Skip to main content

Table 1 Logic framework for the Optimizing Health Extension Program intervention in selected districts of Ethiopia

From: Protocol for the evaluation of a complex intervention aiming at increased utilisation of primary child health services in Ethiopia: a before and after study in intervention and comparison areas

Assumptions • Local stakeholders committed to coordinate and support the interventions
• Traditional leaders will promote the maternal, newborn and child health services
• The government health sector and supply chain partners will ensure drug and service availability
Strategies COMMUNITY ENGAGEMENT CAPACITY BUILDING OWNERSHIP, ACCOUNTABILITY
Interventions • Health post open house
• Group discussions led by Women’s Development Army (WDA) members
• Reaching male partners
• Engaging schools
• Engaging religious and traditional leaders
• Health films
• Radio spots and dramas
• WDA level one training
• Community-based data for decision making
• Health Extension Worker (HEW) gap filling training and job aids
• Supportive supervision of HEWs
• Performance review and mentorship meetings with HEWs
• Provision of job aids and tools
• Advocacy for the integration of Community-Based Newborn Care (CBNC) and integrated community case management (iCCM) into planning, budgeting, management, and information systems of the district and sub-district levels.
• Management standard for health post opening hours
• Ambulance service for children’s referral
• Engage Kebele (sub-district) command post in the efforts
Establish community feedback mechanism
Output • Awareness of childhood illness and availability of CBNC and iCCM
• Acceptance of health post care
• Evidence-based social and behavioural change communication
• WDA members capacitated
• HEWs gained skills
• Supportive supervision and performance review and mentorship meetings with HEWs done
• CBNC and iCCM integrated in the planning, management and information systems at district and sub-district levels
• Standard set for health post opening hours
• Sub-district level local administration engaged in demand creation and support to primary health service provision
• Community feedback mechanisms created
• Advocacy to decision makers and influential bodies
Intermediate outcomes • Improved child health practice at household and community levels
Data source: Household module
• Improved availability of high quality community-based newborn care and integrated community case management of childhood diseases
Data source: Health post, health extension worker and health provider assessment module
• Improved ownership and accountability of community-based newborn care and integrated management of childhood illnesses
Data source: woreda contextual factors module
Outcome • Increased utilisation of good quality community-based newborn care and integrated management of childhood illnesses
Data source: household module
Impact • Reduction of under-five mortality