternal, neonatal and child healthcare.<h4>Methods</h4>A qualitative study was conducted with in-depth interviews and focus group discussions with women's development group leaders, health extension workers, health center staff, and woreda and regional health extension experts. We adapted a framework of community health worker performance, and explored perceptions of the women's development group program: inputs, processes and performance. Interviews were recorded, transcribed, and coded prior to translation and thematic analysis.<h4>Results</h4>The women's development group leaders were committed to their health-related work. However, many were illiterate, recruited in a sub-optimal process, had weak supervision and feedback, lacked training and incentives and had weak knowledge on danger signs and care of neonates. These problems demotivated these volunteers from engaging in maternal, neonatal and child health promotion activities. Health extension workers faced difficulties in managing the numerous women's development group leaders in the catchment area.<h4>Conclusion</h4>The women's development group leaders showed a willingness to contribute to maternal and child healthcare but lacked support and incentives. The program requires some redesign, effective management, and should offer enhanced recruitment, training, supervision, and incentives. The program should also consider continued training to develop the leaders' knowledge, factor contextual influences, and be open for local variations.
format	article
author	Fisseha Ashebir Araya Abrha Medhanyie Afework Mulugeta Lars Åke Persson Della Berhanu
author_facet	Fisseha Ashebir Araya Abrha Medhanyie Afework Mulugeta Lars Åke Persson Della Berhanu
author_sort	Fisseha Ashebir
title	Exploring women's development group leaders' support to maternal, neonatal and child health care: A qualitative study in Tigray region, Ethiopia.
title_short	Exploring women's development group leaders' support to maternal, neonatal and child health care: A qualitative study in Tigray region, Ethiopia.
title_full	Exploring women's development group leaders' support to maternal, neonatal and child health care: A qualitative study in Tigray region, Ethiopia.
title_fullStr	Exploring women's development group leaders' support to maternal, neonatal and child health care: A qualitative study in Tigray region, Ethiopia.
title_full_unstemmed	Exploring women's development group leaders' support to maternal, neonatal and child health care: A qualitative study in Tigray region, Ethiopia.
title_sort	exploring women's development group leaders' support to maternal, neonatal and child health care: a qualitative study in tigray region, ethiopia.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/cacf97429927446bb6d50ae00beb914b
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Exploring women's development group leaders' support to maternal, neonatal and child health care: A qualitative study in Tigray region, Ethiopia.

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