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Contextualising a framework for postnatal care in Ethiopia

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dc.contributor.advisor Roets, L.
dc.contributor.author Bala, Elias Teferi
dc.date.accessioned 2021-09-09T12:14:44Z
dc.date.available 2021-09-09T12:14:44Z
dc.date.issued 2020-06
dc.identifier.uri https://hdl.handle.net/10500/27946
dc.description.abstract Postnatal care is among the major recommended interventions to reduce maternal deaths globally. During this period, health professionals can diagnose postpartum problems and potential complications to ensure prompt treatment or interventions. The purpose of this study was to assess, adapt, and contextualise Chelagat’s framework for improving postnatal care that was developed within the Kenyan context, for implementation in Ethiopia. Sequential mixed-methods research, that involved a quantitative and qualitative cross-sectional study design, was conducted over three phases. In the first phase of the study, the applicability of Chelagat’s framework for implementation in Ethiopia, as well as the challenges and opportunities for the implementation of the framework, was assessed and described. The second phase of the study concentrated on the adaptation and contextualisation of Chelagat’s framework as well as the development of an action plan for the implementation of the adapted and contextualised framework within Ethiopia. The third phase was the validation of both the contextualised framework and an action plan for the implementation of the contextualised framework within the Ethiopian context. The findings revealed that the framework from Chelagat is applicable for the improvement of postnatal care in the Ethiopian context. It was indicated that a lack of physical resources, infrastructure problems, cultural concerns, inadequate capacity v building, inaccessibility of health services, unavailability of guidelines, lack of communication with healthcare users, and poor monitoring and evaluation were challenges that can impact the implementation of the contextualised framework. These identified aspects were addressed and incorporated in the contextualised framework and action plan. The health sector transformation plan, good health system governance, as well as good political will by the Ethiopian government, were opportunities identified which could contribute to the implementation of the contextualised framework. A validated contextualised framework and action plan to facilitate the implementation thereof were developed using the inputs from respondents during Phase 1, a thorough literature review, as well as the three-round Delphi technique. Actions/methods to address the abovementioned challenges were included in the action plan for the facilitation of the implementation of the contextualised framework. The contextualised framework, accompanied by the action plan to facilitate implementation, will be shared with the Ethiopian Federal Ministry of Health and other concerned organisations working on postnatal care services to enhance implementation in the Ethiopian context. Follow-up studies to assess the limitations of the framework and action plan can be conducted to adapt and improve the framework. Further studies on possible challenges associated with the implementation can enhance the success of the framework. Studies that assess the impact (the Systems Model), such as the possible reduction in maternal and neonatal morbidity and mortality after the implementation of the contextualised framework, are also recommended. en
dc.format.extent 1 online resource (xxxi, 440 leaves) en
dc.language.iso en en
dc.subject Contextualised framework en
dc.subject Action plan for implementation en
dc.subject Improved postnatal care en
dc.subject.ddc 362.198200963
dc.subject.lcsh Community health services -- Ethiopia en
dc.subject.lcsh Postnatal care -- Ethiopia en
dc.subject.lcsh Postnatal care -- Ethiopia -- Evaluation en
dc.subject.lcsh Maternal health services -- Ethiopia en
dc.subject.lcsh Mother and child -- Mortality -- Ethiopia en
dc.subject.lcsh Women -- Ethiopia -- Social conditions en
dc.title Contextualising a framework for postnatal care in Ethiopia en
dc.type Thesis en
dc.description.department Health Studies en
dc.description.degree D. Phil. ( Public Health) en


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